Training Sites
Neurology residents at Yale obtain exposure to a broad range of neurological diseases. The Department of Neurology maintains active services at three major teaching hospitals, an in-patient rehabilitation center, and three outpatient clinic sites. Residents also have the option of rotating at several international sites, including Salpêtrière Hospital in Paris, France, and in Uganda as part of the Global Neurology Pathway.
Yale New Haven Hospital
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Yale New Haven Hospital has been the primary teaching hospital for Yale School of Medicine since 1826, when the Hospital was incorporated. Yale New Haven Hospital is a 1,541-bed facility with nearly 15,000 employees.[PJ1] There are more than 1,000 residents and fellows and approximately 4,500 university and community physicians affiliated with Yale New Haven Hospital as attending, ambulatory, clinical or non-resident physicians. The Hospital contains separate intensive care units for newborn, pediatric, surgical, cardio-thoracic, medical, cardiac, neurosurgical and neurological patients. Yale New Haven Hospital also functions as a community hospital for the city of New Haven. Approximately 42% of the patients discharged reside in New Haven, and the majority of New Haven residents who are hospitalized receive their ongoing care at Yale New Haven Hospital
This means that neurology residents can get the “best of both worlds” when training at YNHH. Our residents care for patients with complex conditions, referred from all over the state and beyond, but we are also the first point of contact for patients from the local community who present for the first time with a neurological problem. Thus, our trainees have the opportunity to develop excellent core diagnostic and treatment skills while also staying on the cutting edge of advances in neurology.
Saint Raphael’s Campus (SRC)
SRC is a Yale New Haven Health hospital in New Haven at the site of the former Hospital of Saint Raphael which was founded by the Sisters of Saint Elizabeth in 1907. Saint Raphael’s was acquired by Yale New Haven Hospital in 2012. It has more than 500 beds and medical and surgical ICUs. It functions as a teaching hospital in a community setting. Yale neurology residents rotate through SRC on a neurohospitalist-led consult service.
VA Connecticut Healthcare System in West Haven
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The VA Connecticut Healthcare System in West Haven is a 259-bed acute care facility. It is located five miles from Yale and connected by a shuttle bus system and overlooks Long Island Sound. The Neurology Service at VA Connecticut Healthcare System in West Haven provides comprehensive outpatient and inpatient clinical services, serves as a primary educational site for Yale neurology trainees, and maintains a robust research program.
Here, our rotating trainees gain critical outpatient exposure to both general and subspecialty neurology clinics, including:
- Epilepsy
- Movement disorders
- Sleep
- Cognitive
- Neurobehavioral
- Neuroimmunology
- Neurovascular disorders
This occurs in tandem with the inpatient care provided by our trainees, both through consultations and oversight of our primary inpatient services, including the epilepsy monitoring unit.
Areas of research focus within the Neurology service are varied and include work within the fields of:
- Epilepsy
- Headache
- Neuropathic pain
- Parkinson's disease
- Sleep disorders
- Stroke
Many of these research programs extend nationally and regionally through collaborations with specialized centers within the larger VA system (e.g., Epilepsy Center of Excellence and the Headache Center of Excellence). The VA Connecticut Healthcare System in West Haven has also been at the forefront of implementing and researching telehealth programs, including tele-stroke, tele-headache, and tele-epilepsy. This comprehensive clinical and research approach, coupled with robust education and training programs in collaboration with Yale School of Medicine, ensures the advancement of neurological care, training, and overall well-being of our veterans.[PJ1]
Gaylord Rehabilitation Center
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The Gaylord Rehabilitation Center is a 121-bed rehabilitation facility in Wallingford, Connecticut that provides specialty rehabilitative programs for disorders such as traumatic brain and spinal cord injury, chronic neurological diseases, and stroke. Yale residents participate in the evaluation and care of admitted patients, and neurological consultations are done under the supervision of faculty members from the Department of Neurology.
Outpatient VA Clinics
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The outpatient clinic at the VA is a newly renovated, spacious clinic, where residents have continuity clinic twice during their clinic week, and also seen patients in the neurological subspecialty clinics under the supervision of subspecialty-trained attendings. The WHVA outpatient neurology clinic provides a robust variety of subspecialty neurologic care including epilepsy, movement disorders, neuromuscular, sleep, headache, neuro-behavioral, neurocognitive, stroke and MS. Residents now spend the majority of their time during their VA rotations focusing their education on the many neurological disorders that present in an outpatient setting, and less of their time caring for patients on the inpatient ward service.
Outpatient Yale Clinics
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The home of the Department of Neurology's outpatient clinic is at the garden level of the Yale Physician's Building at 800 Howard Avenue in New Haven. Residents see their continuity clinic patients 2-3 times each clinic week at this site, which includes clinics dedicated primarily to follow-up patients, a clinic dedicated primarily to new consults, a dedicated ED/hospital discharge clinic, and dedicated first-seizure clinic. This site also houses many of the subspecialty attending clinics where residents may rotate during the half-days of their clinic week when they are not in continuity clinics.
Cornell Scott Hill Health
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The Cornell Scott Hill Health Center was founded in 1968 as a partnership led by Mr. Cornell Scott in collaboration with the Yale School of Medicine as Connecticut’s first Federally Qualified Community Health Center. It now serves over 36,000 patients each year in multiple locations throughout the Greater New Haven area and is an essential healthcare resource for the underserved members of the New Haven Community.
There is a dedicated neurology clinic once per week for patients of this health center where residents see both new and established patients under the supervision of a dedicated core of Yale Neurology attendings. It is an excellent opportunity for neurology residents to get exposure to community-based neurologic care.