Yale Neurology Residency Virtual Open House - August 22, 2022

August 25, 2022

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00:00Welcome, everyone.
00:01And my name is Jeremy Mueller.
00:05I'm the residency program director.
00:08Some of the smiling,
00:09smiling faces you see are yourselves,
00:11others are some of our residents.
00:14And I'm going to give you a brief
00:17overview of the program just as everybody
00:20comes online with a few slides,
00:22and we'll keep the chat open for
00:25questions and comments as we go.
00:27And then more the bulk.
00:30Of this open house will really be our
00:33intention is free to get the information
00:35you need to apply for our program,
00:37which I'll share and answer questions about.
00:40But then also to get a sense from
00:42some of our residents and we have
00:44several of our residents here,
00:45some are in groups and individuals
00:48will be answering some questions that
00:50people have sent ahead of time and and
00:53questions that people have frequently.
00:55So want to thank you all for being here.
00:58It's really exciting to have you.
01:01This is our third year of virtual
01:04recruitment and I think we've learned a lot.
01:08I'll point you all to our website,
01:11which we will be updating our.
01:16Our recruitment chiefs Katie
01:18Zukowski and Amy Annie Yang,
01:20who are right here,
01:22will be.
01:23We'll be updating the website and
01:25giving you more information about that,
01:27but we're very proud of all of
01:29the details of the website has.
01:30So I'm going to give some slides,
01:32get that out of the way and then
01:35we'll go from there.
01:39So, welcome. This is Yale.
01:42It's in New Haven,
01:44CT a wonderful place to live.
01:47Just a few reminders of our web offerings.
01:50We do have a Twitter account.
01:52We tend to put much more effort
01:54into the Instagram account.
01:56And when I say we,
01:57I mean our recruitment chiefs primarily,
02:00who I think do a really nice job
02:02and like to keep that updated with
02:04lots of information about life as a
02:07resident and and the types of social
02:09life you can have as a as a neurology
02:11resident here at Yale and in New Haven.
02:14Our website is listed
02:15right there and you can go.
02:17I'll go to it.
02:17As I said,
02:18we're on the verge of a fairly
02:20significant update to the website
02:23with lots of new information.
02:25We do a lot of online education.
02:28Doctor Schaefer is on the call here.
02:30She developed some movement disorders
02:31modules which are free for all of you to
02:34learn if you happen to be doing a Sabi.
02:36Uh, on YouTube,
02:37if you look up YouTube EEG basics
02:40again if you're doing a sub
02:42I or an epilepsy rotation,
02:44really great opportunity.
02:45We we are on the airwaves as well
02:48with the neurology exam Prep podcast.
02:51A lot of students like that.
02:52There's a clerkship success series
02:54within there that has that's organized
02:57around differential diagnosis for learning.
02:59Doctor Schaefer started a new
03:02podcast that I think is just
03:04outstanding called neurology,
03:05nuts and bolts.
03:06Constructing your career.
03:07And a lot of people ask about mentorship
03:11and career development and thinking
03:13about things beyond residency.
03:15Right?
03:16Because residency is a transient state.
03:18You'll be a resident for four years,
03:21and then you have to figure out
03:22the rest of your life after that.
03:24And Doctor Schafer has organized a
03:26podcast where she interviews experts
03:29on things like negotiating contracts,
03:32sorting out academic careers.
03:35And developing a niche in various
03:37different ways and it's really incredible.
03:40We have one that on on letters
03:43of recommendation,
03:44which could be particularly
03:45relevant to all of you.
03:46So a really nice website and for
03:49any questions you can e-mail me,
03:50that's my e-mail or our coordinator,
03:54Michelle Stafford worth and we're
03:55both lifted listed on the website.
04:01We are just, these are just the nuts and
04:03bolts of Speaking of nuts and bolts,
04:05we are in advanced program.
04:07We will be recruiting for 10 positions.
04:10Those start in PG Y2 and we have
04:15guaranteed prelim medicine spots
04:16for all 10 residents in PG Y one.
04:19So we're not categorical,
04:20but we have the best of both worlds
04:23and we provide this option because
04:25occasionally somebody has a reason why
04:27they might want to stay where they are.
04:29For a year and do a prelim year where
04:32their spouses or a partner or or for other
04:35personal reasons or professional reasons.
04:38But the vast,
04:39vast majority of residents do do
04:40their preliminary year with us.
04:42That's guaranteed.
04:43There's no separate interview.
04:45If you match with us for
04:46the advanced program,
04:47you match with us for the prelim
04:49program and and in the prelim program
04:51you get six weeks of neurology
04:54and including four weeks of stroke
04:56and two weeks of Neuro ICU and.
04:59It's a great opportunity to start
05:02developing community of of peers of
05:04neurology residents and we have many
05:07of our current PG twos who formed a
05:10very fast friendship group in PY one
05:12and and I hope they'll speak to that
05:15a little later in our open house.
05:17We're an academic program that fast,
05:18fast.
05:19Majority of our residents pursue fellowships.
05:21There's an even mix of inpatient
05:23and outpatient specialties.
05:24This is really important.
05:26People express anxiety about whether
05:28or not you would get the experiences
05:30you need to decide if you wanted to
05:33do multiple sclerosis or movement
05:35disorders or neuromuscular medicine.
05:38And in fact,
05:38it's been about an even mix of inpatient
05:41and outpatient and and many of the
05:43residents who meet tonight are pursuing.
05:46A combination of inpatient and outpatient
05:49and they can speak to that a little bit.
05:52Overall,
05:52about 2/3 stay at Yale for fellowship.
05:55Between 50% and 2/3,
05:56little less than half last
05:58year stayed for fellowship,
05:59and it just varies year by year.
06:04For the application,
06:05this is exactly what we have on our website.
06:08A minimum of three letters of
06:11recommendation, a maximum of four.
06:13At least one should focus on clinical
06:16neurology ideal. Ideally a couple.
06:19Most applicants include one internal
06:22medicine letter, but it doesn't
06:24have to be a department letter.
06:25I know a lot of internal medicine residents
06:28have department letters and we always
06:31understand that with COVID restrictions.
06:35With limited opportunities for observerships,
06:38international electives and so on that
06:40it can be difficult for international
06:42graduates to get letters, we we get that.
06:46We will plan to interview
06:48about 130 applicants or so.
06:50We interviewed 12 applicants
06:52each interview day,
06:53and we do half day sessions.
06:54So you'll do either in the
06:56morning or the afternoon,
06:57and our updated interview days
06:58are listed on our website.
07:00I think they start in early November.
07:03I can't remember if we have
07:05one in late October,
07:06but early November and
07:07they go through January.
07:10We review every application.
07:12I personally look at every application.
07:15It's a holistic review.
07:16At least two reviewers will review
07:18an application before somebody's
07:20invited for an interview.
07:21All reviewers are educated on
07:23sources of bias and applications.
07:25This is something we do before
07:27we start the application review.
07:28We do not have a SMLE cutoff score,
07:31and we understand that Step 2,
07:33CS and CK can have delays.
07:35You don't have to have those
07:37ready by the time you apply.
07:39I would tell you the vast
07:41majority of applicants,
07:43some 90 plus percent,
07:44have their step to seek CK scores in Rs by
07:48the time we put together our our rank list.
07:51Not everyone,
07:52but the vast majority.
07:54We do interview and match
07:56international graduates.
07:56US experience and scholarly work
07:59is preferred.
08:00But really,
08:01with with almost no exceptions,
08:04you have to have graduated from
08:06medical school within the last five
08:08years with very rare exceptions and
08:10both J1 and H1B says are offered
08:12depending on the circumstances.
08:16And here are the things we do.
08:19We look at for holistic review.
08:20Just this is also on the website.
08:23We look at grades,
08:24research and other scholarly work,
08:26leadership and engagement and we try to
08:29look at ways in which people have overcome,
08:31overcome challenges.
08:32All of you, having having been educated
08:35during a time of a of a global pandemic,
08:38have overcome tremendous challenges and
08:40we know that there's amazing stories
08:42of resilience and and those tend to
08:45predict somebody continuing to show.
08:47Believe starting residency.
08:49And then during the interview,
08:50a lot of the same things academic,
08:52scholarly potential,
08:53citizenship and leadership,
08:55interpersonal skills and we do
08:57do behavior based questions.
08:59We understand that some Africans
09:01don't love these,
09:02they feel a little rigid or wooden,
09:04but they're structured questions
09:06and domains that tie to our our,
09:09our mission, our educational mission.
09:12And I feel very strongly about this.
09:14This was actually an idea of one
09:16of our previous recruitment chief.
