Yale Urology Residency Program

Transcript

• 00:03Yale Urology is really a unique place.
• 00:06It's a great environment to train in.
• 00:08We have a really family oriented spirit.
• 00:10There's a real camaraderie here.
• 00:12It's a very collaborative environment.
• 00:15What makes us unique is the people involved
• 00:18and we cover all aspects of urology.
• 00:21Our ultimate goal as a department is
• 00:23to train future leaders in urology.
• 00:25So what that means is all
• 00:27three tripartite missions are critical,
• 00:31the state-of-the-art,
• 00:32clinical training,
• 00:33innovative science and really a
• 00:35great educational curriculum.
• 00:38It's a big program,
• 00:39but it has a small program feel.
• 00:41We have huge case volume stars
• 00:44in their field teaching us, but at the
• 00:46same time you get that family sense.
• 00:50I think what makes our residency so
• 00:52strong is a very diverse environment
• 00:54for the residents to train in.
• 00:56We have all three types of
• 00:58clinical training available here,
• 00:59from a large academic hospital
• 01:02to a Community Hospital.
• 01:04And even a veterans hospital.
• 01:06So I think most residency programs are
• 01:08primarily focused at the academic center,
• 01:10but here at Lawrence and Memorial Hospital,
• 01:12we give them an opportunity to see what
• 01:14it's like outside of that environment.
• 01:15One nice thing about our department
• 01:17is we've been able to bring some
• 01:18of that specialty to the community.
• 01:20So we're doing robotics,
• 01:21we're doing some complex stone procedures,
• 01:24but just in a different setting.
• 01:26And I think the picture of kind
• 01:27of what the world's like for most
• 01:29people who don't practice in a
• 01:31major academic Medical Center.
• 01:33I think
• 01:33it's important to have patients
• 01:35from diverse backgrounds,
• 01:36different economic backgrounds,
• 01:38facing different social
• 01:40and health challenges.
• 01:42We also have significant diversity amongst
• 01:44our faculty where they've trained,
• 01:47who they've trained with
• 01:48and their subspecialties.
• 01:49We have a number of faculty
• 01:51who deal with oncology,
• 01:53Endo urology and stone disease.
• 01:55My area, neurogenic bladder
• 01:57voiding dysfunction,
• 01:58we have reconstructive urology,
• 02:00we have female pelvic medicine,
• 02:02reconstructive surgery and
• 02:03urology and fertility.
• 02:04We have advanced techniques in
• 02:06BPH management from minimally
• 02:08invasive techniques such as the
• 02:10euro lift and Aqua ablation to.
• 02:12Collette procedures.
• 02:15Here at Yale University,
• 02:16we have one of the most rich
• 02:18environments for research,
• 02:20whether it's basic science
• 02:21or clinical research.
• 02:22We have a lot of resident
• 02:24research opportunities in both
• 02:26the urologic cancer field,
• 02:28stone disease and in benign urology.
• 02:31During the entire training.
• 02:32Our residents are expected to engage
• 02:34in innovative and important research
• 02:37throughout the entire training.
• 02:38And then in terms of education,
• 02:40we've talked a lot about sort
• 02:41of the on the job training,
• 02:43but just as important is conferences.
• 02:45Didactic lectures surgical skills training.
• 02:49We have access to two simulation
• 02:52centers that includes an actual divinci
• 02:54robot as well as laparoscopic trainers
• 02:57and open surgical skill training.
• 03:00These are very accessible
• 03:01within the hospital itself,
• 03:02so residents can use these
• 03:04resources whenever possible.
• 03:08There is a real positive interaction
• 03:10and relationship between the
• 03:11residents and the faculty.
• 03:13We collaborate and think through
• 03:15processes and issues together.
• 03:16We come up with plans together.
• 03:18The players helped coach succeeds and
• 03:19the coach helps the players succeed.
• 03:21You know, the residents are really
• 03:22invaluable to our practices.
• 03:23We spend, you know, long,
• 03:25full days in the operating room
• 03:26and in the clinic and that's where
• 03:28those relationships are formed. And
• 03:29our program directors actually meet
• 03:30with us once a month just to make sure
• 03:33everything is going well. You know,
• 03:35we have mentors that are assigned to us.
• 03:38There are faculty or some
• 03:39of our closest friends.
• 03:40We feel so well supported,
• 03:41not only in the OR,
• 03:42but also outside of the.
