Virtual Open House - August 22, 2024

Transcript

• 00:01Alright. Well, I think we
• 00:02will get started. So,
• 00:05welcome, everyone. I'm, Jeremy Mueller.
• 00:07I'm the residency director of
• 00:09the adult neurology residency program
• 00:10at Yale.
• 00:12And I'm joined by many
• 00:13of our,
• 00:15community members,
• 00:16including
• 00:17couple of our, associate program
• 00:19directors and and many of
• 00:20our residents. And you'll have
• 00:22a chance to hear from
• 00:23them in a moment.
• 00:26You know, one of the
• 00:28wonderful
• 00:29innovations that came from a
• 00:31terrible circumstance, the pandemic,
• 00:33was the idea of virtual
• 00:34open houses.
• 00:35And it really
• 00:37is a great way to
• 00:39kick off the interview season.
• 00:42And it was something we
• 00:43never did before. Right? The,
• 00:45you would just all apply
• 00:46to programs and,
• 00:47and maybe if you had
• 00:49the chance to attend the
• 00:50annual meeting, you would come
• 00:51to the,
• 00:53the
• 00:54student and resident,
• 00:56night at the AAN and
• 00:57stop by our poster. And
• 00:58I'm sure some of you
• 00:59have,
• 01:00done that in the past.
• 01:01But this gives people all
• 01:03over the world the opportunity
• 01:05to get, some insight into
• 01:07what our residency program has
• 01:08to offer, some of the
• 01:09ways
• 01:10that our residency program might
• 01:12stand out and might be,
• 01:14really well suited to your
• 01:16interests,
• 01:17and,
• 01:18to answer any questions you
• 01:19might have about our program.
• 01:20And,
• 01:21we acknowledge that this is
• 01:24a stressful time. It's a
• 01:26consequential time in all of
• 01:27your lives as you apply
• 01:29to move on to the
• 01:29next stage in your career.
• 01:32And the only thing I
• 01:34can say is that these
• 01:36things have a way of
• 01:37working out.
• 01:38Trust the process,
• 01:40and, it's a long season.
• 01:42It's a marathon and not
• 01:43a sprint.
• 01:44This is just the start.
• 01:46But
• 01:47every year, we have people
• 01:48who tell us that the
• 01:50open house made an impact.
• 01:51They made a connection.
• 01:52There was something about it
• 01:54that really stood out, and
• 01:55so we know this is
• 01:56really important for you to
• 01:58get to know us and
• 01:58get to know,
• 02:01the,
• 02:02the things that we can
• 02:03offer.
• 02:04So
• 02:05I am going to run
• 02:06through
• 02:07some brief slides just to
• 02:08give you, you an a
• 02:09very, very,
• 02:11brief overview of our program.
• 02:13And then we're gonna leave
• 02:14the rest of the session,
• 02:15the one hour session,
• 02:17as an opportunity for you
• 02:18you to meet some of
• 02:19our residents. They're gonna tell
• 02:20you a little bit about
• 02:21their experiences in the program,
• 02:23and meet our associate program
• 02:24directors,
• 02:25and then have the opportunity
• 02:27to ask questions.
• 02:28As questions arise in the
• 02:30chat,
• 02:31our recruitment chiefs, you can
• 02:33see there, Celia
• 02:34and Billy, who are waving,
• 02:37will be working hard in
• 02:38the chat. So, and our
• 02:39other residents will do the
• 02:40same and our APDs.
• 02:42So if questions occur to
• 02:43you as we're going along,
• 02:45please go ahead and and
• 02:47ask them in the chat.
• 02:48If a question has occurred
• 02:49to you, very likely it's
• 02:51something that occur has occurred
• 02:52to somebody else. So you're
• 02:53doing a service by asking
• 02:55those questions,
• 02:56to your other app co
• 02:58applicants.
• 02:59Alright. I'm going to share
• 03:00my screen.
• 03:03So this is our annual
• 03:05picnic. This is from last
• 03:06year. I have a picture
• 03:07from this year's picnic, but
• 03:08it
• 03:09rained
• 03:10a lot during this year's
• 03:11picnic. So,
• 03:12the picture is, is much
• 03:14more confined space. We did
• 03:16it on my deck, but
• 03:16this is in my back
• 03:17year last year.
• 03:19And this is our group.
• 03:20It's one of the wonderful
• 03:21traditions that we have every
• 03:22year, to get together as
• 03:23the annual welcome pack.
• 03:27We have web offerings.
• 03:29We are active on Twitter.
• 03:30I should update that to
• 03:31x, more than neurology Yale,
• 03:33the departmental website, than Yale
• 03:35Neurons, but maybe we'll work
• 03:36harder to,
• 03:37be more active on x
• 03:38with that. Instagram, we're extremely
• 03:40active, and our recruitment chiefs
• 03:42are outstanding
• 03:44in updating the,
• 03:46Instagram page, which I really
• 03:48like. I have, I think
• 03:49what the kids call a
• 03:50lurker account just to keep
• 03:51an eye out for, what's
• 03:53go that goes on with
• 03:54the Instagram,
• 03:56site. And, and I'm always
• 03:58impressed by the breadth and
• 04:00depth of the offerings there.
• 04:02Our website, we work to
• 04:03update every year. There may
• 04:04be a few things that
• 04:04are out of date, but
• 04:05overall, it's pretty good. I
• 04:06went through this with the
• 04:07recruitment chiefs,
• 04:09earlier this week, and and
• 04:10there's really a lot of
• 04:11depth and lots of information
• 04:12about the program on that.
• 04:14Couple of podcasts. Some of
• 04:16you may have heard our
• 04:17Exam Prep podcast, which is
• 04:18broadly listened to. And doctor
• 04:20Schaeffer has a wonderful podcast
• 04:21about career development,
• 04:23which,
• 04:24is really awesome called Neurology
• 04:26Nuts and Bolts. And both
• 04:27of those are found anywhere
• 04:28you can, find podcasts.
• 04:30Here are emails, and I'm
• 04:31sure the residents will put
• 04:32their emails
• 04:34in the in the chat,
• 04:35at the end or at
• 04:36any point. So if you
• 04:37have any questions, you could
• 04:38always reach out to them.
• 04:39We're happy to answer any
• 04:40of your questions. And I've
• 04:41I've received a few emails
• 04:43over the last couple of
• 04:44days that I have not
• 04:45yet replied to. I've been,
• 04:46kind of busy clinically.
• 04:48I just got back from
• 04:49vacation.
• 04:50I will reply to you.
• 04:51So if you have sent
• 04:52me an email, I will
• 04:53reply to you. And some
• 04:54of the questions that have
• 04:55been brought up in those
• 04:56emails
• 04:58are questions that a lot
• 04:58of people ask. So, hopefully,
• 05:00you'll get some answers to
• 05:00that, soon.
• 05:04We are an advanced program.
• 05:06So you start in our
• 05:07program in
• 05:09oh, did my Internet slow
• 05:11down?
• 05:14Oh, can you hear me
• 05:15okay? I broke up there.
• 05:19You're good? Okay. We're an
• 05:20advanced program. We have twelve
• 05:22residents per year. We have
• 05:24guaranteed prelim spots for all
• 05:25twelve residents, and you do
• 05:27eight weeks of neurology.
• 05:29And most the vast majority
• 05:31of our residents pursue fellowships,
• 05:33really even mix of inpatient
• 05:35outpatient specialties, and approximately two
• 05:36thirds stay here. The fellowships,
• 05:38I think, is a reflection
• 05:39of it being a great
• 05:40place to train.
• 05:43For the application, we will
• 05:45be asking for a minimum
• 05:47of three letters of recommendation,
• 05:49maximum of four.
• 05:51At least one should focus
• 05:52on clinical neurology, ideally,
• 05:54one or two.
• 05:56Most applicants
• 05:57include one internal medicine, letter.
• 05:59It doesn't have to be
• 06:00a department letter. Some people
• 06:01ask about that.
• 06:03And we always understand that
• 06:05it's difficult to get letters,
• 06:07for international medical graduates, especially
• 06:09US experienced, graduates.
• 06:12And, and we take that
• 06:13into account, but we understand,
• 06:15that it can be difficult
• 06:16to get clinical experiences.
• 06:18We plan on interviewing about
• 06:19a hundred and fifty applicants
• 06:20over thirteen interview days, twelve
• 06:23applicants each day. The interviews
• 06:25are divided into, websites. I
• 06:27think we updated the dates
• 06:28on the website or will
• 06:29do soon. So though those
• 06:31will be there. The first
• 06:33one is a spooky scary,
• 06:35interview day on October thirty
• 06:37first.