09:18And it's a way to counteract some
09:21of the obvious and implicit and
09:23explicit bias that there is in in
09:25interviewing and allowing people to.
09:28That expressed their,
09:29their suitability for the job
09:31in a structured way.
09:35So the night before there'll be a panel
09:38discussion with a group of residents.
09:40This will be kind of the dinner.
09:42Then on the interview day
09:43we'll do an overview.
09:44There's lots of web-based stuff.
09:46Then five to six interviews that are each
09:4820 minutes and then a case discussion.
09:50And very importantly you do not have
09:53to do a separate prelim IM interview,
09:56but you do have to apply to the
09:59preliminary IM program to the internal
10:01medicine program if you want to do that.
10:04Program and that's linked and
10:06it's on the website.
10:10Raise your tracks have merged.
10:12We used to have a separate research
10:14track and we decided a few years ago
10:17that the that many residents have an
10:20interest in research that people's
10:22passion to pursue something like an
10:25R-25 grant which we have very year by
10:28year and and so every resident has the
10:31opportunity to pursue scholarly work and
10:34PY one year if they identify a mentor.
10:37And all residents can be considered
10:40for the R-25 grant.
10:41We have an X + Y clinic format.
10:44We've had that for five years now,
10:46five or six, and that is that we do
10:49five weeks of various services and
10:51then one week of the clinic block,
10:54sorry, four years and all continuity
10:56clinics and many subspecialty
10:58experiences are done during this time.
11:00So you're not being pulled away.
11:01For continuity clinic,
11:02we don't have any 28 hour in house call.
11:05We have some home call at the VA,
11:07but no 28 hour in house call and
11:09there's lots of early exposure
11:12to outpatient subspecialties.
11:13Then click on their Physiology.
11:15Umm.
11:15We have a clinical clinician educator track.
11:18It's actually going to be gradually
11:21moving over to what's called a
11:24clinician educator distinction
11:26which will be recognized institution
11:29wide and will include a series of
11:33structured educational teaching
11:34sessions over a two year curriculum
11:37across the institution in which
11:39many of our faculty are teaching.
11:41Doctor Schaefer is I am.
11:43Doctor Dewey,
11:43one of our other faculty members.
11:45We do have a international
11:48global neurology experience.
11:50We have the R 25 grant.
11:52We have a healthcare management track.
11:54We have a very good record of people
11:56being reviewers and and board members
11:58on neurology journals like the rest
12:01of the fellow section and Continuum.
12:03One of our residents was on
12:04the on the board of the match,
12:06just rotating off the board of the match,
12:08which was pretty cool.
12:09One of our residents was on
12:12the board of the ACM,
12:13which is really cool and and lots
12:15of other leadership experiences
12:17and we pride ourselves on the
12:19leadership that our residents do.
12:21We have a strong commitment
12:23to diversity and inclusion.
12:25I think I saw Doctor Cooper here.
12:27She'll introduce herself, I'm sure,
12:29once we get to the panel discussion.
12:31But she's our associate director
12:33of Diversity Education,
12:34a graduate of our of our program there.
12:38Our departmental director of Diversity
12:39Equity inclusion is Doctor Reshma Narula,
12:42also one of our residents who graduates,
12:45and now the fellowship Director
12:46for Vascular Neurology as well.
12:48We do a holistic application
12:50review by a trained group.
12:52We're very proud of that.
12:53All of our residents undergo
12:56mandatory anti bias training.
12:57Our faculty are gradually undergoing
13:00bystander training for microaggressions
13:02and this is one of the goals of the
13:05leadership within our diversity and
13:06Inclusion group is to do more of this.
13:09We have an innovation that we're very
13:11proud of called a health disparities
13:15clinical grand rounds and M&amp;M conferences.
13:17We have one coming up Friday.
13:19Uh, where we focus on real cases from
13:22our department and we review ways
13:24in which health disparities may have
13:27contributed to the direction of their care.
13:30And this adds a layer of authenticity
13:34to these topics because it's it's in our
13:36community and these are patients that
13:39we are caring for and residents over
13:41the years developed novel educational
13:43tools focusing on health disparities,
13:45including a health disparities discussion
13:47group and journal club for medical students.
13:50Focused on neurological care,
13:51which I thought was really cool and was
13:54designed by a couple of our prior residents.
13:57A lot of people ask about our vision
13:58for the next 5 to 10 years and I'll
14:00just share that before.
14:01This is, I think,
14:03the last bit before we go to the panel.
14:05I think of this in terms of people,
14:07places and things and the people.
14:09This is you, right?
14:11The thing we're doing right now,
14:13the season we're starting
14:15is without question,
14:16the most important thing we do
14:18in the IT as a residency.
14:20And it's the most important part of my job.
14:22If I recruit the right people,
14:24we recruit the right people among you,
14:27among all of you, then the rest is is golden.
14:31It will go very well.
14:33So we're focusing on increased diversity
14:36in faculty and leadership positions.
14:38We also have an interest in developing
14:40in our hospital service with resident
14:42and AP staffing that will likely be
14:44within the five year plan and we have
14:46no plans to increase the size of our
14:48residency and the reason is we think
14:50residency is educationally focused.
14:52I had a long talk at our last resident
14:54meeting about this with our residents
14:56and there are much more efficient
14:58ways to meet staffing demands,
14:59including advanced practice
15:01providers and hospitals.
15:03We will break ground on a new neuroscience
15:06tower next week and that will likely
15:09be in place in the next five years.
15:11That's very exciting.
15:12It'll be state-of-the-art.
15:13More to come about that and we can
15:16talk about that in the interviews.
15:18And we will continue to expand
15:20rest of the career opportunities,
15:22research, leadership, advocacy,
15:24DI Global health, education.
15:26And we will continue to empower
15:28residents to make meaningful changes
15:31and and I have an enormous list.
15:34Of changes that residents have
15:35made in our program and changes
15:38that residents have precipitated.
15:40And I think the measure of a healthy
15:42and strong program is not whether
15:44or not there are problems or whether
15:47or not residents raise issues that
15:49that need to be addressed,
15:50but whether or not we do something about it.
15:52And and I feel very proud of our
15:54record of doing things about the
15:56concerns that residents raise.
15:57And this is my 9th year doing this
16:00job and and when I look back at
16:02the residency 9 years ago.
16:04It's unrecognizable, so it's really,
16:06it's really cool.
16:07And we have many faculty who are really
16:09interested in innovation and education.
16:11Personally,
16:11I am a doctor.
16:13Schaefer is as well and might speak to that.
16:15And a lot of us are really interested
16:17in sort of thinking into the future
16:18of how education is going to be.
16:20There's some nice happy people.
16:23This is our graduating class.
16:26We will miss them,
16:26for them are still here for fellowship.
16:28Here's our PG Y two class with their
16:31rainbow colored ***** packs containing
16:33all their neurological tools,
16:35which I thought was really cool.
16:37Our current PG Y four class at
16:39their annual dinner that that
16:41we do every year for the PY2.
16:44So this is a year and a half ago or so,
16:46and this is the welcome to the PG Y
16:48ones on one of the roofs and you can
16:50see the beautiful New Haven skyline
16:52with Yale University in the background.
16:54It's really nice.
16:55So just some nice pictures.
16:57It's a really nice place to train
16:58and we've got great reserves.
16:59I'm so proud of them.
17:01So on that note.
17:04I think I'll get our residence,
17:06turn the cameras back on, and I'll just.
17:09I'm going to ask in order for
17:11you to just introduce yourself.
17:14Say your name, your PG Y year.
17:16If you happen to be PG 4,
17:18you can say what career you're destined for.
17:21If not, maybe you can say one thing
17:26that you love about this program.
17:28So, Katie, I'll start with you.
17:30Katie zukowski.
17:32Hi everyone, my name is Katie.
17:34I'm one of the PGI fours and one of
17:37the recruitment chiefs this year.
17:41I will be going into movement disorders,
17:43I'll be staying here for fellowship,
17:46so really looking forward to that.
17:48Working with Doctor
17:48Schaefer who's on the call.
17:50She's one of our AP's and she
17:51also is the fellowship director.
17:55Danny, I think you're next.
17:58Hi, I'm Annie.
17:58I'm one of the PTI fours as well.
18:01I'm going to be doing a clinical
18:04neurophysiology fellowship down
18:05at the University of Virginia.
18:07I think one of my favorite things about
18:09this program other than the people,
18:11which is the obvious first answer,
18:13is the number of opportunities available.
18:16Everything is here for you
18:18if you reach out to grab it.
18:20Doctor Schaefer.
