Yale Arthroplasty Fellowship Program Summary 2024
January 31, 2024- 00:02Greetings, I'm Doctor Lee Rube with
- 00:04Yale Orthopaedics and I'm excited to
- 00:06talk to you about the Yale Arthroplasty
- 00:08Fellowship Program to give you an
- 00:10introduction to our program and tell
- 00:12you more about our department and
- 00:13our division and all the exciting
- 00:15things going on here in New Haven
- 00:17surrounding this wonderful program.
- 00:19This is January 2024 program overview
- 00:21for the springtime for our current match
- 00:23cycle which will match in April of 2024
- 00:26for the anticipated 2526 position.
- 00:30So greetings to everyone from Yale
- 00:31University here in New Haven, CT.
- 00:32This is the Sterling Hall of Medicine
- 00:34which houses the Dean's office,
- 00:35the Medical school and the historical
- 00:37Medical library as shown here,
- 00:39which is one of the most beautiful
- 00:41spaces to to study and visit.
- 00:44Our department is led by Doctor Lisa
- 00:46Latanza who joined us after many years
- 00:48at UCSF and she's been here since 2019.
- 00:50She served in many international roles
- 00:53and continues to be a major leader
- 00:55in the world of shopper extremity
- 00:57reconstruction 3D printing and we'll
- 00:59talk about that a little bit later on.
- 01:01Our faculty education leadership
- 01:03is led by Adrian Sochi.
- 01:05Dr.
- 01:06Sochi is the program director for
- 01:08the orthopaedic residency assisted
- 01:09by Doctor Salim and Tuasin.
- 01:11And Doctor Lynn Scog is our
- 01:13Vice Chair of Education,
- 01:14overseeing the residency and fellowship
- 01:16programs here in the department.
- 01:18Our departmental mission to deliver
- 01:19exceptional patient care by fostering
- 01:21a culture of respect and well-being,
- 01:23seeking innovation,
- 01:24diversity,
- 01:25excellence across our missions and supporting
- 01:28our community locally and globally.
- 01:30Our Division of Adult Reconstruction is is
- 01:33joined by many wonderful attending faculty.
- 01:36Dr.
- 01:36Idine Islam Poor is our VA Chief Doctor David
- 01:40Gibson is a longtime faculty member here.
- 01:42Doctor Tom Hickardell is is in Greenwich
- 01:45and Stanford locations in our practice.
- 01:46Doctor Meng NI Lee has joined us
- 01:48from Ohio State about two years ago.
- 01:50Doctor Elda Malloy has just
- 01:52joined us after her fellowship.
- 01:54And Doctor Dan Wisnia,
- 01:56who helps run our technology and innovation,
- 02:00He's the Innovation Director.
- 02:02Our current fellow is
- 02:04Doctor Andrei Brzezinski.
- 02:05We have two Americus faculty members,
- 02:07Doctor Pelker and Dr.
- 02:08Wu, who've recently retired.
- 02:09And we mourn the loss of
- 02:11Doctor Keke last July 2023.
- 02:13May he rest in peace
- 02:15ongoing faculty recruitment.
- 02:16We're excited to have two
- 02:18new faculty joining us.
- 02:19One will join us in the fall of this year
- 02:21split between the VA and Yale Medicine.
- 02:23Doctor Leiniger is joining
- 02:25us out of his fellowship.
- 02:26Second position has been confirmed
- 02:28and will be announced shortly.
- 02:30We have another two positions will be
- 02:32opening in Bridgeport area in Fairfield,
- 02:34CT one in New London,
- 02:35CT.
- 02:36Our division has four full time
- 02:38APP staff which will be growing
- 02:39as we grow our division and we're
- 02:42also joined by Doctor Leslie in the
- 02:43orthopaedic trauma division who does
- 02:45about 200 anterior total hips and
- 02:47revisions and complex cases each year.
- 02:48And Doctor Matt Riedl is doing total knee
- 02:51using Mako from the trauma department.
