Neurology Residency Open House
October 24, 2022ID8197
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- 00:05Alright, so welcome everyone.
- 00:07So perhaps what we'll do to start.
- 00:10Yes, we have several of our residents
- 00:13and program leadership here.
- 00:15And so I will ask people
- 00:19to introduce themselves,
- 00:21tell us a bit about their position
- 00:24in the program and to share maybe 1.
- 00:28Feature of the program that they think is a
- 00:31particular standout that you should all know.
- 00:34So that's a wonderful so.
- 00:39Katie's akowski.
- 00:39I'm going to start with you because your.
- 00:42A professional recruiter at this point,
- 00:44one of our recruitment treatment chiefs.
- 00:46So you want to say hello.
- 00:48Sure. So hi everyone. My name is Katie.
- 00:51I'm one of the PG I4 residents
- 00:53and as Doctor Miller said,
- 00:54I'm one of the chief residents
- 00:56for recruitment this year. And.
- 01:00I forgot what else you said to say.
- 01:02I'm going to be staying at yellows and
- 01:05movement disorders fellow after this year.
- 01:07Um, and then something about the program?
- 01:14Did you? There's so many. Umm.
- 01:21I think that. Our program.
- 01:28Kind of has a I'll pick something that isn't
- 01:32the people so someone else can say that.
- 01:36We kind of have the best of all worlds I
- 01:39think in terms of exposure to different types
- 01:43of patients and different types of neurology.
- 01:46So our hospital has a very large
- 01:51catchment area, so involving a good
- 01:54portion of the state of Connecticut.
- 01:56We get patients down in New York,
- 01:58you've been coming up from New York City.
- 02:00Patients from other parts of New England,
- 02:02Rhode Island, etcetera,
- 02:03all get kind of funneled.
- 02:05To Yale.
- 02:06So we see a really wide variety of
- 02:09patients from all different backgrounds.
- 02:12For that reason,
- 02:14our hospital functions as both like
- 02:17the only hospital really in New Haven.
- 02:20So it's both a private hospital as well as
- 02:23like the public safety net hospital as well.
- 02:26So we see everybody.
- 02:28We also work at the VA,
- 02:30so we get to work with the veteran
- 02:33population specifically too.
- 02:35So I think that's a really cool
- 02:38feature that probably not everywhere,
- 02:40especially in other big cities
- 02:42where there's a lot of different
- 02:44competing hospitals can experience.
- 02:46I think that's a that's an excellent example
- 02:49really stuck the landing on that one Katie.
- 02:52The I think that's not brought up enough
- 02:56actually that part you know there are
- 02:58certain large cities where people with
- 03:00a certain type of problem or a certain
- 03:02portion of the population goes one
- 03:04place and that's their hospital and
- 03:06other people go another place and and
- 03:08one of the nice things about the other
- 03:10Haven hospital system everybody comes
- 03:12here and that that helps in terms of
- 03:15diversity of patients that you see.
- 03:17Uh, diversity of services that
- 03:19we provide and and diversity of
- 03:21conditions that you'll be exposed to.
- 03:23So all of those things are great.
- 03:25Chris, you're you're next on my list.
- 03:29Hi everybody, my name
- 03:31is Chris Gummerson. I am
- 03:32a PG I3 in the program.
- 03:36Gosh, I'm, I'm going to choose
- 03:37an element of the people,
- 03:39but I won't say just the people in
- 03:41terms of things that I I think really
- 03:44distinguish our residency program.
- 03:46And for me personally,
- 03:47just reflecting on institutions
- 03:49I've been at or different work
- 03:50environments I've been in,
- 03:51one of the things that I found most
- 03:54valuable and I think is truly a part
- 03:56of our culture as a program is the
- 03:59amount of support that we receive
- 04:01with respect specifically to feedback
- 04:04and other things that we might.
- 04:06Be experiencing as residents we
- 04:07have at least four faculty here
- 04:09on our open house tonight that I
- 04:11can see on our our gallery view.
- 04:13And I really truly mean it when I
- 04:14say if there is something that's been
- 04:16going on for that you need to talk
- 04:18about or have thoughts about with
- 04:20respect to your experience as a resident.
- 04:22There's no shortage of opportunities
- 04:24to voice those concerns or ideas
- 04:27suggestions questions and really truly
- 04:30I feel you're heard as a resident and
- 04:33that that that those thoughts and and.
- 04:35Reflections are really embedded
- 04:37into future aspects of the program,
- 04:41so I could go on and on about it,
- 04:43but I think that that really speaks
- 04:45to our culture as the people in our
- 04:47community really care about us as residents,
- 04:50as future colleagues and as learners.
- 04:54It's a really nice example, I must say.
- 04:56You know, I, I feel that I want to
- 04:58turn this too much into a love fest,
- 05:00but I have to say that I feel
- 05:02really supported by the residents.
- 05:03I can't tell you how many times
- 05:06residents have reached out to me
- 05:07when things are very busy and and
- 05:09have been looking out for you.
- 05:11And it's a special thing.
- 05:12It's a little humbling.
- 05:13So it right back at you, Christine.
- 05:16Mohammed, I have you next on the list.
- 05:21Hi, everyone. I'm Mohammed.
- 05:23I'm actually a prelim neurology.
- 05:26So I just started like a couple
- 05:30of months back and I think.
- 05:33The things that I like so to
- 05:37Katies and Chris's points.
- 05:39Of what they said about the people
- 05:41and the pathology, those are.
- 05:42Those were actually like the main
- 05:43reasons I chose the program.
- 05:45But since coming here everyone has
- 05:47been like so I've been mainly dealing
- 05:50with the internal Medicine department
- 05:53so far and everyone is so nice.
- 05:55Just like from the top down,
- 05:58like attendings,
- 05:58the residents that are working
- 06:00with the other interns,
- 06:02everyone is super nice and
- 06:04approachable and everyone has been
- 06:06like going out out of their way
- 06:07to like help throughout the year,
- 06:10especially like in the first few months
- 06:12where everything can be a bit hectic.
- 06:14So it's it's been really great.
- 06:17And yeah,
- 06:18I I actually do like New Haven a lot.
- 06:21So like this the the city itself,
- 06:23even though it's pretty small,
- 06:26I really like the architecture here and.
- 06:28Like the scenes and the ability to
- 06:31like nature and the New England fall,
- 06:33which is coming in soon, so all of that.
- 06:37Those are things I'd say.
- 06:39You know when one of the nice
- 06:41things that I'll point it out as
- 06:43a detail of our program we do have
- 06:45a secret preliminary program but
- 06:46there are 10 guaranteed spots.
- 06:48So everybody who matches to our
- 06:50program has a guaranteed spot in
- 06:52the prelim program and our prelims
- 06:54spend six weeks with us on service.
- 06:57So I've been seeing a lot of our GI
- 07:00ones around and they're all still
- 07:02smiling so and Mohammed was saying
- 07:05life is great so he's he's almost
- 07:08three months in at this point.
- 07:10It's a quarter of the year got as
- 07:13to the architecture Aaron knows
- 07:15I'm going to point to get to you
- 07:17next Aaron that when I'm on the
- 07:18consult service I really like to go
- 07:20to a particular stairwell in our
- 07:22N pavilion we have NE SW pavilions
- 07:26and there's one that looks directly
- 07:29N over the Yale campus and and up
- 07:32into Hamden into the sleeping Giant
- 07:34National Park and we usually pause
- 07:36and look there we we were looking.
- 07:38And was it West today to try to figure out?
- 07:43Architectural points and the
- 07:44architecture is fantastic.
- 07:45It really does allow you to appreciate
- 07:47the beauty of the community.
- 07:49It's it's really a nice. So Aaron.
- 07:53With that introduction, you can go next.
- 07:56Fair enough, yeah.
- 07:57Doctor Miller's been seeing a
- 07:58lot of me these last few weeks.
- 08:00Probably sick of me at this point,
- 08:01but we'll continue.
- 08:04Mcdo at this point. But you stories.
