Virtual Open House - August 28, 2023

October 06, 2023

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00:00Well, welcome everyone.
00:02My name is Jeremy Mohler.
00:04I'm the Neurology Residency Director at Yale.
00:08Welcome to our open house.
00:09This is our third annual open house
00:13because we've been doing this since
00:1720/20/2020. So wait a minute,
00:194th annual, right, Jeff?
00:21Alright, yeah, wow.
00:22Since the onset of the pandemic,
00:24and I think it was actually
00:25one of the best parts of it,
00:26virtual interviewing to be able
00:28to introduce you to a program,
00:30allow you to ask some preliminary questions.
00:33We have a ton of our neurology residents
00:36here for representatives from each class.
00:39And I'm going to give a brief
00:42overview to the program 1st.
00:44And I think I'll start with that
00:46because I think that will be less
00:48interesting than hearing from
00:50residents about their experiences.
00:52But I'm just going to share some slides
00:55for about 5 minutes or so and five or 10
00:58minutes and then we'll go from there.
01:01My name is Jeremy Muller.
01:02I'm the residency director at Yale and
01:05I'm just delighted that you are all here.
01:09This is the most important thing
01:12that we do is recruit new residents.
01:16I would like to think that we do a
01:19great job of training residents and
01:21preparing them for the world and setting
01:23them up to be incredibly successful people.
01:26But they start being pretty
01:28impressive people from the start.
01:29And so,
01:30you know,
01:30recruiting great people like all
01:32of the people in this picture.
01:34This is from our welcome picnic,
01:36is a huge part of what we do and we
01:38have representatives from all of our
01:40classes plus our alumni at this picnic.
01:42This is in my backyard.
01:45Just a reminder of some of our web offerings.
01:48We are on Instagram and the web.
01:50We have a podcast which some
01:52medical students like to listen to.
01:55There's a podcast that Doctor Schaefer,
01:56one of our associate program directors,
01:58does called Neurology, Nuts and Bolts,
02:00Constructing Your Career.
02:01I think that's really valuable.
02:03Podcast. There are actually some
02:05great episodes about things like
02:06letters of recommendation and applying
02:08to residency and things like that,
02:10which are really nice.
02:11My e-mail is right there.
02:12Please feel free to reach out.
02:14Gina Mcnaughty, our program
02:16coordinator is on and after e-mail.
02:18Michelle Stafford Worth is our
02:20education manager and she's also
02:23available if you have any questions.
02:26And we are all absolute veterans
02:31at recruiting residents.
02:33This is my 10th cycle interviews,
02:36actually 11th interview cycle cuz I
02:38did participate in my first year.
02:40So I love it.
02:41It's the best part of what we do.
02:44We are an advanced program.
02:46Currently we have 10 positions.
02:47They start at P GY2.
02:49Therefore when you apply to our
02:51program direct you know to to
02:53our advanced program that will
02:55actually start in July 2024.
02:57But we have guaranteed preliminary
03:00medicine slots for every resident
03:02that we match with this year.
03:05All of our PGY ones are here present.
03:09I see a couple of them joining us and
03:11they've been around and on the team
03:12and in electives and all that kind of stuff.
03:14So they're here guaranteed and
03:16it's actually just an amazing part
03:19of getting to know each other I
03:21think in that first year informing
03:23that bond which carries through
03:24the four years and and they get
03:26six weeks of neurology and P GY1.
03:29If that changes, it will only be more.
03:31That's a minimum of six weeks.
03:32Many residents get closer to 10 or
03:35sometimes even 12 weeks of neurology.
03:38Our residency is like many,
03:41very academic.
03:41Over 95% of our residents pursue fellowships.
03:45There's an even mix of inpatient
03:47and outpatient specialties,
03:48approximately 1/3 state Yale for fellowships.
03:51And about 30 percent,
03:5225 to 30% of our faculty are
03:54graduates of our residency program,
03:56which is really special and fun.
03:58We had the 70th anniversary of our
04:01resident of our residency last year or sorry,
04:05earlier this year.
04:07And we have trained nearly
04:11400 neurologists here at Yale,
04:13which is pretty amazing.
04:14And because of the enormous growth,
04:17actually about 2/3 have been
04:19trained since the year 2000.
04:22So enormous number of residents
04:24that we trained here.
04:26Just a couple of things
04:27about the application.
04:28I think applications are
04:29probably nearly almost ready.
04:31I uploaded a letter of recommendation
04:32to Airas last night for a student,
04:35so I know it's getting there.
04:36Minimum of three reference letters,
04:38maximum of four.
04:39At least one should focus
04:41on clinical neurology.
04:42We usually see that most applicants
04:44have one letter from internal medicine.
04:46It doesn't have to be a department letter,
04:48any letter from internal medicine
04:49from your Sabi.
04:50Our core rotation is nice and
04:52we always understand that
04:53it's difficult to get letters
04:55for international graduates in
04:56particular and we do holistic review.
04:58We're going to interview
04:59between 130 and 140 applicants.
05:01They'll be 12 applicants each interview day,
05:04but we do half day interviews and we
05:07have one of the shorter interview
05:09experiences because we respect your time.
05:11I think people get a great experience,
05:12but it's a pretty short interview
05:15experience and those are the half
05:16day sessions with some overlap.
05:17At noon we actually have a case discussion.
05:21We actually review all of the applications.
05:23We have a holistic review by
05:25at least two reviewers.
05:26We do training for all of our reviewers
05:28on sources, bias and applications.
05:30There's emerging literature on this.
05:32We do this is very important.
05:34The question I get in open houses,
05:36interview and match international graduates.
05:39US experience with a letter and
05:41scholarly work is preferred,
05:42Not necessary, but preferred.
05:45We also strongly prefer graduation from
05:47medical school within the last five years.
05:50I get a lot of questions about that
05:51each year. So let me be clear.
05:53Strongly preferred,
05:54I would say the vast majority of
05:56people that match to our program
05:58have graduated medical from medical
05:59school in the last five years.
06:01There are occasions,
06:02very specific occasions,
06:04where that might not be the case,
06:06if somebody's doing a graduate
06:07degree or intensive research
06:09experience or that sort of thing.
06:10But I would say the vast,
06:12vast majority of people that interview
06:13and match with us have graduated from
06:15medical school within the last five years.
06:17We offer both J1 and H1B visas
06:19depending on the circumstances,
06:21and there are pros and cons to each of those.
06:24And we have learned lots
06:26about visas over the years.
06:29Here are the excuse me,
06:31here are the criteria we
06:32use for holistic review.