- 02:54Our orthopaedic residency program
- 02:56has a strong tradition of training
- 02:58arthroplasty residents that have gone
- 03:00into arthroplasty faculty fellowships,
- 03:02including some of the wonderful
- 03:04programs listed here on the left.
- 03:06So we're very pleased to have a
- 03:07number of other residents rising in
- 03:09our program going into arthroplasty,
- 03:10including one of our chiefs
- 03:11going to Oxford this year,
- 03:12one in the cycle this year and one
- 03:15anticipated for the cycle next year.
- 03:16Our first fellow was Eric McDonald
- 03:18in 21 in 22 who trained with us.
- 03:21He did about 492 cases,
- 03:23but we know that there was a COVID
- 03:24shutdown that January unfortunately,
- 03:26so that slowed things down a bit.
- 03:28But he's out in practice in California.
- 03:30Our second fellow was on Sub Kwasha,
- 03:32who joined us after being at
- 03:33University of Arizona, Tucson.
- 03:35He did 634 cases last year
- 03:38with 35% complex in revision.
- 03:40He did an international trip to
- 03:42Belgium and Paris last May and he's
- 03:45now in practice in Portland, OR.
- 03:47Our current fellow is Andre Brzezinski,
- 03:50who's so far has done 200 cases
- 03:53in the four month data set and
- 03:54we'll hear more about that.
- 03:55So he's on pace for about 600 cases.
- 03:58He'll be going to University
- 03:59Orthopaedics Group in New Brunswick,
- 04:01NJ Our 4th fellow matched is Doctor
- 04:03Mohammed Padilla who's coming from
- 04:04the Wayne State University in Detroit
- 04:07Medical Center next year will be
- 04:08starting this August of 2024.
- 04:10The 25 and 26,
- 04:12we're looking for you our next
- 04:14match fellow and we're excited
- 04:16to show you this program.
- 04:17Our department has a number of
- 04:19fellowship programs including our
- 04:20joint reconstruction position.
- 04:22We're one of a few positions
- 04:23between Boston and New York and
- 04:24the only one in Connecticut.
- 04:26We have two hand surgery positions
- 04:27here with plastic surgery,
- 04:29Ortho Trauma and Ortho spine as
- 04:33well as Ortho Sport each have one.
- 04:34And we have number of non
- 04:37clinical research fellows,
- 04:38students and visiting scholars that spend
- 04:39time with us throughout the year or
- 04:41a whole year with us in the department.
- 04:43We've been able to fortunately travel
- 04:44the last few years after COVID.
- 04:46We're getting back into conferencing
- 04:48the DA courses,
- 04:49AOS robotic courses with the
- 04:51residents and and attendings.
- 04:53So it's been a lot of fun to
- 04:54get out and about.
- 04:55Our current fellow was able to
- 04:57get the iMac course in Houston,
- 04:58TX on the left and then also August
- 05:012023 in Dallas on the right.
- 05:03And we were able to to highlight our
- 05:05department's work with two top 100 posters,
- 05:07both by Doctor Poor on the
- 05:08left and myself and Wesley Day,
- 05:10who's a student at Albert
- 05:11Einstein College of Medicine.
- 05:12There we took the residents out to dinner.
- 05:15It was a lot of fun.
- 05:16We have nice,
- 05:17nice time with faculty and attendees
- 05:18and celebrate the work that's
- 05:20being done here in our program.
- 05:22Some unique divisional highlights
- 05:23in our Arthroplasty division.
- 05:25We are very pleased to host
- 05:27Doctor Young Wu Kim,
- 05:28who is the 2023 Traveling fellow
- 05:30of the Japanese Hip
- 05:32Society who came to visit us from Kyoto,
- 05:34Japan and were able to learn with
- 05:36him as a scholar and teacher.
- 05:38And he spent about a week
- 05:39with us here in the division,
- 05:41which was very exciting.
- 05:42We have a 3D surgical innovation and
- 05:44Research Center which has grown and its
- 05:46size and capability over the last few years,
- 05:48led by Doctor Latanza and Doctor Dan
- 05:51Wisnia and others who are contributing
- 05:53both modeling upper and lower extremity
- 05:56diseases and custom cutting guides
- 05:58and custom orthopaedic solutions.