18:25Hi, I'm Sarah Schaefer. I'm an LAPD.
18:29Our AP's have some roles,
18:31so I'm kind of in the
18:33curriculum and assessment role.
18:35Whereas Jeff Dewey is
18:36Wellness and and
18:37Vanessa will introduce
18:39herself. I think she's on this call.
18:41And and I was a resident here and did
18:44my fellowship here disorders as well.
18:47So when Jeremy says that it was
18:49unrecognizable when he started
18:51nine years ago, I can attest to
18:53that because I was a resident.
18:55When that happened?
18:57Yeah, doc. Doctor Schaffer was a resident
19:00PG Y2 the the year I came to you.
19:03I remember that. And and I think among
19:06the many things that impressed me about
19:08Doctor Schaefer is the way she worked,
19:11the epic electronic medical record.
19:13It was kind of like Tom
19:15Cruise in Minority report.
19:16She was like doing things
19:17and moving screens around,
19:18and it was just absolutely incredible.
19:21I still can't keep up. All right,
19:24it looks like it's wine time with Claire,
19:27Izzy, JP, and Danielle.
19:28How about how about you each take a turn?
19:34Trying to not like, drop her computer,
19:38which is precariously perched.
19:46So
19:49you're on the edge.
19:56My name is. I'm. You want
20:00to? An IMG I'm from Brazil last
20:04year for my PY one year about this
20:06program is the amount of support
20:08that we get from our faculty and support
20:12from other faculty like the P UI-1 year.
20:17You kind of very much included with the
20:20other residents you don't feel like left out
20:23in any way. And yeah,
20:25and also the people for sure, my,
20:27my Co residents are my best friends
20:29and we've grown really tight,
20:32really fast and yeah,
20:34it's just great. Maybe frozen?
20:39No, you're good. We heard you.
20:44You spoke too soon. Like?
20:50Maybe we should go to someone
20:51else and come back to them.
20:53Yeah, I think that's a good idea.
20:54They're probably working
20:55on their Internet, Nick.
20:59Shared Internet is over at my
21:01apartment and not over at Claires.
21:03So sometimes we have technical difficulties.
21:06You guys share Wi-Fi?
21:09Correct. Half the price
21:11right next to each other, half the success.
21:16We share a wall. Yeah, we do share a wall.
21:19My name is Claire. I'm from Canada
21:21slash Ireland.
21:22I did in that school in Ireland.
21:23I'm a dual citizen.
21:24I grew up in Canada, PG Y2 as well.
21:27My favorite thing about the program
21:29other than the people is really hard
21:31because it's obviously the people.
21:32These guys are the best.
21:35But I I really like like living in New Haven.
21:38I think it's actually kind of nice.
21:40Like everything.
21:40Everything is walking distance.
21:42Like there's kind of one of
21:43everything that you need.
21:44I really like cycling and there's
21:46like really beautiful places.
21:47Cycle around here.
21:48So I'm I'm very happy living here.
21:51I was a little scared to move to the
21:53US and and I was very happy with that.
21:57Hi, I'm Izzy. I am originally from
22:00Vietnam, but did my Med school
22:01in Canada, so I'm also an IMG.
22:05And I am also a PY2I.
22:10Have really liked it here because
22:14of I think similar sort of like.
22:17New Haven is quite nice in terms
22:20of like proximity to New York
22:22City and also just like in and
22:24of itself has great things to do
22:26in and around the area and small
22:28cute little towns you can go to.
22:30And we definitely have the free
22:32time to go and explore those things.
22:35And I think again,
22:36I think we missed it when JP was saying,
22:39but sort of the support we've gotten
22:42from everybody has been really nice
22:44and it's been a great learning
22:46opportunity in terms of like.
22:49Being first time in the US and
22:51practicing and then sort of having that.
22:54Background in base for which to build up on.
22:57So like we all did our internal
22:59medicine year here and it's it
23:01was a great experience as well.
23:05I'm Danielle, also PG, I2.
23:07I'm from Massachusetts, outside of Boston.
23:10I did medical school at
23:11Oakland University in Michigan,
23:14and I would like to echo what
23:16everyone else said so far,
23:18but also I love how we.
23:22Get to see so many different
23:25things in this program.
23:26We have multiple different consult services,
23:30different primary services,
23:32different couple different hospitals.
23:34We rotated in every subspecialty.
23:37So you really get to see a wide breadth,
23:40breadth and get a lot of experience
23:41in the different areas of neurology.
23:45It's excellent. Alright Nick, you're up.
23:48I'm up. Hello everyone.
23:50I'm nick. I am another
23:52one of many PY twos here. Umm,
23:55I am actually originally from Connecticut.
23:57I grew up in a town called by.
24:00Went to UConn from Med school.
24:02Umm, trying to think.
24:04You would think after all the
24:06amount of time I had to prep a
24:08really good answer for what I
24:09liked most about this program,
24:10besides the people,
24:11I would have come up with an answer,
24:14but everyone like took mine.
24:18I really liked what correct.
24:20I really liked what Danielle
24:22said really about I I think.
24:25The vast variety that we get of
24:29all the different presentations
24:30that come through the hospital,
24:32Yale New Haven is like you see a lot of
24:37really interesting cases because the
24:39way that it's positioned in the state.
24:41We see a lot of not only
24:44of southern Connecticut,
24:45but you know going in towards
24:46New York to the West and then
24:48into Rhode Island to the east.
24:50So we really cover a really large breadth of,
24:53you know, patient demographics and diversity.
24:56And so with that comes really,
24:58really fascinating pathology that
24:59we really get to learn from and we
25:02take advantage of and we have the,
25:04we have the privilege of, you know,
25:06taking care of like really, really,
25:07really, really great folks on our service.
25:11So I would say that that would
25:12probably be my, my number one,
25:14you know people and you know,
25:16faculty aside.
25:18Alright, and then Harry and Christine?
25:26Hi everybody, my name is Christine Gummerson.
25:28I'm APTY 3, emergently from Baltimore City.
25:33Mary and I are a neuro couple,
25:35so let him introduce himself as well.
25:42So, so Harry is a PGA for going into.
25:48I, our Co residents have already said so
25:51many things that we would echo in terms of
25:53our favorite things about this program.
25:55Umm to add to that, I can't echo
25:57enough doctor what doctor Mueller
25:59said about the value of being in a
26:02program that values feedback and really
26:03works to incorporate that into the
26:06day-to-day lives of our residents.
26:07And I think that continues to speak
26:10to the the people in our community.
26:12For those of you,
26:13I'm kind of from a big city that also
26:15sometimes feels like a small town.
26:17And I, I would describe our community
26:19as such else such a big community,
26:21but it really feels like a small one.
26:23At the same time,
26:25our residency program is very
26:27tight in that respect,
26:29but we also have colleagues that we
26:31see in public through the hallways
26:32and have great relationships with.
26:34So we're excited to answer your questions.
26:36We're excited you're here.
26:37Thank you for joining us.
26:38Anything else that you have?
26:40Yeah, I think for for myself,
26:43one of the things that really said
26:45yellow part when I was interviewing
26:46was just how many skilled and
26:48accomplished medical you have.
26:50So I'm one of the education chiefs
26:52is obviously a thing that I've
26:53been interested in doing for a
26:55while and I saw just how many.
26:57Of the faculty and program leadership,
27:00have advanced training in medical education
27:03and have projects they put together.
27:05I thought that was definitely
27:06a place that I had to be at.
27:10Alright, Sloan, I think you're next.
27:14Cool. Hey everybody, I'm Sloan.
27:17I am one of the PUA fours.
27:19I am actually dual trained
27:21in internal medicine and neuro,
27:23and so rather than pursuing a fellowship,
27:26I am, I'll be moving on to an
27:29attending job that is attempting
27:31to bridge both of those things.
27:34I, oh, I am a research
27:37chief this year, which is super
27:38exciting and Jeremy mentioned a little
27:40bit about our 25 and our research
27:42track and we're working this year
27:43to develop that a little bit more,
27:45create a new curriculum and a little
27:47bit more one-on-one support to help
27:49everybody access all of the really amazing
27:52resources that we have available to us.
27:55My favorite thing about
27:56our program is how much
27:58fun we have at work.
28:01You know, we're everybody's primary
28:02job is to take care of
28:04our patients, right? And
28:05we are, I'm have
28:08the most phenomenally
28:09skilled Co residents and there's
28:10something so lovely about the
28:12comfort that you feel from
28:13having your colleagues with you.
28:15But even above that, just like
28:17how much fun we managed to have
28:19Claire and I run together overnight
28:20and we had this guy who coded
28:24and we got his pulses back and then
28:27he like was following commands
28:28and doing all the things and like,
28:30we all just. Applauded.