- 08:08For some background errands on the console
- 08:10service with me right now, it's been good.
- 08:15Just stamping out neurologic illness
- 08:17across young New Haven Hospital,
- 08:19but I'm one of the PDI fours,
- 08:21I'm my chief role this year is education
- 08:24and that's kind of what I wanted
- 08:26to say is 1 aspect of the program
- 08:28that I really have enjoyed, I think.
- 08:31And of all the programs I interviewed at
- 08:33education here is very much focused on.
- 08:36It's something that's talked
- 08:37about and discussed.
- 08:38We received lectures on it explicitly,
- 08:40which for me as somebody who wants
- 08:41to be an educator down the line,
- 08:43it's been an important site of
- 08:45growth and being able to have good
- 08:49models to see off of is very useful.
- 08:53And everybody on this call I have learned
- 08:56a ton from both in terms of neurology
- 08:58and also how to teach neurology,
- 09:00so I would say.
- 09:01That's something that is very
- 09:03present here and something that I
- 09:05particularly was looking forward
- 09:06to taking part in and have.
- 09:09And on that note, we do have a neurology
- 09:13education and we're changing the name
- 09:15of it used to be the track but now I
- 09:18think we're calling it the ohh, my gosh,
- 09:20Sarah remind me distinction pathway,
- 09:23sorry, we keep giving different names
- 09:25and the the important distinction
- 09:26with the new way is that that will
- 09:29include some components that are within
- 09:31neurology and some that within within
- 09:33the entire institution and Sarah Schaefer
- 09:37is our associate program director.
- 09:39Who's responsible for the
- 09:41distinction pathway?
- 09:42So on that note, Sarah,
- 09:43do you want to go next?
- 09:50I lost you for just a second.
- 09:51Did you call me out?
- 09:55OK, sorry I came on a little late.
- 09:57I just got back from Madrid,
- 09:59so I'm really tired.
- 10:00It's like 1:00 o'clock
- 10:02in the morning there.
- 10:04So excuse me if I'm a little
- 10:07bit not the sharpest right now,
- 10:09but Umm, let's see.
- 10:12I'm Sarah Schaefer, I'm the one of
- 10:15the AP's along with Vanessa and Jeff,
- 10:18and my main focus as an AP D is
- 10:21kind of curriculum and assessment.
- 10:25And I'm sure Vanessa and Jeff will
- 10:27tell you about what they're doing
- 10:29and what am I supposed to say?
- 10:32What I like best about New
- 10:34Haven or about the program.
- 10:37An element of the program
- 10:40that people might not know,
- 10:42or that might make us stand apart.
- 10:46OK. Umm.
- 10:49Well, I heard some
- 10:50of the answers that are like
- 10:52the most obvious question.
- 10:53I mean, I have to say.
- 10:54So I did residency here.
- 10:55I I've been here for 10 years.
- 10:58Just crazy. I'm old.
- 11:02For 10 years I did residency here
- 11:05and fellowship and and I I just,
- 11:08I came and interviewed and Yale
- 11:11was not at the top of my list.
- 11:13And then I interviewed and I
- 11:14walked out of the hospital and
- 11:16called my husband and was like,
- 11:17hey, do
- 11:19you want to move to New Haven?
- 11:21You know, I was like
- 11:22one of those six sense kind of situations.
- 11:26I think what I tell people is that at
- 11:29that has turned out to be really true.
- 11:32Is that not only are the people great
- 11:35and they like to hang out and they're
- 11:39they're fun to be around and they
- 11:41make work a nice place to be and also
- 11:43outside of work, a nice place to be,
- 11:45like doing trivia nights or whatever.
- 11:47With Katie Zuchowski, hi.
- 11:51But also, you know, Yale Neurology
- 11:54is just full of inspirational people,
- 11:57people who want to make a
- 12:00difference, make an impact,
- 12:01not just learn the what but the why,
- 12:04and really delve and understand
- 12:07things at a whole nother level.
- 12:09And I felt like it was a rare program that
- 12:13had both of those features simultaneously.
- 12:18Fantastic, Sarah, that's really inspiring.
- 12:22Oh, on the on the point,
- 12:23and this is really important,
- 12:25I will do a sort of a formal thing,
- 12:27but some of you may ask a
- 12:31question about signaling.
- 12:32And my answer is I don't know.
- 12:34You know, whatever the question is,
- 12:35I don't know because this
- 12:37is the first year for it.
- 12:38We are participating in it.
- 12:39I have no idea how it's going to work.
- 12:41Other than to say,
- 12:43I think Sarah's case is instructive.
- 12:46If you don't signal,
- 12:47that's not going to exclude you from
- 12:50being invited for an interview.
- 12:51Far from it.
- 12:52You know,
- 12:52we understand that there's a
- 12:54certain number of signals that
- 12:55people have available to them and
- 12:57we are going to review all the
- 12:59applications in a holistic way.
- 13:01And we know that people change their
- 13:03minds and that there'll be a process
- 13:06that happens throughout the interview season.
- 13:08So don't fret that too much.
- 13:11I could understand why you might,
- 13:14but people change their minds,
- 13:15you kind of,
- 13:16you kind of.
- 13:16Have to come and meet us and we
- 13:18have to meet you and then the match
- 13:20with this magical engine that helps
- 13:22things be sorted out and and it's
- 13:24somehow all works out in the end.
- 13:25So I thought that's a great opportunity
- 13:27for me to at least mention that
- 13:29with Sarah's thing and and she said
- 13:32ten years in and has been doing
- 13:34really amazing things and it's I
- 13:36think I think it's fair for me to
- 13:38say it's been a great fit for you
- 13:40Sarah and your career trajectory.
- 13:42So,
- 13:43Melissa.
- 13:45The match knows.
- 13:51Hi. I'm also mayor scam,
- 13:52one of the PG floors.
- 13:54I am one of the current clinical chiefs.
- 13:59And I guess one of the things would be I
- 14:02mean I guess the culture of of our program.
- 14:07I mean I don't want to
- 14:08sound like everyone else.
- 14:08It's pretty sad but I think that's
- 14:10that is one of those things that
- 14:11even when you're on service so you
- 14:13can be on general senior stroke or
- 14:15whatnot and if you have a complex
- 14:17case you don't really you know,
- 14:18feel as though you can't
- 14:20call one of the like.
- 14:21Our specialists versus super sub specialists,
- 14:25you know, we have all our,
- 14:26our attendings numbers and everyone
- 14:28is so just agreeable to kind of,
- 14:31you know, guide you and help you and
- 14:33kind of help at your education process.
- 14:35It's pretty great, honestly.
- 14:38Also, we have food courts as well,
- 14:40so I guess that would be my second choice,
- 14:42my second thing to be
- 14:43different from everyone.
- 14:45Excellent, excellent point.
- 14:46I was hoping somebody would
- 14:48mention the food carts.
- 14:50One thing I'll mention about sort
- 14:51of the people and the mentorship,
- 14:53I'll tell you this.
- 14:54I'll let some people answer the
- 14:56food cart stuff in the chat because
- 14:57this could go on for a while. But
- 15:01the. Mentorship doesn't stop when you
- 15:05finish residency and you're developing
- 15:06relationships that you have for a long time.
- 15:09And, and I can tell you just
- 15:11this weekend, just this weekend,
- 15:13I heard from four of my prior residents
- 15:16about totally different things.
- 15:19One wanted, wanted me to show a
- 15:20picture of her, her her new baby.
- 15:23Another was updating me on some
- 15:26things you know and so on.
- 15:281/3 just reached out to say that she was
- 15:31I thinking of us and on a Sunday morning
- 15:34thinking of Jeff and I sort of take turns.
- 15:37It was Jeff's idea and
- 15:39sending out a Wellness.
- 15:42That missive letter on on Sunday mornings,
- 15:46the Wellness Weekly.
- 15:47And we never know if people read these.
- 15:49I have no idea.
- 15:50And actually one of our former
- 15:51residents reached out to say that she
- 15:53missed reading them on Sunday morning.