• 06:39And then, we go right
• 06:40through,
• 06:41mid to late January.
• 06:43And we have typically
• 06:45one interview day a week
• 06:46approximately.
• 06:49We review every application. We
• 06:50look at them all. We
• 06:51do a holistic review,
• 06:53in-depth review by at least
• 06:55two reviewers with a standard
• 06:56rubric.
• 06:57We do education on source
• 06:59of bias, for all of
• 07:00our reviewers. We have no
• 07:01specific USMLE cutoff.
• 07:04A lot of people ask
• 07:05about whether or not we
• 07:07need to see your USMLE,
• 07:09step two score.
• 07:11Not at this stage. I
• 07:13would say
• 07:14the vast majority of applicants
• 07:16have completed USMLE step two
• 07:18by the end of the
• 07:19interview season.
• 07:20The the, the vast majority
• 07:22have, and so I would
• 07:23recommend that you plan to
• 07:24have that done.
• 07:26But you definitely need step
• 07:27one, done by the, by
• 07:29the start of the interview.
• 07:31We do interview and match
• 07:32with international graduates. We get
• 07:34that question every year. We
• 07:36have a strong preference for
• 07:37US clinical experience,
• 07:40ideally during medical school, but
• 07:41we understand that that sometimes
• 07:43can't happen until after medical
• 07:45school, and scholarly work of
• 07:47some sort is preferred.
• 07:49We do have a cutoff.
• 07:50This comes up every year
• 07:51in the question,
• 07:52graduation from, medical school within
• 07:54the last five years. There
• 07:56are rare exceptions to that.
• 07:58They're on a a case
• 07:59by case basis, and they
• 08:00tend to be when people
• 08:02have spent time doing very
• 08:03intensive scholarly work afterwards. But
• 08:05a lot of people ask
• 08:06that question, and I always
• 08:07wanna clarify that upfront, and
• 08:09it's fair,
• 08:10fair question to ask.
• 08:12We do offer j one
• 08:13and h one b visas,
• 08:15and those depend on the
• 08:16circumstances, and we have residents
• 08:18on both types of visas,
• 08:20at different times.
• 08:23And for a holistic review,
• 08:25we'll look at your, medical
• 08:27school grades, your clinical performance,
• 08:29your MSPE, your research and
• 08:31other scholarly work, your leadership
• 08:32and engagement, and resilience. So
• 08:34we have a rubric that
• 08:34we've been using for years
• 08:36that
• 08:36generates a very diverse,
• 08:39and holistically reviewed a group
• 08:41of applicants, and we use
• 08:42similar rubrics for the interview.
• 08:43So we try to use
• 08:45best practices in reviewing this
• 08:46stuff.
• 08:48The interview, when you're thinking
• 08:50about that, what we're going
• 08:51to do with the night
• 08:52before, you'll have a session
• 08:54with the residents. Our,
• 08:57recruitment chiefs are the ones
• 08:58who will take care of
• 08:59that. I've told them I
• 09:01do not micromanage that experience.
• 09:03So I actually don't I
• 09:05have a general sense of
• 09:07what goes on there during
• 09:08those discussions, but that's your
• 09:09really opportunity to get the
• 09:11straight,
• 09:12answers about the program,
• 09:14realistic answers about the program
• 09:16from the residents. So I
• 09:17hear it's fun. There's a
• 09:19virtual tours and,
• 09:22and and the straight dirt.
• 09:25We have an x plus
• 09:25y clinic format.
• 09:27We've had that since twenty
• 09:28eighteen.
• 09:29All of our continuity clinics
• 09:30and subspecialty experiences are during
• 09:32this block. We don't have
• 09:33twenty four hour call or
• 09:34twenty eight hour call. We
• 09:35have a night float system.
• 09:37We've actually worked with a
• 09:38lot of changes this year
• 09:40so that
• 09:41we really minimize,
• 09:43day night transitions
• 09:44on other rotations. So the
• 09:46vast majority of our rotations
• 09:48have no night call.
• 09:49We have a night float
• 09:50system, and then we cover
• 09:51the other nights,
• 09:53through various,
• 09:54various means that minimize,
• 09:56fatigue because we've really fit
• 09:57bought a lot about
• 09:59rest, transitions of care,
• 10:01work hours,
• 10:03breaks and intensity of the
• 10:04work, and and it it's
• 10:05actually worked out really well.
• 10:07A lot of people ask
• 10:07about early exposure to outpatient
• 10:09specialties.
• 10:10We have that during clinic
• 10:11block and electives.
• 10:14And you can look at
• 10:14our website,
• 10:16and look at, previous graduates,
• 10:19and you'll see
• 10:20that,
• 10:21we have pretty much an
• 10:23even mix
• 10:24of subspecialty matches in our
• 10:27so I don't think you
• 10:28would find
• 10:29a specific pattern. You know,
• 10:31like, most people in this
• 10:32program do,
• 10:34stroke or neurocritical care or
• 10:36hospitalist work or something like
• 10:37that. Some do that for
• 10:39sure.
• 10:40We also have people that
• 10:41match into
• 10:42neuromuscular
• 10:43medicine, neurominology,
• 10:45headache medicine,
• 10:47epilepsy,
• 10:49you name it, movement disorders.
• 10:51It's really the full gamut.
• 10:53We actually have an excellent
• 10:54record of matching people into
• 10:56neuro ophthalmology, for example. We're
• 10:57really proud of that.
• 10:59And so we provide
• 11:01comprehensive experience,
• 11:03a comprehensive
• 11:04range of mentorship opportunities,
• 11:06and really anything, you can
• 11:08ask. And I'll I'll tell
• 11:09you I'll share this,
• 11:11that I rarely ask people
• 11:12during interviews
• 11:14what they're planning to do
• 11:15with their career in terms
• 11:16of subspecialty because I've been
• 11:17doing this for eleven years
• 11:19now,
• 11:20and I know that people
• 11:22change their minds.
• 11:23And one of the huge
• 11:24advantages of our program
• 11:26is that it's a great
• 11:27place to change your mind
• 11:28about the specific direction of
• 11:30your career because,
• 11:32there's pretty much everything you
• 11:34would want out of an
• 11:35academic program, here. And we're
• 11:37very supportive in people pursuing
• 11:39those individual pursuits.
• 11:42In that vein, we have
• 11:44a lot of opportunities
• 11:45for scholarship,
• 11:47including a very robust clinical
• 11:49clinician educator distinction program run
• 11:51by doctor Schaeffer,
• 11:52a global neurology experience, which
• 11:54is really gradually expanding,
• 11:56with doctor Prest and and
• 11:58with the,
• 11:59a global scholars program through
• 12:01Yale. We have a very
• 12:02robust research,
• 12:03program.
• 12:04We used to call it
• 12:05health care management. Now we
• 12:06have a health equity patient
• 12:07safety quality improvement, which is
• 12:09HEP suite,
• 12:10awkward name, but, we got
• 12:12that.
• 12:13Our residents are very active
• 12:14in neurology journals. We've had
• 12:15people on the resident fellow
• 12:17section of the AM journal
• 12:19editorial board, continuum editorial board,
• 12:21neurology education editorial board,
• 12:24and many of the,
• 12:26major leadership opportunities in other
• 12:27places too. And we're really
• 12:29proud of our,
• 12:30of the rate at which
• 12:31our residents have been successful
• 12:33in seeking leadership opportunities
• 12:35everywhere. And,
• 12:37a really successful run of
• 12:39neurology trainee trivia too.
• 12:41Izzy is,
• 12:43I think a multi time,
• 12:45champion of that or or
• 12:47at least a contender.
• 12:50We have a strong commitment
• 12:51to diversity inclusion. Doctor Cooper,
• 12:53who's our associate director for
• 12:54diversity education,
• 12:55is on leave right now,
• 12:56but will be back next
• 12:57month and will, be, deeply
• 13:00involved in the interviews.
• 13:02We have a director of
• 13:02diversity, equity, and inclusion.
• 13:04And we really integrate diversity,
• 13:06equity, inclusion into our application
• 13:09review. We use best practices
• 13:11and we've used the resources
• 13:12we have here at Yale
• 13:13to really be thoughtful about
• 13:15that.
• 13:16And in the inclusive in
• 13:18creating inclusive learning environment, we
• 13:19use best practices in training,
• 13:21in managing
• 13:23issues around inclusion,
• 13:24high standard training for faculty.
• 13:27We have really innovative,
• 13:29health disparities, clinical grand rounds,
• 13:30and and focus on health
• 13:31disparities in our M and
• 13:33M conferences.
