Head & Neck Anesthesiology Fellowship Overview with Dr. Jaime Hyman

Transcript

• 00:01So I'm Jaime Hyman.
• 00:02I'm an anesthesiologist here at Yale.
• 00:04I'm the division chief of ambulatory anesthesiology, which means
• 00:08anesthesiology where patients go home after surgery and,
• 00:11you know, same day or at least less than 24 hours.
• 00:13And I'm also the director of the head and neck anesthesiology fellowship here.
• 00:23The head and neck anesthesiology fellowship is a really unique opportunity to have a
• 00:28customizable year to, of course, become a consultant head and neck anesthesiologist,
• 00:33really expert in the clinical care of patients for EMT surgery,
• 00:38but also jumpstart, you know,
• 00:41whatever it is that you want to do next in your career.
• 00:44So in fellowship, you really spend the entire year
• 00:46honing skills for challenging airway management,
• 00:49anesthesia for ENT and head and neck surgery cases.
• 00:52So where you may do a handful of awake intubations during your residency,
• 00:57you will do more than 100 during your fellowship.
• 00:59You develop expertise in these techniques,
• 01:02become a consultant in these techniques,
• 01:05work very closely with the otolaryngologist and head neck surgeons
• 01:09to develop great relationships with them
• 01:11in order to really be a consultant head and neck anesthesiologist.
• 01:18The head and neck anesthesiology fellowship is very flexible.
• 01:21The clinical experience includes one day a week serving as the head and neck fellow,
• 01:28which means you're not assigned to a specific operating room,
• 01:31but are available as a consultant throughout all of the ENT
• 01:35or head and neck operating rooms,
• 01:36as well as available to go to any difficult airways
• 01:39throughout the operating rooms
• 01:40or outside of the operating room that may arise on that day.
• 01:42So it's an incredible experience.
• 01:44That's one day a week.
• 01:451 to 2 days a week are spent in sort of analogous
• 01:48to the resident trainee role, where you're being supervised
• 01:50by an attending in a single operating room.
• 01:52But that operating room is chosen to optimize the educational opportunity
• 01:56that day for the fellow.
• 01:57So it'll be the most challenging in terms of nuanced anesthetic management
• 02:02for an ENT case or difficult airway management,
• 02:04or unique airway considerations or anesthesia considerations for ENT.
• 02:09On top of that, there is dedicated
• 02:12time for scholarly activity 1 to 2 days a week, depending on the week.
• 02:15My previous fellows have participated in quality improvement projects,
• 02:20teaching activities, as well as retrospective
• 02:23research as well as prospective clinical trial work.
• 02:26So really, the breadth of all scholarly activity is available to the fellow and encouraged.
• 02:31And then finally, one day a week is spent as a generalist attending .
• 02:34The opportunities for getting a great breadth of clinical experience
• 02:38while you're here at Yale for fellowship is tremendous,
• 02:41as well as opportunities for quality improvement, for advocacy work,
• 02:45for mission work around the world and for research, of course,
• 02:50because it's Yale are also a tremendous.
• 02:57So for anesthesiology in general,
• 03:00I really, really am passionate about this field.
• 03:03We have a really unique opportunity to bond with our patients quickly.
• 03:07So our patients choose their surgeons and meet with their surgeons before
• 03:11coming on the day of surgery.
• 03:12But as anesthesiologists, for the vast majority of times,
• 03:16we meet our patients in the pre-operative holding area moments before we're taking
• 03:20care of them on one of the most momentous days of their lives.
• 03:24So it's a tremendous honor.
• 03:25I find it very rewarding to meet patients,
• 03:29hopefully get their trust, establish rapport,
• 03:32and then take care of them with an individualized plan.
• 03:35I feel that anesthesiology is my calling.