06:34So we do obviously a review
06:36of your applications,
06:37looking at your your clinical potential,
06:41so medical school grades and MSPE
06:43research and other scholarly work,
06:45leadership engagement and resilience,
06:47distance travel,
06:48there's often evidence in your
06:50application and and that sort of thing.
06:52In interview review,
06:55again, we're looking at your potential,
06:57not necessarily what you've done,
06:58but maybe what you've done with
07:00the opportunities you've had.
07:01And again, this is very holistic
07:03citizenship and leadership potential,
07:05interpersonal skills and we do have
07:07structured behavior based questions.
07:08We've been doing that for about four or
07:11five years to try to limit some of the
07:13bias associated with these interviews.
07:15The interview experience will
07:17include a panel with discussion
07:18with residents the night before,
07:20opportunities for smaller group or one-on-one
07:23discussions with individual residents,
07:25and that will happen the night
07:26before the interview day.
07:28The interview day itself will be an
07:29overview of the program with me and our
07:32chair and associate program directors.
07:34We'll have 5 interviews over 20 minutes each.
07:38There'll be a case discussion and
07:40then basically you're good to go.
07:41And if you want to follow up with
07:43additional questions, you can.
07:44But people really love this,
07:45I'll tell you,
07:46they especially love this near
07:48the end of the season when they
07:49start get start to get tired and we
07:51have found this highly efficient.
07:53We get a good sense of people and I
07:56feel like we've been able to make
07:57great decisions and I think our
07:59residents feel like they've been able
08:01to make a great decision in matching.
08:02There is no separate prelim
08:04interview required.
08:05We'll emphasize this when
08:07we do the application,
08:08but just to let you know about
08:10that so you don't,
08:11you do have to apply to the
08:12preliminary programs and that
08:14information is on our website,
08:15but you don't have to separately
08:17interview for those prelim spots.
08:18Do you have any questions about prelim spots?
08:20You can always e-mail.
08:22We have lots of important details
08:24that we can get into at later times.
08:27We have an X + Y clinic format.
08:28We were one of the first since 2018.
08:32We have no 28 hour call.
08:34We have early exposure to
08:36outpatient specialties,
08:36broad range of fellowship matches
08:38and the proof is in the pudding.
08:40We see a pretty good balance
08:42between inpatient and outpatient
08:44subspecialty matches after residency.
08:49We have a ton of enrichment
08:51opportunities and research and global
08:53neurology in our clinician educator
08:55distinction or healthcare management
08:57track and amazing leadership.
08:59We've had people on the editorial
09:01boards in multiple journals.
09:03We've had people on the board
09:05of the match itself of the A/C,
09:07GME and and of so many other groups.
09:10And it's an amazing thing that we've
09:12been able to do is really individualize
09:14the experiences for our residents.
09:16We have a strong commitment
09:17to diversity and inclusion.
09:19We have an Associate Director of
09:21Diversity Education who is a major
09:23part of our recruitment efforts.
09:24We have Director of DEI Reshman Arula,
09:28who organizes department wide
09:30diversity efforts.
09:32As I said before,
09:33we have the holistic application review,
09:35mandatory Antibios training for
09:36residents and we actually had
09:38training for all of our faculty
09:40members at our faculty retreat.
09:41We do some interesting things
09:43focusing on education and health
09:45disparities and educational tools.
09:48People asked our vision for
09:49the next few years.
09:50We want to see ongoing diversity.
09:52We will have a neural hospitalist service.
09:55No plans to increase the residency just yet,
09:57but stay tuned.
09:58That may change.
10:00We will have a new neuron science tower,
10:01which may be one of the reasons that
10:03we have to increase our residency.
10:04So stay tuned.
10:05Not yet,
10:06but stay tuned.
10:07And we continue to expand opportunities
10:09and innovative educational
10:11strategies and empowering residents.
10:13And I want you to hear from all
10:15of our residents because this
10:17is the best part of the program.
10:19And I just want to pause for a second
10:25and say acknowledge the fact that
10:28this can be a very intense time of
10:31your medical school training and
10:33of the next step in your career.
10:36It can be so hard to know how you're
10:39going to make good choices for your career.
10:42It's a time when everything feels
10:45really high stakes and like every
10:47move you make is going to be the
10:49most important move you ever make and
10:51and there's no room for error or a
10:53misstep or anything like that and I
10:55just want to reassure you about that.
10:58It really all works out.
11:00I'll share with you personally I
11:02have a lot of the same feelings and
11:04the same concerns year after year.
11:06I just, we've been so lucky.
11:08We met such great residents and I
11:10just wonder how we're going to be
11:12able to run it back and do it again.
11:14But it takes a village and you're
11:16going to hear a little bit from some
11:18of that village, but take a deep breath,
11:20relax you in the chat or in person.
11:24There'll be an opportunity to ask questions.
11:27But we're just delighted, honored,
11:29humbled to have you all here.
11:31You're part of the future of neurology.
11:34It's the best part of being involved
11:37in neurology education is seeing
11:38the next generation develop.
11:40And now I'd love to for you to hear from
11:42some of our residents and faculty members.
11:44And I'm just going to go by who I see on
11:47my screen and everybody here is actually
11:50going to introduce themselves and then
11:52say something about that they like about
11:54one of the best parts of our program,
11:56which is New Haven, CT,
11:58a major feature of our program.
12:00So on my screen, Jeff Dewey,
12:03our Associate Program Director
12:04and Director of Resident,
12:05Wellness, Clerkship director,
12:06many other titles is in an airport,
12:09but it's very dedicated to the process.
12:11Jeff, you want to introduce yourself?
12:13Yeah, I wouldn't miss it. So hi, everybody.
12:15Sorry for the background noise.
12:17I'm sitting in the Midway Airport in Chicago,
12:19actually, coming from the ACG and E, which
12:21I started working with during residency.
12:23So Speaking of leadership opportunities,
12:27I love New Haven, mainly because I've
12:30always lived outside of New Haven and
12:32I love the opportunities to live in
12:34the countryside, live in the woods.
12:36I did both. As a resident,
12:37I live in the countryside now.
12:39It's really a great place to live.
12:40So that's my favorite feature
12:42of the warden.
12:47And next, actually, you get to hear
12:48from one of our pgy ones who just
12:50landed in New Haven a few months ago.
12:52So, Wayne, you're next on my list.
12:54Wayne, do you want to introduce yourself?
12:56Hello, everyone.
12:57I'm Wayne coming from Boston University.
13:01Favorite part is actually the city size.
13:04So coming from Boston,
13:05the traffic was horrendous.
13:07So here it's the sweet spot.
13:10But also you're close to New York
13:12as if you need to do any day trips.
13:15Yeah, the people have
13:16been very, very good too.