28:33It was just a really fun
28:34environment to be in.
28:35Even though we were doing
28:37like really serious medicine,
28:38we all managed to have a lot of fun.
28:42That's you and I just
28:44finished about a month ago,
28:45two weeks on together where you were
28:47the senior, and I think we had a blast.
28:49I think we share the same irreverent
28:51sense of humor. In some ways,
28:54we did have a lot of fun. I highly recommend
28:57everybody who is seriously
28:58considering joining our program that
29:00you watch Arrested Development,
29:02because you'll get a lot more of our jokes.
29:05All right, Celia.
29:09Hey everyone, my name is Celia.
29:13And I'm originally from New Jersey,
29:16but I did medical school
29:18in Rochester, so go build.
29:20What I love about you on this program is
29:23how truly excited every resident and every
29:27attending that I've ever worked with.
29:30Is about teaching.
29:33I feel like they've created such a state,
29:35such a safe space for us to
29:37make mistake and ask questions.
29:39It's just like the best place to train.
29:42In my opinion.
29:47Vanessa?
29:52Everyone I like kind of lost my voice,
29:54so I'll try to be quick. My name is.
30:01My name is Vanessa Cooper.
30:02I'm one of the associate AD
30:04for diversity and inclusion.
30:06I did my residency here
30:08as well as intern here.
30:09I'm a headache specialist
30:11practice in Milford
30:12and I do the resident clinic in New Haven.
30:15If everything about program when I was
30:17in training is that
30:19majority of my class, I think 80%. We all did
30:22our intern year at Yale,
30:23so we actually became really close
30:25and before we graduated from intern
30:28the Internal Medicine program, we all.
30:30It's a good trip to Miami together.
30:32She was like amazing, my great bonding.
30:35And then we started PUITR and a lot
30:38of us end up staying for fellowship.
30:39And then we were in each other's weddings,
30:41and then we all had babies together.
30:43So it was really nice,
30:45like family female tennis.
30:46Second thing I really like
30:48about Yale is that there's
30:49like no County Hospital,
30:50which is really common.
30:52So I'm from New York
30:54and it's really common
30:55that major institutions
30:56have like a County Hospital where
30:58like a lot of fun and short or under
31:00serving. Communities go to, but like
31:01everyone gets treated at
31:03Yale and we see a vast
31:05majority of patients
31:06on whether it's
31:07uninsured, Medicaid, Medicare
31:09like you know, patients are
31:12really great insurance,
31:13cash only patients, etcetera. OK.
31:21Thanks, Vanessa. I think this is,
31:22I think you raise a great point and
31:25actually it's one that I mentioned
31:27when people ask is something
31:28that really makes us stand out.
31:30As a very large urban academic hospital,
31:35it's the it's the only show in town,
31:37right Yale New Haven Hospital,
31:39is it, you know,
31:40with the exception of the VA hospital.
31:44And it's not like there's a
31:46separate hospital for patients
31:47with a certain disease process,
31:49you know, like a cancer hospital
31:50down the street or something
31:51like that or the hospital that
31:53specializes in orthopedics reference.
31:54It's all here.
31:55And the second thing is that it's not
31:57as if there's a separate hospital for
31:59people who have less ability to pay,
32:01you know,
32:01so that that the Yale New Haven is
32:03the social safety net hospital as
32:05well as the Community Hospital as
32:08well as the tertiary care hospital.
32:10And so you see everyone and
32:12I think as a result.
32:14You see an incredible diversity of patients.
32:17They all get the same care and and
32:19and they're all in the same place
32:21and and I think that's tremendous
32:23advantage which actually pretty rare,
32:26pretty rare for a place our size,
32:27you know 1500 bed hospital system.
32:31I just saw Jeff Dewey join us.
32:34Jeff,
32:35I want to introduce yourself and tell
32:37us something you like about the program.
32:39Hey
32:40everybody, sorry to be late.
32:41So my name is Jeff Dewey.
32:42I'm one of the associate
32:44program directors and I sort of
32:46oversee resident well-being.
32:48I also directed the clerkship
32:49with the medical school.
32:51So have a have a have you
32:53medical education role.
32:54I think that's actually one of
32:56the things I enjoy most about the
32:58program is is the opportunity to
33:00be involved in medical education.
33:02Even as a resident,
33:03we have residents teaching
33:04our students all the time,
33:05both formally and informally,
33:06and it's something I really enjoyed.
33:09I felt like I was supported in my
33:10goals to become a medical educator,
33:12and it's one of the reasons I
33:13stuck around because I still
33:14get to do those things so.
33:18So I think that have I missed anybody?
33:21I'm just looking through the list.
33:22I think we got a great representation.
33:26Open it up to a couple of questions.
33:27I'm just looking in the chat and then
33:29if you want to raise your hands or
33:30put something in the chat, please do.
33:32Otherwise, I have some prepared questions,
33:35but let's start graduation cut off.
33:38Is that strict?
33:41Fairly, how about I put it that way.
33:43We look at every application but
33:46but that's fairly strict. Umm.
33:48Thank you for organizing the slides.
33:51You mentioned the interview today that
33:52you were looking for citizenship. Yeah.
33:54I should, I should be clear about that.
33:55I don't mean what country you're
33:58a citizen of.
33:59I mean that you are a citizen and whatever
34:01community you were like civics so that
34:04you contributed to your community.
34:05So thank you for asking that.
34:07That's a really important distinction
34:10and I'm glad I could carry clarify that.
34:13So yes, we we do not.
34:16I did not mean in our review that we look at.
34:19The country somebody is from.
34:22And then the percentage of
34:25international graduates?
34:27I think it's between sort of it's
34:29about 15% total of our of our
34:32residents or international graduates.
34:34Although in PY two class it's it's
34:36it's three out of the 10 that they're
34:39they're all sitting together.
34:40So there you go and representing proudly.
34:44Umm, so.
34:48Let's see have
34:49think we have a couple people
34:50raising their hands to.
34:53It's the first one I have.
34:57Is it a conka? Yeah, doctor.
35:01OK, account cut. Thank you.
35:02Hi, good evening.
35:03I just wanted to ask whether
35:06moonlighting opportunities are available
35:08there at the university campus.
35:10And if yes, it is a yes,
35:12then what are the rules for moonlighting?
35:14Moonlighting? Love it.
35:15I have to send this around to
35:17our residents all the time. So.
35:20I'm there. I'm letting opportunities
35:23for residents within the program.
35:26The rules are you have to be employed
35:30by hospital, it has to be in US.
35:32If you're an international graduate,
35:33you it has to be in the hospital
35:36setting and you have to have H1B visa.
35:38Otherwise we do not really allow or or
35:41look forward to encourage external mood
35:44lighting but internal midline we do.
35:46We also provide supplemental
35:48pay for additional work which
35:49is a different category.
35:51For example we have a a a limit beyond
35:54which say if people are called out are
35:57out with COVID or things like that then
36:00we can provide supplemental pay for
36:02additional work if if if we go beyond
36:05our usual backup system and and we
36:07that's rare but we have to pull that in.
36:09And then many of our residents moonlight in
36:11settings like the neuro Intensive care unit,
36:12the General Service,
36:14or the word service,
36:15usually in kind of an AP role.
36:17If we're running short of AP.
36:19So many residents do moonlight,
36:20it has to be within the 80 hour limit,
36:24and they have to have a sort
36:26of form signed by me.
36:30Said you're next. Thank you so.
36:35Good evening. I'm saying,
36:36Mustafa, I'm a graduate
36:37of Dawn Medical College
36:38and I wanted to thank you all
36:39for making this really informative
36:41session. It's been great meeting
36:42everyone and I think
36:44this is the first year that
36:46neurology is participating in the
36:47supplemental errors application.
36:49So I wanted to ask you how you guys plan
36:51to use the information supplemental eras,
36:53what the role of signaling programs
36:55might be and how you would recommend
36:57that we as applicants make use of the
36:59supplementary grass for neurology.
37:01Yeah, you know, I think we're all,
37:04we're all going into this together,
37:06aren't we? With this supplemental
37:09application and the AN,
37:11the American Academy of Neurology I
37:14know has a draft of some guidance about
37:18how programs to use the supplemental.
37:21A statement.
37:22I don't know if that's been
37:23finalized or distributed, has it,
37:25or I think it will be soon.
37:27I I voted yes.
37:28It looked good as one of the
37:30residency directors and I'm going
37:32to follow that guidance basically.
37:34As to the signaling,
37:36I've read a bit about it.
