Yale Arthroplasty Fellowship Program Summary 2024

January 31, 2024

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00:02Greetings, I'm Doctor Lee Rube with
00:04Yale Orthopaedics and I'm excited to
00:06talk to you about the Yale Arthroplasty
00:08Fellowship Program to give you an
00:10introduction to our program and tell
00:12you more about our department and
00:13our division and all the exciting
00:15things going on here in New Haven
00:17surrounding this wonderful program.
00:19This is January 2024 program overview
00:21for the springtime for our current match
00:23cycle which will match in April of 2024
00:26for the anticipated 2526 position.
00:30So greetings to everyone from Yale
00:31University here in New Haven, CT.
00:32This is the Sterling Hall of Medicine
00:34which houses the Dean's office,
00:35the Medical school and the historical
00:37Medical library as shown here,
00:39which is one of the most beautiful
00:41spaces to to study and visit.
00:44Our department is led by Doctor Lisa
00:46Latanza who joined us after many years
00:48at UCSF and she's been here since 2019.
00:50She served in many international roles
00:53and continues to be a major leader
00:55in the world of shopper extremity
00:57reconstruction 3D printing and we'll
00:59talk about that a little bit later on.
01:01Our faculty education leadership
01:03is led by Adrian Sochi.
01:05Dr.
01:06Sochi is the program director for
01:08the orthopaedic residency assisted
01:09by Doctor Salim and Tuasin.
01:11And Doctor Lynn Scog is our
01:13Vice Chair of Education,
01:14overseeing the residency and fellowship
01:16programs here in the department.
01:18Our departmental mission to deliver
01:19exceptional patient care by fostering
01:21a culture of respect and well-being,
01:23seeking innovation,
01:24diversity,
01:25excellence across our missions and supporting
01:28our community locally and globally.
01:30Our Division of Adult Reconstruction is is
01:33joined by many wonderful attending faculty.
01:36Dr.
01:36Idine Islam Poor is our VA Chief Doctor David
01:40Gibson is a longtime faculty member here.
01:42Doctor Tom Hickardell is is in Greenwich
01:45and Stanford locations in our practice.
01:46Doctor Meng NI Lee has joined us
01:48from Ohio State about two years ago.
01:50Doctor Elda Malloy has just
01:52joined us after her fellowship.
01:54And Doctor Dan Wisnia,
01:56who helps run our technology and innovation,
02:00He's the Innovation Director.
02:02Our current fellow is
02:04Doctor Andrei Brzezinski.
02:05We have two Americus faculty members,
02:07Doctor Pelker and Dr.
02:08Wu, who've recently retired.
02:09And we mourn the loss of
02:11Doctor Keke last July 2023.
02:13May he rest in peace
02:15ongoing faculty recruitment.
02:16We're excited to have two
02:18new faculty joining us.
02:19One will join us in the fall of this year
02:21split between the VA and Yale Medicine.
02:23Doctor Leiniger is joining
02:25us out of his fellowship.
02:26Second position has been confirmed
02:28and will be announced shortly.
02:30We have another two positions will be
02:32opening in Bridgeport area in Fairfield,
02:34CT one in New London,
02:35CT.
02:36Our division has four full time
02:38APP staff which will be growing
02:39as we grow our division and we're
02:42also joined by Doctor Leslie in the
02:43orthopaedic trauma division who does
02:45about 200 anterior total hips and
02:47revisions and complex cases each year.
02:48And Doctor Matt Riedl is doing total knee
02:51using Mako from the trauma department.
02:54Our orthopaedic residency program
02:56has a strong tradition of training
02:58arthroplasty residents that have gone
03:00into arthroplasty faculty fellowships,
03:02including some of the wonderful
03:04programs listed here on the left.
03:06So we're very pleased to have a
03:07number of other residents rising in
03:09our program going into arthroplasty,
03:10including one of our chiefs
03:11going to Oxford this year,
03:12one in the cycle this year and one
03:15anticipated for the cycle next year.
03:16Our first fellow was Eric McDonald
03:18in 21 in 22 who trained with us.