13:19All right. And in our resident room,
13:22with our very fancy couch there
13:26and some diagrams and neurological
13:28things in the background,
13:29I see Nick and Vanessa,
13:30you want to introduce yourselves?
13:33Hi everyone, my name is Vanessa.
13:35I'm currently one of the PGY twos and we
13:37are here zooming in for more workroom.
13:42So, well, nice to see you all here.
13:46My favorite part of New Haven,
13:48I would say.
13:49It's how walkable everything is.
13:52I live downtown approximately
13:535 minutes from the hospital.
13:55Like walking distance.
13:57And we have great restaurants many
14:00you know interesting things to do.
14:03So yeah that's what
14:04I love most. Nice And hello friends.
14:08I'm Nick. I'm one of the PGY threes.
14:11I I I'm shocked that this
14:13hasn't been mentioned yet.
14:15To me it's low hanging fruit about New Haven.
14:17The food is just phenomenal.
14:20I know Doctor Mueller shares my sentiments.
14:21We've had we've had conversations
14:23about this in the past man.
14:26It's in addition to
14:28definitely being walkable.
14:29It's I think a great size as well.
14:32But really any cuisine you can think
14:34of is here which is shocking for a
14:36kind of like a city of this size.
14:38But not only that but the I I
14:40can't say enough good things.
14:41It's like world like out of
14:44nowhere it seems world class food.
14:46If anyone wants any wrecks hit me up.
14:49But I I would say absolutely.
14:51I I think food is one of
14:52the great parts of me.
14:54Yeah, I I have to 2nd that.
14:56I think you'll hear that a lot.
14:57It definitely bats above its weight for food.
15:00I was on vacation a couple of weeks
15:02ago and before I left to leave town,
15:04keeping a low profile,
15:06I went with my wife and kids out to
15:08dinner at one of our fine restaurants.
15:10And sitting at the next table over was
15:12a group of our residents being taken
15:14out by one of her faculty members.
15:16And they were very respectful.
15:18They were surprised to see me in town,
15:19but sort of said hi and then
15:21pretended to ignore me,
15:23which was just very touching that they
15:26were trying to protect my vacation time.
15:27It was a fantastic meal.
15:30Kevin. What?
15:30Kevin Yan,
15:31what do you love about New Haven?
15:34Hi everyone. I'm having one
15:35of the PGY fours I am when I
15:39guess the culture aficionado,
15:40one of my Co residents called
15:41me an opera snob the other day.
15:44And one of the things
15:45I really like about New Haven is we
15:47have a lot of nice events to go to.
15:50There is a theater in town that puts
15:52on a lot of various events and we
15:54do have the proximity to New York.
15:56And the nice balance is that it's
15:58also not too big of a place because
16:00I also enjoy the freedom to drive
16:02somewhere and not get stuck in traffic.
16:04So I think living in New Haven is one of
16:06the really nice quality of life things
16:09that I've really enjoyed during residency.
16:13Gina, you're next. Your Gina's,
16:16our program coordinator has
16:17been with us for a year.
16:18So she's we're just completing
16:20a cycle of the educational year.
16:23Yes. And welcome.
16:24I'm glad you're all here.
16:27So what I like about New Haven,
16:28I grew up here is the pizza.
16:30Pizza is we're known for,
16:32it's the best in the country and
16:33we're close to the shoreline.
16:35I love going to the beach and we have
16:37some great beaches to go to as well.
16:39And of course, Yale, I mean it's,
16:41you know a lot of walking
16:43distance to places and it's just
16:46it's just a nice place to be.
16:49Tina, do you have an opinion about
16:50your favorite New Haven pizza place?
16:53There is a couple,
16:54Some are outside of New Haven,
16:56some are in West Haven.
16:57I like Zoo Parties,
16:58which is in West Haven.
16:59That's one of my favorites.
17:01If I do eat pizza in New Haven,
17:03it probably would be Pepe's.
17:06That's one of my favorite
17:07places as well. All
17:09right, we'll hear other opinions
17:10about the the Pete's in a little bit,
17:13but Pepe's is great.
17:16What do you like about New Haven?
17:19Yeah, so I'm JP. I'm a Pty 4,
17:21one of the recruitment chiefs this year
17:24with Ishok who's also on this Zoom meeting.
17:26And my favorite thing about living
17:28here has definitely been there's
17:30a lot of really good vineyards and
17:32microbreweries in the surrounding areas.
17:34And so now, even in my 4th year,
17:37I try to get out on the weekends
17:38and I've seen a good number,
17:39but I think there's still more
17:40for me to see even in my 4th year.
17:42So it's pretty surprising how many there are.
17:44And it's nice to get out of the
17:45city and be in a little bit more
17:47of a green area too sometimes.
17:48So I really like that,
17:52James.
17:54Hi, everyone. I'm one of the PGY twos.
17:56I'm James. My favorite thing
17:58about New Haven is East Rock,
18:00which is a neighborhood that
18:01a lot of residents live in.
18:03It's just north of the main Yale campus area,
18:07but it's a very residential,
18:09walkable place with a, it's all like
18:12multistory family homes kind of,
18:14but very popular amongst
18:16residents and grad students.
18:18And it's a place where you can kind
18:20of walk down the street and you'll
18:21always bump into someone you know.
18:23But also you have your own little quiet
18:25area that you can come back to you
18:27at the end of a day at the hospital.
18:29And there's a ton of little pockets of
18:32restaurants and bars and things throughout.
18:34Also home to modern pizza which I
18:35think is the best New Haven pizza.
18:39Very good,
18:42Patrick.
18:46Hey, I'm Patrick.
18:47I'm one of the PGY twos. I have a
18:51lot of things I like about New Haven.
18:52I think it's really like the ideal
18:54place to to live and and do residency.
18:56And probably my top choices would be
19:01availability of nice apartments close
19:03to the hospital that are affordable.
19:05I takes me about 6 minutes to walk to
19:07the hospital so I can wake up like 15
19:10minutes before I need to be there.
19:11And it's also really close to New York,
19:13which is a huge plus.
19:17It's Hawk.
19:21What's up everybody.
19:22My name is Hawk from Atlanta PGY 4.
19:25Also recruitment share with JPS mentioned.
19:28I mean really a lot of people have
19:30to have taken many other options.
19:32I was going to probably say
19:35I really like the small.
19:37It's like a small city kind of feel
19:39like they said and you just kind of
19:41have availability where you can just
19:44go into different environments between.
19:46You want to be in the city,
19:47you want to be at a park, you want
19:49to go to like
19:51outdoors, go on a hike.