37:38Honestly,
37:38I need some experience before I can
37:40say anything intelligent about it.
37:41I really don't understand
37:43exactly how it worked,
37:44but we are participating in the
37:46supplemental offering and the signaling,
37:48so I'm intrigued.
37:49And for those of you,
37:51you're probably in the midst of this,
37:52right?
37:52But you can signal to a certain number
37:55of programs of particular interest or
37:58preference and and that shows up on our end.
38:01I'm not sure exactly how that's going to look
38:03on our end and that will have a supplemental.
38:06Application as well,
38:07so we'll see.
38:10Alright, thank you so much.
38:14Hi, yes, I was just wondering
38:18what the program like,
38:20how the program deals with resident
38:22burnout and mental health issues.
38:25Jeff, you want to take this one?
38:29Yeah. I just wanted to
38:31find the unmute button.
38:32So one thing that's nice about Yale
38:35is we actually have very robust
38:37mental health resources available.
38:39So residents are, are connected as
38:42soon as they show up actually in
38:43the internal medicine department,
38:44they'll have a Wellness check
38:45just to check in,
38:47make sure they have the support they need.
38:49And that's that's an opt out process.
38:51So the opportunity is there unless you
38:53choose not to take advantage of it.
38:55The mental health services again are robust.
38:58So we have. 20 we have,
39:01it's not 24/7,
39:02I think it's 7:00 AM to 11:00 PM Telemental
39:05health services for very low copay.
39:08We have a special connection to
39:09the Psychiatry Department for any
39:11residents who need to establish
39:12contact with the therapist quickly,
39:14and we also meet.
39:15I try to meet periodically with
39:17residents to do Wellness check-ins and
39:19we have a pgy 2 solidarity group that
39:21meets once a month and focuses on just
39:24sort of the the mental and emotional
39:26experience of being a PG, I2 resident. So.
39:29The opportunities for contact are again,
39:32robust.
39:32I think is the word.
39:34I feel like I'm in an episode of Veep,
39:35but.
39:38There's no shortage of ways to reach
39:39out for help and I think we try
39:41and take a proactive approach to
39:43make sure that everybody is covered
39:44in the way that they need to be.
39:47Thank you. Yeah, the.
39:51It's a, it's a a point of pride.
39:53We look at the results of the AC GM
39:56survey that we're substantially above
39:58the national average in terms of
40:01our residents saying that they have
40:04access to the resources they need
40:06and and the the hospital leadership
40:08has been really great about,
40:10it's about supporting them.
40:13And Jeff has been an amazing resource
40:16as our Wellness officer in our program
40:18and has been a go to person for a
40:20lot of residents and can direct
40:21them otherwise and is now taking a
40:24Wellness role within our department.
40:25If you if you want to look in neurology
40:28you can read an article that Jeff
40:30published about six months ago.
40:31So and thriving in residency and if you
40:34want to if you want to read more about.
40:37Some of our feelings and what we've
40:39learned about what makes residents thrive.
40:44Abby.
40:47Hi, doctor. How are you doing?
40:49I just don't know. Hi, everyone.
40:52Thank thank you so much for hosting this.
40:54This is this has been really,
40:56really helpful to so many of
40:57us including all the MD's.
40:59Doctor, I had a specific question
41:01that I haven't seen in the chat yet.
41:04I'm really excited seeing the fact that
41:07Yale offers both H1B and J1 visas, right.
41:11I wanted to ask like is there a specific
41:15preference that you guys offer and
41:18assuming I want to try for an H1B visa?
41:21Is it gonna help if I like,
41:24if I have time I'm going to give be able
41:26to give my step free before applying so
41:28that it appears in my eras application?
41:31And what?
41:31What else you suggest if you want
41:34to look towards getting an H1B visa?
41:38Yeah, if you, if you.
41:41If you wanted to apply for it the process,
41:44and I'll explain this in interviews,
41:45it gets a little bit into the nuts and bolts.
41:47If somebody showed an interest
41:49in wanting to apply for the H1B
41:51visa that they would contact me,
41:53the application would be reviewed
41:56by the House Staff Office and the
41:58GM E Office because sometimes
42:00there are things that we miss,
42:02you know, that are are parts of that.
42:05There is a fee for expedited processing.
42:07That's usually advised because of the delays,
42:09which would be the responsibility
42:11of the applicant.
42:12And it's just by law something that the
42:15institution can't pay and and it has
42:18to be approved by the director of GE.
42:21So there's a whole process involved.
42:24All right, doctor.
42:25So is it recommended like we have
42:28this option of of selecting both
42:30H1B and J1 that that is a good
42:32option to you. You can indicate your, your,
42:35your interest in either in the air ask
42:37reference and we'll see that on our end
42:40exactly. So that's the best way to
42:42go forward. And like as we go ahead,
42:44we can definitely contact individually
42:46regarding the process that we
42:48are in. Yeah, usually something that
42:49happens after the interview and
42:51people reach out and we discuss.
42:53Perfect. Thank you so much, Doctor. All
42:55right, sarish. There's no rush.
43:03Sarish. The. Maybe I'll
43:06go to Armando. Armando?
43:09Yes. Uh, hello, everyone.
43:11Uh, thank you for this session.
43:13And Doctor Muller,
43:14thank you for your egg videos.
43:16And I really love those videos.
43:19My question is about the leadership.
43:22I'm very interested in knowing more
43:26about leadership in your program
43:28and which opportunities does the
43:31residents have with the leadership.
43:36Maybe I can get do A is it one
43:37of our chief residents have some
43:39interest in discussing that?
43:41I can I can try to tackle this one.
43:45So I think in terms of
43:47formalized leadership roles,
43:49we made a switch a few years ago
43:52or instead of having one chief
43:54or two chief residents that kind
43:56of take over all of those roles,
43:58we decided to split those responsibilities
44:02among the entire PG Y four class.
44:05So each of the PGA fours holds
44:08a like formal leadership role.
44:11So I and Annie are the recruitment chief,
44:14so we're responsible for.
44:16Working with the rest of the
44:18program leadership to essentially
44:20run the recruitment season
44:23for residency applications.
44:24Our other leadership or chief
44:27roles are education chiefs,
44:30Harries one of them.
44:32And what they do is basically make
44:35sure that all of our like formalized
44:38educational curriculum is running smoothly,
44:40that people can actually get to
44:43didactics they manage our grand rounds,
44:46things like that.
44:48We have clinical chiefs,
44:50two of those who are responsible for
44:54kind of all of our clinical work and
44:57making sure that things run smoothly
44:59there in terms of structures of rotations,
45:02expectations of rotations if
45:03issues come up along the way.
45:06And they do a lot of liaising
45:09between different different kind of
45:12stakeholders in the health system,
45:14so working with residency
45:16and department leadership.
45:18Working with nursing leadership and the
45:20places that we work the clinic, etcetera.
45:25And then we have, uh, well,
45:28my forgetting scheduling chiefs.
45:30How could I forget?
45:31They make our schedules.
45:32They're very important.
45:35And then we have this year,
45:37we created a couple of new roles.
45:38So one is our research chiefs loan,
45:40who's on the call who's like
45:42redesigning our research program.
45:44And then we have a Wellness chief,
45:46which is also kind of a new role this year.
45:50So those are all
45:51the kind of formalized leadership roles,
45:54but I think we have a lot of
45:57informal leadership roles that appear
46:00really throughout your time as a
46:03resident in RPI three and RPG fours.
46:06Our senior residents and so they do a
46:08lot of mentoring to the junior residents
46:10and and teaching them the ropes,
46:12things like that.
46:13But even as a PG Y2 you get the
46:17opportunity to be leaders for like the
46:20PG Y ones who rotate on our services,
46:22the neurology residency IM rotators,
46:25this like people.
46:28And so I think in that sense there's
46:31always kind of leadership development
46:34that happens and you sort of.
46:37Grow with it as you grow as a resident.
46:41Thank you so much, Doctor.
46:43Just a question in the chat about the hours.
46:48Just put together a
46:49program evaluation review.
46:50So our work hours are PG by two,
46:555058 hours per week on average,
46:58MPG by 353.3, PPG by 4:45.
47:02So it's a. Front loaded.
47:06Some rotations are very busy into the 70s,
47:09especially our night float
47:11rotations and emergency department,
47:14those types of things.
47:15But there is a guarantee of a
47:18clinic walk every six weeks
47:20in which you know the average.
47:23The clinic block is more like 42,
47:27so, so much, much lower.
47:29So you're guaranteed that and all
47:30of our PG I2 is also due five
47:33weeks of clinical neurophysiology,
47:34which again is about 43 hours by report.