- 15:55So Jeff, I was going to tell you that
- 15:57I know that would warm your heart
- 15:59and you said your brainchild and.
- 16:01We put I,
- 16:01I know I could speak for Jeff when we
- 16:03put a lot of thought into these things,
- 16:06Jeff really does.
- 16:07So nice segue.
- 16:08Jeff,
- 16:09do you want to introduce yourself?
- 16:13So hey everybody, I'm Jeff Dewey.
- 16:14I'm also a residency and fellowship
- 16:17graduate from Yale and one of the
- 16:20associate program directors and
- 16:21really focus on Resident Wellness.
- 16:23I also direct the neurology clerkship
- 16:24and was in the medical education track
- 16:27when I was a resident and actually had
- 16:29a very similar experience to Sarah.
- 16:30Yale was one of my last interviews.
- 16:34Wasn't sure I was.
- 16:35I was going to feel about it and
- 16:37loved it from the moment I got here.
- 16:39And I think one of the unique
- 16:41things that has been touched on is,
- 16:43is really the New Haven area and the
- 16:45number of different ways you can live and
- 16:47things you can do in the New Haven area.
- 16:49So you can live downtown in an apartment
- 16:52with a grocery store on the 1st floor.
- 16:55You can live.
- 16:55I'm, I'm an example of someone who rented
- 16:57a house in the woods my first couple
- 16:58of years and then eventually bought a
- 17:00house out in the country where we have
- 17:02chickens and bees and fruit orchard
- 17:05and all sorts of things to distract us from,
- 17:07you know,
- 17:08the bustle of everyday life.
- 17:10And everything in between.
- 17:11And there's beautiful state parks,
- 17:12there's beaches, there's hiking,
- 17:14there's biking,
- 17:15there's the biking trail that runs
- 17:17all the way up to Massachusetts,
- 17:19and also also you can rollerblade on
- 17:20that trail if you're into inline skating,
- 17:22like me and our former resident Kevin Wilson.
- 17:25So there's there's a lot of stuff to do.
- 17:27But I was really pleasantly
- 17:28surprised by the New Haven area.
- 17:30I was living in Boston for 10
- 17:32years before I came here and
- 17:34was very comfortable there,
- 17:35but have really grown to love
- 17:36it here quite a bit.
- 17:37I don't see myself leaving anytime soon.
- 17:42Great place to live.
- 17:45Um, Anisha, you're next.
- 17:49OK. Hi. So I'm anisha.
- 17:52I'm also one of the G fours.
- 17:53I'm one of the scheduling chiefs.
- 17:55So the people dread calls from
- 17:57me for the most part, but.
- 18:01I think the thing that.
- 18:04I have kind of two that I
- 18:06think are mostly related.
- 18:07So we had talked about the
- 18:10education distinction pathway,
- 18:11but we have all,
- 18:12all other distinction pathways.
- 18:14And one in particular that I have
- 18:15been a part of and really liked about
- 18:17this program when I was interviewing
- 18:19is that there's this business,
- 18:21I don't know if it's called the
- 18:22business distinction pathway
- 18:23now or if it's still just like
- 18:25the business admin pathway
- 18:26for healthcare administration.
- 18:27But we're in talks,
- 18:29it may meld with the Qi distinction.
- 18:32There's sort of a process improvement Qi.
- 18:34Restriction pathway within the GM,
- 18:36so stay tuned,
- 18:36probably will know that that.
- 18:39Fair enough. But I was,
- 18:41I've always been really interested in
- 18:43business aspects of medicine and kind of
- 18:45learning more about how to run a practice,
- 18:47how to run a hospital, things like that.
- 18:49And so Yale has a great
- 18:51opportunity to do that.
- 18:52And then within our own department,
- 18:53doctor Kokar, who is one of our vice chairs.
- 18:57And also runs like the clinic,
- 19:01all the clinics beyond just neurology.
- 19:03But all of the the clinics in general is
- 19:05one of our neuromuscular specialists.
- 19:07And he's very accessible,
- 19:08always willing to chat with you.
- 19:09And so I've been involved with him and
- 19:11learned a lot more about like the business
- 19:14aspect of medicine and the CD underbelly
- 19:16of medicine that nobody talks about.
- 19:18And then also as part of that,
- 19:20I've been on a bunch of
- 19:22committees beyond the residency.
- 19:23So I've been on house staff committees,
- 19:25I've worked with the GM E
- 19:27and we're doctor Hewitt,
- 19:28who's the head of.
- 19:29Of the GE and a lot of really
- 19:31great opportunities to expand my
- 19:34knowledge base outside of neurology,
- 19:36which I really appreciated and
- 19:38wanted to have as a resident.
- 19:41So huge shout out,
- 19:42there's a lot of opportunities both
- 19:44within and outside of neurology
- 19:46for whatever you're interested in.
- 19:48You'll pretty much has everything that
- 19:49you could be looking for.
- 19:51I I have to uh anisha's being a
- 19:55little modest to not only served on,
- 19:57but was the President of the
- 20:00resident and fellow Senate which is.
- 20:04The representative body for what is it
- 20:071500 training or something like that?
- 20:10I can't remember in within the
- 20:131500 trainees, residents and
- 20:14fellows and of all the programs.
- 20:17So not just neurology but every
- 20:19every resident and fellow both at
- 20:20the Yale Main campus but also some
- 20:22of the satellite hospitals that
- 20:23includes the VA that includes SRC
- 20:25includes also includes the residents
- 20:28at Lake Bridgeport and Greenwich,
- 20:30and all within the Yale system who people
- 20:32don't necessarily always talk about. But.
- 20:35So for those of you who are interested
- 20:36in sort of leadership opportunities,
- 20:38the resident fellow Senate
- 20:39is actually really nice one.
- 20:40I know several of our other residents
- 20:42have been on committees within that
- 20:44Senate and we have a various affinity
- 20:47groups of various sorts that people
- 20:50have been participating in as well.
- 20:53And so it doesn't,
- 20:54it's not just about neurology,
- 20:56I think it's a really nice
- 20:58community in which to train even
- 21:00without neurology and some really
- 21:02amazing opportunities with that.
- 21:04And Vanessa is taking care of taking
- 21:05advantage of some of those opportunities.
- 21:07So Vanessa, you're next.
- 21:10Hi everyone. My name
- 21:11is Vanessa Cooper. I'm also an ex
- 21:14resident and fellow now faculty member.
- 21:17I have a focus in diversity and education,
- 21:21well mostly diversity recruitment.
- 21:23And I've been working very closely with the
- 21:26G&E office as far as the ID I initiatives
- 21:29and reaching out to HB CU and doing a lot
- 21:31of recruitment stuff over the weekends,
- 21:33which have been really fun.
- 21:35And so I will say that a lot of
- 21:37things have already been covered.
- 21:38So I'll just talk about like the New Haven.
- 21:40Area. So I grew up in New York and
- 21:42I've always been in New York and I
- 21:43was a little bit apprehensive about
- 21:45moving to New Haven because I wasn't
- 21:47sure if there was many things to do.
- 21:49But I will say I'm a big foodie.
- 21:51So one, there's a lot of restaurants
- 21:53and a lot of things very close to
- 21:56the hospital where you don't have
- 21:57to make an effort after work.
- 21:59You can just walk very short
- 22:01distance and get happy hour.
- 22:03Now that I guess COVID is.
- 22:06In the back burner,
- 22:07but during my time,
- 22:08we're able to get happy hour.
- 22:11The GE Office holds a monthly
- 22:13mixer where you could actually
- 22:15meet with other residents and all
- 22:18other programs already paid for.
- 22:19And there's like appetizers
- 22:21and drinks and stuff.
- 22:23And it was like really nice
- 22:24because you're able to like,
- 22:25talk to other residents outside the hospital.
- 22:27And I really like that aspect of it.
- 22:29One thing for people that
- 22:32are coming with families,
- 22:33if you don't want to be in New Haven,
- 22:35there's a lot of suburban areas.
- 22:36I grew my family during training
- 22:40and I moved to the suburbs,
- 22:41and Connecticut has an amazing school system.