19:52And then the beach, I probably would
19:54say the beach is my how close the
19:56beach is being from like 10 to 15
19:58minutes to go to a beach and then I
20:00can go fishing out a lake etcetera.
20:02So it's that's probably what I
20:04enjoyed most as well as fall.
20:06Autumn here is really beautiful.
20:07So I really enjoy walking out.
20:10And that when fall comes,
20:12so when my kid. So yeah,
20:15Vanessa. Vanessa is our Associate
20:17Director of Diversity Education.
20:20Hi, everyone. So I would say my
20:23favorite thing about New Haven is
20:25we have four major airports around.
20:28So we actually have a New Haven airport,
20:30which is about 10 minutes,
20:3210 to 15 minutes away from New Haven.
20:33And they have many direct
20:35flights to all parts of Florida,
20:37North Carolina, South Carolina,
20:40Georgia, DC And then we also are
20:43about one hour and 20 minutes from
20:45LaGuardia Airport and JFK and there
20:47were 50 minutes from Hartford Airport.
20:50So for a person who likes to travel
20:53and then visit family and do a
20:54lot of international vacations,
20:56it's very convenient for me.
20:59I see Nadia and Laura there
21:01together, two of our PGY ones.
21:07Hi everyone.
21:07I'm Nadia and I'm here with Laura.
21:10And we were just panicking about
21:12what we would say since everyone
21:13said a lot of great stuff. But
21:18I would say, you know, in addition to
21:20what everyone already said,
21:22being next to the Yale underground
21:23campus is really nice. Like,
21:25it's just a beautiful place to
21:26walk around. You feel like you're like,
21:29I don't know, I feel like I'm in
21:30Harry Potter whenever I walk through
21:31the underground underground campus.
21:33So that's one of my favorite
21:34things, great thing to mention.
21:36So hey everyone, I'm Laura.
21:39Just thinking about what Kevin said
21:41about really great events in the area.
21:44There is amazing fairs in kind of
21:46outdoor events that take place
21:48in the summer into the fall.
21:49And so just yesterday I was actually
21:51out with two other neuro PGI ones
21:54and then a Neuro fellow we met up at
21:57this outdoor kind of marketplace.
21:59Lots of handmade goods and foods and,
22:02you know, nice things to eat there.
22:04Just a really nice time, you know,
22:05enjoying the weather outside and
22:06being in a really happy crowd.
22:08So I'm looking forward.
22:10So there's a big fair coming up.
22:12I think it's called something
22:13like the Big E or the Big G,
22:14something like that.
22:15But it's this mega fair in September,
22:17so that's next on our list.
22:20Yes, the Big E it's a fun experience.
22:25So I've been told,
22:27although I go with an empty stomach,
22:28because I think that's a big
22:30eating is a big part of it.
22:32Have I missed anyone,
22:36any of our residents?
22:37I think we got everyone.
22:39That's a lot. I'm gonna,
22:41I'm gonna add two things and then we'll
22:44open it up to any questions that you have.
22:46And if you don't have any questions,
22:47I have lots of questions prepared.
22:52But one is we've had many residents
22:55who have had families over the years
22:58or started families during residency,
23:00and this is a great place to
23:03have a family and to raise kids.
23:05It's the schools are outstanding.
23:08Childcare is affordable and available
23:11without outrageous wait lists.
23:14There are lots of other children.
23:16I'm in a a neighborhood just
23:18on the edge of New Haven in in
23:20Hampden and Windyville in Hampden.
23:21And there are tons of kids on our street
23:24who have been friends with with my kids.
23:26And I really think that
23:28if you have small kids,
23:30which some of our residents do,
23:32it's a great place to be,
23:33a great location and relatively
23:36easy or easier to raise a family
23:40than some bigger places.
23:42And then the other thing I would
23:43say that I think is really,
23:45really special and unique and I
23:48think is sometimes not emphasized
23:50enough is Yale New Haven Hospital.
23:53So the hospital that you will work
23:56in if you match in our program is
23:59really the only major hospital system
24:02in the area in Southern Connecticut.
24:04And so this is the social
24:07safety net hospital,
24:09this is the tertiary referral hospital,
24:11this is the teaching hospital,
24:13the research hospital,
24:15the Community Hospital.
24:16It's all of those things.
24:18And we don't have a special
24:20ward where the rich people go.
24:22If they pay a little extra
24:25money or something like that.
24:26People are all together.
24:28And I think that's the mission
24:30of Yale New Haven.
24:31I think that you're going to see everyone.
24:34You'll see people from every background.
24:37It's a very,
24:38extremely diverse community and there
24:39are lots of statistics about that.
24:42And you'll see the full range of
24:44neurological and medical illness
24:46and you'll see lots of that.
24:48And I think that's very special.
24:49I think it's a really nice place to
24:51train and it's something that over
24:52the years I've valued more and more
24:55as part of the Young Haven Hospital
24:57admission and and the Yale Medical.
24:59I just wanted to mention those things.
25:02I want to open it up to questions.
25:04I have lots of prepared questions
25:06that I can ask of our residents
25:08and they could take it.
25:10But if any of you have questions you want
25:12to type in the chat or just shout out,
25:14that would be fine.
25:15We have half of this fully
25:17dedicated to your questions,
25:30right. I see JIRA Puck,
25:32do you have a question?
25:35Hi everyone, thank you for the introduction.
25:38And so I have a question about
25:41what kind of characteristics you
25:43guys of the Imgs who match to your
25:45program that they usually have like
25:48someone who's familiar with U.S.
25:50healthcare system or any other like specific
25:54characteristics you're looking for.
25:56Guess a Biden G
25:58So I'll say a few things and then Vanessa,
26:01I'll give you a warning.
26:02I don't know if Vanessa can hear me,
26:03but she's an international graduate.
26:05I'm trying to think and see if
26:06any of our others are on here.
26:07Maybe she could speak to her experience
26:09with being an international graduate,
26:12but first US experience is preferred.
26:15I think that's helpful,
26:16but it's not always possible.
26:17During the pandemic,
26:18it was definitely not possible.
26:20I think we want to see evidence
26:22of the type of resilience that's
26:24necessary to shift countries and
26:26and move to a different place.
26:28Academic excellence and and and
26:33and a passion to sort of make
26:35the most of of your experience,
26:38you know under an understanding and
26:39a passion to make the most of the
26:41experience to take that plunge.
26:43And I will say we are very open
26:46to international graduates.
26:47They end up being many of our best residents.
26:50They end up being amazing parts of the team.
26:53They contribute amazingly to our diversity.
26:55And I think there's something special
26:57about somebody having to take that
26:59plunge and going to a different country
27:01and doing something in a different
27:02language in a different environment.
27:04So I'm very, very supportive.
