Yale Psychiatry Grand Rounds: June 24, 2022

Transcript

• 00:00Department psychiatry.
• 00:04As most of you know,
• 00:05my name is John Crystal.
• 00:06I'm the chair of the Department of
• 00:09Psychiatry and this is the. The number.
• 00:14The number 92 the 92nd birthday
• 00:18of the Department of Psychiatry.
• 00:20So we're we're almost getting
• 00:22up to 100 before we begin,
• 00:24I'd like to acknowledge our
• 00:26debt to the indigenous people.
• 00:29Peoples that have been displaced by our
• 00:31the creation of Yale University and
• 00:34our and the building of our community.
• 00:36And I've asked Doctor Stephanie Gilson to.
• 00:40To lead us in this so thank you Stephanie.
• 00:45Hot today my name is Stephanie Gilson.
• 00:48Like Doctor Crystal said,
• 00:49I'm really grateful to be here with you
• 00:53all today to take this moment to recognize
• 00:56the stolen land that we as Yale reside on.
• 00:59You know indigenous people were here long
• 01:01before colonists arrived, and if steward,
• 01:04this land and waterways for generations prior
• 01:07to when we even called this Connecticut.
• 01:09These tribes include the Mohegan,
• 01:12the mash tuck, Pequot eastern Pequot,
• 01:15the scanner coke, Golden Hill,
• 01:18Pogo set, Niantic, and the Quinnipiac,
• 01:21and many other Algonquin speaking nations.
• 01:25Although some of these nations are
• 01:27no longer with us due to genocide,
• 01:29displacement, boarding schools and other
• 01:34colonizing policies that were aimed to.
• 01:39They removed that indigenous
• 01:40people from this land.
• 01:42We are still here and we are still
• 01:44thriving here in Connecticut.
• 01:46We have five state recognized Tribes,
• 01:482 federally recognized tribes
• 01:50and tribes that have no U.S.
• 01:52government recognition.
• 01:53There's a big difference between that all,
• 01:55but that's a discussion for a
• 01:58later day of the two federally
• 02:00recognized tribes we have here.
• 02:01That's the mash truck Pequot
• 02:03and the Mohegan tribe.
• 02:05Some of you may have heard some
• 02:07exciting news that the chief.
• 02:09Of the Mohegan tribal and Malara
• 02:10has been announced to be appointed
• 02:12by Biden for the US Treasurer,
• 02:13so that's a big win for Indigenous
• 02:16people across the country.
• 02:18And really, a landing knowledgement is not.
• 02:21It's not enough.
• 02:23I really encourage everybody to learn
• 02:26about the tribes whose lands we are on.
• 02:29I will put a link in the in the chat
• 02:31so you can actually put in your
• 02:33address and find out who's who's
• 02:35tribal lands you're on and encourage
• 02:37you to attend cultural events,
• 02:38including pow wows.
• 02:40Power season is coming up of
• 02:42our local tribes,
• 02:43but even our Native American Cultural
• 02:46Center here at Yale has a powwow this fall.
• 02:48So solidarity can look like a
• 02:50lot of things donating time,
• 02:51money to indigenous causes,
• 02:53amplifying indigenous voices and
• 02:55and you know, returning the land.
• 02:58So I really appreciate Doctor
• 02:59Crystal you giving me this time
• 03:02and looking forward to hear how the
• 03:04department's doing predominate ado.
• 03:05Thank you so much.
• 03:06Thank
• 03:07you so much, Stephanie.
• 03:10I, as I did last year.
• 03:15I have asked a number of people to
• 03:18reflect on the year and to share.
• 03:21Share the their reflections
• 03:23with us in the form of videos.
• 03:26So before beginning my formal presentation,
• 03:30I'd like to I'd like to run
• 03:32the videos that were that were
• 03:35collected so Trisha would you,
• 03:37would you start those videos? I will.
• 03:51Hi, what a special year this has been.
• 03:56Let's just say it's been a year of an
• 04:00unexpected opportunity. Thank you John.
• 04:04And many unusual challenges.
• 04:08But one thing
• 04:10that's made this year so special
• 04:13has been the chance to reconnect
• 04:15with so many of you who have been my
• 04:19colleagues and mentors and friends.
• 04:21Throughout my career. Thank you
• 04:24for welcoming me back
• 04:26and for all of the kindness and support
• 04:29and advice you provided this year.
• 04:33I'm very grateful for that.
• 04:37And to my resident colleagues.
• 04:40What a talented,
• 04:41diverse and passionate group you are.
• 04:45I'm so grateful.
• 04:47For the patience and understanding and
• 04:51encouragement and honesty you showed me.
