Residents Perspective 2023 update

Transcript

• 00:00Welcome to Yale Plastic
• 00:02and Reconstructor Surgery.
• 00:04My name is Jeremy Goss, I'm
• 00:05one of the PGY 5 residents and
• 00:07I'm excited to tell you about the
• 00:09program from a residence perspective.
• 00:11If you're watching
• 00:11this, you might be asking yourself,
• 00:13why should I come to Yale for
• 00:15plastic surgery residency? Well,
• 00:17here are just a few features that I
• 00:19think make Yale a great place to train.
• 00:22If you come here, you'll have
• 00:24access to world class clinical
• 00:26training to be offered autonomy
• 00:28early on and find plenty of case,
• 00:30volume, and variety along the way,
• 00:33all while learning in a family
• 00:35style environment at Yale.
• 00:37Our faculty value resident input
• 00:39and prioritize our education inside
• 00:42and outside of the OR our residents
• 00:45who provided numerous education
• 00:46and networking opportunities.
• 00:48And if you're anything like
• 00:49me and you love research,
• 00:50then you'll feel right at home at Yale.
• 00:53Our program offers ample elective time to
• 00:55senior residents for career exploration,
• 00:57facilitates international
• 00:58surgical mission trips,
• 01:00and we have a strong track
• 01:02record of fellowship matches.
• 01:03Here's how you
• 01:04will spend your time each year
• 01:06while in training at Yale. Well,
• 01:07interns are on plastics for much of
• 01:09the year and get their core surgery
• 01:12electives out of the way early on.
• 01:14So sure, like every other program we have
• 01:16to take the necessary time for those ACG,
• 01:20ME mandated general surgery and
• 01:22surgical subspecialty rotations.
• 01:24But believe me it's time well spent.
• 01:26We've narrowed things down to just
• 01:29the essentials and when it comes to
• 01:31off service subspecialty rotations,
• 01:33think ORTHO, Neurosurgery,
• 01:35ENT, MOS for example.
• 01:37You'll spend time with the specialties
• 01:40we collaborate with and receive
• 01:42consults from the most and we think
• 01:44it's vital for you to understand
• 01:46how they think and operate because
• 01:48ultimately it will make you a more
• 01:50well-rounded surgeon in the future.
• 01:52Now a highlight of our program is
• 01:55the dedicated time we get during the
• 01:57Pgy 5 and PGY 6 years for electives.
• 02:00You can use this time to scope
• 02:02out future fellowships,
• 02:03to seek out mentorship with folks
• 02:05in private practice or to focus
• 02:08on next level research projects.
• 02:09Here are a few examples
• 02:11of where prior residents
• 02:12travelled for electives.
• 02:14Keep in mind, many of our residents
• 02:16landed on fellowship because
• 02:17they were able to make a great
• 02:19first impression on the elective.
• 02:21Also, some of us were smart enough
• 02:23to go abroad for our electives,
• 02:25heading to places like Paris,
• 02:27Spain, Brazil, Taiwan to learn
• 02:30from experts all over the world.
• 02:33Another great feature of Yale PRS is
• 02:36our Senior Resident Cosmetic Clinic,
• 02:37which is staffed by the PGY fours,
• 02:40fives and sixes. In this clinic,
• 02:42the resident accessed the surgeon.
• 02:45We see patients for injectables
• 02:47and peels in addition to cosmetic
• 02:49surgery and we offer all breast,
• 02:52body and facial aesthetic procedures.
• 02:54The resident creates the surgical
• 02:56plan and acts as the primary
• 02:58surgeon under the supervision
• 02:59of one of our faculty members.
• 03:01We have comprehensive training at Yale
• 03:03and a strong faculty composite of surgeons
• 03:05who are the best at what they do.
• 03:09You have three main services named for each
• 03:11of the past three Chiefs of the section.
• 03:13On the Person team.
• 03:15You'll experience complex breast cancer
• 03:17reconstruction care for kids with
• 03:19clefts and other congenital anomalies.
• 03:21You may even get to refine someone's
• 03:23facial features to help their outside,
• 03:25finally reflect their inside and possibly
• 03:28get in on a face transplant on the area.
• 03:31In service, you'll provide
• 03:33reconstructive and elective hand
• 03:35surgery for congenital deformities,
• 03:37acquired conditions, or following trauma.