- 22:45So the schools here are great,
- 22:47the suburbs are great,
- 22:48and they're only about like 10 to
- 22:5015 minutes away from the hospital,
- 22:52so you're not really far.
- 22:54So I really like that about it.
- 22:56And also very affordable for the Northeast,
- 22:59I will say.
- 23:02Yeah, for for residents with families,
- 23:05childcare is reasonable
- 23:07compared to other locations,
- 23:09not, I'm not going to say cheap
- 23:11because it's definitely not that,
- 23:12but but reasonable and there
- 23:14are many good options.
- 23:15And my children go to public school.
- 23:17Sarah, Sarah, years do too.
- 23:19And the the public schools are just awesome.
- 23:22They're great.
- 23:22Great experience.
- 23:25Did I get everyone?
- 23:27OK.
- 23:29I think so. I
- 23:30believe you did. One more thing
- 23:33ohh yeah please. So
- 23:37I also really enjoyed it.
- 23:39I don't think I looked for
- 23:40this when I was interviewing,
- 23:41but Yale and Doctor Bolorin,
- 23:43like the entire leadership really
- 23:46support you going to conferences
- 23:48and like attending conferences and.
- 23:51Doing research and kind of
- 23:52getting yourself out there,
- 23:53which can be difficult in residency
- 23:55because of the schedule and
- 23:56other things that are going on.
- 23:57So the department has and it's like
- 24:00$1000 that you can use for once in
- 24:03your training to go to a conference,
- 24:05but also.
- 24:06The GE Office provides an educational
- 24:09statement which was $1400 is now
- 24:11going up to I think it's 1800
- 24:13or nineteen 2000 and even 2000.
- 24:182000, which is great and that's
- 24:20every year and we've always kind of
- 24:22been in talks about increasing that.
- 24:24So that was increased this path starting
- 24:26next year and it's probably going to
- 24:28be increasing in the future as well.
- 24:30But there's a lot of support for you to
- 24:31be able to travel and go other places.
- 24:33And then yes,
- 24:33as Jeff has said,
- 24:34the pay here is also really great.
- 24:37And you know,
- 24:38we're definitely the highest paid residents,
- 24:40I think if not in the country,
- 24:41definitely in the area and New Haven
- 24:44isn't that expensive like comparatively
- 24:45to Boston or New York or other.
- 24:47Big cities you can definitely
- 24:49live within your means and have
- 24:50like a nice life here in New
- 24:52Haven with the with the salary,
- 24:53but wanted to plug that.
- 24:55You can go to conferences which I enjoy.
- 24:58Yeah, it's, it's a really nice
- 25:00opportunity and anisha as the scheduling
- 25:03chief along with Victor or other
- 25:06scheduling chief has finagled away,
- 25:09which we hope to continue having all
- 25:11of our PY forests go to the AN comma.
- 25:14So this will be the first year we do that.
- 25:17We'll see how it goes.
- 25:17You guys have to behave.
- 25:19I think I've, I've told you that,
- 25:21but as long as you do,
- 25:22I think this will be OK.
- 25:25And then another, you know,
- 25:27newish thing that we've done,
- 25:29which I'll give we have several pieces
- 25:31by fours here credit for is a retreat,
- 25:34which I have gotten the
- 25:35commitment to continue.
- 25:36So this is a a retreat
- 25:39for the PG Y-3 residents.
- 25:42Into Peter 84 I think I
- 25:43might have broken up there,
- 25:44have I?
- 25:50You did a little bit.
- 25:53Retreat for the PDI three is going in.
- 25:57You're good now.
- 26:00All right, I have some slides.
- 26:07So.
- 26:10My kids might have turned out turned
- 26:12on Netflix here. Sorry about that.
- 26:20Well, while you're filling up the slides,
- 26:22we could also highlight the fact that
- 26:24you're very open to recommendations
- 26:26for improvement within the
- 26:28program and implementing those.
- 26:30So one of them being getting all the
- 26:32PGA Forest to be able to go to AN.
- 26:35We also need some improvements about our
- 26:37night shift rotations and other you know,
- 26:39things that our class or subsequent
- 26:41classes have felt very strongly
- 26:43about and that the leadership is
- 26:44always very open to hearing about it,
- 26:47hearing our suggestions and implementing a
- 26:48lot of them to make very positive changes.
- 26:50So even in our three years of
- 26:53being neurology residents,
- 26:54the program has really changed quite
- 26:55a bit and it's it's nice to see.
- 27:00Definitely.
- 27:03I was going to say that I have some slides,
- 27:05but maybe what I'll do is actually
- 27:07open things up to questions.
- 27:08So if you have questions,
- 27:09you can type them in the chat
- 27:11or you could raise your hands.
- 27:19All right, I'll start with Jesus.
- 27:22Hello. Uh, can you hear me?
- 27:25Yeah, hi, I'm here.
- 27:27So it's very nice to meet you.
- 27:29I I am currently doing research in in
- 27:33originative diseases at the University
- 27:36of Cincinnati and finishing my 6th
- 27:39OBSERVERSHIP in no specialties in neurology.
- 27:42So I don't see myself doing anything else.
- 27:45So regarding the the projects about
- 27:48Qi and I'm very interested on yeah,
- 27:51helping the underserved people.
- 27:53So I want to hear you.
- 27:55And all of you, what is the?
- 27:58How do you guys foster the creation of these
- 28:03projects for the underserved populations?
- 28:06And my second question is,
- 28:08any opportunities to go into
- 28:11the Palatucci fellowship?
- 28:12To health policy in from
- 28:14the neurology perspective,
- 28:15thank you very much.
- 28:21Anybody want to take that question?
- 28:28So one of the things we do
- 28:31to help. Sort of served the
- 28:32New Haven community as we are.
- 28:34We're responsible for neurologic
- 28:35care at one of the community
- 28:37health systems called Cornell,
- 28:39Scott Hill Health and that's a system
- 28:41that's really developed to serve
- 28:43underinsured and uninsured patients
- 28:45in the Yale and New Haven community.
- 28:47It's not officially part of Yale,
- 28:49but we have an agreement with them
- 28:52whereby our residents and I and Jeremy
- 28:54and Sarah provide a neurologic care and
- 28:57consultation to patients at that clinic.
- 28:59So we do see a fair number
- 29:01of uninsured or underinsured,
- 29:04non-english speaking.
- 29:04Questions and it's I think it's
- 29:06a good opportunity to do general
- 29:07neurology in the community.
- 29:09We see pretty much anything that a
- 29:12general neurologist would see there.
- 29:13So it's not you know just migraines
- 29:15or just neuropathy or whatever,
- 29:17it's it's a little bit of everything.
- 29:18So that's one opportunity that we have.
- 29:22This is very exciting. Thank you so much.
- 29:24Also just to piggyback there's
- 29:26you can also be involved in
- 29:28like different organizations.
- 29:29One for example would be
- 29:30like stamp out the stroke.
- 29:32I'm part of the the board there
- 29:34and we go into the community and
- 29:36kind of have these you know,
- 29:38discussions with the community
- 29:39on what is a stroke and trying
- 29:40to provide some guidance and
- 29:41we're trying to do one like in
- 29:43Spanish and things like that.
- 29:44So I think it's very much like
- 29:46there's ample opportunity and it's
- 29:47kind of you know to in whatever
- 29:49field that you're interested in to,
- 29:50to reach out to those involved and there's
- 29:52always something that you can do. Hey,
- 29:54this is very, very inspiring right now.
- 29:56I'm doctor mariscal.
- 29:57Like when you mentioned about
- 29:59the different populations right
- 30:00now in University of Cincinnati,
- 30:02first see commentaries approaching
- 30:04dementia patients in Spanish and English.
- 30:07So we need to serve the underserved.
- 30:10So I'm very inspired.
- 30:12Thank you so much.
- 30:15Clayton, you're next.
- 30:16And then we'll answer Zachary's question,
- 30:19which probably deserves an airing.
- 30:20So Clinton, go ahead.