• 04:54As we work together on so
• 04:57many things this year.
• 04:59I am so honored and proud to serve
• 05:02as your interim program director.
• 05:05And to our faculty who are teaching and
• 05:08supervising in the classroom and across
• 05:11our many clinical sites every day.
• 05:14Thank you for inspiring our trainees.
• 05:18And for your commitment to training
• 05:20the next generation of psychiatrists
• 05:22and other mental health professionals.
• 05:25And of course,
• 05:26our staff who are working so hard every day,
• 05:30running our programs and meeting
• 05:32everyone's needs. Thank you.
• 05:35So what's made this year so special?
• 05:39It's really all of you.
• 05:42And on behalf of everybody in our program.
• 05:47Thank you for everything you do.
• 05:51And for supporting the educational
• 05:54mission of our department.
• 05:56Thank you.
• 05:58So what is this year meant to me?
• 06:01I've got to be honest,
• 06:03personally and professionally I have
• 06:06felt set back a bit and accelerating
• 06:10ahead and making progress and also in
• 06:13a holding pattern and moving at just
• 06:16the right pace all at the same time,
• 06:20though moving just at the right pace was
• 06:23a state that I felt that I only caught
• 06:26tiny glimpses of every now and then.
• 06:29Last year I felt so incredibly
• 06:32stretched so thinly stretched,
• 06:34like many of us,
• 06:36and maybe like we all were honestly the
• 06:39professional wear and tear was like
• 06:42nothing that I could have ever imagined.
• 06:46And I had this fantasy that the
• 06:48milestone of turning over a new year
• 06:51would bring with it some relief.
• 06:53And what I have found is that the
• 06:56challenges have not lessened.
• 06:58The uncertainty. Has not lessened.
• 07:03The terrible across so many
• 07:06dimensions has not lessened.
• 07:09There has been so much.
• 07:12And I could go on and on,
• 07:13quite literally because the experiences
• 07:16and their impact though on and on and me.
• 07:20But this year I knew I wanted to focus on
• 07:24amplifying and spotlighting the moments,
• 07:27the spaces, the energy,
• 07:29the people and relationships,
• 07:32and the work that gives me life.
• 07:34It was going to be a gift to
• 07:36myself and I don't mean this in
• 07:38like a toxic positivity way,
• 07:40but in a real way.
• 07:42And so this year I got to hug the
• 07:45necks of friends and swim in a
• 07:49waterfall and a rainforest and enjoy
• 07:52my daughter and really see her and
• 07:55know her day in and day out because
• 07:57we got to spend a lot of time and
• 08:00space and hours together and it
• 08:03was time and space and hours that
• 08:05I might not have otherwise gotten.
• 08:08I got to drink coffee on Friday mornings
• 08:11with Cindy, Cousteau and Beckham.
• 08:12And laugh and laugh about filling
• 08:14that coffee all over my desk or other
• 08:17things that might have been happening
• 08:19all while we were doing the incredibly
• 08:21important work of our getting our
• 08:24racism out of our work curriculum.
• 08:26I got to experience the bravery of
• 08:28trying to bring that work forward
• 08:30within the department to a group of
• 08:33incredibly receptive colleagues.
• 08:35I got you and still get you know,
• 08:38an incredible group of people in my work,
• 08:40in the anti racism task force.
• 08:42Shout out to Kirsten Wilkins and
• 08:45how hard conversations,
• 08:46which also interestingly gave me
• 08:50life and I had fun talking about
• 08:52measurement based care.
• 08:53Maybe too much fun talking about
• 08:54measurement based care with
• 08:56a powerhouse set of women,
• 08:58psychologists and the Y MBCC.
• 09:00Follow us on Twitter.
• 09:02I got to also know another inspiring.
• 09:05Of psychology trainees and witness
• 09:08their growth and change and get
• 09:10super hype on their achievements
• 09:12and hopefully support them in
• 09:14those difficult times when things
• 09:15were too much too.
• 09:16And now I feel the anticipation and
• 09:19excitement and the smell of the gift
• 09:21of doing this again with another
• 09:23group of trainees come July 1st.
• 09:26I got to celebrate being married
• 09:28for nine years and celebrate a
• 09:31number of professional milestones.
• 09:33There has been so much.
• 09:35And I could literally go on and on,
• 09:37because these experiences and
• 09:38their impact live on and me too.
• 09:42What has this event for me a procrastinated
• 09:45for a few weeks to answer this question.
• 09:48I think a more suitable question for
• 09:49me is what this year has been for me.