• 13:34And one thing we're really
• 13:35working on, with one of
• 13:36our faculty members, doctor Rachel
• 13:38Foreman,
• 13:38is, is continuing to build
• 13:40our community outreach opportunities. So
• 13:42we have a large number
• 13:43of community outreach prop opportunities,
• 13:46which I'd love to talk
• 13:47about.
• 13:49And then people always ask
• 13:51what our vision for the
• 13:52future is. So we will
• 13:53be opening a neuro neuroscience
• 13:55tower. I this says within
• 13:56the next five years, actually.
• 13:57Probably within the next three
• 13:58years,
• 13:59that that'll be opening. It's
• 14:01well up. There's a tower.
• 14:02There's a hole in the
• 14:02ground with a tower coming
• 14:04up. The doors will open
• 14:05likely sometime in twenty twenty
• 14:07seven.
• 14:08So if you join us,
• 14:10you'll be part of that.
• 14:11And I've been part of
• 14:13many meetings with many spreadsheets
• 14:14planning this, and I think
• 14:15it's gonna be amazing opportunities
• 14:17for the residents and fellows,
• 14:18educationally.
• 14:20We will have a neurohospitalist
• 14:22service.
• 14:23We're currently in the midst
• 14:25of a search for a
• 14:26new chair of neurology. Doctor
• 14:28Hafler
• 14:29finished fifteen years,
• 14:31of as chair of neurology.
• 14:33He is currently serving
• 14:35as the chair until a
• 14:36new chair is recruited,
• 14:38and, and we're really excited
• 14:40about that. Everybody's really curious.
• 14:42I can't tell you more
• 14:43than, there's a committee. We'll
• 14:45have be having applicants coming,
• 14:47to present to our department
• 14:49in the fall, and
• 14:51likely, there will be a
• 14:52new chair by the end
• 14:53of the match season. I
• 14:54don't know exactly when, but
• 14:55likely by the end of
• 14:56the match season. It's a
• 14:57really
• 14:58great opportunity
• 15:00to see some exciting changes
• 15:01because with new chairs usually
• 15:04come new resources.
• 15:06There's this thing called packages.
• 15:08So when there's a new
• 15:09chair,
• 15:10it's a great time for
• 15:11them to negotiate for resources,
• 15:15to set themselves up for
• 15:16success. And,
• 15:18those resources often help, with
• 15:20our missions. Right? Our
• 15:22educational, scholarly, and and clinical
• 15:24missions. And so they will
• 15:25be good for residents. This
• 15:27is a good thing.
• 15:30And
• 15:31we're really interested.
• 15:32Somebody actually emailed,
• 15:34about empowering residents to make
• 15:36changes, and I'm gonna let
• 15:37the residents speak to that.
• 15:38But this is a very
• 15:39dynamic,
• 15:41and fluid residency program.
• 15:44We are not without
• 15:45issues.
• 15:46We are not without things
• 15:48that don't work. But what
• 15:49I'm extremely proud of is
• 15:51that our residents have agency
• 15:52to identify those issues and
• 15:54that we have an extremely
• 15:55good track record
• 15:56of addressing those issues and
• 15:58making positive changes as a
• 15:59result.
• 16:02Let's see.
• 16:04Here's some nice pictures. I
• 16:06think I think I caught
• 16:07each of the classes.
• 16:09We have our graduating class.
• 16:10This is our PGY four
• 16:12class. This is our PGY
• 16:13three class at their annual
• 16:14dinner. And this is our
• 16:16welcome picnic for the PGY
• 16:18ones with, with the rest
• 16:19of the group. So,
• 16:20these are all on Instagram.
• 16:23We did another picture where
• 16:24I think I stood up
• 16:24beep from behind these palm
• 16:26leaves, but this is our
• 16:27graduation.
• 16:28But it was a really
• 16:29nice graduation. The weather was
• 16:30beautiful,
• 16:32and another one of those
• 16:33traditions. So,
• 16:35you
• 16:36know, will you be part
• 16:37of how Yale neurology looks
• 16:39in twenty twenty nine? Because
• 16:41that's when you would finish
• 16:42your residency program.
• 16:44It's exciting to think about
• 16:45that.
• 16:46So that's my PowerPoint.
• 16:49We'll get back to some,
• 16:51questions in a second, but
• 16:52I'm gonna let each person
• 16:53interview,
• 16:54introduce themselves.
• 16:56And I'll start with our
• 16:57residents and then go to
• 16:58our APDs.
• 16:59So recruitment chief. So this
• 17:00is the icebreaker question.
• 17:03What is something
• 17:05you weren't you weren't thinking
• 17:07of as important
• 17:08in your residency experience or
• 17:10and this can be related
• 17:11to Yale or anywhere else.
• 17:12Right? Because we're,
• 17:14interested in helping people,
• 17:16apply overall.
• 17:18You didn't think when you're
• 17:19applying it would be important,
• 17:20but it turned out to
• 17:21be really important. So any
• 17:22thoughts about that? So I'll
• 17:23start with Celia and Billy.
• 17:26Hi, guys. Just, say hello.
• 17:29I'm Billy. I'm one of
• 17:29the recruitment chiefs PGY four.
• 17:32I'm Celia. I'm also one
• 17:34of the PGY for recruitment
• 17:35chiefs.
• 17:36And then as far as
• 17:37your question,
• 17:38I think one thing that
• 17:39I didn't realize was important
• 17:41is, like, formal educational check
• 17:42ins.
• 17:43So before residency, I didn't
• 17:45really think,
• 17:46you know,
• 17:48to ask questions about that.
• 17:49But after having gone through
• 17:50the residency,
• 17:52having formal EEG checks in
• 17:54check ins, EMG check ins
• 17:55really helps solidify my knowledge
• 17:57and also,
• 17:58help me kind of even
• 17:59keep track of how,
• 18:01how many milestones I've hit
• 18:03in terms of just, like,
• 18:04learning. So that was pretty
• 18:06cool that we do a
• 18:07really good job at.
• 18:09That's great. Yeah. And and
• 18:10kind of the
• 18:11back,
• 18:13kind of swing on the
• 18:13same side of, like,
• 18:15informal or formal education.
• 18:18I just think,
• 18:19the thing that is not
• 18:21really tangible is just the
• 18:22approachability
• 18:23of the faculty.
• 18:25Like, there's, like, an assigned
• 18:27kind of group that you'll
• 18:28have that's kinda like your
• 18:30cohort,
• 18:32And then you could always
• 18:33look for formal mentorship,
• 18:34but I just felt like
• 18:36I was able to find
• 18:42There we go. I'm back.
• 18:42Sorry. I was able to
• 18:43find someone very easily that
• 18:45just, like,
• 18:46identified with all the same
• 18:47things that I'm thinking about,
• 18:48like, for research projects, and
• 18:50it was just really seamless.
• 18:51So I I just think
• 18:53that is something that,
• 18:55many people have experienced
• 18:57in addition to me.
• 19:01Alright.
• 19:02Next on my list is
• 19:04Izzy.
• 19:05Any thoughts there, Izzy?
• 19:07Hi, everyone. I'm Izzy. I'm
• 19:09a PGY four. I'm actually
• 19:10gonna stay here for epilepsy
• 19:12fellowship as well,
• 19:14because I live here.
• 19:17I
• 19:18something I didn't think about
• 19:20was sort of, you know,
• 19:21I was applying to all
• 19:22the advanced programs and prelim
• 19:24programs.
• 19:25So it was nice to
• 19:26actually not have to think
• 19:27about applying to the prelim
• 19:29program, and it's guaranteed. And
• 19:30so you can choose
• 19:32sort of the,
• 19:34the first year that
• 19:36suits your needs either, you
• 19:37know, be closer to family,
• 19:39friends, whatever, and then come
• 19:41or do the p twenty
• 19:42one year here. We've had
• 19:44no issues integrating people within,
• 19:47outside p two a ones
• 19:48to come in.
• 19:50But the plus side was
• 19:51that the p two a
• 19:53one internal medicine program here
• 19:55is, like, one of the
• 19:56top ten in the country.
• 19:57So it's actually,
• 19:59a great experience to
• 20:01have
• 20:03that good of a base
• 20:04before we start our neurology
• 20:06years.
• 20:10Alright. Next, Nick.
• 20:16Hello, everyone. There we go.
• 20:18I'm Nick. I'm one of
• 20:19the PGY fours.
• 20:21I, like Izzy,
• 20:22am staying put. I'm matched
• 20:24into neuro oncology here, so
• 20:26I'm gonna be here for
• 20:26the next two years if
• 20:28that's any indication
• 20:29about the program.