- 30:24Hey guys, I'm Clayton.
- 30:26You can probably see I'm
- 30:28from VCU in my corner here.
- 30:30So I looked at y'all's page on
- 30:34your website and I was just.
- 30:37Uh, don't take this the wrong way,
- 30:39but I was honestly kind of intimidated
- 30:41because the descriptions you all just
- 30:44seem so amazing and so accomplished and.
- 30:47A lot of it.
- 30:49A lot of you guys seem like you did a lot
- 30:51of research when you were in Med school.
- 30:54I haven't really gotten any
- 30:56publications despite my efforts.
- 30:58I just wanted to hear like how
- 31:02you holistically consider.
- 31:06Consider people and like
- 31:07how important research is.
- 31:09I mean, I know it's
- 31:10important to different programs
- 31:13for people who are coming in.
- 31:15That's something I'd be
- 31:16interested in there, but.
- 31:19Do you do you think you prefer
- 31:22people who have had research?
- 31:26Clayton, maybe I'll take this and
- 31:28then our residents can speak to it.
- 31:30Thank you for that question actually,
- 31:32I think. It was a very genuine and all
- 31:36I can share with you is and I share
- 31:39with the this with the residents.
- 31:41I continue to feel like an
- 31:44impostor frequently and that's
- 31:46kind of the nature of the beast,
- 31:49maybe being at a place like Yale,
- 31:51but also just being in medicine
- 31:54around very impressive people.
- 31:56And we you get better.
- 31:59What one gets better at
- 32:00dealing with the feeling,
- 32:01even though it never goes away and
- 32:02I'm sure our residents feel that way.
- 32:04And I really haven't asked too many.
- 32:06I haven't met too many people
- 32:08who don't feel that way.
- 32:09It's so funny.
- 32:10I was talking to our chairman about
- 32:12this and I can't remember we were having
- 32:14some trouble about this or that and.
- 32:16I said to him,
- 32:17sort of in a moment of desperation,
- 32:19I said, you know?
- 32:20Am I just making this all up?
- 32:23Is this, is this just a a show and
- 32:25there's really nothing to back it up?
- 32:27And he sort of positives like
- 32:29of course you are,
- 32:30and he's like, so am I.
- 32:31And he's like, nobody's figured me up yet.
- 32:33You know, I'm 65 years old,
- 32:34so I think we all have that feeling.
- 32:36So thank you for bringing that up.
- 32:38But it is not our intention to share
- 32:41those things to intimidate you,
- 32:43but rather to show you the kind of
- 32:45opportunities that anyone can have.
- 32:46And we're not looking,
- 32:48I'll say generally,
- 32:50we're not looking for any
- 32:52specific action or activity.
- 32:53We're looking for potential
- 32:55and the opportunities are here
- 32:58and we want the right person,
- 33:01not necessarily the right experience.
- 33:02So all of you have finished medical
- 33:04training and accredited places
- 33:06and have the background and we
- 33:07have our screening processes.
- 33:09For all of that.
- 33:11But we're looking for potential.
- 33:13And,
- 33:13you know,
- 33:14the other thing I would say is I've
- 33:17met very few residents who are
- 33:19doing exactly the same thing they
- 33:21intended when they first came in,
- 33:22you know, even five years later,
- 33:25I mean, and people change their minds.
- 33:27This happens and and so.
- 33:30Don't don't feel strongly about that.
- 33:32We do encourage scholarly work as a resident.
- 33:35We strongly encourage that because you
- 33:37should take advantage of the opportunities.
- 33:38But that doesn't mean publishing
- 33:40papers that can mean lots of
- 33:41different things can be leadership.
- 33:42It can mean educational work.
- 33:44It can be participating in one
- 33:45of the pathways or distinctions.
- 33:47It can be doing something with
- 33:49the resident fellow section,
- 33:50case reports or clinical reasoning cases,
- 33:53things like that.
- 33:54And the nice thing is you're in
- 33:56a place where you have lots of
- 33:58support to do that.
- 33:59Really amazing support to do that
- 34:00and people who just know how to help
- 34:02you get across the finish line,
- 34:04even if you haven't done that before.
- 34:05Did any of our residents want
- 34:07to speak to experiences
- 34:08of not doing much research and then
- 34:09doing something while they were here?
- 34:16I'm not investing anymore.
- 34:17But I will say when I applied Clayton,
- 34:20I had 0 publications and I was very
- 34:24straightforward about like I was not really
- 34:27interested in research to be honest.
- 34:29It was like not something that
- 34:30I was passionate about and I
- 34:32wasn't going to lie about it,
- 34:34but I was passionate about other
- 34:35things and that was what was important.
- 34:38So I think that came across as well
- 34:40as as well as being, you know,
- 34:42strong clinically etcetera.
- 34:44I will say though.
- 34:45I was very passionate about headache.
- 34:48So I went into headache medicine and I found,
- 34:50like a really great mentor within
- 34:52the department and we were able
- 34:54to do a project together.
- 34:55And yes, I end up having a
- 34:57publication finally as a fellow.
- 34:59But I didn't publish in residency.
- 35:01It was just like not a priority.
- 35:03And I was totally fine and that was OK.
- 35:07So I definitely, you know,
- 35:09Imposter syndrome is, you know,
- 35:11real.
- 35:11But I definitely wouldn't feel pressured to,
- 35:13you know,
- 35:14have a huge emphasis on publications.
- 35:16And research,
- 35:17as long as you're passionate about
- 35:19something and when you're applying
- 35:20just making sure that your story
- 35:22makes sense in your application.
- 35:24So if you start off,
- 35:25if you're part of a committee
- 35:26etcetera in your Ms one year and
- 35:29you continue that BMS four year
- 35:30and you're passionate about it
- 35:32etcetera or you're passionate about
- 35:34clinical experiences or education,
- 35:36just make sure that comes across as well.
- 35:41Yeah. I would double down on the,
- 35:43you know, make sure it makes sense.
- 35:45You know, the you don't want to
- 35:47come in with no publications and
- 35:49say I want to do bench research.
- 35:51We're not going to believe you, right.
- 35:53You know, so, so pick what you're
- 35:56passionate about, express that to us.
- 35:58It doesn't have to be one particular thing.
- 36:00I wrote a whole bunch of stuff in the
- 36:02chat that you're welcome to read,
- 36:04so I won't reiterate, but yeah.
- 36:08Yeah. And from a resident perspective,
- 36:10I don't know if I'm necessarily the
- 36:11best person to talk about this,
- 36:12but my research was all in neurosurgery,
- 36:15and then I did a neurology residency.
- 36:17So I had research experience and I did end
- 36:19up doing research in residency, but like,
- 36:22it wasn't what I had done in medical school.
- 36:26So I think like, like everyone saying,
- 36:27as long as you have this program works
- 36:29by having people who are passionate
- 36:31about something and it's not,
- 36:33normally, it's not the same thing.
- 36:34And normally it's better that
- 36:35it's not the same thing.
- 36:36So there's certain people who really love.
- 36:38Certain things like Aaron loves education,
- 36:40not that big on education so works out
- 36:43well when we balance each other out,
- 36:45you're going to get 10 personalities
- 36:47that need to work together and you
- 36:51know research isn't the end all be all.
- 36:53The other aspect of that is.
- 36:55You know a large majority like we are
- 36:58a clinical program or a clinically
- 37:00heavy program and so.
- 37:01It's that you can definitely have
- 37:03people who are interested in research,
- 37:04and we do have MD PhD residents
- 37:06in our classes and they do.
- 37:08Some of them do bench work,
- 37:09some of them do a mixture of things,
- 37:12but most of us are not.
- 37:15Fully research oriented,
- 37:16like most of us found a thing that we like
- 37:18to do and that's what we're focusing on.
- 37:24Humphrey, before I get to you,
- 37:25there was a question about
- 37:28that I thought was quite good.
- 37:29I think I said I would get back to.
- 37:31I've lost it in the thread,
- 37:33but I can't now.
