Yale Plastic Surgery Program Director Message

October 26, 2021

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00:08Hello there, my name is Andrew Shaw.
00:10I'm a faculty member in the division of
00:12Plastic Surgery at the Yale School of
00:14Medicine and the program director for the
00:16Yellow Integrated Plastic Surgery Residency.
00:17We're doing virtual interviews again
00:19this year and I'm pleased to have this
00:21chance to talk to you about our program.
00:22Please be sure to watch the companion
00:24video produced by our residents and
00:26narrated by our own senior resident.
00:27Carolyn Swang invades the
00:29residents perspective,
00:30provides many important details
00:31about the program,
00:32what you might expect as a training here.
00:34In this video, my focus will be on
00:37our training philosophy and offering
00:38my own perspectives on the program.
00:41So you can think of Red Sea as a marathon,
00:43or you journey from being a medical student
00:45to a plastic surgeon in independent practice.
00:48But it's a marathon that you don't run alone.
00:50When you join a residency program,
00:52you become part of a team.
00:53That game that's entrusted with the baton.
00:55Responsibility for patient care,
00:57education,
00:57and other duties of a ton that's
00:59shared and passed among your fellow
01:00residents over several years.
01:01As they each work on and develop
01:03your own clinical, technical,
01:04and professional skills eventually grow and
01:07develop into fully skilled plastic surgeons.
01:09Here at Yale plastic surgery,
01:11our goal is to help you finish
01:12that marathon in stellar fashion.
01:14This year marks the 51st anniversary
01:15of our status as an accredited
01:17plastic surgery residency program,
01:18so we can honestly say we've had
01:20over a half century of experience in
01:22helping residents finish that marathon.
01:24And one thing that long experience has
01:26shaped is our training philosophy,
01:28which recognizes that comparing
01:29medical student or resident education
01:31is like comparing apples to oranges.
01:33While you may have already had plenty of
01:35clinical experiences as a medical student,
01:37now that you're an individual who
01:38is a paid professional with all
01:40the elevated expectations.
01:41Responsibilities of a professional
01:42your educational experience
01:43in the clinical setting.
01:45It's likely to be quite different
01:47and learning strategies that work
01:48for you when you were a student may
01:50not be as effective or work at all.
01:52Once you become a resident.
01:54And as you know,
01:55patients and their problems don't follow
01:56any academic syllabus or curriculum,
01:58unlike a science lab course he
01:59took in college,
02:00where you got to learn all about
02:02the scientific theory and concepts
02:03first before going to the lab.
02:04To apply those principles in a
02:05hands on manner in residency.
02:07The didactic and practical aspects of
02:09surgical learning are not synchronized.
02:11You might be expected to apply social
02:13concepts long after or even well before
02:16any formal like tactic discussion of
02:17those concepts plus what you're expected,
02:19learn and become proficient in goes far
02:22beyond what you might find in a textbook.
02:24Or the online curriculum.
02:27Plus,
02:27our program believes professionalism
02:28and being able to perform effectively
02:30in our health care system is just
02:32as important a technical skill
02:33for any plastic surgeon.
02:34Being successful in this day and age
02:36and being a professional doesn't always
02:38come easily and requires practice just
02:40like any technical skill does and require
02:42us getting out of your comfort zone.
02:44But we believe that it's possible
02:46with the proper training and
02:47repetition to make those skills.
02:48Second nature, including the ability to
02:50learn from your stakes and how to deal
02:52with the constant judgment of patients,
02:54other providers, and the public at large.
02:59So here at Yale, we help you develop
03:01not only the appropriate content,
03:02expertise, and surgical skill,
03:04but also through our conference
03:05structure and research program,
03:07a mindset of lifelong learning
03:08that will help you long after
03:10you've graduated from our program,
03:11become the most effective surgeon can be.
03:15And of course, it's all conforms
03:16with what they see Jimmy wants.
03:17If you look at the list of
03:19competencies and abilities at all,
03:20AC Jimmy accredited residencies
03:22are required to train residence,
03:24and you can divide them into
03:26internal and external abilities,
03:28internal abilities,
03:28or those competencies which are
03:30dependent on your own skills and
03:32efforts like political knowledge,
03:33which is your ability to show what you know.
03:35Patient care, the ability to apply,
03:37what you know, the clinical experiences,
03:40procedural competence,
03:40the ability to apply what you
03:42know inside the operating room,
03:43and practice based learning.
03:45Which is the ability to use her clinical
03:47experiences to improve what you know,
03:49which is just a fancy way of saying that
03:51you're able to learn from your mistakes
03:53in a rigorous and systematic fashion.
03:55And then there are the external abilities
03:57which append on how you interact in
03:59our perceived by those around you.
04:00Interpersonal and communication skills,
04:01which is ultimately the ability
04:03to get other people to trust you,
04:05something that any surgeon must
04:06have now to be truly effective,
04:08sits in space.