27:06But it is obviously,
27:07as you all know,
27:08a much more challenging task.
27:10Vanessa, do you have anything to add?
27:11I hate to put you on the spot.
27:14Yeah, sure. So for me,
27:16I was born and raised in Brazil.
27:18I went to Med school there and the
27:20Brazilian culture, it has a lot of
27:22influence from the American one.
27:24So culture wise, it was not a huge,
27:27you know, difference for me,
27:29but certainly the language in the beginning,
27:32it added a lot of like cognitive load for me.
27:36In the beginning of the residency,
27:38I had to like learn medicine and
27:41learn the system and still like,
27:43talk in a language that's
27:46not my moderate tone.
27:48So it was hard in the beginning,
27:50but you get the hang of it,
27:52of it like very quickly.
27:55And for sure being away from
27:57your family is the hardest part.
28:00But you definitely find a family here.
28:03And I'm so happy that I came here to yell.
28:06Like, honestly,
28:06I'm so happy to be here because
28:09everyone is so supportive
28:11and everyone is so nice.
28:13The culture of the program is incredible.
28:15So it helps a lot.
28:22Any other questions?
28:23Thanks so much, Vanessa.
28:26Is there a P GY2 spot still available to
28:31apply to for this year to be announced?
28:34There may be P GY2 spots.
28:37I don't want to make any announcements
28:39about the size or increase in
28:42our residency program other
28:43than to say it's a very, very,
28:46very realistic possibility that we will
28:48expand our residency to accommodate
28:50the growth to our new tower and
28:52the timing of that may be relevant.
28:54You know, if we decide to
28:56do that an accelerated way,
28:58then potentially that would mean
29:02recruiting people for a P GY2 slot
29:05starting in July 2024 if they have
29:08preliminary and so obviously need
29:09preliminary internal medicine or other
29:11qualifying preliminary experience.
29:13But just to say that and Negar,
29:17I see you asked a question,
29:19I hope I'm pronouncing your name, Dr.
29:21Muller.
29:21There are a lot of questions
29:23that were kind of if you wanted
29:24to scroll up that I've been kind
29:27of asked but earlier
29:29on, but we're responding to as well.
29:31But one of them was in relation
29:32to feedback and response
29:34the residents or the
29:36how much of the program takes our
29:38feedback and kind of make changes in
29:39relation to that which Kevin answered.
29:41But I don't know if you want
29:42to speak on that as well.
29:45I want you guys
29:46to speak unless you unless you want
29:47us to speak on that, that's fine.
29:49Yeah, I would love to. Would one
29:51of our residents want to take that?
29:53How you think that we respond to feedback,
29:56your thoughts about that and feel feel
29:58comfortable to be honest about that?
30:05Yeah, I'm happy to do this one.
30:06Or do you want to go this talk?
30:08I could talk about .2 and Kevin mentioned
30:10a point about the near ICU recently,
30:12but I'm responding to if you can,
30:14I'll touch base after you cuz I'm responded
30:16to someone else's comment directly to me.
30:19Yeah. So I mean I think so
30:20I guess a couple things.
30:21So we all do a lot.
30:24We do multiple feedback sessions
30:26with Jeremy and so often people
30:28will get to raise their concerns
30:30either individually with him,
30:32you know in the multiple meetings
30:33about the year or we also have resident
30:35meetings where on Friday we'll get
30:37together and and you know we'll kind
30:40of talk about changes that we think
30:42you know should be made to the program.
30:44So I would say already built in without
30:46without having to even be so active.
30:48There is so many opportunities to
30:50give feedback that are just built
30:51into the system and then I think
30:53even my time there is there had the
30:55program is very good about responding.
30:57So just before I started there was the
31:02addition we do a pretty, you know,
31:05there's a Ed rotation that we do,
31:06it's a consult rotation.
31:08And so changes that were implemented
31:11was you know an attending was added
31:13from 5:00 PM to 10:00 PM to help us
31:15with that rotation and to staff directly.
31:18I think it's been one of my
31:19favorite parts education wise.
31:20You get to work directly with an attending,
31:23you get direct feedback,
31:26you get to see like a very good,
31:27you know, patient load.
31:28So that was one change just before I
31:31started that I really appreciated.
31:33Also my year as a P GY2,
31:35they started,
31:36we started doing neurophysiology blocks.
31:38So you get 5 weeks of neurophysiology
31:40as a P GY2 where you get to do you learn
31:43EE G&amp;EMG which again I really appreciated.
31:45I think you know makes you very good
31:48general neurologist I think and you
31:50start to get that experience very early.
31:53So there are two,
31:53two changes just from you know,
31:54my first year and then Kevin
31:56Yan mentioned a couple.
31:57There's been a recent change
31:58to the neural ICU rotation.
32:00We've changed some of the rotations
32:02around to help with you know hours.
32:04And so I think every year there's
32:06multiple changes and and we're
32:08constantly iterating and I've been
32:09really appreciative of of you know
32:11how much work goes into that from the
32:13like residency program administrators,
32:15the faculty.
32:17So
32:20we're obsessed with getting feedback
32:22and we try to feedback to the residents
32:25too that they have tremendous power
32:27and influence in the program as
32:29long as we direct our efforts in,
32:30in the right way. And you know,
32:34we use resident feedback and other pieces
32:36of data to make major investments, right.
32:39So as JP said, we have a faculty member
32:44sitting ready exclusively CC consults
32:47in the E D5 to 10:00 PM every day.
32:51The eventual goal is for that to be 24
32:55hours and that's an enormous investment
32:56on the part of the department in the
32:58hospital system in terms of the cost to
33:00have somebody to do something like that.
33:02And we're really lucky to have it.
33:04We've invested in advanced practice
33:06providers in every one of our
33:09services and other faculty support
33:11and expanding fellowships to take
33:13advantage of those opportunities.
33:15Change always takes some time.
33:18We're working on some hotspots
33:20including stroke alerts in the Ed like
33:23every other program and making sure
33:26that we cover up our gaps overnight.
33:28But it is always with the clear idea that
33:32we want to be a comprehensive neurology
33:34training program that trains you to be
33:37a clinically excellent neurologist.
33:39And not just to be very good
33:41at seeing stroke alerts,
33:42you will be very good at seeing
33:43stroke alerts, trust me,
33:44but in any program you would.
33:46But we're really want to
33:47be holistic about that.
33:51Anybody want to speak to their
33:54mentoring experiences? Any of our
33:56residents want to speak to that?
34:01I can talk a little bit about that.
34:03So Doctor Moore does a really good
34:05job in pairing us with the faculty
34:07mentor when we first come in here.