- 37:34I'm forgetting who asked it but it
- 37:36looks like it was Zachary and residents
- 37:39suggested lead change to the program
- 37:41that you've seen in the past few years. So.
- 37:45Maybe I'll let the residents answer this.
- 37:49Anything that comes to mind.
- 37:51I thought I was being so.
- 37:54Vigilant on the chat and
- 37:56I missed that question.
- 37:57I'm like over here typing.
- 38:00I think there have been many resident
- 38:04LED changes over the past few years
- 38:07and one that Anisha already alluded
- 38:10to was that we changed the way that
- 38:14we do our night float rotations.
- 38:17So it used to be we have two
- 38:18residents in the hospital at night,
- 38:20one of whom covers all of our
- 38:23inpatients and the other one covers
- 38:25all of the consults for our the whole
- 38:28hospital adults speed stroke codes.
- 38:30Everything.
- 38:30So you can imagine that can get
- 38:33really busy and we used to do it.
- 38:36You know,
- 38:36nights would be in two week blocks,
- 38:37but we would have one person would do
- 38:39consults for two weeks and one person
- 38:41would do the inpatient stuff for two weeks.
- 38:42And after two weeks of doing
- 38:45consult night flow,
- 38:46you're pretty exhausted.
- 38:49So our year was the last year that
- 38:51we did that and we changed the
- 38:53system now so that you do only one
- 38:56week of the consults and the other
- 38:58week you cover the impatience,
- 38:59which is overall a much more
- 39:02laid back job most of the time.
- 39:05So we created a much better balance I
- 39:09think for our night flow residents.
- 39:13That's one somewhat specific example,
- 39:16but it was completely initiated by.
- 39:19By us and the program was very
- 39:21receptive to it and obviously we
- 39:23got everyone's like opinion in the
- 39:25program and we made the switch and.
- 39:27I think it has gone very well.
- 39:30I don't know if anyone else has other ideas,
- 39:32examples.
- 39:39One that was slightly before.
- 39:43Our class got the benefit of it was we
- 39:46have a rotation called swing where we
- 39:49used to have one resident who would
- 39:52cover the Ed consults and they would,
- 39:54you know, pass off to the night person.
- 39:56And then over the weekend that
- 39:58one person would do E consults
- 40:00and stroke call and PEDs console.
- 40:02Like they would kind of be the one
- 40:04neurologist in the hospital and
- 40:05that could be really overwhelming.
- 40:06And they have the ability to call in
- 40:09help from one of our other rotations.
- 40:12But the classes before us were like,
- 40:14that's just too much.
- 40:15For one person to handle.
- 40:16So we created this swing rotation
- 40:19where there's this extra resident
- 40:20who's there every day and their
- 40:23shift is from noon until 10:00 PM.
- 40:25So it covers kind of the busier
- 40:27consult times.
- 40:28And so that way you have two people who
- 40:30are there to handle residents and to
- 40:31handle consults and triage and everything,
- 40:33and it makes a huge difference.
- 40:35So our class,
- 40:36I think when we were PGA two,
- 40:37was the first year of the swing residence,
- 40:39the swing roll, it was really,
- 40:42I don't know how we would have
- 40:44done it without that role.
- 40:45So that's like another big change
- 40:46that happened in the program
- 40:48that was purely resident driven.
- 40:52We do add that.
- 40:54Sorry, go ahead, Doctor.
- 40:57Just to to add to that two other
- 40:59changes this year that our our PGA
- 41:02fours have very thoughtfully put
- 41:04in place for to other aspects of
- 41:07the day-to-day life of residents,
- 41:09particularly night float residents is to
- 41:11try to implement a system whereby our
- 41:15daytime seniors are giving us feedback
- 41:17at the end of our our night float,
- 41:19which is as you can imagine it's hard to
- 41:21do and and also hard to get when you're
- 41:23kind of on a way different schedule.
- 41:25So that's been a really.
- 41:26Lovely change that our PGA forces have
- 41:29been stated and then I would defer to
- 41:32our PGA Force to talk about it because
- 41:34I haven't experienced it as the three.
- 41:36But another change has been trying to
- 41:38think about how our general senior who
- 41:41leads along with their attending the
- 41:43general neurology inpatient service for
- 41:45a total of two weeks can have a night
- 41:48off because they're typically staffing
- 41:50with the the night float residents.
- 41:52So that's another resident driven
- 41:54change this year.
- 41:59Huang Fei, you've been waiting
- 42:01very patiently, so you're up next.
- 42:05And realize I cut my hand off.
- 42:08Yeah, OK, my name is Faye.
- 42:10I'm at University of Illinois in Chicago.
- 42:13I saw the podcast hosting the
- 42:15chats and I was wondering if
- 42:16there are like more other,
- 42:18like, creative endeavors that were,
- 42:21you know, done by the residents or
- 42:23faculty members, like narrative medicine
- 42:25or even unrelated to medicine stuff.
- 42:31There's a writing workshop that
- 42:34happens every year that Lindsey,
- 42:36who's one of our PGA fours as well,
- 42:39and she went to her sister's wedding,
- 42:41so she's unavailable.
- 42:42But she did that writing workshop
- 42:44she did like she's very passionate
- 42:46about like writing in English and
- 42:48literature and things like that.
- 42:50So that was a huge creative outlet for her.
- 42:52And then I remember some of us,
- 42:56I did this in particular,
- 42:58but getting into like op Eds and learning.
- 43:00Gonna write an opinion piece and
- 43:03like getting that process was
- 43:05really interesting and something I
- 43:06did that more like end of PGA one,
- 43:08beginning of PGA 2.
- 43:09But it was,
- 43:10it was a really fun process to be a part
- 43:11of and to like learn how to do that.
- 43:13And there's an op-ed workshop
- 43:14that happens every year as well
- 43:16that teaches you how to do those
- 43:19things and that's like cross.
- 43:20Cross program, not just neurology,
- 43:22and then on a Deforest,
- 43:23which Sarah dropped in the chat,
- 43:25is one of our former residents.
- 43:27She was two years ahead of us.
- 43:30She recently published a book
- 43:31that was about like her life
- 43:33experiences and things like that,
- 43:35which was really cool.
- 43:36So there's a lot of options.
- 43:38If you're interested, you can find the
- 43:41people who can help you with that.
- 43:43Thank you.
- 43:45Anna was one of the people that I
- 43:47was communicating with this weekend,
- 43:49so and she just came out with her
- 43:51first novel, which was very impressive.
- 43:56Ament.
- 44:00Hello everybody, thank you
- 44:02for hosting this open house.
- 44:05I'm currently doing research at TL actually
- 44:07and like a second everything that have
- 44:09been said so far in this open house.
- 44:11I have had a great time here and the food
- 44:14carts are amazing actually they are like.
- 44:17Super delicious.
- 44:18And they have everything. Literally.
- 44:21Actually my question is towards
- 44:23Doctor Bauer regarding the
- 44:25clinician educator distinction.
- 44:27So I've been like during my career I
- 44:30I spent like 2 years working as a.
- 44:33A teaching assistant at my home
- 44:35university and I would like to
- 44:37know more about how how how would
- 44:39this like help the future residents
- 44:41like moving into academia and maybe become
- 44:44a focal effect or help teach different
- 44:47residents and questions like do you
- 44:49have to do towards that path? Thank you.
- 44:59Any anybody want to take that question?
- 45:10I'm sorry. Can you hear me? I'm
- 45:13sorry. I feel like.
- 45:15I heard your question and I don't
- 45:18know if Aaron did. It was directed
- 45:20at. Can somebody repeat
- 45:22the question? My zoom was being
- 45:24super funky, just like the.
- 45:26Yeah, mine as well.
- 45:27I apologize if I missed something.
- 45:30Right. Yeah, I kind of see
- 45:33that question actually.
- 45:34My question is regarding the
- 45:35clinician indicated distinction.
- 45:37Like how do you think this would
- 45:39help like in the future residents
- 45:41like going on into academia,
- 45:44like and especially like these,
- 45:47like what kind of activities
- 45:48do you do with other residents
- 45:50like in teaching and how,
- 45:52how do you think this will
- 45:53impact your future career?