• 09:51It's been a year of much
• 09:53introspection and a lot of purposeful,
• 09:55overt action which is uncharacteristic of
• 09:58me as I'm an introvert and I'd like to
• 10:01achieve things quietly without much notice.
• 10:04Encounter a couple pregnant challenges in
• 10:06the past year in order to accomplish them,
• 10:09I had to actually talk to people I
• 10:11didn't know had to tell them who I was,
• 10:12and I had to ask for help.
• 10:15I had to have faith that people
• 10:16would not hate me, beat me,
• 10:18turn away from me if I opened up.
• 10:20Had to make sure that it would be
• 10:22safe because my past experience
• 10:23as other reason I'm closed up.
• 10:26When Russian leader Ukraine on Thursday,
• 10:28February 24th, I was not in disbelief,
• 10:31but I was known.
• 10:32But belief all weekend I hid from the news.
• 10:35My husband was keeping up with
• 10:36it and I would not.
• 10:38I would tell him not to expose me to it.
• 10:41On Monday, February 28th,
• 10:42my husband left for a work trip and I didn't
• 10:46have anyone to hide behind a protect me.
• 10:48Unless my kids were with me,
• 10:49I refreshed CNN and cried all week.
• 10:52And literally had my 14 year old mother sent
• 10:56me as I folded laundry so I would not cry.
• 10:59The whole experience was unreal.
• 11:02I was crying about the land and not one
• 11:04people of my ethnic and religious background.
• 11:06The whole reason I'm a refugee.
• 11:09I'm a person whose country
• 11:11of work does not exist.
• 11:13This country did not want her kind and
• 11:16made it very clear and a person who
• 11:19considers herself would probably American.
• 11:21And I was a person who cried for days
• 11:23over the tragedy that was happening
• 11:25on the land that rejected me.
• 11:27However,
• 11:28I was not going to be a person for
• 11:30seven to nothing about the genocide
• 11:31that was ensuing.
• 11:32The refugees who were forced from
• 11:34the land that they actually want
• 11:36from the places they called home.
• 11:38Regardless of my experience over
• 11:4030 years ago.
• 11:42I like to think that people change.
• 11:44Like you think they'd like to Jewish
• 11:46President Holding pride parade
• 11:48means that there are more good
• 11:49than bad people in Ukraine.
• 11:50No,
• 11:51I don't think that I can quote
• 11:53overcome cognitive dissonance
• 11:54and be a person who helps,
• 11:56but she also meant there had to be
• 11:58a person who opened up to people.
• 11:59I think a lot of you know the rest.
• 12:02With the help of my husband
• 12:03acting as my PR and many friends,
• 12:05family,
• 12:05colleagues and strangers who gave
• 12:07him the tightest hugs.
• 12:08And raised over 30,000 by soliciting
• 12:11donations from Ukrainian poppy seed bread.
• 12:15And then co-founded a nonprofit company
• 12:17with a couple other Ukrainian born Yalies.
• 12:20We have a team of wonderful people
• 12:21who have sacrificed their families and
• 12:23careers to help those fighting for democracy.
• 12:28Our company works directly with
• 12:29people on the ground in Ukraine and
• 12:32provides lifesaving medical equipment,
• 12:33trauma training and humanitarian aid.
• 12:37We are continuously fundraising
• 12:38things like ultrasound machines
• 12:40and ventilators trauma training
• 12:42for psychologists, volunteers.
• 12:44First, agents removed survivors and
• 12:46now displaced Ukrainians coming to US.
• 12:50Not have you made it safe for me to
• 12:53tell my story and I'm asking you to
• 12:55help me help others have stories.
• 12:57Please donate to dwighthall.org/united dot
• 13:01Ukraine and all of your money
• 13:03will go to saving lives.
• 13:06Professionally as well as personally,
• 13:07this year has taught me more
• 13:09about the meaning of perseverance,
• 13:11teamwork, and hope than
• 13:12any other year in my life.
• 13:14When the pandemic began
• 13:15more than two years ago.
• 13:16As difficult as that time was,
• 13:18with all that was unknown,
• 13:20the Yellow Haven Hospital,
• 13:21we face those unknowns together
• 13:23with a unified purpose.
• 13:24Keep everyone safe while continuing
• 13:26to provide the best care to
• 13:28our patients that we could.
• 13:30A unified purpose seemed to
• 13:32make things a bit easier.
• 13:34We implemented telehealth
• 13:35solutions overnight.
• 13:36Something we would have thought
• 13:38impossible just months earlier,
• 13:40we began addressing inequities in
• 13:42our care delivery and we worked
• 13:44with our residents to address hate
• 13:46speech on our adolescent unit.