- 06:00Doctor Wisnia and Doctor Thomasini
- 06:02in our apartments have founded what
- 06:04is now one of the only Masters of
- 06:06Science and Personalized Medicine and
- 06:08Applied Engineering in partnership
- 06:10with the School of Engineering.
- 06:12This is a one year degree program
- 06:13listing some of the many highlights
- 06:15on the right and it's one of the
- 06:17only programs in the world that's
- 06:18really offering this.
- 06:19Currently that program has grown and grown.
- 06:21You can read more about it online.
- 06:24Avastin Necrosis Center of Excellence
- 06:25is another project that we founded
- 06:27here to bring patients especially
- 06:28the early stage AVN.
- 06:30Most of the patients are coming to
- 06:31us all over the country with stage
- 06:33two AVN and we're using 3D modeling
- 06:35and computer navigate delivery of
- 06:37stem cells and ontoplasty care.
- 06:39It's the interdisciplinary
- 06:40program with multiple divisions,
- 06:42physiatry and hyperbaric medicine
- 06:44for example, we're empowering Yale.
- 06:46New Haven Hospital is a local,
- 06:47domestic and international
- 06:48destination and there's going
- 06:50to be future opportunities for
- 06:52research and education based on
- 06:57all of this work.
- 06:58We have historical collection of implants
- 07:00at Yale University School of Medicine
- 07:02and Historical Library and this was an
- 07:04example teaching last last February,
- 07:06the school of engineering classes
- 07:08about implants and failed implants.
- 07:10We get to take the implants out and
- 07:11actually share those with the students
- 07:13and instruct them and show them some
- 07:15of the design features that were
- 07:16good or bad or other and give them
- 07:18hands on experience taking some of
- 07:20the world's most unusual rare and
- 07:23other implants to learn from them.
- 07:25And these are the tables sharing
- 07:27the implants and talking about hip
- 07:29surgery with these aspiring students.
- 07:31We are very fortunate to be visited
- 07:32by CBS News National investigative
- 07:34report that Anna Werner who visited I,
- 07:37Dean Poor and I in the library there
- 07:38to learn more about the pro femur
- 07:39implant which we have in our collection.
- 07:41And they gather information for
- 07:43their national investigative story
- 07:44and partnership with Kaiser Family
- 07:46Foundation online.
- 07:47And and we're very pleased to inform
- 07:49them about some of these features.
- 07:51Pleased to share that we've launched the
- 07:53Depew Anterior Vantage Technique Guide,
- 07:54which I helped coordinate and
- 07:56publish this past year.
- 07:58And that's now available as a resource
- 08:00on the Depew Institute Anterior
- 08:01Advantage page for anyone looking to
- 08:03learn more about anterior hip surgery.
- 08:06I've also published 1 textbook in 2016,
- 08:07and I'm thrilled to tell you that
- 08:09the next textbook is coming out
- 08:11and it'll be launched.
- 08:13AOS 2024 will be available in
- 08:16print by late April of this year.
- 08:19Our joint replacement program in the
- 08:20hospital has a number of highlights,
- 08:21one of which is the outpatient
- 08:23arthroplasty program through our Mcgivney
- 08:24Center for Advanced Surgical Care.
- 08:26We began this in 2017 to develop our
- 08:29protocols, launched the program in 2018,
- 08:31updated recently with a new care
- 08:33signature order set to take the outpatient
- 08:35protocols across the entire health system.
- 08:37This year,
- 08:38we have a nurse Navigator program
- 08:40which we launched again in 2017,
- 08:42which has really grown annually to
- 08:43match the surgical volumes here.
- 08:45It's closely tied to patient
- 08:47satisfaction and clinical outcomes
- 08:48to optimize those patients and
- 08:50follow best practice guidelines.
- 08:52There's an entire world of research
- 08:53being built around this and other
- 08:55exciting things that will become
- 08:56known in the year ahead.
- 08:58The Yelp Fragility hip fracture
- 08:59program is a very busy program.