• 20:32It's
• 20:33one of the things I
• 20:33think
• 20:35most impactful
• 20:37that
• 20:37I really wish I knew
• 20:38was
• 20:40just being
• 20:42able to have a really
• 20:44robust support system. I'm sure
• 20:46other people are gonna talk
• 20:47about this,
• 20:48and I think you'll hear
• 20:48that a lot about,
• 20:51especially as you go to
• 20:52different open houses about approachability
• 20:54and,
• 20:55how,
• 20:57residency is such a tight
• 20:58knit community. And I I
• 20:59I think that's just
• 21:01really on display here.
• 21:04All of us, like, among
• 21:05all the different classes, we're
• 21:07constantly
• 21:07getting together, having dinner, drinks.
• 21:11And we're certainly coworkers, but
• 21:13we're way, way more than
• 21:14that. We're really, really good
• 21:15friends as well. And,
• 21:17I think that I kinda
• 21:18got lucky.
• 21:20I was I wasn't really
• 21:22thinking about that,
• 21:24but I think the you
• 21:26know, I I certainly wouldn't
• 21:29have been you know, where
• 21:31I am to now where
• 21:32I am now,
• 21:34in terms of, like, my
• 21:35accomplishments,
• 21:36things like that. Had I
• 21:37not had
• 21:39just the amazing support
• 21:41of not only of my
• 21:42residents,
• 21:43attendings,
• 21:43even, like, all of the
• 21:44other staff here, I I
• 21:45I can't say enough good
• 21:46things. So to kinda just
• 21:48sum it up in a
• 21:49couple words.
• 21:51That's wonderful.
• 21:53You know,
• 21:54people sometimes ask what I'm
• 21:56most proud of,
• 21:58in the residency. It's very
• 21:59common interview question for candidates.
• 22:03And among many things,
• 22:05we have worked extremely hard
• 22:06to build,
• 22:07I think, a really great
• 22:08culture.
• 22:10And,
• 22:11we talk about the
• 22:13ideal balance between challenge and
• 22:14support.
• 22:15And,
• 22:16I think everybody internalizes that,
• 22:18and the support piece is
• 22:19really there.
• 22:21People work hard here. They
• 22:23learn a lot, but, our
• 22:24residents,
• 22:25I think, feel like,
• 22:27their peers have their faculty
• 22:29have their backs.
• 22:31Wayne, you're next.
• 22:35Hello, everyone. I'm Wayne,
• 22:38new PGY two.
• 22:40And I think it's hard
• 22:41to really experience it until
• 22:43you work in whichever hospital
• 22:45you go to, hopefully here.
• 22:47But I think the learning
• 22:48environment is
• 22:51is something that's
• 22:53what I value the most,
• 22:54especially since Yale is covering
• 22:56all of
• 23:02Connecticut, but, also, you know,
• 23:03everyone teaches right from
• 23:07right. And every day, you,
• 23:09get to take away something
• 23:10and not get kinda
• 23:12overloaded with, you know, x
• 23:13y z other work you
• 23:15have.
• 23:16But also that extends into
• 23:17our consultants.
• 23:18Right? So when you are
• 23:19a pre lab,
• 23:21you get to work with
• 23:22everyone.
• 23:23And as you kinda transition
• 23:25into neurology,
• 23:26you kinda carry those connections,
• 23:28and, you can be on
• 23:29the beneficial side when you
• 23:31are the consultant next.
• 23:36So I think next on
• 23:37my list
• 23:39is Danielle and Claire.
• 23:47Hi, everyone.
• 23:48My name
• 23:50is
• 23:53Danielle, movement.
• 23:57Others.
• 23:58Something that I think is
• 23:59important,
• 24:00that
• 24:01didn't think much about while
• 24:03I was interviewing was,
• 24:05finding out a program with
• 24:06an x plus y schedule.
• 24:09I think
• 24:10the dedicated clinic blocks
• 24:12are really helpful to, number
• 24:15one, focus
• 24:16fully on clinic,
• 24:18when you're in it, as
• 24:19well as have some time
• 24:21where, you know, you'll be
• 24:23able to recover a little
• 24:24bit from your inpatient time.
• 24:27And I've heard some
• 24:29negative press
• 24:30from,
• 24:31friends I have at other
• 24:32institutions that, you know, have
• 24:35to manage the the half
• 24:36day clinic while they're on
• 24:37service.
• 24:38They tell me it's it's
• 24:40difficult. So I'm appreciative that
• 24:42we have our our clinic
• 24:43week and would like to
• 24:45pass that on.
• 24:48Hi, everyone. I'm Claire. I'm
• 24:49also PGY four. We are
• 24:51roommates.
• 24:52I am, going to
• 24:55I'm going to, Hopkins for
• 24:56neuroimmunology
• 24:57after this year. I think
• 24:58something that I didn't really,
• 25:01think that much about was
• 25:02sort of
• 25:04what you know, having availability
• 25:05of all different subspecialties.
• 25:07I trained in Ireland and
• 25:09there you know, I I
• 25:10was
• 25:11neurology was, like, a subspecialty,
• 25:13and so I was like,
• 25:15oh, great. This is a
• 25:16subspecialty. It doesn't really matter
• 25:17what else is there. And
• 25:18when I got here, I
• 25:18realized there was so many
• 25:20sub sub subspecialties, and we
• 25:22have people in every single
• 25:23one of them. And you
• 25:24can go to their clinics
• 25:25and make, you know, have
• 25:26mentors in in all these
• 25:28different realms. And so that
• 25:29helped me kind of shape
• 25:30my career moving forward. And
• 25:32and I I didn't really
• 25:33think that much about that
• 25:34when I was applying, and
• 25:34I have been really appreciative
• 25:35of those
• 25:36opportunities.
• 25:39So next on my list,
• 25:41Vanessa, you're in. You know
• 25:43you're heading to Brazil soon.
• 25:45Yes.
• 25:46Hey, guys. I'm Vanessa. I'm
• 25:48one of the PGY threes.
• 25:50I'm Brazilian, so I'm one
• 25:51of
• 25:52the many internationals in our
• 25:54program. I'm very, very happy
• 25:56to say that we are
• 25:57extremely inclusive,
• 26:00and we do have a
• 26:00lot of diversity, not only
• 26:02on this aspect, but many
• 26:04others.
• 26:05I will,
• 26:07say that I was going
• 26:08to comment on the x
• 26:10plus y schedule.
• 26:12That that's a huge perk.
• 26:15But I guess,
• 26:17I also appreciate
• 26:19very much the fact that
• 26:21we don't have,
• 26:22twenty eight twenty hour calls.
• 26:26We
• 26:27work in a very, very
• 26:29busy
• 26:31hospital.
• 26:32The amount of consults that
• 26:33we see in, like, eight
• 26:36hour period is very, very
• 26:38high, and I'm sure that
• 26:41a twenty eight hour call
• 26:42wouldn't be helpful or educational.
• 26:45So,
• 26:46our schedule is certainly,
• 26:50something that I appreciate about
• 26:52our our,
• 26:54program.
• 26:57And next, Sam. You're on
• 26:59my list next.
• 27:03Hi, everyone.
• 27:04I'm Sam. I'm a PGY
• 27:06two.
• 27:07I'm a parent. So those
• 27:08of you on the line
• 27:09who will be parents in,
• 27:12residency, please feel free to
• 27:14connect with me. I'm happy
• 27:15to share my experience about
• 27:17that.
• 27:19One of the things
• 27:21I had not really,
• 27:23thought about when I was
• 27:24in your shoes was,
• 27:27I guess, the support that's
• 27:28given for
• 27:30other life things, for instance,
• 27:32financial,
• 27:34you know, advisement
• 27:35and things of that nature.
• 27:37So I was very pleased
• 27:38when,
• 27:40you know, we were given
• 27:42really
• 27:44great access to those kinds
• 27:46of services. I think each
• 27:47of us has access to
• 27:49a personal
• 27:50financial adviser to, like, you
• 27:52know, talk about loan repayment
• 27:54strategies and just
• 27:56all things like money.
• 27:58So that was something I
• 28:00I hadn't really considered. So
• 28:02it was a great perk,
• 28:04to to to get.
• 28:07The
• 28:09salary and benefits at Yale
• 28:11are outstanding.
• 28:12They're in the top tenth
• 28:14percentile for the region,
• 28:16and the cost of living
• 28:18in the region is lower
• 28:19than most of the institutions
• 28:21in in the northeast.