- 45:55That's my question.
- 45:57Answer that briefly first.
- 45:59I think the clinician educator distinction
- 46:02is sort of a number of activities
- 46:05which include sort of specific teaching
- 46:07opportunities as scholarly work,
- 46:10participating in a journal
- 46:12club mentorship relationship.
- 46:13And and all of those are intended to
- 46:16make you a better teacher and to really
- 46:19get you ready to think about a career,
- 46:22scholarly career in medical education
- 46:23and how that might help you.
- 46:25I mean, you know, we assume that
- 46:26many of the people who do this.
- 46:28The distinction would be
- 46:29interested in careers in,
- 46:31in leadership, in medical education.
- 46:33In fact many have you know,
- 46:34we have several fellowship directors,
- 46:37clerkship directors,
- 46:38people that are involved in
- 46:40other major leadership,
- 46:42educational leadership roles.
- 46:43People have educated and it goes
- 46:45back to that intention to mentor.
- 46:47If you're not in the distinction program,
- 46:49you can certainly still be very involved
- 46:52in teaching and education in many
- 46:55ways on the on the Med school side.
- 46:58And you don't have to be in
- 47:01the distinction track.
- 47:02So hopefully that answers the question.
- 47:07Yes. Thank you so much.
- 47:08That's awesome. Thank you.
- 47:10I. Let's see, am I missing any?
- 47:15Questions and the.
- 47:20In the chat, I don't think so.
- 47:23And then I did get some questions by e-mail.
- 47:26So I'm going to go through these
- 47:28very quickly. With our time.
- 47:31So a quick question was
- 47:33how has the number of?
- 47:36Resident has the number of
- 47:38residencies spots and the residency
- 47:40program changed over the last.
- 47:42Few years and how's that impact
- 47:45that impacted the residents?
- 47:46And what I will say about
- 47:49that is when I first came,
- 47:51we were building up to 8 residents a year.
- 47:53I think that was the first or second
- 47:56class of 8 residents per year.
- 47:58And then we went up to 10 by 2017
- 48:01and we have since added a child
- 48:05neurology residency program.
- 48:07And how has that impacted the education
- 48:10of the residents probably in the
- 48:12best position to talk about this
- 48:14have exceeded sort of those changes?
- 48:17I I think mainly in in good ways
- 48:20because it matched sort of the
- 48:22expansion of our clinical services
- 48:23and also our educational services,
- 48:26our faculty and and the scholarly
- 48:28opportunities and all those
- 48:30other things grew at basically
- 48:32the same rate if not faster.
- 48:35Many people ask.
- 48:37If we will expand further and
- 48:40and everybody in our group on
- 48:42the call knows that I agonize
- 48:44about this and have done so much
- 48:46research into this specific topic.
- 48:47Would we go to 12 or 14 a year
- 48:50or something like that and the
- 48:52the answer right at least right
- 48:54now I'm always willing to change
- 48:57my mind in the future is no we
- 49:00have no intentions of doing that.
- 49:02And the reason,
- 49:03the reasons are complex and
- 49:04I don't want to board you,
- 49:06but I think it's important to
- 49:08remember that residency is an
- 49:09educational experience and the
- 49:10focus needs to be on education.
- 49:12And that we shouldn't expand our
- 49:14residency simply to meet the growth of
- 49:161 particular area of our clinical service,
- 49:18say like stroke or the neurocritical
- 49:20care service or emergency
- 49:22neurology or something like that.
- 49:24You need to learn EMG,
- 49:26EEG,
- 49:26those sorts of things too.
- 49:27So we would like not likely expand
- 49:30at least in the short term.
- 49:33And we also know everybody else is
- 49:37and we we want to make sure that
- 49:40we match with the best applicants.
- 49:44So any other questions? The last comments?
- 49:49Did I miss anything in the chat?
- 49:52I just wanted to point out
- 49:53that all your program directors
- 49:55and AP's are outpatient neurologists
- 49:57in different subspecialties.
- 49:59So we are very passionate about
- 50:03giving you guys that exposure, right.
- 50:05So we have an epileptologist,
- 50:07a headache medicine doctor and
- 50:08neuromuscular doc and movement disorder.
- 50:10So we really try to make sure
- 50:13that the residents get really
- 50:15good exposure to those things.
- 50:24Megan.
- 50:31Hi, my name is Megan.
- 50:32I'm from Wayne State. And
- 50:35I had a quick question for the residents.
- 50:37I was just wondering about how do you
- 50:40feel that your exposure to different
- 50:41types of procedures is kind of on the
- 50:44full spectrum from maybe doing Botox
- 50:46injections and outpatient clinic to
- 50:47the number of LP's that you perform?
- 50:50And are there any like special procedures or?
- 50:55That you think that you have learned here or
- 50:57that's different at this site? Thank you.
- 51:01Though Anisha has done a wonderful job
- 51:04at helping us get a little bit more
- 51:07formal exposure on Botox this year.
- 51:09So we've been doing some practice on
- 51:11models both for migraine and spasticity
- 51:13and both the upper and lower limbs.
- 51:15I have done I, I'll be, I'll be frank.
- 51:18I'm not a big procedure person in general.
- 51:21I love a good LP.
- 51:22I've obviously done a ton.
- 51:23We do a lot on the inpatient services,
- 51:26will help other medicine colleagues
- 51:27when we have the opportunity.
- 51:29But I I do very much enjoy Botox.
- 51:32Been in multiple outpatient clinics.
- 51:34My last elective block,
- 51:35I literally just went around and
- 51:37did Botox and I've just been
- 51:38logging them and keeping track.
- 51:39I think I was in at least 20 rooms and
- 51:42participated in over half of them.
- 51:45So it it you really do have a lot
- 51:46of opportunities and people are
- 51:48some of the some of the providers
- 51:50I've reached to like reach out to
- 51:52that day and they'll find room for
- 51:54you to come and help out.
- 51:55So there there is a lot
- 51:57of room for procedures.
- 51:59Maybe other people can talk to
- 52:00more of the intents like ICU.
- 52:02Procedures which weren't really my jam.
- 52:04But all about the operation itself.
- 52:08Well.
- 52:12Yeah. So we then that's the help with this.
- 52:15So we made a procedures elective that
- 52:17we hope to continue moving forward.
- 52:20So it's brand new this year and
- 52:22basically it's five sessions total.
- 52:24There's going to be 3 migraine sessions.
- 52:27So you learn with the migraine like
- 52:30the head which you actually directly
- 52:33inject and they go through the reps
- 52:35for the Botox will teach you the
- 52:38exact protocol that you need to learn.
- 52:40Like that in the migraine protocol,
- 52:42that's chopped the preempt protocol.
- 52:44And then we're going to do
- 52:45two additional sessions,
- 52:46one that we've done already
- 52:48which is lower than spasticity.
- 52:49So learning about which let which
- 52:51muscles in the lower limb to
- 52:53inject and why they're going to
- 52:54do also upper limb spasticity.
- 52:56So it's with the models with
- 52:58the needle direct contact, Umm.
- 53:00And also we're going to have a session
- 53:02about both like reconstituting the Botox
- 53:05as it normally comes in a powder form.
- 53:07So you have to learn how to kind
- 53:08of mix it together and in order
- 53:10to inject it appropriately.
- 53:11So that's kind of a big thing that
- 53:12I wanted to have in the program
- 53:14is that there's like some sort
- 53:16of more direct procedure.
- 53:17As Aaron said,
- 53:18any attending is happy to have you in
- 53:20their clinic no matter what the clinic is.
- 53:22But this is kind of more direct training
- 53:24so that when you show up to that clinic,
- 53:26you're not just like,
- 53:26I don't know what I'm doing.
- 53:27Like I have had some training,
- 53:29I know how to use a needle.
- 53:30I know what I'm doing.
- 53:32And then like Doctor Miller put
- 53:33in the comments, we have an LPCM,
- 53:35everyone gets signed off.