03:21He did about 492 cases,
03:23but we know that there was a COVID
03:24shutdown that January unfortunately,
03:26so that slowed things down a bit.
03:28But he's out in practice in California.
03:30Our second fellow was on Sub Kwasha,
03:32who joined us after being at
03:33University of Arizona, Tucson.
03:35He did 634 cases last year
03:38with 35% complex in revision.
03:40He did an international trip to
03:42Belgium and Paris last May and he's
03:45now in practice in Portland, OR.
03:47Our current fellow is Andre Brzezinski,
03:50who's so far has done 200 cases
03:53in the four month data set and
03:54we'll hear more about that.
03:55So he's on pace for about 600 cases.
03:58He'll be going to University
03:59Orthopaedics Group in New Brunswick,
04:01NJ Our 4th fellow matched is Doctor
04:03Mohammed Padilla who's coming from
04:04the Wayne State University in Detroit
04:07Medical Center next year will be
04:08starting this August of 2024.
04:10The 25 and 26,
04:12we're looking for you our next
04:14match fellow and we're excited
04:16to show you this program.
04:17Our department has a number of
04:19fellowship programs including our
04:20joint reconstruction position.
04:22We're one of a few positions
04:23between Boston and New York and
04:24the only one in Connecticut.
04:26We have two hand surgery positions
04:27here with plastic surgery,
04:29Ortho Trauma and Ortho spine as
04:33well as Ortho Sport each have one.
04:34And we have number of non
04:37clinical research fellows,
04:38students and visiting scholars that spend
04:39time with us throughout the year or
04:41a whole year with us in the department.
04:43We've been able to fortunately travel
04:44the last few years after COVID.
04:46We're getting back into conferencing
04:48the DA courses,
04:49AOS robotic courses with the
04:51residents and and attendings.
04:53So it's been a lot of fun to
04:54get out and about.
04:55Our current fellow was able to
04:57get the iMac course in Houston,
04:58TX on the left and then also August
05:012023 in Dallas on the right.
05:03And we were able to to highlight our
05:05department's work with two top 100 posters,
05:07both by Doctor Poor on the
05:08left and myself and Wesley Day,
05:10who's a student at Albert
05:11Einstein College of Medicine.
05:12There we took the residents out to dinner.
05:15It was a lot of fun.
05:16We have nice,
05:17nice time with faculty and attendees
05:18and celebrate the work that's
05:20being done here in our program.
05:22Some unique divisional highlights
05:23in our Arthroplasty division.
05:25We are very pleased to host
05:27Doctor Young Wu Kim,
05:28who is the 2023 Traveling fellow
05:30of the Japanese Hip
05:32Society who came to visit us from Kyoto,
05:34Japan and were able to learn with
05:36him as a scholar and teacher.
05:38And he spent about a week
05:39with us here in the division,
05:41which was very exciting.
05:42We have a 3D surgical innovation and
05:44Research Center which has grown and its
05:46size and capability over the last few years,
05:48led by Doctor Latanza and Doctor Dan
05:51Wisnia and others who are contributing
05:53both modeling upper and lower extremity
05:56diseases and custom cutting guides
05:58and custom orthopaedic solutions.
06:00Doctor Wisnia and Doctor Thomasini
06:02in our apartments have founded what
06:04is now one of the only Masters of
06:06Science and Personalized Medicine and
06:08Applied Engineering in partnership
06:10with the School of Engineering.
06:12This is a one year degree program
06:13listing some of the many highlights
06:15on the right and it's one of the
06:17only programs in the world that's
06:18really offering this.
06:19Currently that program has grown and grown.
06:21You can read more about it online.
06:24Avastin Necrosis Center of Excellence
06:25is another project that we founded
06:27here to bring patients especially
06:28the early stage AVN.
06:30Most of the patients are coming to
06:31us all over the country with stage
06:33two AVN and we're using 3D modeling
06:35and computer navigate delivery of
06:37stem cells and ontoplasty care.
06:39It's the interdisciplinary
06:40program with multiple divisions,
06:42physiatry and hyperbaric medicine
06:44for example, we're empowering Yale.