• 28:24And I don't wanna get
• 28:25too boring here, but there's
• 28:27actually a really excellent,
• 28:30matching for retirement savings program,
• 28:32that becomes
• 28:34gradually more vested the longer
• 28:35you stay. So,
• 28:37what that means is you
• 28:38could take it, if you
• 28:39leave Yale New Haven,
• 28:41with you,
• 28:42those matching funds,
• 28:44and, again, the longer you
• 28:45stay. So by the end
• 28:45of the four year residency,
• 28:47I don't wanna misspeak, but
• 28:48most goes with you. And
• 28:50if you stay for fellowship,
• 28:51basically, all of it goes
• 28:52with you. So,
• 28:55a little bit invested now
• 28:56can make a big difference
• 28:57later. I know it's probably
• 28:58not what you're thinking about,
• 28:59but things like that, excellent
• 29:01health benefits,
• 29:02like Sam said, financial advice.
• 29:04These are things that can
• 29:05make a huge difference in
• 29:07your quality of life later,
• 29:08you know, in terms of
• 29:09giving you the flexibility to
• 29:11pursue the things you love
• 29:13in your career later.
• 29:15And, this is a, it's
• 29:17a it's a great place
• 29:18for that. So I'm glad
• 29:19you brought that up, Sam.
• 29:20It's really, really important.
• 29:23Sebastian.
• 29:26Hey, everyone. I'm Sebastian.
• 29:28I am originally from Ecuador,
• 29:30but very happy to living
• 29:31in Connecticut now.
• 29:33One thing that I was
• 29:34actually meditating about, like, last
• 29:36week. I was doing nights
• 29:37last week, so things can
• 29:39get, like, very busy and
• 29:40everything. And one thing that
• 29:41I was, like, very grateful
• 29:43for is that I felt
• 29:44that although, like, I was
• 29:45taking a lot of decisions,
• 29:47there was always someone that
• 29:48I could call. And every
• 29:49time I would call, it
• 29:51would be, like, so nice
• 29:52with me. Like, I never
• 29:53heard scared of of calling
• 29:54anyone and asking a question
• 29:56regardless of the question.
• 29:58And, like, I am a
• 29:59PGI too with just starting
• 30:01to neurology.
• 30:02So just having that in
• 30:03the back of my mind,
• 30:04it's, like, amazing for my
• 30:05learning because I never have
• 30:07I I'm never in a
• 30:08position where I feel like
• 30:09I have to make, like,
• 30:10a rough decision and everything.
• 30:12But, like, my decision is,
• 30:13like, just looking who is
• 30:14the person that I can
• 30:15call. And there's, like, five
• 30:16different people that I can
• 30:17call every time
• 30:18in inside the hospital and
• 30:20also for my outside hospital
• 30:21problems.
• 30:22So
• 30:23that is something that's very
• 30:25special
• 30:26that I have found here.
• 30:28Sebastian, we usually call these
• 30:30sanity checks because for the
• 30:31most part, when you call
• 30:33and ask for advice, you
• 30:34come up with the right
• 30:35answer. You know, it's actually
• 30:36one of those fun things.
• 30:37You walk through it and
• 30:37you're like, what do you
• 30:39think? Yeah. That sounds good.
• 30:40You know, that sort of
• 30:41thing. And
• 30:42our residents are really good.
• 30:44So,
• 30:45it it we'd certainly encourage
• 30:47that,
• 30:48and you don't need to
• 30:49know everything, but you will
• 30:50get extra training. And and
• 30:52by the end of your
• 30:53rest Thanks, Cliff. I'm glad
• 30:54we find find advice.
• 30:57Wendy,
• 30:58you're next.
• 31:01Hey, everyone. I think I'm
• 31:02having some problems with my
• 31:03Internet, so let me know
• 31:04if you can hear me.
• 31:07But,
• 31:09the thing that I felt
• 31:12was,
• 31:14like, I didn't really think
• 31:15about that I really appreciate
• 31:16is being able to reach
• 31:17out to the upperclassmen
• 31:18and hear their advice and
• 31:19kinda get their support.
• 31:24Yeah. That inter class support
• 31:25is really important. Right?
• 31:28It's critical. And and, you
• 31:29know, we design
• 31:31our schedule to make sure
• 31:33that we integrate
• 31:34a lot of that. For
• 31:35example, in our clinic blocks,
• 31:37you're Wendy, you're on clinic
• 31:38block right now. Right? So
• 31:39in your cohort, there are
• 31:41six residents,
• 31:42and it's a combination, right,
• 31:44of PGY
• 31:45fours, PGY threes, and PGY
• 31:47twos. So,
• 31:49it's, it means that in
• 31:51your clinic block, you have
• 31:52people that you can go
• 31:53to,
• 31:53to look for support and
• 31:55help with the, the thing.
• 31:56And that that kind of
• 31:57block is a nice nice
• 31:58natural cohort for,
• 31:59social events at times too.
• 32:01So another huge advantage of
• 32:03the x plus y that
• 32:04has really worked out well.
• 32:06Jasmine.
• 32:09Hi, everyone. I'm Jasmine.
• 32:12I am a intern
• 32:13in the neuro department.
• 32:15I'm originally from Connecticut and
• 32:17went to Yukon for med
• 32:18school.
• 32:19One thing that I love
• 32:21is how integrated interns are
• 32:23within the neuro department. One
• 32:26thing I was afraid of
• 32:27applying,
• 32:28was that I would just
• 32:29be associated with I'm and
• 32:31not interact with any of
• 32:32the neurology residents,
• 32:34but it's quite the opposite.
• 32:36I have at least
• 32:38two months, if not more,
• 32:40based on electives
• 32:42to,
• 32:43be involved within
• 32:45neurology, whether it's through research
• 32:47or clinical work.
• 32:49So that's something that I'm
• 32:50really involved in now. But
• 32:51also having the I'm department
• 32:54as well. There's so many
• 32:55people that I've met
• 32:56just, in my first three
• 32:58months.
• 32:59And,
• 33:00you really form a community
• 33:02whether it's neurology, I'm I've
• 33:04met a lot of anesthesia
• 33:05friends and PM and R
• 33:07because they're all doing intern
• 33:08years as well.
• 33:10So it's a great,
• 33:12transition, but also
• 33:14great networking while you're in
• 33:15your first year as well.
• 33:18And,
• 33:19actually, JP's gonna come next.
• 33:21One of JP's
• 33:22goals this year as our
• 33:23wellness chief, which he has
• 33:25actually been spectacularly successful with,
• 33:28is working really hard on
• 33:30that exact point, which was
• 33:31integrating
• 33:33RPGY one socially into our
• 33:34group a little bit better.
• 33:35It's it historically, has been
• 33:37a little awkward because we
• 33:38are a prelim plus advanced
• 33:40program. And over the years,
• 33:42with getting our prelims to
• 33:44do a lot more,
• 33:45neurology
• 33:46during their prelim year, now
• 33:48it's eight weeks.
• 33:49Two more weeks of epilepsy
• 33:50plus the six weeks. And
• 33:51then lots of people do
• 33:52electives or, like Jasmine said,
• 33:54research or other opportunities in
• 33:55neurology.
• 33:57But, socially, I think we've
• 33:58made a push to have
• 33:59our interns,
• 34:01integrated. And JP took a
• 34:02lead with that. So, JP,
• 34:03tell us a little bit
• 34:04about
• 34:05that. Yeah. No. Of course.
• 34:07It is it is an
• 34:08awkward position to be a
• 34:09PGY one and,
• 34:12not a primary neuro resident,
• 34:13but also not a primary
• 34:15internal medicine resident. And this
• 34:17was one of my projects.
• 34:18We recently included our PGY
• 34:20ones in the group chat.
• 34:21They were invited to all
• 34:22our events.
• 34:24We've done events focused on
• 34:26PGY one,
• 34:27integration.
• 34:28We have,
• 34:30an event in the winter
• 34:31coming out that's gonna be
• 34:32specifically focused in integrating
• 34:34the the interns with the
• 34:36department.
• 34:38So it's definitely something that
• 34:39I think is very important,
• 34:41in navigating intern year, which
• 34:43can be in many ways
• 34:45isolating. Although the intern year
• 34:46here, in this kind of
• 34:48a overarching opinion,
• 34:51to most of
• 34:53the co residents, it's not
• 34:55a very intense it's actually
• 34:56a very supportive intern here,
• 34:58which kind of goes into
• 34:59the culture of our own
• 35:00program as well.
• 35:02And then to answer the
• 35:03other questions, I think,
• 35:05not to to
• 35:07to talk about my own
• 35:08role, but I think
• 35:09looking into programs, one thing
• 35:11that I I I thought
• 35:12of but I think is
• 35:13important, like, it was would
• 35:15have been much more important
• 35:17is to think how much
• 35:18of your program is dedicated
• 35:19to to wellness.