• 03:40Most weeks you'll find yourself
• 03:42helping to salvage a limb or two.
• 03:44Patients on this service may also seek out
• 03:47gender affirming top or bottom surgeries.
• 03:49The critique service you'll get inundated
• 03:52with plenty of reps with our core
• 03:54cosmetic procedures and you also staff
• 03:56the Senior Resident Cosmetic Clinic.
• 03:59Below is an example of a typical
• 04:01day on service.
• 04:02Most days rounds start at
• 04:046:00 in the morning.
• 04:06Each of the teams rounds separately,
• 04:08but when we're all done we come
• 04:10together in the work room around
• 04:126:45 to run the list with our AP PS.
• 04:15Then we're all off to the OR around 7:15.
• 04:19If there are still cases going through the
• 04:22afternoon we see them all the way through.
• 04:24But if things have slowed down then we
• 04:26head off to clinic to see new outpatient
• 04:29consults and our post op patients.
• 04:31At 5:00 PM we all come back together to run
• 04:34the list again and check on the inpatients.
• 04:37If there are cases still underway,
• 04:39we all join in to close and to put in
• 04:42orders to help get the patient off
• 04:44the table and to help get the rest of
• 04:47the day team home to their families.
• 04:49The overnight intern and the night flow.
• 04:52PGY 3 or PGY 4 take over the service
• 04:55at 5:00 PM and hold down the Fort
• 04:58until the next day when the day
• 05:00team returns in the morning.
• 05:01When it comes to call,
• 05:02we trade off every other week for hand
• 05:04trauma with orthopedic surgery and take
• 05:07facial trauma call every 3rd week since
• 05:10we split it with both ENT and oral surgery.
• 05:13Interns take in house overnight call and
• 05:17cross cover plastics and ENT patients.
• 05:20The Daytime Consult resident is a PGY 2,
• 05:22and as the two you'll field
• 05:25all incoming consults.
• 05:26You'll examine and assess every new patient
• 05:29and come up with a comprehensive care plan.
• 05:33If the plan requires a procedure
• 05:35since there's a laceration,
• 05:36repair, or fracture reduction,
• 05:38well, you'll do that too.
• 05:41You'll work hand in hand with a console
• 05:44coach who's a P GY4 or PGY 5 will help
• 05:48you form accurate plans and perfect
• 05:50your procedural skills overnight.
• 05:52We utilize a night float system and
• 05:55trade off weeks of overnight call
• 05:57between PGY threes and PGY fours.
• 05:59Our PGY fives and PGY Sixes take
• 06:03junior attending call and so they
• 06:05function as the attending overnight
• 06:07for any complex consults fielded
• 06:09by the night float resident.
• 06:11If a case ultimately requires urgent surgery,
• 06:15then the Junior attending will
• 06:16discuss the case with the
• 06:18covering faculty member and together
• 06:19we'll take the patient back to the OR.
• 06:22We have protected educational conference
• 06:24for 3 1/2 hours each week every Friday.
• 06:27Both mornings start with grand rounds
• 06:29where we invite local guest speakers
• 06:32or visiting professors to share
• 06:33their wisdom and experience with us.
• 06:36Once a month we have Quality
• 06:38Assurance conference to discuss
• 06:40complex cases and complications.
• 06:42Afterwards we have a mix of resident
• 06:45run and console review or ASPs
• 06:48based lectures or attending run,
• 06:51indications conference and radiology rounds.
• 06:54About once a month we have Journal
• 06:56Club or we'll have a joint quality
• 06:59assurance conference between
• 07:01plastics ENT and oral surgery.
• 07:05We have access to microsurgery
• 07:07RAT lab where we refine our
• 07:09microsurgery skills by practicing on
• 07:12the femoral vessels of live rats.
• 07:15We also have access to the Yale Cadaver
• 07:17Lab where we get hands on training,
• 07:18dissecting flaps and performing other
• 07:21surgical procedures on cadavers
• 07:23through industry sponsored courses.
• 07:25The division pays for residents
• 07:27to attend both the Plastic
• 07:29Surgery Intern Boot Camp and the
• 07:32ASMS Craniofacial Basics course
• 07:35for local and national conferences.
• 07:38Residents who get their abstracts
• 07:40accepted for a podium presentation
• 07:43get 100% of their expenses reimbursed
• 07:45for presentations at one of the major
• 07:48plastics conferences and 50% reimbursement
• 07:51for podium presentations at minor
• 07:54conferences or any poster presentations.