06:46New Haven Hospital is a local,
06:47domestic and international
06:48destination and there's going
06:50to be future opportunities for
06:52research and education based on
06:57all of this work.
06:58We have historical collection of implants
07:00at Yale University School of Medicine
07:02and Historical Library and this was an
07:04example teaching last last February,
07:06the school of engineering classes
07:08about implants and failed implants.
07:10We get to take the implants out and
07:11actually share those with the students
07:13and instruct them and show them some
07:15of the design features that were
07:16good or bad or other and give them
07:18hands on experience taking some of
07:20the world's most unusual rare and
07:23other implants to learn from them.
07:25And these are the tables sharing
07:27the implants and talking about hip
07:29surgery with these aspiring students.
07:31We are very fortunate to be visited
07:32by CBS News National investigative
07:34report that Anna Werner who visited I,
07:37Dean Poor and I in the library there
07:38to learn more about the pro femur
07:39implant which we have in our collection.
07:41And they gather information for
07:43their national investigative story
07:44and partnership with Kaiser Family
07:46Foundation online.
07:47And and we're very pleased to inform
07:49them about some of these features.
07:51Pleased to share that we've launched the
07:53Depew Anterior Vantage Technique Guide,
07:54which I helped coordinate and
07:56publish this past year.
07:58And that's now available as a resource
08:00on the Depew Institute Anterior
08:01Advantage page for anyone looking to
08:03learn more about anterior hip surgery.
08:06I've also published 1 textbook in 2016,
08:07and I'm thrilled to tell you that
08:09the next textbook is coming out
08:11and it'll be launched.
08:13AOS 2024 will be available in
08:16print by late April of this year.
08:19Our joint replacement program in the
08:20hospital has a number of highlights,
08:21one of which is the outpatient
08:23arthroplasty program through our Mcgivney
08:24Center for Advanced Surgical Care.
08:26We began this in 2017 to develop our
08:29protocols, launched the program in 2018,
08:31updated recently with a new care
08:33signature order set to take the outpatient
08:35protocols across the entire health system.
08:37This year,
08:38we have a nurse Navigator program
08:40which we launched again in 2017,
08:42which has really grown annually to
08:43match the surgical volumes here.
08:45It's closely tied to patient
08:47satisfaction and clinical outcomes
08:48to optimize those patients and
08:50follow best practice guidelines.
08:52There's an entire world of research
08:53being built around this and other
08:55exciting things that will become
08:56known in the year ahead.
08:58The Yelp Fragility hip fracture
08:59program is a very busy program.
09:01That's another Joint Commission
09:02certified program here.
09:03We have 500 cases of hip fracture annually.
09:06We have an advanced certification
09:07program in addition to our hip
09:09and knee replacement as well as
09:11shoulder replacement spine fusion.
09:14And we are one of the only centers
09:16in the United States has five Joint
09:17Commission programs under one roof.
09:19We're very proud about that.
09:21We went to the NAON meeting the
09:2343rd Congress in Pittsburgh and
09:24delivered a wonderful seminar in
09:26partnership with our lead navigator,
09:27Nurse Chris Kristen Nelson there and
09:29Doctor Jin Lai Lee who's our Director
09:31of the Fellowship for Pain and Nerve
09:33Block Anesthesia, regional Anesthesia,
09:35very excited to be leaders in that space.
09:38Our our program also has just built a
09:40new dashboard which is a way to track
09:42data and and provide real time data
09:44collection across a number of metrics
09:45across the entire hospital and healthcare
09:47system to guide program improvement.
09:49We have AY axis transfer program here
09:51where patients are transferred from
09:52across the state and around the region.
09:54Examples are para prosthetic infections
09:57and fractures revisions complications.
09:59We see anywhere from 1:00 to 2:00 to
10:013:00 to five of these almost every day
10:03now and they're coming in and increasing
10:04numbers which is great for fellowship
10:06training program and we have a prosthetic
10:09joint center of excellence for infection.