• 35:21You know, especially as an
• 35:22IMG myself, I'm also part
• 35:24of the Brazilian community and
• 35:26within our program,
• 35:28is
• 35:30transitioning to to a different
• 35:31country, transitioning to a different
• 35:33weather can be quite tough.
• 35:34And the amount of
• 35:36support that I've
• 35:38been given,
• 35:39not only by our own
• 35:40program because our APDs and
• 35:42PDs are
• 35:44are extremely supportive, and you
• 35:46can reach out to anyone.
• 35:47And they're extremely supportive in
• 35:49terms of wellness,
• 35:50but also in an institutional
• 35:52Yale level. You know, the
• 35:53the hospital
• 35:54and
• 35:55the our our leadership is
• 35:57very diligent
• 35:58in in pursuing
• 36:00and and addressing,
• 36:01resident wellness,
• 36:04both both in terms of
• 36:06resources and also following up
• 36:07and everything. So I think
• 36:09that's that's a good plus,
• 36:11from our from our program.
• 36:12And, of course, the amount
• 36:14of events that you have
• 36:15going on and the the
• 36:16integration, I think going into
• 36:18the Instagrams and seeing how
• 36:20how happy the residents feel,
• 36:22within the program, how much
• 36:24they hang out with each
• 36:24other, which has been true
• 36:25for me, at least in
• 36:27my class, at least since
• 36:28intern year. We all lived
• 36:30in the same building,
• 36:32and then we're now moved
• 36:33on for different, like, areas
• 36:35of the city, but
• 36:37it's it's been an amazing
• 36:39four years,
• 36:40with both my class with
• 36:41the other classes as well.
• 36:45Sarah. I I think I
• 36:46got all the residents. If
• 36:47somebody
• 36:48tell me if I missed
• 36:49anyone, but I think I
• 36:50got everyone. Did I?
• 36:53Okay.
• 36:54Sarah.
• 36:56Hi. I'm,
• 36:57Sarah. I'm one of the
• 36:58APDs.
• 36:59I have been here
• 37:01as a resident and as
• 37:02a movement fellow
• 37:04and then as faculty.
• 37:06And I also
• 37:07am the fellowship director for
• 37:09movement disorders.
• 37:12And I was thinking back
• 37:13to, you know,
• 37:16residency and what I maybe
• 37:18didn't realize was important. I
• 37:20think I think I had
• 37:21a misperception
• 37:22of
• 37:24big cities
• 37:26getting all of the interesting
• 37:27cases.
• 37:29And when in reality,
• 37:31you know, our catchment area
• 37:32is so huge,
• 37:34and we don't have
• 37:36all these subspecialty
• 37:38hospital competitors
• 37:40like cancer hospitals and things
• 37:42like that that are pulling
• 37:43the most interesting cases away
• 37:45from us.
• 37:46And so we get everything.
• 37:48We get
• 37:50all of the interesting stuff
• 37:51and all of the bread
• 37:52and butter stuff. And so
• 37:54it's really an ideal place
• 37:56for a breadth of of,
• 37:58experiences.
• 38:03A really,
• 38:04really good point and something
• 38:05that I bring up when
• 38:06people ask me about,
• 38:08something that, that
• 38:10people might not know.
• 38:12Extremely diverse community in New
• 38:14Haven, actually. Extremely diverse, and
• 38:16many of our other app
• 38:18our other, residents have mentioned
• 38:19that,
• 38:21and an extremely broad range
• 38:23of backgrounds for our patients.
• 38:25It's a great place to
• 38:26train, and they all come
• 38:27here. They all come to
• 38:28Yale New Haven.
• 38:29Jeff?
• 38:32Hey, everybody. Before I do,
• 38:33I just saw I think
• 38:34Mary Holderness just joined us.
• 38:35If we wanna,
• 38:36as a resident, have her
• 38:37introduce herself, we'll put her
• 38:38on the spot.
• 38:40You if you're ready,
• 38:42MH, we could do that.
• 38:43Sorry. I don't know.
• 38:45Yeah. I can do that.
• 38:46Sorry I didn't join a
• 38:47little late.
• 38:48But I am a neuro
• 38:50PGY two, and so nice
• 38:51to see so many awesome
• 38:53faces on the Zoom tonight.
• 38:55So, MH, we,
• 38:56I'm gonna put you on
• 38:57the spot. You can think
• 38:58about this.
• 38:59But the question I
• 39:00had was
• 39:02something that,
• 39:05you weren't thinking of when
• 39:08you were at this stage,
• 39:09the people attending, you know,
• 39:10certain you've been applying to
• 39:12programs.
• 39:13But that is really important.
• 39:14That has turned out to
• 39:15be really important as as
• 39:16something for residency.
• 39:18Oh,
• 39:20something I wasn't thinking of
• 39:22at that time. Or you
• 39:23didn't think was as important,
• 39:25but has turned out to
• 39:25be really important in your
• 39:27experience.
• 39:30Oh, that's really interesting. You
• 39:32know, first I do,
• 39:35you know, for myself and
• 39:42we'll work on that. Go
• 39:44ahead. Somebody else might be
• 39:45answering. I don't know.
• 39:47I think maybe
• 39:49I didn't think so much
• 39:50at the time. I think
• 39:51about, like, proxy
• 39:53proximity and ease of getting
• 39:54into the hospital and on
• 39:55your rotations,
• 39:58Because I think at the
• 39:59time, like, I was looking
• 40:00at different places in different
• 40:01geographies,
• 40:02and it's so nice here,
• 40:04that in New Haven, we
• 40:05rotate. I don't know if
• 40:06you guys went over this
• 40:07already, but we rotate at
• 40:08a couple different,
• 40:10hospital locations, but they're all
• 40:12very, very close
• 40:14together. So it's really nice.
• 40:15I live in downtown New
• 40:17Haven, and so I am
• 40:18walking distance to the hospital
• 40:19and also, our neuro clinic
• 40:21here at York Street. And
• 40:23that's amazing to be able
• 40:24to be at work, like,
• 40:25within ten minutes of just
• 40:26a quick walk,
• 40:28so
• 40:29that your time is just
• 40:30really maximized.
• 40:33And then
• 40:33the other places that we
• 40:34rotate at the VA, even
• 40:35though it is a drive
• 40:36for me, it's also just
• 40:37a short ten, fifteen minute
• 40:39drive.
• 40:41And I think I underestimated
• 40:42how much impact that would
• 40:44have, especially with my friends.
• 40:46I was coming from New
• 40:47York City who,
• 40:48are doing, like, forty, forty
• 40:50five commutes on the subway.
• 40:51So
• 40:53it is just a subway
• 40:54drive. They don't have to
• 40:55drive, but that still eats
• 40:56a lot of your time
• 40:57when you're as busy as
• 40:58you are as a resident.
• 41:00So it's really nice. We
• 41:01have another hospital location to
• 41:03SRC that we go to
• 41:04a little bit less frequently.
• 41:06And that one is also
• 41:07a very, very short drive
• 41:09or even walk,
• 41:11for me. So that,
• 41:12again, is is really, really
• 41:14nice and just not something
• 41:15that I thought about
• 41:18or, like, put much influence
• 41:19on at the time, but
• 41:20I think does have a
• 41:21big impact on your day
• 41:23to day life.
• 41:25It's a a great point.
• 41:26And, actually, I'm gonna transition
• 41:27back to Jeff
• 41:29who, once told me that
• 41:31one of the major factors
• 41:32in choosing Yale was
• 41:34the ease of parking.
• 41:35Jeff,
• 41:37lives in sort of semi
• 41:39rural Connecticut,
• 41:40and commutes in and zips
• 41:43right into the parking garage
• 41:44and without a minute wasted.
• 41:46Remember saying that? Yeah. Oh,
• 41:48yeah. Because I was in
• 41:49Boston before, and the commuting
• 41:51was just I mean, it
• 41:52added so much time to
• 41:53my day. So, anyway, hi,
• 41:54everybody.
• 41:55Nice to meet you all.
• 41:56Thanks for taking the time.