• 13:48Last summer with the 1st and 2nd
• 13:50waves of COVID behind us and
• 13:53with vaccinations well underway,
• 13:55the academic year started with
• 13:57incredible hope for the future.
• 13:59Hope that we not only would
• 14:01resume expanding our services
• 14:02and improving access to care,
• 14:04but we would do it with the same
• 14:06vigor and speed that it allowed
• 14:08us to transform our services with
• 14:10COVID and home front and with it the
• 14:14fiscal realities of the pandemic.
• 14:16And for me personally these realities.
• 14:18Team at a time as my family
• 14:2219 personal struggles,
• 14:24suddenly everything seemed
• 14:27uncertain and would we recover
• 14:29from the loss of the pandemic?
• 14:31Would our young heaven faculty and
• 14:33staff be able to continue to persevere?
• 14:35How much longer could we continue
• 14:37doing our best for our patients
• 14:39with the limited resources
• 14:41available and personally?
• 14:42Could I continue to persevere and
• 14:44lead or young even services given
• 14:47the personal challenges I face?
• 14:51We know a few things about resilience.
• 14:53For instance, we know that we can
• 14:55improve our own personal resilience
• 14:57by facing challenges now facing those
• 15:00challenges together helps a lot.
• 15:01Looking back on this year,
• 15:03I'm proud of how our faculty and
• 15:06staff persevered and face the
• 15:09challenges together and humbled
• 15:10by how are you on the heaven?
• 15:12Physician leaders stepped up to the
• 15:14many challenges of this past year.
• 15:17And that leaves me incredibly hopeful.
• 15:19That the next generation of
• 15:20leaders that young the heavens,
• 15:22psychiatry will continue to
• 15:24expand services and meet what
• 15:26we all know is an ever growing
• 15:28need for behavioral health care.
• 15:31Alex, I am juling Armijo.
• 15:34I'm a research associate in
• 15:35the department psychiatry,
• 15:36where I have been for the past eight years.
• 15:39I was born in the Dominican Republic and
• 15:42migrated to the US when I was 16 years old.
• 15:45I am very honored to have been given
• 15:47the opportunity to speak to you all
• 15:48today and I hope to come to know
• 15:50many of you in the years to come.
• 15:51So what has the past year meant to me
• 15:54this year has meant I have gone to deepen
• 15:56my sense of purpose in my current role.
• 15:59I continue to see the
• 16:00struggles of people of color.
• 16:02In accessing evidence based treatment due
• 16:04to the social determinants of health issues,
• 16:07in my humble opinion,
• 16:08case management services need
• 16:10to be more inclusive in clinical
• 16:12treatment plans as well as culturally
• 16:14and linguistically adapted.
• 16:15My hypothesis is that it will help increase
• 16:18their attention rate of the public color.
• 16:19You may have a health treatment and
• 16:21I'm glad to see that my research
• 16:23team is part of the solution.
• 16:24When a computer based dreaming
• 16:26of cognitive therapy,
• 16:27which has been found effective in
• 16:29the Latino community and I hope it
• 16:31will be disseminated more broadly.
• 16:32Time.
• 16:33This year has men have come to
• 16:35feel and sense of belonging as a
• 16:37member of the Anti Racism Task
• 16:39Force Staff Subcommittee,
• 16:40calling member of the Presynaptic
• 16:42Workplace Survey Committee and also
• 16:44lately calling member of the Mission
• 16:46Vision and value steaming writing group.
• 16:48I'm starting to see a cultural shift
• 16:50where staff are being recognized.
• 16:52People that look like me are being given
• 16:54the opportunity to be at the table to
• 16:57help with systemic transformations.
• 16:58This makes me see there's an
• 17:00intention for change and I'm glad
• 17:02to be part of an organization of.
• 17:03And organizations striving
• 17:04to be inclusive and diverse.
• 17:07I hope to continue to be part of
• 17:09that change and very importantly
• 17:10I have come to meet and interact.
• 17:12We were colleagues from all levels good
• 17:14in faculty and leadership and trainees,
• 17:16which has been a wonderful
• 17:18and collaborative experience.
• 17:19Badly this year has been at going to
• 17:22realize I have made some significant
• 17:24accomplishment.
• 17:25My colleagues Brian Michelle Silva,
• 17:28many parties and the Lake Kathy
• 17:30Carol having instrumental in
• 17:31my professional growth.
• 17:32I am grateful for the support
• 17:34they have given me.
• 17:35That support has made it easier for
• 17:37me to go back to school to pursue
• 17:39that totally agree in public health.
• 17:41Mentorship,
• 17:41education and training are
• 17:42important to staff in order to have
• 17:45a feeling of belonging,
• 17:46and I can testify to that.