• 03:44It feels like I've known these
• 03:45people my whole life, you know,
• 03:47we laugh, we have a good time,
• 03:49we support each other,
• 03:50we encourage each other,
• 03:50and I really do love
• 03:52that about this program.
• 03:55So I think the department
• 03:57and is very committed to diversity,
• 03:59equity and inclusion and
• 04:01and and Community support.
• 04:02We are committed to recruiting,
• 04:05retaining and promoting individuals
• 04:06from a diversity of backgrounds
• 04:08and we want to be able to identify
• 04:11and help ameliorate disparities
• 04:12and access to urologic care and
• 04:14outcomes of that care as well.
• 04:16And the only way we can do
• 04:18that is to have those diverse
• 04:21perspectives represented.
• 04:22We have a number of women,
• 04:23we have a number of people
• 04:24of color within the program.
• 04:25And I think we all come
• 04:27from different places
• 04:29and we've instituted a DI committee
• 04:31to making sure that DI permeates
• 04:33all aspects of our department.
• 04:36Yale Urology has always valued
• 04:37all the voices at the table and
• 04:40encourage people speaking up.
• 04:42I think while this is very
• 04:43important and something we're
• 04:44very focused on and invested in,
• 04:46we've instituted a dedicated curriculum for
• 04:49advancing the Wellness of our residents.
• 04:51And that just doesn't mean taking
• 04:53time off or or fewer work hours.
• 04:56But holistically approaching Wellness,
• 04:58we're teaching them self-care.
• 05:00We're teaching them financial Wellness.
• 05:02We're teaching them mental health, Wellness,
• 05:04you know, mental. We try to like,
• 05:05focus on something that provides Wellness,
• 05:07whether if you exercise, you know,
• 05:08Fitbit challenge or just kind of
• 05:10social activities among the residents.
• 05:12When I started residency,
• 05:13I expected that I would never see my partner.
• 05:16I would never have a time to do
• 05:18anything or explore other activities.
• 05:20And that has not been the case.
• 05:22Attendees do care that we get home.
• 05:25We're not being overworked.
• 05:26You know, they really seem cognizant
• 05:27of that and it's appreciated.
• 05:29They truly believe that it's not the
• 05:31amount of hours you spend in the hospital,
• 05:33but it's the content of what
• 05:34you're doing in the hospital.
• 05:39New Haven is a very nice midsized city.
• 05:42It's big enough to offer you
• 05:44anything you'd want to be able to do,
• 05:45from really good restaurants
• 05:47to bars to entertainment.
• 05:50At the same time, it's small enough.
• 05:53Every hospital we work out here
• 05:55in the area is about a 10 minute
• 05:57drive from where most people live
• 05:59in the downtown New Haven area. It's
• 06:01also pretty close to New York and Boston,
• 06:02so there's always a quick detour
• 06:04if they need to to get away for
• 06:05a little bit. It's rarely you're in
• 06:07a hospital where out of 1 window you.
• 06:09See the mountains and the
• 06:10other one you see the ocean.
• 06:12It's truly beautiful.
• 06:15New Haven is awesome. I love New Haven.
• 06:17It has people from every walk of life.
• 06:19It's very diverse, very alive.
• 06:21It's a unique place, a special place.
• 06:26You all should consider Yale strongly
• 06:28because it is the special place that is able
• 06:31to combine excellent clinical training,
• 06:33exposure to all your logic subspecialties,
• 06:35and emphasis on research that is more
• 06:38than supported by our department
• 06:40and Yale as a whole institution.
• 06:43This is a program where people care
• 06:46about you, where they'll advocate
• 06:47for you whatever direction you take.
• 06:49I think they'll support you and
• 06:51help propel your career if
• 06:52you're looking for a program where
• 06:53you're going to be the best
• 06:54version of yourself, but also.
• 06:56Look fun and challenging time
• 06:58that will come to Yale Urology.
• 07:03I think it's really important
• 07:04that our residents,
• 07:05even the most junior resident,
• 07:06recognized that they are a
• 07:08leader in the healthcare team.
• 07:09It's really rooted in a kind of a
• 07:11deep respect for the resident as
• 07:13a human being and partly really
• 07:14embracing that idea of discovery.
• 07:16And that's really the resident
• 07:18discovering more about themselves.
• 07:19Change is ever present and we have
• 07:21a program here that embraces that,
• 07:24that we want our residents to change,
• 07:25that we want them to investigate the world,
• 07:27we want them to be the best
• 07:29version of who they are.