47:37So those are the numbers,
47:39but it's also how hard you're
47:40working and it's a busy program.
47:42I think our residents and tell us that
47:45any residents have comments about sort of.
47:47The hours,
47:48the workload,
47:48how things are designed.
47:50Anybody want to raise their hand?
47:52Comment on that.
47:57I'll let any of our residents
47:58think I can talk about that a little bit.
47:59I think that one thing that people
48:02have brought up is about how
48:05programs change and I think that.
48:07Certainly as Doctor Mueller said that
48:09sometimes some rotations can be busier,
48:11but that's actually one of the areas
48:13that we have changed since I've been
48:15a resident where we have included
48:18more neurophysiology experiences and
48:20that can offer more golden weekends
48:23to break up kind of the workflow.
48:28And I think that has definitely made
48:30it a lot easier for people to kind of
48:33get through the grind of of a tough
48:35stretch and make tough stretches.
48:37Less common. Granted, it's residency,
48:41so that's it's definitely a
48:43learning curve for everyone.
48:48There was a question about Parenthood,
48:50I don't think any of our
48:52residents on our parents.
48:54But I will tell you we do have.
48:57One or two parents every year,
48:59new parents every year
49:00in our residency program,
49:02and I think they would say that.
49:06That happens.
49:06A great place to raise kids.
49:07The Sarah do you want to speak to that?
49:11Yeah, I wrote a little, little blurb there.
49:14So, so I had my first kid in fellowship
49:17and and moved a couple miles away from
49:20campus to A to a bigger house at that
49:24point and then moved out to Guildford,
49:26which is where a lot of
49:27the faculty live out here.
49:29And I absolutely feel like this is
49:31an amazing environment for them
49:33because I get to there's lots of
49:35culture that's brought in by Yale.
49:37I'm going to bring my 6 year old to
49:39you're a good man, Charlie Brown,
49:41next weekend. You know,
49:44uh to our art and all that business,
49:47but also we're like 2 miles from
49:49the beach and there's literally
49:51blazed hiking trails in my backyard
49:54that we can take and you know,
49:57bike paths and bishops orchards is
50:00down the street from me and where
50:02I've roped a bunch of our faculty and
50:05now there's a residency contingent.
50:07So we've we're we're competing
50:09against each other at trivia.
50:11Every week at Bishops Orchard.
50:14So that's a little away from
50:16what you were asking,
50:18but I have really felt like it's a great,
50:20it's a great environment
50:22for for raising children,
50:24but I did not have my
50:26first child in residency.
50:28I was very pregnant in residency,
50:30but I didn't have him until
50:32seven days into my fellowship.
50:36All right, vamsee, you've
50:38been waiting patiently. What?
50:40What? What's your question?
50:44Thank you for organizing this doctor Muller.
50:47So I just wanted to
50:48ask you, you mentioned that
50:49you take a year of graduation
50:51very seriously, but under like
50:53a special circumstances, you are
50:54willing to consider the applicants.
50:56So I wanted to know like
50:58what are the circumstances
50:59that would make you consider
51:00an applicant if he's like, let's say, over
51:02five years of graduation?
51:04Thank you. Yeah, things like.
51:10Consistent. Pretty significant
51:15rigorous clinical experience maybe
51:17in some circumstances or some
51:20people pursue graduate training
51:22in those intervening years.
51:23So those would be the types of things.
51:26But I'll I'll say it again,
51:28as I've said before,
51:30we consider these every application
51:32on an individual basis.
51:35And thank you. Ida.
51:40It's Ida.
51:43So I was wondering, I was supportive
51:45of the program is of residents
51:47who want to be involved in
51:49advocacy or a kind of conferences?
51:53So, uh advocacy conferences
51:55or any conference?
51:58Uhm, mostly advocacy stuff, but
52:01also other conferences.
52:03You know I
52:03very very supportive and and the young
52:07hip community is 1 in which you would
52:11definitely find people with a lot of
52:14expertise in advocacies in different ways
52:17as as you know neurology is light years
52:20behind fields like internal medicine,
52:23Pediatrics even obstetrics
52:25and gynecology in terms of.
52:27Being really good at this, it's,
52:29you know, and within neurology,
52:32we do have some people who are sort
52:35of engaged in community outreach.
52:37Somebody help me.
52:38I don't know if anybody does
52:41specific advocacy work.
52:44But Rachel Foreman, who's one
52:46of our stroke neurologists,
52:47a lot of advocacy and outreach work and
52:53there was somebody
52:53else who I can't remember,
52:55but there there are a lot of faculty
52:58in our sub specialty
53:00divisions who are focusing
53:01on outreach, advocacy, equity issues
53:03within their specific fields.
53:05So that's definitely available currently.
53:08Yeah, and as to support for conferences.
53:13Residents are encouraged
53:15to attend conferences.
53:17All of the residents here will know
53:19that I send emails all the time
53:21encouraging people to apply and and
53:23and look for scholarships to attend,
53:25various interests,
53:26special interests of special conferences,
53:28as well as the larger conferences like the,
53:30AN and so on.
53:31The vast majority of residents
53:33will have attended the ANC or a
53:35similar larger meeting by the
53:37end of their residency training.
53:39And and and I love for people to
53:41to get out of New Haven and meet
53:44people who have shared interests,
53:46you know.
53:46So I would certainly be very
53:49supportive as I said that the
53:51hospital provides funding for
53:53attending conferences and we provide
53:56supplemental funding for those who are
53:58presenting at conferences as well.
54:00So we do have something we
54:01negotiated a handful of years ago
54:03with some supplemental funding
54:04for people to attend conferences.
54:07Hope that answers your question a little bit.
54:09It does. Thank you.
54:12Umm.
54:15Louise.
54:19Hi, Doctor Miller, thank you very
54:20much for organizing this. Thank you
54:22all the residents for having your
54:23time to talk with us. I wanted to
54:25ask a bit, how does it work for mentoring
54:29in the residency
54:30program here? Do the residents have mentors
54:34from the beginning or did
54:35they get mentors as they go into
54:37their research or academic path
54:39throughout their time in residency?
54:41Because I've seen
54:42that more and more residency
54:44programs sometimes
54:45place residents with mentors
54:46from day one
54:47or they let us look.
54:48For for our mentors, so I wouldn't.
54:50I wanted to ask about how this goes
54:51and your program here in Yale.
54:54So we do place everyone
54:56with a mentor from day one.
54:58It's not always the same person
55:01who the resident, by the time they
55:03graduate would identify as a mentor.
55:05And one sort of non scientific way of
55:07looking at this is our graduation.
55:10We have somebody who roasts or
55:11toasts each resident, you know,
55:13when they graduate.
55:14It's a nice tradition.
55:15We have a lot of fun and when you
55:17look at the people who are sort of
55:20toasting our graduating residents,
55:22it's not, not always the same
55:24people I've assigned.
55:24From the start,
55:25and we have a mechanism for that.
55:26Any of the residents want to
55:28speak to their experiences with
55:30guidance or support or mentorship
55:32from a particular faculty member.
55:35Maybe somebody in the more senior
55:37years because the Petri twos
55:38are just getting settled in.
55:43I mean, I can talk about my mentor,
55:46who's on the call,
55:47who I already give a shout out to Sarah,
55:51but Sarah and I were matched up at
55:53the beginning of my PY two year.
55:55I think I asked to be matched with her
55:58because she had a lot of similar interests,
56:00medical education and and movement disorders.
56:03And I also was interested in having
56:06mentorship from a woman in neurology who
56:09was successfully able to like have a
56:11family and do other life things like wow,
56:14doing all the millions of
56:17things that she does.
56:18And so Sarah was very approachable.
56:23From the get go and we so
56:26we've had like lots of formal,
56:28informal meetings kind of whenever I
56:30really need to talk about something or
56:33or figure out where my life I'm going,
56:35things like that.
56:36She's very approachable.
56:37So we talk about things like that
56:40and we've also done a couple of
56:43like scholarly projects together.
56:45So she's helped me with my
56:48clinician educator pathway project.
56:49She's been sort of my mentor for that.
56:52On. And so it's been good.
56:55And now she's going to be
56:56my fellowship director, so.
56:58OK, we'll continue.
57:00But I'd say really in general.
57:03Most of the faculty here
57:07are very approachable.
57:09In a formal or an informal
57:11capacity for mentorship.
57:12Like, even if you have like one
57:15particular question about something you know,
57:17generally they're very willing
57:18to talk to you.
57:19Or if you're interested in
57:20getting involved with their work,
57:22they're very interested in that, too.
57:24And everyone here is very.