34:08And part of it is kind of a matchmaking
34:10process where he'll ask us for our
34:12preferences of what we're looking
34:13for in a mentor and what kinds of
34:14things we might be interested in.
34:17And that person does a lot of our
34:20initial initial heavy lifting in into
34:22the right direction and who we talk
34:24to or what kinds of things we do.
34:26And there's a lot of faculty around.
34:27You know, if you work at a teaching hospital,
34:30everyone here really enjoys the
34:33the resident development process.
34:34So a lot of people kind of just find the the,
34:39the faculty that really that
34:41they really identify with their
34:43shared interest in whatever.
34:44And you might have one person
34:46that's could be a research mentor,
34:48another person that's your
34:49subspecialty mentor, things like that.
34:51So you know for example,
34:52in my P GY2 year,
34:54Doctor Moeller assigned me to
34:55Doctor Sivaraju who was one of her
34:57epileptologists who did a really good job.
34:59I had a lot of meetings with him
35:02about how to how to handle P GY2 year,
35:05how to progress from residency
35:08and career development.
35:09And later when I decided on my sub specialty,
35:12I had my sub specialty advisor was Dr.
35:14Vizio,
35:15one of our neuro ophthalmologists here.
35:17So I think Yale,
35:18we have a lot of investment in
35:21making sure that there's a lot of
35:24mentorship opportunities available for
35:26faculty mentors and our residents.
35:28I think Doctor Dewey had to catch his flight,
35:30but one of the initiatives that he's
35:32been really spearheading over the last
35:34few years is these faculty resident dinners,
35:36which last year I know
35:37we're very well attended.
35:38I went to several myself,
35:41which is really this bonding opportunity
35:43for us residents to get to meet the
35:45faculty in an environment that's
35:46not the hospital with nice food
35:48paid for by the by the department.
35:50And this year I think that's
35:51continuing in the form of our families,
35:54which is smaller groups of residents and
35:57faculty with regular development meetings.
35:59So overall,
36:00I think it's a great process.
36:05And if I could add on to that,
36:07I don't know if this is exactly the question,
36:09but I've been really happy with
36:11the with the PR mentorship too.
36:14Not to be gassing up our P GY4 is too much,
36:16but I think they put in a lot of,
36:19a lot of work in making sure that the new
36:22PGY twos are integrated into the program.
36:24There's like a lot of new things that
36:26you do at the beginning of P GY2
36:28that you haven't done as an intern.
36:30And I think the PGY threes and PGY fours
36:32do a really good job of being the mentor
36:35for you when you're in a new scary setting.
36:37I just had on Saturday night my first
36:40overnight shift and JP who's on the call
36:43was my for the the first night shift.
36:44You do, you have a like P GY4 buddy who
36:46kind of walks you through your first
36:48stroke codes and your first Ed consoles.
36:50And I found that to be incredibly helpful.
36:54And then even just little things when
36:57you know you're you're worried about
36:59something horrible that happened
37:00or something exciting happened,
37:02the program is very supportive and
37:04and the other residents in the program
37:06will either commiserate with you and
37:08tell you about their own experiences
37:10or they'll be excited for you.
37:11And we have a very active,
37:12you know,
37:13WhatsApp where people are constantly shouting
37:15out each other for for positive things.
37:17So I've been really happy with that.
37:22I see some hands up, but JP and Isak,
37:25you're keeping me on in line.
37:27Can we go to some of the hands?
37:30Yeah, I'm trying to the the chat is
37:32blowing up, so I'm trying to answer.
37:33Everyone's trying to answer there.
37:34So I would just go to the hands and
37:35then we'll do our best in the chat.
37:37Right. Good. I love the interest.
37:38We will have a second open house
37:41in about a week and a half,
37:42something like that. So but Nega,
37:44you've been very polite and
37:45waiting a long time. So go ahead.
37:47Thank you so much.
37:49Thank you so much for very
37:51informative introduction.
37:53How often and through what methods
37:55do you assess the educational
37:57progress of their residents?
38:02Oh man, so residents,
38:03what kind of feedback and assessment
38:06do you get on your progress? What?
38:09I'd love to hear your perceptions of that.
38:12It's an area that I'm supposed to be
38:13an expert on, so hopefully we do. OK,
38:20feedback. I'll speak briefly on it.
38:23We get, you know, formal studies
38:28back through relations that are done
38:32by attendings, by our Co residents.
38:35If you know like for example if
38:37there's a night resident and the
38:40senior wants to provide feedback
38:42for how the night resident did,
38:45that's helpful as well.
38:47There's actual we stress like feedback
38:51Fridays where the team pulls,
38:54you know the attending,
38:58just everyone on the team and just
39:01has a conversation with them and
39:02give some kind of formal feedback.
39:04Ideally that's constructive that we aim
39:06for and we actually do teaching sessions
39:08on providing evaluations for feedback.
39:10I believe from the attend level
39:13that kind of the faculty work with.
39:15We have sessions amongst residents on
39:17how to give feedback to medical school
39:20students and then just throughout the
39:22kind of throughout the full service that
39:28you're on and the week that you're on,
39:30there's always opportunities
39:31that we are providing feedback.
39:33We tried to make sure that for our
39:35presentations with physical exams etcetera.
39:38So there are a lot of opportunities
39:40and a lot of means for providing
39:42feedback and it's always,
39:43you know, with the focus of aiming
39:46for growth rather than,
39:48you know, a means of
39:54from a negative kind of standpoint.
39:57So I think a lot of us do value,
40:01kind of do the emphasis that
40:02our program puts on evaluation.
40:06I hope that answers your question.
40:08That's great.
40:10I'm not sure who was next.
40:11I'm going to go with a room.
40:13You can go first.
40:17Hi, Dr. Mueller.
40:18It was a great presentation and
40:20I really love the fact that you
40:22bought the residents in to speak
40:24for their own experience and having
40:26been to Yale, it is, I'm still
40:28in all of the opportunities that Yale offers,
40:32but so maybe I'm kind of
40:34wondering if there are more.
40:36So I was wondering if there is
40:39an opportunity for residents to
40:41take either research months off
40:45or some other elective time off to
40:47kind of pursue A master's degree,
40:50probably like an MPH or something.
40:53Is there something that allows
40:57this or has this ever been done in
40:59the past or something like that?
41:03So in terms of graduate training,
41:05residency is pretty short to
41:07complete graduate training.
41:08Some people have started it,
41:10but usually there's more time in fellowship.
41:12We do have a school of public health.
41:14We have a master's degree in
41:16education as well, which actually
41:18I'm the program director of as well,
41:20and have mentored many former
41:22residents and fellows in that.
41:24But it would be difficult to
41:26do a graduate degree in time.