- 53:36Everyone will know how to do an LP.
- 53:38By the time you leave this program,
- 53:39that's not a problem at all. Umm.
- 53:42And then with other like IC based procedures,
- 53:45it is what? It's as much as you want.
- 53:47So I thought I was going to ICU,
- 53:49so I was really into ICU procedures.
- 53:51So I did central lines.
- 53:52I did a lines.
- 53:54I learned how to take Umm like
- 53:57dreams out like DVD's.
- 53:59Out was on the border of learning
- 54:01how to put an AED in.
- 54:03Then I was like no, never mind.
- 54:04But like anything that you want to do,
- 54:07realistically you can learn how to do.
- 54:10Yep, the only one in our classroom.
- 54:12Centralize.
- 54:13Very true.
- 54:15But yeah, so whatever you want to do,
- 54:17you can do whatever you don't want to do.
- 54:19Someone else will.
- 54:22Cool. Thank you so much.
- 54:24Laura, you've been waiting patiently.
- 54:26So you're next and then I
- 54:28think we'll leave this at at.
- 54:29The last question is this,
- 54:30if you have other questions,
- 54:31you put them in the chat.
- 54:32I know your hand does that,
- 54:34which I want to be respectful
- 54:35of everyone's time.
- 54:36But Laura, please go ahead.
- 54:38Thank you so much. Well, thanks
- 54:40everyone for a great open house.
- 54:42I wanted to ask about if Yale
- 54:44Neuro residents are involved in any
- 54:46kind of national advocacy efforts,
- 54:48for example health policy related,
- 54:50whether it's specific to neurology or kind
- 54:53of more generally impacting medicine.
- 54:55And then if there's any ties that Yale
- 54:57Neurology has to either institutions
- 54:59or communities around the world,
- 55:01you know, in other countries,
- 55:03if anyone here has any direct
- 55:06experience or knows of ties like that?
- 55:10So I I can answer the second question first.
- 55:13We do have a global health partnership.
- 55:18Through the the Johnson and Johnson
- 55:20Global Health Scholars Program
- 55:22or Global Scholars Program,
- 55:24I can't recommend one there may
- 55:25health may or may not be in there
- 55:27and our main cooperative site with
- 55:31a two way exchange program is a
- 55:36Macquarie University in Uganda and.
- 55:42Four or five of our residents over the
- 55:44last six or seven years have spent
- 55:47six weeks there and that's funded
- 55:49by the department and similarly.
- 55:543 Ugandan trainees have spent time with us,
- 55:57including one Ugandan,
- 55:58actually a faculty member there who's
- 56:01an internist but had some actually
- 56:03run sort of a neurology service
- 56:06who spent the whole year with us,
- 56:08I think in 2014 fifteen.
- 56:11And he's the person who typically
- 56:13hosts our residents or supports
- 56:15our residents when we go there.
- 56:17We haven't had anybody go since the pandemic,
- 56:20but that we're sort of slowly
- 56:22opening up the possibility of that.
- 56:24Coming back and again the the
- 56:27support would be there if somebody
- 56:30had an interest in going and and
- 56:32the expectation is that it's not
- 56:34just a nice trip that you would work
- 56:36on a project or or do something
- 56:38meaningful with your time there.
- 56:41As to the national advocacy,
- 56:43I know one of our residents was very
- 56:47involved in neurology on the hill,
- 56:49which is sort of a political lobbying.
- 56:52I don't know if it's lobbying
- 56:54advocacy sort of organization and
- 56:56has been very involved in that.
- 56:59Oh, I forgot. Somebody reminded me.
- 57:02International relationships,
- 57:03we do have a very strong
- 57:06relationship with the PTA.
- 57:07S Atoya University in in Paris,
- 57:11and we've had several residents go there.
- 57:13Sarah had to come off the call,
- 57:16but Sarah Schaefer went there.
- 57:17She was the first one.
- 57:19And that's really what was the
- 57:20linchpin in her deciding to be a
- 57:22movement disorder neurologist.
- 57:23So she spent.
- 57:25Two weeks there, I think and again,
- 57:28we provide financial support
- 57:29for residents who travel there,
- 57:30not the full cost of being in Paris
- 57:32because it's absurdly expensive,
- 57:34but some offset.
- 57:35And during the pandemic,
- 57:37we actually do clinical grand rounds
- 57:40with people from the South Bay and
- 57:42we had one about two weeks ago.
- 57:44So a French trainee presents one
- 57:46case and then one of the one of our
- 57:50trainees presents a case and we have
- 57:52program letters of agreement for
- 57:54several other international sites.
- 57:56Usually when a trainee has a very
- 57:58specific connection to that place,
- 58:00they've worked with somebody there
- 58:02and we have had residents go really
- 58:04literally all over the world for electives.
- 58:12In terms of other advocacy,
- 58:13AM I missing anything here?
- 58:19I don't think that any of us currently
- 58:22are involved with advocacy work again.
- 58:25You know, like we kind of said,
- 58:27everyone has their own interest and
- 58:29that just wasn't a strong interest.
- 58:31But that being said,
- 58:32there's a lot of a an activity
- 58:34that exists and it's very easy to
- 58:36get involved with those things.
- 58:38So I have a particular interest in
- 58:40bioethics and so I was able through
- 58:42some programs and working with an to
- 58:45get involved with an Ethics Committee,
- 58:47which I'm still involved when.
- 58:49And they do a lot of advocacy and outreach,
- 58:51and then they're separate advocacy,
- 58:53advocacy councils as well that you can
- 58:56be a part of if you if you want to.
- 58:59You kind of just find if it's
- 59:01something of interest for you.
- 59:02You can find a way into it fairly easily.
- 59:05There's also through the GME,
- 59:07an advocacy council that does.
- 59:13They organized different marches,
- 59:15so they they did have,
- 59:16they just recently had a petition about.
- 59:20It it was like there's a bill that's
- 59:23going through Connecticut about like
- 59:25internal medicine and like primary care
- 59:28related payouts or something like that,
- 59:30that was going to be a huge impact.
- 59:32So they did a huge petition for that.
- 59:35They've a couple of speakers have gone to
- 59:37DC to talk about different things from Yale.
- 59:41But those people the ones I know about
- 59:43have been in like internal medicine or
- 59:45have been part of the Advocacy council,
- 59:47but the opportunities exist.
- 59:48I just don't know.
- 59:49Any of us are like directly
- 59:51involved at the moment.
- 59:53There's a local program called
- 59:55Stamp Out Stroke that several
- 59:56of our residents have done,
- 59:58which is stroke education in the local
- 01:00:00community run by medical students with
- 01:00:03several of our residents that supported it.
- 01:00:05And we will be starting a high
- 01:00:09school neurology club pilot where
- 01:00:11we'll be doing virtual.
- 01:00:13Teaching to high school neurology
- 01:00:15clubs around the country, I think.
- 01:00:20I didn't know what neurology
- 01:00:21was in high school,
- 01:00:22but apparently some kids do.
- 01:00:24So that's sort of an outreach kind of thing.
- 01:00:27And one of our residents,
- 01:00:28Milo White,
- 01:00:29is taking the lead with a with a high
- 01:00:31school student and organizing them.
- 01:00:36So I want to be very respectful of
- 01:00:40people's time. This is our hour.
- 01:00:43Our emails generally are our first name,
- 01:00:45daughter, last name at yale.edu
- 01:00:48if you have any questions.
- 01:00:50And air us will open what in about 8 days?
- 01:00:55Something like that? A week.
- 01:00:57So I'm very excited that's like.
- 01:01:00Christmas morning for me to see
- 01:01:02all the great applicants that
- 01:01:04have come through and will be
- 01:01:06very busy coming through them.
- 01:01:08We look at every application in a
- 01:01:10holistic way and we're excited to see
- 01:01:13them and thanks everyone for joining.
- 01:01:15And I don't think anybody said
- 01:01:17that I avoided my slides.
- 01:01:19You can see those slides if you want
- 01:01:20on the recording from the website.