- 09:01That's another Joint Commission
- 09:02certified program here.
- 09:03We have 500 cases of hip fracture annually.
- 09:06We have an advanced certification
- 09:07program in addition to our hip
- 09:09and knee replacement as well as
- 09:11shoulder replacement spine fusion.
- 09:14And we are one of the only centers
- 09:16in the United States has five Joint
- 09:17Commission programs under one roof.
- 09:19We're very proud about that.
- 09:21We went to the NAON meeting the
- 09:2343rd Congress in Pittsburgh and
- 09:24delivered a wonderful seminar in
- 09:26partnership with our lead navigator,
- 09:27Nurse Chris Kristen Nelson there and
- 09:29Doctor Jin Lai Lee who's our Director
- 09:31of the Fellowship for Pain and Nerve
- 09:33Block Anesthesia, regional Anesthesia,
- 09:35very excited to be leaders in that space.
- 09:38Our our program also has just built a
- 09:40new dashboard which is a way to track
- 09:42data and and provide real time data
- 09:44collection across a number of metrics
- 09:45across the entire hospital and healthcare
- 09:47system to guide program improvement.
- 09:49We have AY axis transfer program here
- 09:51where patients are transferred from
- 09:52across the state and around the region.
- 09:54Examples are para prosthetic infections
- 09:57and fractures revisions complications.
- 09:59We see anywhere from 1:00 to 2:00 to
- 10:013:00 to five of these almost every day
- 10:03now and they're coming in and increasing
- 10:04numbers which is great for fellowship
- 10:06training program and we have a prosthetic
- 10:09joint center of excellence for infection.
- 10:11We're we're working in collaboration
- 10:13with the ID service pharmacy and research
- 10:15lab to focus on infection prevention
- 10:17as well as adjunctive phase therapy,
- 10:20which is a novel adjunctive treatment that
- 10:22we're trying to advance the science around.
- 10:24We have a unique program here called
- 10:26the Keggy Kimball International
- 10:27Fund for Orthopaedic Education,
- 10:29which was founded by Chris Keggy
- 10:30many years ago in his practice where
- 10:32he hosted surgeons not only from
- 10:34the US but around the world.
- 10:36And about 200 of those surgeons
- 10:37were trained through his practice.
- 10:39He had surgeons visit from Latvia,
- 10:41Lithuania,
- 10:42Georgia,
- 10:42Estonia and many other places and he paid
- 10:46the room and board and now he was able
- 10:48to teach and other things over the years.
- 10:50So we've hosted a number of
- 10:52program visitors from Turkey,
- 10:53China, Republic of Georgia,
- 10:55Vietnam and Latvia.
- 10:56We suspended the program due to COVID
- 10:58and then we restarted this past year.
- 11:00We're very pleased when the when the
- 11:02guests are here to host them both for
- 11:04a few months as well As for a wonderful
- 11:06celebration dinner at the end of their time.
- 11:08And this year after the COVID
- 11:10restrictions have been officially lifted,
- 11:11we've hosted guests from Italy, Japan,
- 11:13University of Ghana as well as Pune,
- 11:16India.
- 11:16And we're very pleased to have these
- 11:18scholars from all over the world coming
- 11:20to Yale to exchange ideas with us,
- 11:22teach us and learn with us in our service.
- 11:25Funds are available for a faculty
- 11:27to prevent present internationally.
- 11:28I went to Rome,
- 11:29Italy last year and there's other
- 11:31trips that were done to the European
- 11:33HIP Society and two faculty members
- 11:35are going to Turkey this coming fall.
- 11:37Funds are also available for a Yale
- 11:39Arthroplasty Fellow for a two week
- 11:41funded trip in May of each year.
- 11:43The fellow must designate appropriate
- 11:45surgeon mentors and destinations,
- 11:47outline their visit goals in a
- 11:49written document for the university.
- 11:50Our Doctor Kwaja, as we mentioned,
- 11:52visited Doctor Courtson in Gang,
- 11:53Belgium and Doctor Frederick Loday in Paris,
- 11:55France and Doctor Brzezinski is
- 11:57working on a trip to go to Germany,
- 12:00Poland, and possibly Austria.