10:11We're we're working in collaboration
10:13with the ID service pharmacy and research
10:15lab to focus on infection prevention
10:17as well as adjunctive phase therapy,
10:20which is a novel adjunctive treatment that
10:22we're trying to advance the science around.
10:24We have a unique program here called
10:26the Keggy Kimball International
10:27Fund for Orthopaedic Education,
10:29which was founded by Chris Keggy
10:30many years ago in his practice where
10:32he hosted surgeons not only from
10:34the US but around the world.
10:36And about 200 of those surgeons
10:37were trained through his practice.
10:39He had surgeons visit from Latvia,
10:41Lithuania,
10:42Georgia,
10:42Estonia and many other places and he paid
10:46the room and board and now he was able
10:48to teach and other things over the years.
10:50So we've hosted a number of
10:52program visitors from Turkey,
10:53China, Republic of Georgia,
10:55Vietnam and Latvia.
10:56We suspended the program due to COVID
10:58and then we restarted this past year.
11:00We're very pleased when the when the
11:02guests are here to host them both for
11:04a few months as well As for a wonderful
11:06celebration dinner at the end of their time.
11:08And this year after the COVID
11:10restrictions have been officially lifted,
11:11we've hosted guests from Italy, Japan,
11:13University of Ghana as well as Pune,
11:16India.
11:16And we're very pleased to have these
11:18scholars from all over the world coming
11:20to Yale to exchange ideas with us,
11:22teach us and learn with us in our service.
11:25Funds are available for a faculty
11:27to prevent present internationally.
11:28I went to Rome,
11:29Italy last year and there's other
11:31trips that were done to the European
11:33HIP Society and two faculty members
11:35are going to Turkey this coming fall.
11:37Funds are also available for a Yale
11:39Arthroplasty Fellow for a two week
11:41funded trip in May of each year.
11:43The fellow must designate appropriate
11:45surgeon mentors and destinations,
11:47outline their visit goals in a
11:49written document for the university.
11:50Our Doctor Kwaja, as we mentioned,
11:52visited Doctor Courtson in Gang,
11:53Belgium and Doctor Frederick Loday in Paris,
11:55France and Doctor Brzezinski is
11:57working on a trip to go to Germany,
12:00Poland, and possibly Austria.
12:02Our fellowship program logistics.
12:03Importantly for the fellow,
12:05this is the Pgy 6 Salary table,
12:08full benefits and Wellness packages
12:09provided by the Young Haven
12:11Hospital GME department and
12:12it's available on their website.
12:13You can see all the listed benefits.
12:15All residents and fellows of the
12:17hospital have the same benefits.
12:18Package and structure of that
12:19is is consistent throughout the
12:21training programs here at Yale.
12:23All fellows are paid at Pgy 6
12:25level regardless of whether they've
12:27done a prior fellowship or not.
12:29Examples during the week we have
12:30deducted conferences on Monday is
12:32our fellows conference which is a
12:33AQUS fellowship focal curriculum
12:35which we adopted in 2022.
12:37We begin with the curriculum topics
12:38and then we move into indications
12:40and complex cases, revisions,
12:41fractures, infections,
12:42etcetera that are planned for the week ahead.
12:45Thursday was a resident LED education
12:47conference in the same time frame
12:49highlighting the top 10 topics of OIDI
12:51over the course of their rotation.
12:53And we review core principles
12:54and discuss current papers and
12:56reiterate with OIDI questions.
12:57On Friday morning,
12:58we typically have our 7:00
12:59AM grand rounds and M&amp;M.
13:01So that goes from 7:00 to 9:00
13:02and then from 9:00 to 11:00 is
13:04resident education curriculum.
13:05Typically in the spring and March
13:07or April we have a four week
13:08block of total joint lectures and
13:10educational sessions that we host
13:11as faculty and the fellow teachers.
13:13During that time we often have
13:15a journal club or skills lab,
13:17mobile anatomy lab etcetera.
13:18And the summer there's a surgical
13:20anatomy course that the residents run.
13:22The fellowship program is expected.
13:24There's called two to three weekends
13:25per block which about 10 week block in
13:28partnership with our university faculty.
13:29It's a second call program.