• 07:56And as an added incentive to do
• 07:59well on the annual in service exam,
• 08:02the resident score is greater than
• 08:04the 75th percentile on the in service.
• 08:06They get to go to a conference
• 08:08of their choosing,
• 08:09all expenses paid without
• 08:10having to present an abstract.
• 08:12As for research,
• 08:13the section holds an annual
• 08:15research day every May,
• 08:17and each resident from the PGY 2
• 08:19class all the way up to the Chiefs
• 08:22must present a research project.
• 08:24But there is an incentive.
• 08:27There's a $2000 cash prize to
• 08:29the resident with the best
• 08:32clinical abstract presented,
• 08:34and another $2000 prize to the
• 08:36resident with the best basic
• 08:38science abstract presented.
• 08:40Another great opportunity here at Yale
• 08:42comes through Doctor Thompson's nonprofit
• 08:44organization called Hand Help, which
• 08:46organizes one hand surgery mission trip
• 08:49every year to Central or South America.
• 08:52We are honored to have had numerous
• 08:54innovative and legendary plastic surgeons
• 08:56as visiting professors over the years.
• 08:59Here are some of the surgeons
• 09:01Yale has hosted recently.
• 09:02With each visiting professor,
• 09:04we have a resident only
• 09:06session for about two hours.
• 09:08This is a rare opportunity to
• 09:10learn from and network with the
• 09:13visiting professor, expanding
• 09:14our own perspectives from our
• 09:16day-to-day activities in the program.
• 09:18After grand rounds,
• 09:19the residents and faculty have dinner
• 09:21with a visiting professor at Morris,
• 09:23a historic Yale Dinner Club.
• 09:25We primarily treat patients
• 09:26at 4 hospitals in New Haven,
• 09:29CT We rotate at Yale New Haven
• 09:32Hospital's York Street Campus,
• 09:33which is our main hospital,
• 09:35and the Saint Raphael's campus.
• 09:38Most of our rotations are at the main campus,
• 09:41which is a Level 1 trauma center.
• 09:43This is where the bulk of our
• 09:45Oncologic and Post Traumatic
• 09:47reconstruction happens and where we
• 09:49provide complex Creft cranial facial
• 09:52care and perform general plastic
• 09:54surgery and Melanoma reconstructions
• 09:56at our Saint Raphael's campus.
• 09:58Pgy threes and PGY Fours serve
• 10:01as Chief residents.
• 10:02Saint Raphael's is about a 5 minute
• 10:05drive or a short shuttle ride away
• 10:07from the York Street Main Campus.
• 10:10Saint Rafael's is also home to the
• 10:13Mcgivney Outpatient Surgical Center,
• 10:15which features a state-of-the-art
• 10:16outpatient facility where we perform
• 10:19the bulk of our elective hand surgeries.
• 10:22In Guilford,
• 10:23CT at the Shoreline Surgical Center,
• 10:25we offer same day reconstructive
• 10:27and cosmetic procedures.
• 10:29Bridgeport Hospital is
• 10:31Connecticut's only burn center,
• 10:33and we have burn and general surgery
• 10:34rotations here in addition to
• 10:37some outpatient, reconstructive,
• 10:38and cosmetic procedures. Bridgeport
• 10:41CT, for what it's worth, is only about
• 10:43a 30 minute drive from New Haven,
• 10:46and it's about the furthest residents going
• 10:48to have to travel during their residency.
• 10:50At the West Haven VA you serve as the
• 10:54junior attending during your PGY 5 year.
• 10:57This is about a 10 minute drive
• 11:00from Yale's main campus and here
• 11:02you're the surgeon for a deserving
• 11:04patient population and the experience
• 11:06could not be any more rewarding. At
• 11:09Yale we are truly a family and here are
• 11:12the 13 full time faculty members who
• 11:15collectively cover the breadth
• 11:17of plastic surgery that is
• 11:20general plastic surgery, breast,
• 11:22upper extremity and lower extremity,
• 11:24microsurgery, cranial facial
• 11:26surgery including orthognathics,
• 11:29Melanoma and other skin cancers,
• 11:32cosmetic surgery,
• 11:33gender affirming surgery and peripheral
• 11:35nerve and brachial plexus surgery.
