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HPM Fellowship at YNHH

November 02, 2022
  • 00:00Hi, everyone.
  • 00:01Welcome to Yale Hospice and Palliative
  • 00:04Medicine Fellowship program.
  • 00:06I'm doctor Alex Choi,
  • 00:07one of our program faculty,
  • 00:09and I'll be your guide today.
  • 00:11We're excited to meet you,
  • 00:12and we hope this video will give you
  • 00:14a sense of our fellowship experience.
  • 00:16Let's start with a day in the
  • 00:18life of a palliative care fellow
  • 00:19on our inpatient consult service.
  • 00:24Our fellows begin their day in
  • 00:25the fellows workroom, which they
  • 00:27share with the heme-onc fellows.
  • 00:29Here they review charts and
  • 00:30prepare for the day. It's important
  • 00:32to have a dedicated space to focus.
  • 00:36Then we have our daily interdisciplinary
  • 00:38morning huddle to run the list
  • 00:40and distribute consults. And yes,
  • 00:42we're always this happy at work.
  • 00:48After the morning Huddle,
  • 00:49fellows are welcome to stop by our
  • 00:51Palliative Care office where they
  • 00:53can grab a bottle of water and
  • 00:54hang out with the attendings and
  • 00:56APP's before seeing patients. Hi, Christina.
  • 01:01Our inpatient consults come
  • 01:02from all areas of the hospital.
  • 01:04Let's stop here at the fountain on
  • 01:05the 1st floor where we can see the
  • 01:08four pavilions of the hospital.
  • 01:09W Pavilion has the CT,
  • 01:11ICU and transplant unit.
  • 01:13It also houses Pediatrics.
  • 01:15S Pavilion has the ED and the neurology,
  • 01:18cardiology and surgical units.
  • 01:21E Pavilion is home to the Med surg
  • 01:23beds and N pavilion houses the
  • 01:26medical ICU and several oncology units
  • 01:28including separate floors for hematology.
  • 01:30Oncology and GYN-ONC.
  • 01:32After seeing patients, fellows round
  • 01:34with their attendings where learning
  • 01:36is always the priority and of course
  • 01:38we want Fellows to feel supported.
  • 01:41It's time for lunch.
  • 01:43The cafeteria is fine,
  • 01:44but you can't miss out on the food
  • 01:46carts in front of the medical school.
  • 01:48There's halal, arepas,
  • 01:50padmi bibimbap, salads and
  • 01:53lots more to choose from.
  • 01:57In the afternoon, fellows continue bedside
  • 01:59rounds unless they are scheduled for their
  • 02:02weekly half day clinic session. Here's
  • 02:04a look at our palliative care clinic on the
  • 02:064th floor of North Pavilion.
  • 02:09Fellows are assigned to a different
  • 02:10attending for each half of the year.
  • 02:19Wow, this guy seems really friendly.
  • 02:23And that's it for the day.
  • 02:24Wait, is that sunlight?
  • 02:28During your time at Yale,
  • 02:29you'll appreciate the many unique things
  • 02:32that are available at our institution.
  • 02:34One example is the oncology
  • 02:35extended care clinic or ECC,
  • 02:38a dedicated space within the hospital
  • 02:40that allows our oncology patients to
  • 02:43bypass the ED and receive urgent care.
  • 02:46During the height of the COVID-19 pandemic,
  • 02:49this space was converted to the
  • 02:50supportive care unit where our
  • 02:52palliative care team took care of
  • 02:54patients who were comfort measures only.
  • 02:57On the 7th floor is
  • 02:58the Healing Garden, another unique place
  • 03:00available to patients, families and staff.
  • 03:07Though our fellows spend a large part
  • 03:08of the year at Yale New Haven Hospital,
  • 03:10they also have a diverse exposure to several
  • 03:13Hospice and Palliative care settings.
  • 03:15They spend three weeks with the palliative
  • 03:17care team at the West Haven VA and
  • 03:20four weeks at Connecticut Hospice,
  • 03:21the first Hospice in the US.
  • 03:24Fellows also rotate through
  • 03:25Middlesex Hospice for four weeks,
  • 03:27and later in the year they spent two
  • 03:30weeks learning about the role of Hospice
  • 03:32medical director with Doctor Shaban,
  • 03:33a Regional Medical director for VITAS.
  • 03:36Fellows also spend 4 weeks with the
  • 03:38Sunflower palliative care team at
  • 03:40Connecticut Children's Hospital.
  • 03:46Outside of work,
  • 03:46there are plenty of fun things to do.
  • 03:48New Haven is centrally located
  • 03:50between Boston and New York City,
  • 03:52making it convenient to access
  • 03:54either of them on the weekends.
  • 03:55But you don't have to go that far.
  • 03:58Art museums.
  • 03:59Parks, beaches, and of course,
  • 04:02the famous Connecticut Apizz.
  • 04:05New Haven has a diverse culinary
  • 04:07scene with a variety of authentic
  • 04:09cuisines from around the world.
  • 04:21The Yale University Campus is also
  • 04:23located a few blocks from the hospital.
  • 04:26New Haven is fun to explore at night
  • 04:28too, with options for restaurants,
  • 04:30bars, music and theater venues.
  • 04:33We thank the various organizations
  • 04:35who are dedicated to enriching
  • 04:37the culture of downtown New Haven.
  • 04:38For those who are looking
  • 04:39to get out of the city,
  • 04:41the Connecticut shoreline is home to
  • 04:43beautiful views and tasty lobster rolls.
  • 04:45Families also do day trips to
  • 04:46the beautiful little towns in the
  • 04:48northwest corner of the state.
  • 04:52Thanks for joining me on this virtual tour.
  • 04:54We hope we were able to showcase what
  • 04:56makes the Yale Palliative Care program so
  • 04:58special and what life in the New Haven
  • 05:00area would be like for you and your family.
  • 05:03We wish you the best of luck in the match.