- 12:02Our fellowship program logistics.
- 12:03Importantly for the fellow,
- 12:05this is the Pgy 6 Salary table,
- 12:08full benefits and Wellness packages
- 12:09provided by the Young Haven
- 12:11Hospital GME department and
- 12:12it's available on their website.
- 12:13You can see all the listed benefits.
- 12:15All residents and fellows of the
- 12:17hospital have the same benefits.
- 12:18Package and structure of that
- 12:19is is consistent throughout the
- 12:21training programs here at Yale.
- 12:23All fellows are paid at Pgy 6
- 12:25level regardless of whether they've
- 12:27done a prior fellowship or not.
- 12:29Examples during the week we have
- 12:30deducted conferences on Monday is
- 12:32our fellows conference which is a
- 12:33AQUS fellowship focal curriculum
- 12:35which we adopted in 2022.
- 12:37We begin with the curriculum topics
- 12:38and then we move into indications
- 12:40and complex cases, revisions,
- 12:41fractures, infections,
- 12:42etcetera that are planned for the week ahead.
- 12:45Thursday was a resident LED education
- 12:47conference in the same time frame
- 12:49highlighting the top 10 topics of OIDI
- 12:51over the course of their rotation.
- 12:53And we review core principles
- 12:54and discuss current papers and
- 12:56reiterate with OIDI questions.
- 12:57On Friday morning,
- 12:58we typically have our 7:00
- 12:59AM grand rounds and M&M.
- 13:01So that goes from 7:00 to 9:00
- 13:02and then from 9:00 to 11:00 is
- 13:04resident education curriculum.
- 13:05Typically in the spring and March
- 13:07or April we have a four week
- 13:08block of total joint lectures and
- 13:10educational sessions that we host
- 13:11as faculty and the fellow teachers.
- 13:13During that time we often have
- 13:15a journal club or skills lab,
- 13:17mobile anatomy lab etcetera.
- 13:18And the summer there's a surgical
- 13:20anatomy course that the residents run.
- 13:22The fellowship program is expected.
- 13:24There's called two to three weekends
- 13:25per block which about 10 week block in
- 13:28partnership with our university faculty.
- 13:29It's a second call program.
- 13:30You cannot be on first call as a
- 13:33fellow Here the fellow is responsible
- 13:34for making rounds on the weekend,
- 13:35writing notes and sign out with the
- 13:38covering team and then covering hip
- 13:39fracture program on the weekends
- 13:40as well as any other add on joint
- 13:42cases that there may be.
- 13:43We try to target.
- 13:44The ACG may average of one day per week
- 13:46in the office on the each rotation.
- 13:48The fellow is expected and required
- 13:50to participate in round each day of
- 13:52the service with the resident team and
- 13:53participate in the daily sign out,
- 13:55which we host on Zoom around 7:00
- 13:57AM each day work hours.
- 13:58Reporting is required weekly to
- 14:00the GME office.
- 14:01The case log is required and it currently
- 14:04is being conducted by a Google spreadsheet.
- 14:06But we're going to migrate to the
- 14:08Akas Case log once that becomes the
- 14:10national standard for arthroplasty
- 14:12fellowships very soon.
- 14:13And the fellows required to participate
- 14:15involved with at least one project
- 14:17that's suitable for presentation and
- 14:18publication on the national level.
- 14:20Further responsibilities.
- 14:21The Fellows required to do some
- 14:22teaching on Monday and Thursday.
- 14:24Conferences of course,
- 14:25didactic lectures throughout the year
- 14:27and participate in educating medical
- 14:28students and residents on a daily basis.
- 14:31There is physical examination sessions
- 14:32held quarterly for the PA and MD students,
- 14:34and the fellows are great teachers
- 14:36for those sessions on the hip,
- 14:37knee and shoulder exam, for example.
- 14:39Monthly M&M and grand rounds
- 14:41participation is expected.