13:30You cannot be on first call as a
13:33fellow Here the fellow is responsible
13:34for making rounds on the weekend,
13:35writing notes and sign out with the
13:38covering team and then covering hip
13:39fracture program on the weekends
13:40as well as any other add on joint
13:42cases that there may be.
13:43We try to target.
13:44The ACG may average of one day per week
13:46in the office on the each rotation.
13:48The fellow is expected and required
13:50to participate in round each day of
13:52the service with the resident team and
13:53participate in the daily sign out,
13:55which we host on Zoom around 7:00
13:57AM each day work hours.
13:58Reporting is required weekly to
14:00the GME office.
14:01The case log is required and it currently
14:04is being conducted by a Google spreadsheet.
14:06But we're going to migrate to the
14:08Akas Case log once that becomes the
14:10national standard for arthroplasty
14:12fellowships very soon.
14:13And the fellows required to participate
14:15involved with at least one project
14:17that's suitable for presentation and
14:18publication on the national level.
14:20Further responsibilities.
14:21The Fellows required to do some
14:22teaching on Monday and Thursday.
14:24Conferences of course,
14:25didactic lectures throughout the year
14:27and participate in educating medical
14:28students and residents on a daily basis.
14:31There is physical examination sessions
14:32held quarterly for the PA and MD students,
14:34and the fellows are great teachers
14:36for those sessions on the hip,
14:37knee and shoulder exam, for example.
14:39Monthly M&amp;M and grand rounds
14:41participation is expected.
14:42And here's Doctor Burzynski on the right,
14:44presenting with Doctor Leslie at
14:46our M&amp;M conference credentialing
14:48academic appointments.
14:49Our fellows are credentialed as an
14:51attending surgeon at Yale Navin
14:52Hospital and therefore must be
14:53able to obtain a license as we're
14:55not an ACGME certified program.
14:57The title received is Clinical
14:58Instructor of Orthopaedic Surgery
14:59at Yale School of Medicine For
15:01the year of the fellowship.
15:02Our current rotation schedule coincides
15:04with the residents on service.
15:05We have a three and A5 rotating and we
15:08have an intern 10 out of 12 months a year.
15:12So we're based on a three tracks
15:13with examples shown here,
15:14Fellow Pgy 5 and PGY 3 and it
15:17shows where the fellow would be in
15:19that first line and then second
15:20person is on the second line,
15:21the third person's on the third line.
15:23And we try to keep on those tracks.
15:24So you have mentorship from those
15:26faculty for that three or four
15:28week rotation and the rotations
15:30continue throughout the year.
15:31Residents are tied up on Friday and
15:33those education are embargoed until noon.
15:35So the fellow typically will operate
15:37on Friday morning with one of the
15:39available OR attendings there.
15:40And Fridays are a rotating schedule
15:42depending on which week it is
15:44and who's in the OR case volume.
15:45Our division currently performs
15:47over 2000 cases a year and growing.
15:49Our hip fracture program does
15:50about 500 cases a year.
15:52Our single arthroplasty fellow here
15:54is expected to do on average about
15:56600 cases with 30 to 35% complex
15:58primary and revision casework.
16:01We have vendors here for primary hip,
16:02we have all the four major vendors, Depew,
16:04Smith and Nephew, Stryker and Zimmer.
16:06And for revision infections,
16:07we bring in everything under the sun,
16:09anything that may be required and
16:11their contracts are updated every few
16:13years system wide across our seven hospitals.
16:16So in summary, our fellowship has
16:17key focus here is that anterior hip,
16:19uni,
16:20caudular knee and outpatient
16:22arthroplasty protocols etcetera,
16:23extensive infection and paraprosthetic
16:25fracture case volume on a weekly basis here.
16:28A high volume of complex and revision
16:30joints that are that are constantly
16:32coming to Yale from all surrounding
16:34hospitals with a very busy hip
16:35fracture program as mentioned and
16:37extensive experience in fractures,
16:38periprosthetic fractures,
16:39unusual injuries,
16:40hemior arthroplasties and total hip
16:43arthroplasties for fracture and trauma.