• 42:00I'm gonna
• 42:01I'm gonna say two things
• 42:02about my residency experience. So
• 42:04one,
• 42:05I was really pleasantly surprised
• 42:06at how nice of a
• 42:07place
• 42:08Connecticut is to live. I
• 42:09was coming from a big
• 42:10city and wasn't sure what
• 42:12to expect, and I've just
• 42:13fallen in love with life
• 42:14here. There's so many things
• 42:15to do outside and on
• 42:17towns to visit. So, anyway,
• 42:18we could talk more about
• 42:19that another time. I think
• 42:20the other thing that stands
• 42:21out to me is actually
• 42:23being in your shoes right
• 42:24now,
• 42:25the importance of vibes in
• 42:26this whole process. I know
• 42:27it sounds a little cheesy,
• 42:29but
• 42:30that's one of the main
• 42:30reasons I chose Yale in
• 42:32the first place was I
• 42:32just felt like I kinda
• 42:33fit in when I visited.
• 42:35And you spent so much
• 42:36time, you know, in the
• 42:37hospital and with your colleagues
• 42:38that it really matters. It
• 42:39matters maybe more than I
• 42:40even thought to kinda go
• 42:42with your gut over where
• 42:43you wanna be. So I'll
• 42:44just offer that unsolicited advice.
• 42:50There's
• 42:51so many great questions that
• 42:53I've cut up with them.
• 42:54A couple I'll I'll just
• 42:55address as a group, and
• 42:56then,
• 42:57we can also let people,
• 42:59fill in with any questions
• 43:01sorta,
• 43:02in the last ten minutes,
• 43:03any questions,
• 43:05on video as well.
• 43:07People ask about,
• 43:10signals.
• 43:11This is our second or
• 43:13third year of signals. I
• 43:14can't remember. Did we do
• 43:15signals two years ago? We
• 43:16did it this year. Was
• 43:18last was that Jeff's here.
• 43:19Do you remember it was
• 43:20last year or first year
• 43:20of signals?
• 43:21Yeah. I believe it was.
• 43:23Okay. So and last year,
• 43:24we had three signals. And
• 43:25this year, I think it's
• 43:26eight, if I remember correctly,
• 43:28for
• 43:29just nodding.
• 43:32You know, we interview people
• 43:33who don't signal. We interview
• 43:35people who signal.
• 43:36We don't have enough dataset
• 43:38to really tell you sort
• 43:39of how that affects our
• 43:41matching or ranking process.
• 43:44Geographic signals are probably less
• 43:46important than your eight program
• 43:48signals.
• 43:49I think my general advice
• 43:50would be that you should
• 43:51use your signals on programs
• 43:53you're most excited about.
• 43:56But, you know, there's always
• 43:58the possibility
• 44:00that you don't know yet,
• 44:02you know, where you're gonna
• 44:03be most excited about or
• 44:04that you're pretty open or
• 44:06that you kinda wanna see
• 44:07things and you
• 44:09interview at a place and
• 44:10really connect in a way
• 44:11you didn't expect.
• 44:13And, actually, one of my
• 44:15favorite experiences,
• 44:16and something we work really
• 44:18hard to do, actually,
• 44:20in our recruitment process
• 44:21is change people's minds, especially
• 44:24in the positive way. So
• 44:25when somebody comes and they're
• 44:27like, wow. I knew this
• 44:29was good, but it's really
• 44:30good. And this would be
• 44:31a really great place to
• 44:32train, and I'm booked. You
• 44:33know? And and maybe it
• 44:34wasn't in my top three
• 44:36or my top five before
• 44:37I interviewed, but it definitely
• 44:38is now. You know?
• 44:40That's
• 44:41awesome.
• 44:42And, this process, you should
• 44:44feel free to change your
• 44:45mind as you gather more
• 44:46information about programs. Right? You
• 44:47might not know.
• 44:49Some people have personal reasons
• 44:50to be in a region
• 44:52or to be in an
• 44:52area or to be in
• 44:54a city, And those would
• 44:55be times when you'd wanna
• 44:56really strongly indicate your interest
• 44:58in a program.
• 44:59But
• 45:01we do not exclude people
• 45:02on the basis of signals.
• 45:04We do not look at
• 45:05signals as the first screen
• 45:07step in the screening process.
• 45:09We're still starting to figure
• 45:10it out.
• 45:12I think,
• 45:14it would probably be fair
• 45:15to say that
• 45:17probably how it works is
• 45:19when we do the holistic
• 45:20review, there's often
• 45:22it's very hard to differentiate
• 45:23between applicants. You know, there's
• 45:25a group that is equally
• 45:26qualified,
• 45:27and we can offer interviews
• 45:28to everyone.
• 45:30And when we have a
• 45:31group of equally qualified applicants,
• 45:33if one has signaled and
• 45:34one hasn't, maybe that's a
• 45:36slight edge. You know, it
• 45:37would be that sort of
• 45:38thing.
• 45:39The geographical signal is even
• 45:41less consequential, I think.
• 45:44We've tended to look at
• 45:45those.
• 45:46I I don't know how
• 45:47it works on the student's
• 45:48end, but I I'm under
• 45:49the impression that maybe you
• 45:50can change your signal depending
• 45:52on the program. I have
• 45:54reason to believe that might
• 45:55be the case, but I
• 45:56I don't know if that's
• 45:57true.
• 45:58And so
• 46:00that's made it seem a
• 46:01little less important to me.
• 46:03But,
• 46:04you you don't have to
• 46:05do that. If you're not
• 46:06sure,
• 46:07lots of people say, you
• 46:08know, I want the best
• 46:09opportunity. Right? And I'm using
• 46:11these three months to figure
• 46:12that out. And, a region
• 46:14is less important to me,
• 46:15then don't use it. If
• 46:17you're like, you know what?
• 46:18My family, my friends, my
• 46:19partner, everybody's in the northeast,
• 46:20and this is where I
• 46:21wanna be, then that would
• 46:23be a great time to
• 46:23use the signal. So I
• 46:25realize those aren't direct answers,
• 46:27but I it's the most
• 46:28honest answers I could give
• 46:29about signals.
• 46:33Any other things in the
• 46:34chat maybe that,
• 46:36recruitment chiefs can help me
• 46:37if you've seen things that
• 46:38we should discuss verbally,
• 46:41orally?
• 46:45Sarah, Jeff, anyone?
• 46:51Actually, I think I saw
• 46:53did I see
• 46:55Angela join, one of our
• 46:56child neuro residents? This isn't
• 46:57specifically a child neuro
• 47:00night.
• 47:01But did I see Angela?
• 47:04Yes. I did, John.
• 47:06Oh, great.
• 47:07Angela, do you wanna talk
• 47:08about the child neuro experience?
• 47:09We may have some people
• 47:10interested in child neurology. So
• 47:12Angela is a child neurology
• 47:13PGY three,
• 47:15so spending her year with
• 47:17us,
• 47:18getting her crash course
• 47:20currently on rotation.
• 47:26Hi, everyone.
• 47:28Yes. So I I am
• 47:30joined
• 47:31from the the PEACE NEUR
• 47:33side. So, hopefully, a few
• 47:34of you would like to,
• 47:37join neurology from the little
• 47:39human side. But,
• 47:42I I've just been with
• 47:44the adult,
• 47:45neurology group for the last,
• 47:48two months now,
• 47:49and it's really been a
• 47:51great experience.
• 47:54What is most striking is
• 47:55the amount of teaching,
• 47:57that actually happens on a
• 47:59daily basis. I feel like
• 48:01there's a lot of room
• 48:01for teaching, and there's a
• 48:02lot of support,
• 48:04even for transition in between
• 48:06adults and,
• 48:08pediatric
• 48:09world. And before I joined
• 48:10the adult side, I was
• 48:11really, like, very anxious about
• 48:14why we needed to even
• 48:15spend one year,
• 48:16in the adult side in
• 48:17the first place. But I
• 48:18think it's it's all pretty
• 48:20worth it because there's a
• 48:21lot of pathology that we
• 48:23will not see on the
• 48:24pediatric side. So it just
• 48:25helps with a lot of
• 48:26neurology
• 48:27learning.
• 48:29So I I I think
• 48:31that it would be a
• 48:32useful year in general. Still
• 48:34early days, but the support
• 48:36has been really tremendous
• 48:37so far.
• 48:38So I I think it'll
• 48:40be a great experience,
• 48:43in general. And, just as
• 48:45a background, I'm also an
• 48:46IMG, so
• 48:48everything is essentially new for
• 48:50me because I just moved
• 48:51here for residency. And,
• 48:53right from the peak side,
• 48:54I got a lot of
• 48:55support, and moving over to
• 48:56the adult side has also
• 48:58been a great experience so
• 48:59far.
• 49:00So,
• 49:01I I can say that
• 49:02at least,
• 49:03two things would be sure
• 49:05you do a lot of
• 49:05learning. There'll be a lot
• 49:07of support. And the people,
• 49:09oh, well, I said two
• 49:10things, but it's three. And
• 49:11the people will not be
• 49:12one of your problems. I
• 49:13mean, you might have whatever
• 49:14challenge you have,
• 49:16because residency is gonna be
• 49:17hard wherever you end up.