• 11:39This is the full roster of the current
• 11:41Yale Plastic and Reconstructive
• 11:43Surgery residence. There
• 11:44are a lot of us, but I'm hopeful
• 11:46that through the interview process
• 11:48you'll get to know us all and I
• 11:50think I speak on behalf of every
• 11:51single one in saying we're so
• 11:53excited to get to meet you. Yale
• 11:55Plastic and Reconstructive
• 11:56Surgery alumni have gone on to
• 11:58match at prestigious fellowships
• 12:01to start or join private
• 12:04practices and our leaders in
• 12:06plastic surgery societies.
• 12:08This year's ASPs President is none
• 12:10other than Doctor Steven Williams,
• 12:12a graduate of Yale Plastic and
• 12:15Reconstructive Surgery in 2005.
• 12:18Being a resident
• 12:19at Yale certainly has its benefits.
• 12:20Through the House Staff office,
• 12:22we're offered competitive resident
• 12:24wages and are paid similar to our
• 12:26New York and Boston counterparts
• 12:28without that same cost of living.
• 12:31We also receive a house staff allowance
• 12:34from the GME office of $2000 per year,
• 12:37with an additional allowance
• 12:39from the section of plastic
• 12:41surgery of 500 to $1500 per year.
• 12:44The house staff allowance can be
• 12:46used for a wide range of expenses
• 12:49from loops to textbooks, electronics,
• 12:51even travel and clinical site expenses.
• 12:56In addition, we get medical,
• 12:57dental and vision insurance,
• 12:59a retirement matching plan,
• 13:00and a cafeteria meal card.
• 13:05New Haven, CT and the surrounding
• 13:07towns are a great place to
• 13:09live and to raise a family.
• 13:12We are in the heart of New England,
• 13:13which is a beautiful place to
• 13:15experience all Four Seasons.
• 13:17Many of us rent apartments in
• 13:19downtown New Haven and are walking
• 13:21distance from Yale's main hospital,
• 13:23but the other half of us bought
• 13:25houses and live in the suburbs.
• 13:27There are many great options
• 13:29of towns to live in,
• 13:30whether you prefer the beach or the
• 13:33woods or a suburb where you're still
• 13:35close to shopping in great restaurants.
• 13:40It's hard to mention New Haven and
• 13:42not think about Yale University.
• 13:44Through Yale, we have access to breathtaking
• 13:46libraries as well as the theater
• 13:49and some world class museums.
• 13:51There's also a centuries old
• 13:54rivalry between Yale and Harvard,
• 13:57which culminates every year in an epic
• 14:01football game around Thanksgiving.
• 14:03Outside of Yale,
• 14:04there's also great hiking,
• 14:05which is especially beautiful.
• 14:07During the fall.
• 14:08You can also spend time on the beach or go
• 14:11fly fishing or surfing about an hour away.
• 14:14There are great farms and orchards
• 14:17and wineries and breweries for when
• 14:19you want to spend some time outside,
• 14:22and more music and arts at
• 14:24events like the International
• 14:25Festival for the Arts and Ideas.
• 14:28New Haven is also a great Food
• 14:30City and notable for its pizza.
• 14:33There are also excellent brunch spots,
• 14:34great coffee shops, bubble tea and ice cream,
• 14:37and an array of international dishes,
• 14:41not to mention great lobster rolls and sushi.
• 14:43And of course, fine dining.
• 14:45Residency is challenging and
• 14:47can be frustrating at times.
• 14:48You'll work long hours under
• 14:51stressful conditions, so
• 14:52to thrive in this tough job without
• 14:55burning out, you need to find a
• 14:57program where the residents enjoy
• 14:59working with one another and support
• 15:01each other and know how to have
• 15:03fun outside the hospital together.
• 15:05We definitely have that here because
• 15:07we love and care for one another and
• 15:10genuinely enjoy getting together.
• 15:12Whether it's at holiday parties or happy
• 15:15hours, annual book day or golf day,
• 15:18or Doctor Cloon's lamb roast in his backyard,
• 15:22we'll take any excuse we can to get together.
• 15:25We can't wait to meet you this interview
• 15:27season and hope that at the end of
• 15:30this process you match into a program
• 15:32that makes you as happy as we are.
• 15:35But who knows,
• 15:37Maybe this could be you.