- 14:42And here's Doctor Burzynski on the right,
- 14:44presenting with Doctor Leslie at
- 14:46our M&M conference credentialing
- 14:48academic appointments.
- 14:49Our fellows are credentialed as an
- 14:51attending surgeon at Yale Navin
- 14:52Hospital and therefore must be
- 14:53able to obtain a license as we're
- 14:55not an ACGME certified program.
- 14:57The title received is Clinical
- 14:58Instructor of Orthopaedic Surgery
- 14:59at Yale School of Medicine For
- 15:01the year of the fellowship.
- 15:02Our current rotation schedule coincides
- 15:04with the residents on service.
- 15:05We have a three and A5 rotating and we
- 15:08have an intern 10 out of 12 months a year.
- 15:12So we're based on a three tracks
- 15:13with examples shown here,
- 15:14Fellow Pgy 5 and PGY 3 and it
- 15:17shows where the fellow would be in
- 15:19that first line and then second
- 15:20person is on the second line,
- 15:21the third person's on the third line.
- 15:23And we try to keep on those tracks.
- 15:24So you have mentorship from those
- 15:26faculty for that three or four
- 15:28week rotation and the rotations
- 15:30continue throughout the year.
- 15:31Residents are tied up on Friday and
- 15:33those education are embargoed until noon.
- 15:35So the fellow typically will operate
- 15:37on Friday morning with one of the
- 15:39available OR attendings there.
- 15:40And Fridays are a rotating schedule
- 15:42depending on which week it is
- 15:44and who's in the OR case volume.
- 15:45Our division currently performs
- 15:47over 2000 cases a year and growing.
- 15:49Our hip fracture program does
- 15:50about 500 cases a year.
- 15:52Our single arthroplasty fellow here
- 15:54is expected to do on average about
- 15:56600 cases with 30 to 35% complex
- 15:58primary and revision casework.
- 16:01We have vendors here for primary hip,
- 16:02we have all the four major vendors, Depew,
- 16:04Smith and Nephew, Stryker and Zimmer.
- 16:06And for revision infections,
- 16:07we bring in everything under the sun,
- 16:09anything that may be required and
- 16:11their contracts are updated every few
- 16:13years system wide across our seven hospitals.
- 16:16So in summary, our fellowship has
- 16:17key focus here is that anterior hip,
- 16:19uni,
- 16:20caudular knee and outpatient
- 16:22arthroplasty protocols etcetera,
- 16:23extensive infection and paraprosthetic
- 16:25fracture case volume on a weekly basis here.
- 16:28A high volume of complex and revision
- 16:30joints that are that are constantly
- 16:32coming to Yale from all surrounding
- 16:34hospitals with a very busy hip
- 16:35fracture program as mentioned and
- 16:37extensive experience in fractures,
- 16:38periprosthetic fractures,
- 16:39unusual injuries,
- 16:40hemior arthroplasties and total hip
- 16:43arthroplasties for fracture and trauma.
- 16:45We have Intelli Joint hip and E navigation.
- 16:47We have two Striker Mako robots at
- 16:48the Milford Hospital which is part of
- 16:50our Bridgeport and Milford campuses
- 16:51and we have two more Makos in the system now.
- 16:55One is it's a Greenwich hospital and
- 16:56one is at Yeldon Haven Hospital.
- 16:58There are some robots in the mix
- 17:00from Depew at Greenwich Hospital
- 17:02and Zimmer that's being discussed
- 17:03currently and that continues to
- 17:05evolve over time as expected.
- 17:06Custom implants and PSI components
- 17:08are also available on a case by
- 17:11case basis and Yale certainly has
- 17:13extensive academic and research
- 17:15opportunities here
- 17:16from all the faculty being highly involved
- 17:18in research projects and teaching on a
- 17:21national international basis, we have
- 17:22one single fellow per year at this time.
- 17:24There may be future expansion of the the
- 17:27arthroplasty faculty as well as the fellow in
- 17:29the future that is currently in evolution.
- 17:31Our goal is currently interviewing or
- 17:33plan to add a research fellow for this
- 17:36coming academic year and possibly a
- 17:38second arthroplasty fellow for 2026.