• 49:20So that that,
• 49:22it's it's never gonna be
• 49:23easier. The first year of
• 49:25residency, wherever you are, will
• 49:27be hard.
• 49:28But it's just important as
• 49:29you are going through the
• 49:30process to try to get
• 49:31people that are your people.
• 49:33You know? So if you're
• 49:35gonna struggle with residency, at
• 49:36least the people you're working
• 49:38with should not be one
• 49:39of your big struggles.
• 49:41So wherever you do end
• 49:43up,
• 49:44for residency, I think you're
• 49:45gonna be fine.
• 49:47Just give yourself a break
• 49:49and try to see places
• 49:50where you can really connect.
• 49:53And I think you'll be
• 49:54fine.
• 49:56Thank you.
• 49:57That's wonderful, Angela.
• 49:59You know, we've only had
• 50:00a child neurology residency
• 50:02for,
• 50:03the first group just graduated,
• 50:05so five years, now.
• 50:07And it's been awesome,
• 50:09to have our child neurology
• 50:10residents. And Angela and Paul
• 50:11this year have just been
• 50:13awesome. I started,
• 50:15the first two weeks of
• 50:16the general neurology service with
• 50:17Angela, and it was a
• 50:18lot of fun. We had
• 50:19a lot of fun.
• 50:20It's a great, great group.
• 50:22And it really helps
• 50:23in the PGY four and
• 50:25five years,
• 50:26the child neurology residents do
• 50:28a lot of peer peer
• 50:28education for our adult neurology
• 50:30residents when they when they
• 50:31rotate through peds.
• 50:33I see things are blowing
• 50:34up with the one word,
• 50:38and, it's getting
• 50:39to the point of things
• 50:40I don't understand because of
• 50:42I'm not of these generations.
• 50:44I like Sam's mindful.
• 50:50We,
• 50:52are so proud of our
• 50:53culture. I am
• 50:55so so proud of our
• 50:57residents.
• 50:59You know, I'll I'll I'll
• 51:01give you one example
• 51:02of something that I think
• 51:04sets our residency apart that
• 51:05I'm so so proud of,
• 51:08that's very different, I think,
• 51:10than it was ten years
• 51:11ago.
• 51:14Every time I go to
• 51:15the ED
• 51:16or I meet an emergency
• 51:17medicine physician,
• 51:19and, you know, I was
• 51:20at I took my kids
• 51:21to skating lessons, and one
• 51:22of the e d e
• 51:23e EM docs was there.
• 51:25And they're like, you just
• 51:26have the best residents.
• 51:27And it wasn't that everybody's
• 51:29so smart,
• 51:30and skilled, and they are.
• 51:33But they said they're just
• 51:34so helpful. They're the most
• 51:36helpful consultants in the emergency
• 51:38department.
• 51:39And
• 51:40many of our residents have
• 51:41won an award that the
• 51:42EM gives out called
• 51:44the consultant of the month.
• 51:46The last two consecutive years,
• 51:48our residents have won consultant
• 51:49of the year and gone
• 51:51to the emergency medicine graduation.
• 51:52So Nick Aberle
• 51:54went in June,
• 51:56the year before Chris Gummerson
• 51:57did.
• 52:00And that's what I'm proudest
• 52:01of, that
• 52:02our residents have internalized
• 52:05that we as neurologists have
• 52:07a specific set of skills.
• 52:10We are are have outstanding
• 52:12training that's easy to get,
• 52:14take it, take for granted
• 52:16and not understand that not
• 52:17everybody has this training and
• 52:18knowledge and support and experience
• 52:20and all that stuff.
• 52:21And that they are eager
• 52:23even in the most stressful
• 52:24circumstances to be helpful and
• 52:26share that.
• 52:28And our residents pick up
• 52:29the phone and they just
• 52:30see the consult, and they
• 52:31try to be helpful. And
• 52:33it's not easy to do
• 52:34that every day. I I
• 52:35acknowledge that. The residents know
• 52:37that. Some days, it's really
• 52:39hard to do it,
• 52:40especially when you got two
• 52:41simultaneous stroke alerts.
• 52:43But they do it, and
• 52:45they show each other that
• 52:46that's the way to do
• 52:47it. And the seniors show
• 52:48the juniors that that's the
• 52:49way to do it. And
• 52:51they've learned that that's easiest
• 52:53way to do it too.
• 52:54It's the it's the path
• 52:55of least resistance.
• 52:57So I'm extremely proud of
• 52:58our residents with that. And
• 52:59that stands out. You hear
• 53:00lots of stories about neurologists
• 53:02being snooty and drinking the
• 53:04tears of medical students and
• 53:05all that sort of stuff,
• 53:07and that's not the vibes
• 53:08you're gonna have here.
• 53:12Yeah.
• 53:14I have a specific set
• 53:15set of skills.
• 53:17So,
• 53:17yes. I should've made I
• 53:19made that clear in the
• 53:19orientate in the introduction.
• 53:21All of our interviews will
• 53:22be virtual,
• 53:25and, we will have dedicated
• 53:26second look days in February.
• 53:28We will share information about
• 53:29that with our applicants.
• 53:31And then,
• 53:32applicants are,
• 53:34quite,
• 53:35welcome to come for a
• 53:36look to New Haven at
• 53:37any time, and our recruitment
• 53:39chiefs will help with that.
• 53:40And we'll have some ways
• 53:42of working around the equity
• 53:44issue of not, make making
• 53:46it clear that a visit
• 53:47to New Haven,
• 53:48after an interview, for example,
• 53:50will not be a way
• 53:51to push yourself up the
• 53:52rank list or something like
• 53:53that, but an opportunity for
• 53:54you to get to know
• 53:55the region and and understand
• 53:56better.
• 53:58We are cat and dog
• 53:59people.
• 54:01I have a fancy Bengal
• 54:03cat that I'm very proud
• 54:04of. A lot of cat
• 54:05people here.
• 54:08We're nearly out of time.
• 54:11I'm gonna give the last
• 54:12word to our recruitment chiefs,
• 54:13and I wanna thank everyone
• 54:14for coming. But,
• 54:16Billy, Celia, you're gonna be
• 54:18steering this ship.
• 54:20Any last words?
• 54:25Any last words? Wow. Well,
• 54:26I don't know. It was
• 54:26it was, above all else,
• 54:27an honor to see everyone
• 54:29kind of zoom in with
• 54:30us today and just get
• 54:31to meet us at least
• 54:32preliminarily.
• 54:34I personally look very forward
• 54:35to, you know, continuing the
• 54:37conversation over the the year
• 54:39for recruitment. It's gonna be
• 54:40a great one.
• 54:42Yeah. And I take really
• 54:43good pride in
• 54:44being a part of the
• 54:46future of neurology and the
• 54:47future neurology residents. Yeah. I
• 54:49love this program so much.
• 54:50I can't wait to just
• 54:51talk about all the things
• 54:53that,
• 54:55I love about it. And,
• 54:56I just saw Claire hold
• 54:57Danielle's cat, which is a
• 54:59historic moment, so I just
• 55:00wanted to
• 55:01bring that up. That's a
• 55:02historic moment. That's never happened
• 55:04before.
• 55:06Me and this cat are
• 55:08usually in a fight. Danielle's
• 55:09cat does not like Claire.
• 55:11Mm-mm.
• 55:12He doesn't like any We'll
• 55:14leave this open for a
• 55:15few minutes. My hats are
• 55:16very friendly to Claire
• 55:18for the record.
• 55:20Residents, if you can get
• 55:21your emails, if you're so
• 55:23comfortable
• 55:24in the chat, people might
• 55:26have identified with something you
• 55:27said and wanted to reach
• 55:28out, directly.
• 55:30We'll leave that open in
• 55:31the chat.
• 55:32Everybody's email is basically first
• 55:34dot last at Yale dot
• 55:35e d u.
• 55:37But we you know, this
• 55:38is the start of a
• 55:39conversation. We wanted to keep
• 55:41this to a tight hour,
• 55:42because we're respecting your time.
• 55:45I it
• 55:46it's humbling to see so
• 55:48many people here, really, and
• 55:49we love to see this
• 55:50experience. And I hope you've
• 55:52enjoyed the
• 55:53very active chat
• 55:59In a few more minutes,
• 56:01we'll keep it on. But
• 56:02thanks so much.
• 56:38Alright. I'm gonna stop the
• 56:39recording.