41:28But we do certainly have structured research,
41:31elective time. So that's great.
41:34Thanks. All right, Okay. Let's see.
41:37Thank you. Is it Juliana or Juliana?
41:43Your hand up was next.
41:44Your camera is off right now.
41:49How about Aishwarya?
41:54Hi, good evening and thank you
41:56so much for organizing this.
41:58I did have a question because you
42:00mentioned that you're 3 graduates
42:02from your global neurology track.
42:04But I just, I was curious like have you
42:08had issues recently with the pandemic
42:12with implementing the track or if not,
42:14how would that be implemented
42:16in someone who's interested
42:17in global neurology?
42:19Yeah, we did have an interruption
42:21for a couple of years.
42:22Our Global Scholars program through
42:25the Johnson Johnson Global Scholars
42:28program was basically shut down
42:30because it was a two way exchange,
42:33but that has since restarted and
42:35actually one of our residents
42:36will be going to Uganda in a week.
42:39Is it a week? Is that when?
42:40I think 2 weeks, 02 weeks, OK.
42:43So one of our residents is going to Uganda
42:45in the Global health track in two weeks.
42:48So it's restarted.
42:49We also have programmer letters
42:52agreement with multiple institutions
42:54including the South Petrier in Paris.
42:58And I think we'll have a couple of residents,
43:00one or two residents going there this year,
43:03hopefully, which would be good.
43:05You have to know French or at least have
43:08a passing comfort with French to do that.
43:11Great. Thank you so much.
43:17Any other questions,
43:21Victor, see your hands up.
43:30Go ahead, Victor.
43:31Victor Torres, can you hear me?
43:34Hi, everybody. Good evening. Yeah.
43:36Thanks for having us.
43:38So my question is actually related
43:39to the Global Health program
43:40as well. I saw they have many
43:42tracks for residency and I was
43:45wondering if it's realistic to
43:46take on more than one of those.
43:48So like for interesting for for example,
43:50I like the Global Health one.
43:52I love that you have a research track
43:54as well with R-25 opportunities.
43:56Do you think it would be realistic
43:58to try and pursue both paths?
43:59What would be your general advice
44:01on that? Yeah, comes up a lot.
44:04I think that the tracks and the
44:07distinction programs with which
44:08come with criterion certificates
44:10and are outlined in on our website,
44:13It would be hard to do more than one
44:15of those experiences sort of fully.
44:17But many people take advantage of many
44:20opportunities without necessarily
44:22being part of a formal track.
44:23So I think even if you don't, you know,
44:26people ask could I be involved in the
44:27many educational experiences that we have.
44:29For sure, For sure.
44:32That's good, Brandon.
44:37Can I can I just jump in?
44:38Just really quick to answer a question
44:40that I think will be relevant to.
44:42Yes, everyone please.
44:44Sorry, Brandon, just one moment because
44:47I think I knew and my apologies if
44:51I'm pronouncing that incorrectly,
44:53ask about some specialty exposure
44:55during the P GY2 in three years
44:58in fellowship application.
44:59I know that to get exposure to some
45:02specialties and which fellowships you want.
45:04I know that was a big question that
45:06I asked when I was interviewing and I
45:08think GAIL does a great job with it and
45:10it really stress getting us exposures.
45:12So one way of that is during our clinic
45:16blocks which happened every six weeks,
45:18I guess we basically have three
45:22days out of the week,
45:25the mornings or the half days we
45:27pick a subspecialty of our choice
45:29that we do for a whole six months.
45:31And until we go to those subspecialty
45:33clinics of our choosing and then we
45:35switch the next six months that you
45:37do that for each of your two years.
45:39And then within that you have
45:41elective time for a whole week that
45:44you have within P GY2 and P GY3
45:46year for you to get that exposure.
45:48You get more elective time
45:50as the years go on.
45:52And so you,
45:53I definitely feel like I've had plenty
45:55of time to really get exposures.
45:57And you'll get a sense of a lot
45:59of the inpatient specialties,
46:00of course,
46:03your residency, because that's just a
46:06given in the outpatient specialties.
46:08You'll have a lot of time to
46:10branch out during that scheduled
46:12time for your electives elsewhere.
46:14So I think there's a lot of time
46:16and I think most people feel
46:18pretty comfortable with their
46:19choice going into fellowship year.
46:22Sorry, Brandon, thank you. All
46:26right, Brandon, thanks for
46:26your time. Thanks, Isak. Yeah,
46:29thank you. No problem.
46:31So basically, I just wanted to ask
46:33this is a question for the residents.
46:36Just wanted to ask you,
46:38any of you like, what would you say,
46:41your favorite part of a date
46:42of your days as a life of a
46:44neurology resident? That's it.
46:49What's a new resident open house
46:56Does anyone else want to
46:57speak or I'll keep speaking
46:59I can talk a bit about that.
47:01So I love our, I love my Co residents
47:05we're one big family and it's really
47:08nice to see all of the friendships
47:11that we have between classes and
47:13within our I'm sorry excuse me.
47:15And within our class you know it's
47:17it's really like we're we're we're
47:19really there to support each other
47:21and it's really obvious from if you
47:23come hang out with us how we all
47:24get along really really nicely.
47:26And it's one of the nice things about
47:27going to work every day where I'm
47:29like you know it's nice to go hang out
47:31with people who you really like and we
47:33do a lot of stuff outside of work as
47:35as well you know every so often they
47:37know Izzy has been organizing beach days.
47:40There's a lot of there's a lot
47:41of fun things to do around here.
47:43So for example sleeping Giant
47:44is a big hiking park.
47:46There's an axe throwing location
47:48that whenever residents who just
47:50graduated to keeps organizing trips to.
47:52I'm going to drag some people
47:53to the opera later this year.
47:55So there's a lot of stuff that
47:56we do together.
47:57And I, you know,
47:58I think it's it just makes your
48:00day overall so much nicer when
48:01you know that you're going to be
48:03in a really supportive collegial
48:05environment with people that you
48:06really like and very much trust.
48:10All right. Thank you.
48:12Also, you know,
48:13just to speak on that residency.
48:17All right. Sorry my son's here.
48:19He just bust in the room.
48:22Residency is you know it's going
48:23to have plenty of times where
48:24it's it's pretty difficult.
48:25So the day in the life you know is
48:28is you know it's going to you gotta,
48:30we gotta talk about it. And so
48:35you know there are plenty of time
48:37you have the time to do those things
48:39that you know we try to get together
48:40and spend time to each other.
48:42But I think most of the time that we spend,
48:44as with any residency is, you know,
48:46together, you know, at work.
