Neurology Residency Open House

October 24, 2022

ID8197

To CiteDCA Citation Guide

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&amp;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.