57:27Nice.
57:27For lack of a more sophisticated word.
57:32Very,
57:32very willing to mentor.
57:35Umm. I I just cognizant of
57:39the time it's 8:00 o'clock,
57:40but I want to stay until everybody's
57:43had the questions answered.
57:44And so we'll we'll keep going,
57:47but we won't be offended at all.
57:49If you need to drop off.
57:50I'm sure some of you have busy lives.
57:53Adriana, I think I have you next.
57:57Hi. You mentioned how this program
58:01like values feedback a lot and
58:04it's kind of unrecognizable from
58:05how it was a couple years ago.
58:07So I was just wondering if you could
58:09speak to maybe like one change you've
58:11implemented or planning to implement that
58:13you're most proud of?
58:15Well, I've got a good one,
58:17and Claire is on the call.
58:20And Clarence, I think going
58:21to present this, right?
58:25All my work,
58:26am I required for this?
58:28Yeah. So you probably heard your
58:30name, but it was asked
58:32a change that
58:34that we made that I'm proud of.
58:36And Claire was in my office sort of
58:39asking about the project, you know,
58:41something that you might want to
58:43work on that sort of could happen.
58:45Or maybe you worked.
58:45Maybe I just gave it to you.
58:47I don't know. I can't remember.
58:48But so we I'm very proud of this.
58:52I'll describe it,
58:52and Claire's going to,
58:53I think, going to.
58:54Analyze the test statistics as
58:56soon as I get them to her.
58:58But we had a prize in our residency
59:03called the Lewis Levy Award.
59:06It was named after a late clinician
59:09educator within the neurology community.
59:14And the award was given to an outstanding
59:19PG Y2 and the old way up until I think
59:232018 the award was given was that.
59:29That the faculty members,
59:32one of our residents,
59:34our Resident Coordinator,
59:35would send the faculty members just
59:37request nominations and they would
59:39e-mail them back to the Resident
59:41Coordinator and she would tally them
59:43up and the winner was the person who
59:45got the most votes basically. And.
59:49Overtime, this caused a lot of problems.
59:52People were just very upset
59:54about this and in retrospect in
59:56ways that were incredibly valid.
59:58And so we changed it so that it
01:00:01wasn't so much tied to the intrinsic
01:00:04value of one person over the other,
01:00:07but rather a competition to submit
01:00:10cases sort of in the style of like
01:00:12a clinical reasoning case from the
01:00:15neurology journal or something like that.
01:00:17And we as a committee put together a.
01:00:19Set of guidelines which are very explicit
01:00:21about how the case would be put together.
01:00:23Word limits pretty short.
01:00:25All that stuff,
01:00:26and we said all the POI twos have
01:00:28to submit a case.
01:00:29I took the names off the cases and
01:00:32distributed them to five faculty
01:00:34members who scored them on a on
01:00:37a system that we disseminated in
01:00:40advance and the Umm prior to 2018.
01:00:46The the gender breakdown, male,
01:00:48female, gender breakdown of our
01:00:50residency was 40605050.
01:00:52It was pretty close,
01:00:53and the winners of the Levy award
01:00:56was 75% men.
01:00:57So clearly a bias and we're
01:00:59still sorting out these data,
01:01:01but probably about 90% white,
01:01:03which again was not the the racial
01:01:05breakdown of our residency program.
01:01:07And after we made the change,
01:01:09we're still waiting for our first man winner.
01:01:13It's been 100% women.
01:01:15Uh who haven't have won the
01:01:18award and the reason I'm proud
01:01:20of that is for a few reasons.
01:01:22One is one of our chief resident said
01:01:25I don't like this was Frank to me
01:01:27about it said that it's I I think this
01:01:30system is flawed it's problematic.
01:01:32I how would you possibly rate a clinician?
01:01:35I think that's right.
01:01:38And the daughter of Doctor Levy is in
01:01:40our department and really felt strongly
01:01:43that we should continue to honor her father.
01:01:46And there was some,
01:01:47you know,
01:01:47a group that had put together this award.
01:01:50And so we figured out another way,
01:01:52and it's a way that's based on some merit,
01:01:55but it's on a specific task.
01:01:56So we're really proud of that.
01:01:58It's a small thing,
01:01:59but I think a significant thing.
01:02:00And and I'm glad you asked because
01:02:01I'm just really proud of that.
01:02:07All right, Alexandra.
01:02:10Hi everyone, thank you for
01:02:11hosting this open house.
01:02:13I was just wondering if there
01:02:14is blocked educational time,
01:02:15perhaps outside of any new lectures.
01:02:21No. What do you mean? Maybe this is
01:02:24something that other programs do.
01:02:27I was just wondering if there were
01:02:29sort of recurring educational
01:02:30sessions throughout, for example,
01:02:32like PG Y one or PG by two year.
01:02:35And I know sometimes it's
01:02:37difficult to get to some of those
01:02:39lectures over the noon hour. Yeah,
01:02:41great question. So I'm aware
01:02:43some residency programs have like
01:02:45courses or or things like that,
01:02:47that they start at the start or halfway
01:02:49through the year or something like that.
01:02:51No, you know, our.
01:02:52A couple of things that we do
01:02:54that feel strongly about being
01:02:56effective are during the clinic
01:02:58block all the POI twos would be
01:03:00able to acknowledge that I block
01:03:03off at least 1/2 day for learning.
01:03:07That's on self-directed modules Dr
01:03:10Schaeffer's movement disorders modules.
01:03:12The EEG modules on the neurophysiology
01:03:14weeks when the residents are on
01:03:17the neurophysiology weeks at the
01:03:19start of the year we also block off
01:03:22half of the day so the.
01:03:23The mornings they'll go to MG clinic,
01:03:25in the afternoon actually,
01:03:27they're able to go home and work
01:03:29on self-directed EG educational
01:03:31modules and the expectation is they
01:03:34complete them during that time.
01:03:36They really have minimal
01:03:37other responsibilities,
01:03:38except when I ask them to meet with me,
01:03:41which occasionally happens
01:03:42for a routine meeting.
01:03:44The other thing we do that we're really
01:03:47proud of are a lot of simulations
01:03:50and simulation based teaching
01:03:52Doctor Schaefer is working with.
01:03:54Couple of our chief residents
01:03:56on some simulations that are
01:03:58focused more on softer skills.
01:04:00Communication,
01:04:00so you can tell me the
01:04:03other ones in a in a second.
01:04:05We also do a brain death simulation,
01:04:08which is set aside.
01:04:09We do these things called
01:04:11one-on-one check INS,
01:04:12which are one-on-one sessions with one
01:04:15of us who's a specialist in either EEG,
01:04:19EMG and movement disorders.
01:04:21And every resident gets a dedicated
01:04:23one-on-one time that's structured and
01:04:25based on that and all of that really allows.
01:04:28Residents to have time that's set aside
01:04:31where they have no other responsibilities,
01:04:33where they are learning those tasks,
01:04:35but we we it's just logistically it
01:04:37would be very difficult to have,
01:04:40you know,
01:04:40a week in a classroom or something like that.
01:04:43And also I don't want to bore you,
01:04:44but I'm not totally convinced that
01:04:46the best way to learn.
01:04:47I really don't.
01:04:48I think that you have to have a
01:04:49longitudinal sort of thread of
01:04:51learning and lots of thoughts about
01:04:52learning theory and why I don't
01:04:53think that would be the best way to.
01:04:56Thanks so much. The
01:04:57simulation sound really cool.
01:04:59Sarah? Tell us about the what the
01:05:03upcoming simulations we're doing.
01:05:04Couldn't remember all the details.
01:05:08I'm going to try to remember
01:05:09them off the top of my head.
01:05:10OK, so there's dealing with
01:05:14the discriminatory patients.
01:05:16Interprofessional communication.
01:05:20PN a diagnosis.
01:05:24Prognostic discussion.
01:05:28Disclosure of a medical error.
01:05:34That sounds right.
01:05:35I'm missing one, but I can't.
01:05:37Impaired colleague.
01:05:38Impaired colleague.
01:05:39Yes, impaired colleague.
01:05:40Thank you. Yes.
01:05:43You see your cat?
01:05:47Yeah, Merlin. It's cat time. Anybody
01:05:53else kept cats? We have a lot
01:05:55of cats in the residency.
01:05:57Also, dogs we don't discriminate.
01:06:00We do have dogs, but I feel
01:06:02like we have more cats.
01:06:07Announce that I felt that
01:06:08I filled the VA work room
01:06:10with inspirational cut photos.
01:06:12If anyone is working there in the future,
01:06:14you will see them and you will be inspired.