48:48And you know, I feel like through
48:50the rough times that I have had
48:51and everyone's going to have
48:53rough times with nights, etcetera,
48:56I've always felt a strong sense of,
49:00you know, bond with my residents,
49:04my Co residents to get
49:06me through those times.
49:08So there are plenty of good times
49:09and there are plenty of bad times.
49:11But I think Yale does a really
49:13good job of bringing a good
49:14group of people together.
49:16We established those good bums
49:17to get us through. So, sorry,
49:18I'm going to go ahead and take care.
49:24I do want to be conscious of time,
49:27but those are awesome answers.
49:30Ahmed, I think you were next.
49:34Thank you very much for
49:35having this open house.
49:37I just heard you talking
49:39about the education program.
49:42Is it a separate clinician educator program?
49:45That's the first question.
49:46The second question,
49:48would it be beneficial to have
49:49and a master of health profession,
49:52education from another country
49:53to get into that program,
49:55if you can answer that.
49:57Thank you very much.
49:58Yeah, thanks for your questions.
49:59So this is a clinician
50:01educator distinction track.
50:02It's actually across the hospital and
50:04across the GME but with components
50:06that are located in our program.
50:08And I'm proud to say that a lot of
50:10the hospital wide clinician educator
50:12distinction was modeled after some of
50:14the things that we did in our program.
50:15So we were we led from the front with
50:17that which is really nice and it requires
50:20no prior training or experience,
50:23just passion and interest and
50:24you'll be fine if you have prior
50:26in training and experience.
50:27We've had teachers in our program in the
50:30past for example and other educators great.
50:32I think that enriches the experience
50:35but certainly not required
50:40menu chair I think you're next.
50:43Yeah that was the pronunciation for the.
50:45So my question was about the value
50:48of the research in your program.
50:50For example do you guys have research
50:52track program or the residents could
50:55actually write down grants like
50:58our 25 grants for the NIH. Yes.
51:00Yeah, we have a sponsored our 25 program.
51:03We also have a T32 for fellowship
51:06training and our faculty members
51:08are among the highest awarded
51:11grant winners through the NIH.
51:13We have several sort of top ten
51:16funded scientists within our
51:18department itself in neurology.
51:20So yes, there's definitely huge
51:22experiences there and opportunities,
51:24which is great. Leila,
51:29hi. Thank you. I was curious
51:32whether in terms of residents,
51:35how residents are provided
51:36feedback and evaluation throughout
51:38their residency and I was also
51:41curious of the support available
51:43for professional and maybe even
51:45personal development for residents,
51:47if someone could speak on that.
51:49Thank you.
51:50So anybody have any thoughts
51:53about support for development?
51:55Any of our residents who are on,
51:57who had experiences they could
51:59speak to in terms of professional
52:01or personal development support,
52:06I can mention a little bit and then
52:08I'd be interested to see
52:09what other people say.
52:10But so you are paired
52:12with a mentor essentially,
52:14right when you start residency and
52:16so you have this sort of formal
52:18track to get support and have a mentor.
52:20And then I find that you you make
52:23a lot of good because all the
52:25faculty are so receptive and and
52:27so open and so nice and kind.
52:29You make a lot of bonds
52:31pretty informally too.
52:32So I had mentioned that you
52:34know you're within attending
52:35during the 5:00 PM to 10:00 PM.
52:37So you meet a lot of attendings that
52:39way you form connections and certainly
52:41they're all willing to mentor you,
52:43offer advice, you know,
52:45professionally and also personally.
52:48And so I, you know,
52:49I I feel very lucky that there's
52:51definitely some attendings I met
52:52just by working with them that help
52:54me with research projects or case
52:56reports and just give me advice about
52:59being a resident and even career afterwards.
53:01Dr.
53:02Schaefer, who's not on this call,
53:03also set up a Neurology
53:05Nuts and Bolts podcast,
53:06which I would definitely encourage
53:07you guys all to check out.
53:08But it's essentially about
53:11professional development.
53:12And she brings in experts,
53:13you know,
53:14to help with like negotiating
53:15contracts in your first job and,
53:17you know,
53:18talks about private practice and academia
53:19and all these different questions that you
53:21know often go maybe hidden and unrecognized.
53:24She lays out very explicitly in the podcast.
53:25So I think that was a really
53:27cool initiative that she started.
53:29And then in terms of feedback, yeah,
53:30you, you know, you get feedback.
53:32We have this,
53:33this portal called Met Hub.
53:35Essentially you get feedback through there.
53:37We do feedback Fridays where attendings
53:38will talk to you on on Fridays just,
53:40you know about your performance that week,
53:42you know, they're always very complimentary.
53:45And then also you know,
53:46things to work on.
53:48And then the last thing I would say
53:50is you get a lot of feedback and give
53:52a lot of feedback just, you know,
53:53very directly like with Ron rounds,
53:55you know, someone will just point out oh,
53:56you know, when you're doing neurologic exam,
53:58you know,
53:59try to do this and you'll do the same,
54:00you know,
54:01for for medical students and
54:02people who are more junior review.
54:03And it's probably really,
54:04I mean it's probably one of the
54:06most effective ways to get feedback
54:07because you just get it in real time.
54:08So yeah,
54:10I think it boils down everyone is quite kind.
54:12All the faculty are really kind
54:13and and I think they they make
54:15an effort of of that.
54:16And so it's pretty easy to to find people
54:18that that are willing to help you.
54:19And in all senses,
54:25well, we're getting close to time and I
54:28know this is a packed season of open houses.
54:32I want to thank you all for coming.
54:34Like I said, this is definitely the most
54:36important part of our academic year.
54:39JP Isak, what's the date of our second one?
54:41Is it the, I want to say let
54:48me pull up my calendar,
54:49let me pull it up.
54:50I think it's September 11th. Let
54:53me just double check.
54:54It is September 7th, 7th,
54:57September 7th.
54:59Thanks Gina, you'll keep us on track.
55:02It's a busy time of year.
55:03So we will do one more of these.
55:06You're welcome to come again if
55:08there are additional questions.
55:10And and that is on September 7th
55:12at 7:00 PM Eastern Daylight Time.
55:16Love to see you there and also
55:18tell your friends if they weren't
55:20able to attend this year.
55:22And like I said our most important part,
55:27our favorite thing about the program,
55:29I think the residents said this,
55:30it's the residents that's true of me too.
55:33It's just such a privilege to
55:36work with such great people and
55:38learn from them and see them grow.
55:40I never get tired of that.
55:42And you know,
55:44all of you will be residents very soon.
55:47And it's it's delightful to see
55:49that there's so much interest,
55:51such strong interest.
55:51And I really appreciate you coming.
55:53Thanks so much.