04:09Practice the ability to provide
04:10optimal care within it,
04:12and administrative context,
04:12which is a fancy way of describing
04:14the ability to work with.
04:15Others as a team to provide the most
04:17effective care for your patient
04:19and finally professionalism or
04:20just ultimately the ability to do
04:23your job well at all times even
04:25when you're not at your very best.
04:27And so here at Yale,
04:28we do our very best to help
04:29you develop those abilities.
04:31And we do that by providing
04:32a learning environment.
04:33Desserts best optimize the balance
04:35between structure and autonomy.
04:37The program has very much returned
04:39to offering structured hands on
04:40sessions like Cadaver Labs where
04:42you get practice at technical skills
04:44like dissecting out muscle flaps.
04:45And we have a certified microsurgery
04:47lab where residents can follow
04:49curriculum design here at Yale to
04:51learn and practice techniques like
04:52performing micro anastamosis well
04:54before they have to do it on live patients.
04:56And we also have attending lead.
04:58Workshops for splinting and
05:00other important technical skills.
05:03I mentioned before that one of
05:04our goals is to foster a mindset
05:06of lifelong learning and our
05:07educational program design.
05:08Promote this habit by empowering
05:10our residents to set the schedule
05:11and choose the speakers so they
05:13want to come as visiting professors,
05:14which means several times a year.
05:16Having some of the biggest names in
05:18plastic surgery comes in New Haven.
05:19Spend dedicated exclusive time with
05:21the residents were excused from
05:23clinical duties during those hours.
05:25In addition to our Wednesday
05:26afternoon grand Rounds.
05:27We also have a dedicated
05:28conference series just for the
05:30residence on Friday mornings
05:31and in order to further develop.
05:33Attitude and habit of lifelong learning.
05:35We have residents starting US insurance,
05:37preparing and giving talks on basic
05:39and essential plastic surgery topics.
05:41This may seem strange to have P ones
05:43and other relatively junior members
05:44of the team teaching everyone else,
05:46but it helps reinforce the concept that
05:48all of us share in the responsibility
05:49for education and development in the
05:51habits you develop in preparing for these
05:53talks and no different than what you'll
05:54need something in the future when you
05:56want to develop that groundbreaking new
05:58operation that's never been done before,
05:59and our program supports you by providing
06:01access to an array of electronic textbooks.
06:03Journals and other resources
06:05through the Yale Medical Library.
06:07But of course it's not just residents
06:08or teaching attendings lead many
06:10clinically oriented sessions to
06:11give residents further opportunities
06:12to apply their knowledge and the
06:14faculty also provide feedback on
06:15your talks and teaching technique.
06:16As a resident training,
06:18you not just become outstanding surgeons,
06:20but also our next generation
06:23of outstanding educators.
06:24And through such experiences,
06:25our program helps you figure out
06:27and develop a system to organize
06:28your clinical experiences so that
06:30you can turn them into effective
06:31knowledge that you'll be able to
06:33apply for the rest of your career.
06:36But our program recognizes that learning also
06:37happens because of the people around you,
06:39which doesn't just include
06:41attendings another resonance.
06:42But also our nurses and PA's.
06:44And we recognize that the most
06:45effective care is carried out by teams,
06:47not individuals,
06:48and so we emphasize the importance
06:49of developing team relationships and
06:51collaboration with each other and other
06:53services in order to provide the best
06:54learning environment as well as fishing care.
06:57In fact,
06:57I see the off service rotations that
06:59our residents do with general surgery,
07:01anti orthopedics,
07:01neurosurgery and other services as
07:03very important opportunities for
07:05residents to begin to develop the
07:07collaborative relationships that you'll
07:08depend on in your future careers.
07:10And of course,
07:11the most important people that you'll
07:13learn from our our patients and we
07:15recognize that if there are no patients,
07:17then our residents can't learn.
07:19However,
07:19we also recognize that that the tension
07:21between residents and educational
07:23needs and the absolute mandate to
07:25provide the best possible patient care.
07:27After all,
07:28we're all here and go to the
07:29hospital every day to help patients.
07:31Our profession exists for the
07:33benefit of our patients,
07:34not the other way around.
07:37But we also recognize that because
07:39of this tension or residence,
07:40education can easily get lost in this
07:42for me to triangle of relationships
07:44between attending patient and resident.
07:46Fortunately,
07:46we have an outstanding array of fact
07:48labor experts across all the key
07:49domains of plastic surgery and more
07:51committed to developing residents in
07:52the next generation of outstanding
07:53surgeons over the past few years,
07:56our faculty has been augmented by the
07:57rival several new intelligent surgeons,
07:59including our new chief of plastic surgery,
08:01Dr Bopa Mock. I invite you to explore
08:02and learn more about the interests of our
08:04individual faculty members by going to the
08:06link shown at the bottom of the screen.