- 17:40We're very pleased to say that
- 17:42mentorship and professional development
- 17:43are key part of our fellowship.
- 17:45We're deeply involved in the
- 17:46in the Fellows education,
- 17:47there's daily feedback highlighting
- 17:49decision making process and total
- 17:51joint and emphasizing the need
- 17:53for critical thinking skills on a
- 17:55daily basis to make the decisions,
- 17:56especially as the year goes on to
- 17:59move towards individually training
- 18:00process and graduated responsibility
- 18:02and a rapid transition throughout the
- 18:04fellowship towards independent practice.
- 18:06We have a responsive and adaptive
- 18:08training experience because we're
- 18:10focused on one fellow's education
- 18:11and we can be very responsive.
- 18:13Now what about New Haven, CT?
- 18:14For those of you have never been here.
- 18:15It's actually a really nice place to live.
- 18:17As it turns out.
- 18:18There's a lot of nice parks in
- 18:20New Haven on the green.
- 18:21There's a lot of interesting things
- 18:22to do around the Yale community.
- 18:24There's a lot of beautiful areas to
- 18:25hike in the shoreline of Connecticut
- 18:28and if you've never been here,
- 18:29food is the center of the universe,
- 18:31especially a pizza.
- 18:32A pizza is the the famous New Haven
- 18:36pizza is is tops in the nation.
- 18:38And no matter what you've heard
- 18:40otherwise we we we rank consistently
- 18:41in the top ten of the United States.
- 18:44Ton of other great restaurants
- 18:45some of which are shown here.
- 18:47Everyone has a favorite pizza restaurant
- 18:49you know in USA Today's top 15/20/21.
- 18:52You saw the list on the left and
- 18:54there's the daily meals top 101.
- 18:56You have five of them in the New
- 18:58Haven area on that list in 2023.
- 19:00We're pleased to say that modern
- 19:01pizza was ranked number one in the
- 19:03United States by the venerable
- 19:05Pizza Today Journal publication.
- 19:06As we all know,
- 19:07that highly cited publication.
- 19:08And then of course Barstool
- 19:10Sports and Dave Portnoy said,
- 19:11let me settle this once and for all.
- 19:13The pizza capital of the United
- 19:14States is New Haven,
- 19:15CT Anybody who says otherwise is wrong.
- 19:18Well, there it is.
- 19:19Other things to do besides
- 19:20eat pizza and operate well.
- 19:22There's a winery map here on the left
- 19:23and a brewery map in the center.
- 19:25And now there's a chicken wing trail in
- 19:26the state of Connecticut on the right.
- 19:28So there's a lot of fun things
- 19:29to do around the state, Hiking,
- 19:31drinking wine, eating beer,
- 19:33drinking beer and eating wings.
- 19:35The Yale Harvard football game is a
- 19:36semi annual event every other year
- 19:38hosting at home here in New Haven.
- 19:40And there's lots of other Yale
- 19:41athletic events.
- 19:42I personally love going to the
- 19:43ice hockey events with
- 19:44my family. As you see there,
- 19:46Yale was the national hockey
- 19:47championship in 2013, national champions.
- 19:49It's a lot of fun for the men's and
- 19:51women's hockey teams to go there.
- 19:53It's a really cool experience.
- 19:55Literally activities around New Haven,
- 19:57museums, music, theater.
- 19:58And that's just locally,
- 20:00there's a ton of stuff,
- 20:01and we're not that far
- 20:03from New York and Boston.
- 20:04Worcester has the AAA Red Sox,
- 20:06if you're into baseball.
- 20:07Hartford has a AA Yard Goats team,
- 20:10which is the Colorado Rockies team.
- 20:12So it's it's a lot of really nice
- 20:13things to do around New England,
- 20:15whether you want to go to Rhode Island,
- 20:16Vermont or New Hampshire,
- 20:17all or within a few hours driving.
- 20:19There's three major casinos right
- 20:20in in the neck of the woods here,
- 20:22both in Springfield as well as Mohegan
- 20:24Sun and Foxwoods in Connecticut,
- 20:26which are really spectacular places
- 20:28to visit and for family adventures.