16:45We have Intelli Joint hip and E navigation.
16:47We have two Striker Mako robots at
16:48the Milford Hospital which is part of
16:50our Bridgeport and Milford campuses
16:51and we have two more Makos in the system now.
16:55One is it's a Greenwich hospital and
16:56one is at Yeldon Haven Hospital.
16:58There are some robots in the mix
17:00from Depew at Greenwich Hospital
17:02and Zimmer that's being discussed
17:03currently and that continues to
17:05evolve over time as expected.
17:06Custom implants and PSI components
17:08are also available on a case by
17:11case basis and Yale certainly has
17:13extensive academic and research
17:15opportunities here
17:16from all the faculty being highly involved
17:18in research projects and teaching on a
17:21national international basis, we have
17:22one single fellow per year at this time.
17:24There may be future expansion of the the
17:27arthroplasty faculty as well as the fellow in
17:29the future that is currently in evolution.
17:31Our goal is currently interviewing or
17:33plan to add a research fellow for this
17:36coming academic year and possibly a
17:38second arthroplasty fellow for 2026.
17:40We're very pleased to say that
17:42mentorship and professional development
17:43are key part of our fellowship.
17:45We're deeply involved in the
17:46in the Fellows education,
17:47there's daily feedback highlighting
17:49decision making process and total
17:51joint and emphasizing the need
17:53for critical thinking skills on a
17:55daily basis to make the decisions,
17:56especially as the year goes on to
17:59move towards individually training
18:00process and graduated responsibility
18:02and a rapid transition throughout the
18:04fellowship towards independent practice.
18:06We have a responsive and adaptive
18:08training experience because we're
18:10focused on one fellow's education
18:11and we can be very responsive.
18:13Now what about New Haven, CT?
18:14For those of you have never been here.
18:15It's actually a really nice place to live.
18:17As it turns out.
18:18There's a lot of nice parks in
18:20New Haven on the green.
18:21There's a lot of interesting things
18:22to do around the Yale community.
18:24There's a lot of beautiful areas to
18:25hike in the shoreline of Connecticut
18:28and if you've never been here,
18:29food is the center of the universe,
18:31especially a pizza.
18:32A pizza is the the famous New Haven
18:36pizza is is tops in the nation.
18:38And no matter what you've heard
18:40otherwise we we we rank consistently
18:41in the top ten of the United States.
18:44Ton of other great restaurants
18:45some of which are shown here.
18:47Everyone has a favorite pizza restaurant
18:49you know in USA Today's top 15/20/21.
18:52You saw the list on the left and
18:54there's the daily meals top 101.
18:56You have five of them in the New
18:58Haven area on that list in 2023.
19:00We're pleased to say that modern
19:01pizza was ranked number one in the
19:03United States by the venerable
19:05Pizza Today Journal publication.
19:06As we all know,
19:07that highly cited publication.
19:08And then of course Barstool
19:10Sports and Dave Portnoy said,
19:11let me settle this once and for all.
19:13The pizza capital of the United
19:14States is New Haven,
19:15CT Anybody who says otherwise is wrong.
19:18Well, there it is.
19:19Other things to do besides
19:20eat pizza and operate well.
19:22There's a winery map here on the left
19:23and a brewery map in the center.
19:25And now there's a chicken wing trail in
19:26the state of Connecticut on the right.
19:28So there's a lot of fun things
19:29to do around the state, Hiking,
19:31drinking wine, eating beer,
19:33drinking beer and eating wings.
19:35The Yale Harvard football game is a
19:36semi annual event every other year
19:38hosting at home here in New Haven.
19:40And there's lots of other Yale
19:41athletic events.
19:42I personally love going to the
19:43ice hockey events with
19:44my family. As you see there,
19:46Yale was the national hockey
19:47championship in 2013, national champions.
19:49It's a lot of fun for the men's and
19:51women's hockey teams to go there.
19:53It's a really cool experience.
19:55Literally activities around New Haven,
19:57museums, music, theater.
19:58And that's just locally,
20:00there's a ton of stuff,
20:01and we're not that far
20:03from New York and Boston.