01:06:17I want to say that our attending
01:06:19was very inspired by that last week.
01:06:22She was big. Yes, it was the manual.
01:06:27You know there is a cat
01:06:29person. It is Emmanuel.
01:06:32We our family got a Bengal cat,
01:06:35which some of you are nodding.
01:06:36You've heard of these?
01:06:38They're she's absolute lunatic and
01:06:40she wakes us up every morning and.
01:06:42I think it was a good idea.
01:06:45Next year, it's the best.
01:06:47What's that? Nothing.
01:06:48I'll tell you later.
01:06:49We're getting off. My cats.
01:06:52We're we're Oh my goodness,
01:06:55you're getting derailed.
01:06:58Several cats showing up.
01:07:00Maybe we should take our last
01:07:02question from Ahmed before we
01:07:04like fully devolve into this.
01:07:09Thank you guys for this session.
01:07:11Thank you Doctor Miller.
01:07:12This has been very informative.
01:07:13You might have to come
01:07:14closer to your microphone.
01:07:17OK, don't give me.
01:07:20Is this better?
01:07:23Little bit. OK. I can
01:07:25raise my voice actually.
01:07:26So and my my question actually was
01:07:28about the educators track like we
01:07:31we've mentioned earlier that residents
01:07:33can get like some sort of sub track
01:07:35during the residency training where
01:07:36they can become like a clinician
01:07:38educator or something like that.
01:07:40Can you like expand more about this track?
01:07:45Yeah, as I said it, it's evolving.
01:07:47It will soon be getting
01:07:48distracted by these cats,
01:07:50but it will soon be a clinician educator
01:07:55distinction which will be department wide,
01:07:58but includes formal training and education,
01:08:01neurology education journal clubs,
01:08:03which several of our attending tonight
01:08:07have presented lots of teaching sessions.
01:08:09And I think Celia actually mentioned sort
01:08:12of our dedication to teaching and it is
01:08:14something that we're really proud of.
01:08:16Tons of opportunities for teaching
01:08:18a mentored project which many
01:08:20of our residents are working on.
01:08:22One of those projects,
01:08:24for example is the podcast which many
01:08:26of you have probably listened to and
01:08:30and this year, starting this year,
01:08:32I think it's September,
01:08:33will be a series of courses of classes
01:08:36which will be actually across the
01:08:39institution on topics like bedside teaching,
01:08:42teaching with technology,
01:08:43which I think Sarah is going to do.
01:08:48Jeff, you're doing one. What?
01:08:49What's the topic you're doing?
01:08:50I can't remember. I
01:08:52don't think I'm involved in these
01:08:53ones, that they sound interesting.
01:08:54The ones with Dana Dane?
01:08:55I thought I saw you sign up, but anyway.
01:08:58Mentorship, curriculum,
01:09:00development, feedback, assessment.
01:09:03You know the the basics and by the end
01:09:06of that you get a nice certificate,
01:09:07neurology education certificate and
01:09:09and it's an indication indicator
01:09:11that you put substantial work
01:09:13into education and teaching.
01:09:14And a lot of our residents do formal
01:09:17and informal teaching and a tradition
01:09:19we've had for a long time, which I love,
01:09:21is sending really nice comments from
01:09:24students to residents I send out about,
01:09:26you know, five or six of these emails a week.
01:09:28At least.
01:09:30And they're so nice.
01:09:33The things that the students say about
01:09:34our residents are pretty special.
01:09:36They're pretty amazing.
01:09:40Thank you so much, Doctor Miller.
01:09:43Umm.
01:09:46What are the characteristics we're
01:09:50looking for in upcoming residents?
01:09:53Well, maybe I'll give this to the residents.
01:09:55How would you describe? Our residents.
01:10:01I think that. You know something I always
01:10:04focus on when I'm interviewing applicants
01:10:07is is the fit into our resident group
01:10:11because I think a lot of our faculty.
01:10:14And other interviewers are able to focus on.
01:10:17You know some of the other aspects,
01:10:19but I think fitting into.
01:10:21The work environment that you're
01:10:22going to be in is very important.
01:10:24So one of I think our greatest
01:10:27priorities as a resident group is to
01:10:30work as a team and to support each
01:10:33other and look out for each other
01:10:35and like actually be proactive about
01:10:39helping each other and not like
01:10:42leaving someone behind, basically.
01:10:44So I think to succeed as a resident here,
01:10:47you need to have that mindset
01:10:49that you're not just there.
01:10:51Uh, take care of your patients and go home.
01:10:54You're there to make the work
01:10:56environment the best that it can be.
01:10:59You're there to help support your other
01:11:02residents because that's how we grow is
01:11:04to support and learn from each other.
01:11:07And so I think if you're not somebody
01:11:10who's going to be team minded like that.
01:11:13Then it may not be the right program for you.
01:11:19Celia had some thoughts about hamster people.
01:11:22I hope, I hope we haven't defended
01:11:25anyone any look any of those hamster
01:11:27people out there we that's not
01:11:29included in our application review.
01:11:32Please feel free to apply.
01:11:34It will be fine and but bird people
01:11:37definitely actually in our most recent.
01:11:40Yeah, our Wellness chief put together
01:11:43a put together a monthly newsletter
01:11:45and one of the things actually
01:11:46that I started to look into was
01:11:48a bird watching app, right?
01:11:50So really cool.
01:11:52Some of our residents are weird
01:11:54people apparently. Who knew?
01:11:56And Harry and Christine are dog people.
01:11:59Me too. I think they feel, I feel person.
01:12:05Have the dog person.
01:12:06You've got big dogs. Two dogs.
01:12:09Like we have a cat too. I like cats.
01:12:12Yeah, and chicken.
01:12:16Also chickens. It's it's one of the
01:12:19advantages of living in Connecticut
01:12:21that there's really lots of.
01:12:22Opportunities to live with animals.
01:12:31Technical, it's say all right.
01:12:34So I you know what?
01:12:36I'm going to ask you to
01:12:38e-mail me separately about
01:12:39the technical questions.
01:12:41I think that's best
01:12:44jeremy.mueller@yale.edu. Umm, so.
01:12:50I think that's it for the questions.
01:12:53Any last comments from our residents,
01:12:55things we haven't covered,
01:12:56that would be really important.
01:12:58I think you are starting to
01:12:59get a sense of our culture.
01:13:00I can't keep my eyes off of these
01:13:03cats that are going around.
01:13:08Mines downstairs, I'll just add.
01:13:11I think that. Annie
01:13:13and I are also available to
01:13:17answer anyone's questions,
01:13:18particularly if they are,
01:13:20you know, questions that,
01:13:22for whatever reason you'd prefer to
01:13:24ask of a resident rather than faculty.
01:13:27So I think, you know,
01:13:29Annie and I can both put our
01:13:30emails in the chat so you guys can
01:13:32reach out to us if you have any
01:13:34questions about applying as well.
01:13:37Oh, and I just wanted to put this
01:13:39out there is that we have
01:13:41several members of our program who are
01:13:43fairly observant in different religions,
01:13:45and if anybody has questions about religious
01:13:47life in this area,
01:13:49I can personally speak to Jewish life.
01:13:51We have people in various faith
01:13:53traditions in our program.
01:13:54If you have any questions about that,
01:13:56you can reach out to either
01:13:57Katie and Annie or Doctor
01:13:58Muller and get put in touch
01:14:00with anyone of us.
01:14:05It's a, it's a, it's a wonderful group.
01:14:10And it's tremendous privilege to be
01:14:14the residency director in this group,
01:14:17and it it really is.
01:14:19You know, there are amazing
01:14:21opportunities here for learning.
01:14:23There's many opportunities for clinical
01:14:26learning and for research and scholarly work.
01:14:30And we have tons of expertise and I
01:14:32think a really great educational program,
01:14:35but it's people, you're getting a sense
01:14:37of that and it's a wonderful community.
01:14:40And something I'm so proud of is that
01:14:43our residents really do walk the walk
01:14:45in terms of supporting each other and
01:14:48they feel very strongly about that
01:14:50and it's at the core of what they do.
01:14:52And I think you're seeing a bit
01:14:54of that tonight.
01:14:54So it it makes me very proud
01:14:57and we're incredibly proud of
01:14:59our residents and they're fun.
01:15:03So I think on that note,
01:15:06unless there's any pressing.
01:15:08Questions, we will sign up.
01:15:12Alright, thanks everyone.
01:15:14I'll stay on and hang on accurately
01:15:15for another minute or two in
01:15:17case there's any questions.
01:15:18Otherwise, thanks for attend.
01:15:21Thank.