- 20:30There's it Ropes course,
- 20:31which is in Jordan's Furniture,
- 20:32a furniture store in downtown New
- 20:34Haven near one of our spine buildings.
- 20:36And this is an indoor,
- 20:37the largest indoor ropes course in the world.
- 20:39As turns out,
- 20:40our residency program is fantastic.
- 20:41We have some of the best residents
- 20:43in the country every year and
- 20:45they're very passionate people,
- 20:46very intelligent and really
- 20:47a lot of fun to work with.
- 20:49We have an annual Turkey Bowl.
- 20:51You can see here the residents
- 20:53whooped us this year,
- 20:53but we're we're looking for,
- 20:55you know,
- 20:55people that could come and help the,
- 20:56you know,
- 20:57way down the the trainees team
- 20:59versus the faculty team.
- 21:00It'll be fun to get another game going.
- 21:03We have Disputations,
- 21:04which is our annual graduation
- 21:05event for the residents.
- 21:07This is an example of our department
- 21:09coming together a couple of years ago,
- 21:11annual summer barbecues with
- 21:12our division and our fellows.
- 21:14We were just at August 2023,
- 21:16and here's all the Yale faculty and
- 21:18residents and other participants
- 21:20that were contributing research
- 21:21and teaching and doing great work.
- 21:23And I'm very proud of what we've built
- 21:24in this division and our department.
- 21:26Our highlight, of course,
- 21:27is the annual graduation of our fellow.
- 21:29This was our first fellow Eric
- 21:32McDonald's graduation in 2022,
- 21:33and we had a wonderful ceremony
- 21:35at Dave Gibson's Backyard.
- 21:36In 2023, Doctor Khwaja graduated.
- 21:39We hosted in my Backyard nice family event.
- 21:41It was a lot of fun.
- 21:42Everyone wore purple,
- 21:43which is his favorite color as you see here,
- 21:45but we're pleased to send him on his way
- 21:47with the outstanding training under his belt.
- 21:49So if you have any questions,
- 21:50I'm available to contact by e-mail.
- 21:53Kathy Imlop is our coordinator.
- 21:55There's the office number as well.
- 21:57I thank you for listening.
- 21:58And if you stay on for one more minute,
- 22:00we have some statistics from Doctor
- 22:02Kwaja's fellowship from 2022 to 2023.
- 22:05He did this 634 cases,
- 22:0752% knees, 47% hips,
- 22:09and and so forth.
- 22:11I'm going to scroll through the slides here.
- 22:13Here's the breakdown of the
- 22:15attendings that he worked with,
- 22:17which hospitals he worked at at Saint
- 22:19Ray's as well as Greenwich Mcgivney Center
- 22:21for outpatient cases at Milford Hospital.
- 22:25Count of hips and knees,
- 22:26slightly more knees than hips and looks
- 22:29like there's an elbow case in there,
- 22:30which I'm not sure how that got in there,
- 22:32but hey, what do you know,
- 22:34primary, complex and revision.
- 22:35You can see primary is 57% and then
- 22:38we have hip fractures revisions and
- 22:407.5% complex primaries as well as
- 22:42well as a healthy dose of fractures,
- 22:45INDS and other infection management cases.
- 22:47Hip approach shown here.
- 22:49A nice healthy balanced mix between
- 22:51Antralateral posterior anterior
- 22:52on the Hannah table,
- 22:54anterior off the table navigation
- 22:56and technology.
- 22:57Use of Intelli joint with
- 22:59or without fluoroscopy,
- 23:00Mako and the fluoroscopy alone
- 23:04implant vendors shown here
- 23:09and that's it. So thank you for your time
- 23:11and energies to review this presentation.
- 23:13Look forward to meeting our interview
- 23:15candidates and also helping to shape
- 23:17the future of our arthroplasty program
- 23:19with your help and your partnership.
- 23:21And hopefully we look forward to
- 23:22meeting you during interview season.
- 23:24Thanks very much.