08:09Here. I mentioned before the need to learn
08:11how to work well as a member of a team,
08:13and that's important, not just for
08:14providing the most effective patient care,
08:16but also develop the ability to productively
08:18balance or professional responsibilities
08:20with their own personal well being.
08:22And that balance is not possible.
08:23Residents are not able to work together
08:24as a team and look out for one another,
08:26which is something that I'm very
08:27happy to say.
08:28It's been true of our program and you
08:29can learn more about their perspective
08:31from the residence video which
08:32also contains their contact info.
08:34If you have anymore questions
08:36about their experiences.
08:37And in that video you'll hear a great
08:39description of what New Haven and
08:41our surrounding areas have to offer.
08:42I'd like to add that faculty residence
08:44all live and work in a compact
08:47geographical region that contains
08:48a wide variety of urban and rural
08:50settings even within the city.
08:52Limits of New Haven.
08:53There are great places for
08:54hiking like East Rock shown here,
08:56which is less than a 15 minute drive
08:59from our main hospital garage.
09:01But if you want even more solitude,
09:03you can quickly find that many places nearby,
09:05like the Yellowstone Club,
09:06which sits on Long Island Sound on
09:08a quiet part of the coastline where
09:09you can find the occasional bald
09:10eagle and feel like you're somewhere
09:12much farther away, like Maine,
09:14but situated actually just a
09:15very short drive away from Yale.
09:17New Haven hospital.
09:19And while some alone time is never
09:21a bad thing,
09:21our program recognizes that none
09:22of us live or work in isolation,
09:24and that Yale does not exist in isolation,
09:27and so our global health opportunities
09:28include the annual mission trips
09:30run by our colleague,
09:30Doctor Thompson and his hand
09:32help organization,
09:33which Caroline discuss more in our video.
09:35And it's through such opportunities
09:37that our program emphasizes the
09:38relevance and potential impact that our
09:40actions have on the rest of our Community,
09:42whether it's in New Haven or beyond.
09:46And was out of that spirit of
09:48engagement with the world that at
09:49the suggestion of our own residence,
09:51we were able to make our grand
09:52rounds available more broadly to
09:54the world large during the lock
09:55down period in the spring of 2020,
09:57when so many of us were forced to self
09:59isolate and were unable to gather together.
10:01This is the welcome slide from
10:02one of those sessions.
10:03During that time period,
10:04and as it shows,
10:05we had participants joining us from over
10:07100 academic and medical institutions
10:08from across the United States and Canada,
10:11as well as ten other countries,
10:13and we recognize that making a broad impact
10:15can also come through research efforts.
10:17Yellow plastic surgery faculty
10:18have very active research programs
10:20publishing in major journals,
10:21including those outside of plastic
10:23surgery like science and Proceedings
10:24of the National Academy of Sciences,
10:26as well as being editors and
10:28contributors to important textbooks,
10:30and we expect.
10:31Presidents get very much involved
10:33starting SPG.
10:34Why twos yellow plastic surgery
10:36residents present at our annual
10:38research day held every year in May.
10:40The event is sponsored through
10:41the generosity of our alumni,
10:42includes prizes for the best papers
10:44by residents and medical students.
10:46This year's addition was offered
10:48over zoom for the second year in
10:49a row and featured as a guest
10:51judge are visiting Professor,
10:52Doctor Box off of the Monkey Clinic.
10:56While rotations are discussed
10:57in the resonance video,
10:58I do want to emphasize the tremendous
11:00degree of autonomy control that residents
11:02have over their rotation schedules and
11:04their final two years of residency,
11:05and that many of our residents have
11:07used that time to go on away rotations
11:10that have helped them put them on a
11:13trajectory for successful careers.
11:14So I started off talking about how
11:16residency is a marathon and our goal
11:18is to get you to that finish line.
11:21I want to finish here by showing
11:22you some more of the folks who
11:24have successfully completed this
11:25marathon over the past half century.
11:27And as you can see,
11:28they have kept on running,
11:29becoming leaders and making an impact
11:31in all sorts of important ways.
11:33Yellow plastic surgery is very
11:34proud of our alumni and our role
11:36in preparing setting them up for
11:38their successful careers.
11:39We hope that someday we'll be able to
11:41add you to that roster of yellow clumsy.
11:44In the meantime,
11:45would like to extend a warm welcome and
11:47thank you for your interest in Yale.
11:49Just reminder that if you haven't already,
11:51please watch the companion video
11:52produced by our residents containing
11:54much more information in detail about
11:55our program and if you do have any questions,
11:58please feel to reach out to me or
12:00residency coordinator Monica at
12:01the emails shown on the screen.
12:03Thank you for your attention and
12:05we hope you all stay safe and well
12:06and wish you all the very best.