20:04Worcester has the AAA Red Sox,
20:06if you're into baseball.
20:07Hartford has a AA Yard Goats team,
20:10which is the Colorado Rockies team.
20:12So it's it's a lot of really nice
20:13things to do around New England,
20:15whether you want to go to Rhode Island,
20:16Vermont or New Hampshire,
20:17all or within a few hours driving.
20:19There's three major casinos right
20:20in in the neck of the woods here,
20:22both in Springfield as well as Mohegan
20:24Sun and Foxwoods in Connecticut,
20:26which are really spectacular places
20:28to visit and for family adventures.
20:30There's it Ropes course,
20:31which is in Jordan's Furniture,
20:32a furniture store in downtown New
20:34Haven near one of our spine buildings.
20:36And this is an indoor,
20:37the largest indoor ropes course in the world.
20:39As turns out,
20:40our residency program is fantastic.
20:41We have some of the best residents
20:43in the country every year and
20:45they're very passionate people,
20:46very intelligent and really
20:47a lot of fun to work with.
20:49We have an annual Turkey Bowl.
20:51You can see here the residents
20:53whooped us this year,
20:53but we're we're looking for,
20:55you know,
20:55people that could come and help the,
20:56you know,
20:57way down the the trainees team
20:59versus the faculty team.
21:00It'll be fun to get another game going.
21:03We have Disputations,
21:04which is our annual graduation
21:05event for the residents.
21:07This is an example of our department
21:09coming together a couple of years ago,
21:11annual summer barbecues with
21:12our division and our fellows.
21:14We were just at August 2023,
21:16and here's all the Yale faculty and
21:18residents and other participants
21:20that were contributing research
21:21and teaching and doing great work.
21:23And I'm very proud of what we've built
21:24in this division and our department.
21:26Our highlight, of course,
21:27is the annual graduation of our fellow.
21:29This was our first fellow Eric
21:32McDonald's graduation in 2022,
21:33and we had a wonderful ceremony
21:35at Dave Gibson's Backyard.
21:36In 2023, Doctor Khwaja graduated.
21:39We hosted in my Backyard nice family event.
21:41It was a lot of fun.
21:42Everyone wore purple,
21:43which is his favorite color as you see here,
21:45but we're pleased to send him on his way
21:47with the outstanding training under his belt.
21:49So if you have any questions,
21:50I'm available to contact by e-mail.
21:53Kathy Imlop is our coordinator.
21:55There's the office number as well.
21:57I thank you for listening.
21:58And if you stay on for one more minute,
22:00we have some statistics from Doctor
22:02Kwaja's fellowship from 2022 to 2023.
22:05He did this 634 cases,
22:0752% knees, 47% hips,
22:09and and so forth.
22:11I'm going to scroll through the slides here.
22:13Here's the breakdown of the
22:15attendings that he worked with,
22:17which hospitals he worked at at Saint
22:19Ray's as well as Greenwich Mcgivney Center
22:21for outpatient cases at Milford Hospital.
22:25Count of hips and knees,
22:26slightly more knees than hips and looks
22:29like there's an elbow case in there,
22:30which I'm not sure how that got in there,
22:32but hey, what do you know,
22:34primary, complex and revision.
22:35You can see primary is 57% and then
22:38we have hip fractures revisions and
22:407.5% complex primaries as well as
22:42well as a healthy dose of fractures,
22:45INDS and other infection management cases.
22:47Hip approach shown here.
22:49A nice healthy balanced mix between
22:51Antralateral posterior anterior
22:52on the Hannah table,
22:54anterior off the table navigation
22:56and technology.
22:57Use of Intelli joint with
22:59or without fluoroscopy,
23:00Mako and the fluoroscopy alone
23:04implant vendors shown here
23:09and that's it. So thank you for your time
23:11and energies to review this presentation.
23:13Look forward to meeting our interview
23:15candidates and also helping to shape
23:17the future of our arthroplasty program
23:19with your help and your partnership.
23:21And hopefully we look forward to
23:22meeting you during interview season.
23:24Thanks very much.