• 17:49Thank you once again for the opportunity
• 17:50to share my reflections with you all.
• 17:52I say, let's continue to make yell
• 17:55and inclusive workplace for staff,
• 17:56faculty and trainees all work together now.
• 17:59Welcoming and equitable environment
• 18:01where everyone can participate,
• 18:03prosper and reach their full potential
• 18:04and to the staff in the department.
• 18:06In a position like me,
• 18:08I can say even those who
• 18:09don't think their leaders
• 18:11can be leaders. There is a
• 18:12leader in all of us. Thank you.
• 18:15Good morning everyone.
• 18:16My name is Michelle Silva and I'm an
• 18:18assistant professor in the department
• 18:20and clinician at the Hispanic Clinic in
• 18:22West Haven Mental Health Clinic at CMHC.
• 18:24Thank you for the opportunity to offer
• 18:26some reflections on what the past year
• 18:28has meant to me sitting down to record
• 18:30this message serves as a reminder of
• 18:32our new normal where parts of daily
• 18:35life and connections to others continue
• 18:37to take place through a screen.
• 18:39I am humbled looking back at how life
• 18:41changed for all of us starting in March
• 18:43of 2020 and the immeasurable losses and.
• 18:45Being experienced by so many
• 18:47as mental health professionals,
• 18:49we understand that the experience
• 18:51of grief is universal and that
• 18:53it often comes with deep sadness,
• 18:54disbelief, and even confusion.
• 18:56It also comes and goes,
• 18:58and so demands patience and self compassion.
• 19:01It can be uncomfortable to sit with
• 19:03suffering both our own and that of others,
• 19:05and the last two years have challenged us
• 19:08to come face to face with our fragility
• 19:10as we've adjusted and then readjusted
• 19:12repeatedly to a change in reality.
• 19:14Get despite the challenges.
• 19:16We move forward optimistically,
• 19:18giving room to hope and the evolving
• 19:20opportunity for transformation.
• 19:21I'd like to share 3 themes that come up
• 19:24when I think of the past year first.
• 19:26The essential need for community.
• 19:27I would not be here without the
• 19:29blessing of a Community family,
• 19:31trusted friends and colleagues who
• 19:32have always been there to support and
• 19:35guide and my work with the Community
• 19:37Subcommittee of the Department's
• 19:38Anti Racism Task Force.
• 19:39I have found a new community of
• 19:42committed and energetic leaders
• 19:43ready to engage in effect change.
• 19:45As a clinician,
• 19:46I also work with people who struggle
• 19:48with experiences of rejection and
• 19:49belonging and others who find themselves
• 19:51disoriented in a new country and
• 19:53far from their support system.
• 19:55The resulting isolation was magnified
• 19:57during the pandemic and highlighted
• 19:59the importance of the services.
• 20:00We can offer.
• 20:01This leads to a second theme
• 20:03in the power of simplicity,
• 20:05support and community can begin
• 20:07with a kind word or action,
• 20:09and those are things we each
• 20:11can readily offer one another.
• 20:12I am fortunate to work alongside dedicated.
• 20:15And generous colleagues and
• 20:16friends who give up their talents,
• 20:18time and compassion even when
• 20:19they are are exhausted and trying
• 20:21to do more with less.
• 20:23The demand for mental health services
• 20:25remains particularly high for youth
• 20:26and Spanish speaking communities,
• 20:28but the commitment doesn't waver.
• 20:30Finally, the third theme is collaboration.
• 20:32We truly are more alike than
• 20:33we are different,
• 20:34and we can accomplish more
• 20:35together than we will.
• 20:36Separately.
• 20:37Collaboration allows us to see
• 20:38beyond the limits and borders
• 20:40that we may have for ourselves,
• 20:41and imagine new possibilities.
• 20:44In closing,
• 20:45I share a quote.
• 20:46I've embraced for difficult times and
• 20:47that reminds me of the importance of
• 20:50intentionally moving from asking why to now.
• 20:52What am I going to do about this?
• 20:54Change is inevitable,
• 20:55but transformation is by conscious choice.
• 20:58Thank you for listening and
• 21:00wishing you all a safe, healthy
• 21:02and enjoyable start to summer.
• 21:10Wow. I I want to thank.
• 21:15Although the people who made
• 21:17those videos that's Doctor
• 21:19Richard Belitsky Dr Amanda Child.
• 21:21Doctor Rina Estrellas,
• 21:22doctor Frank Fortunati,
• 21:24Miss Edelen Paramillo and doctor Michelle
• 21:29Silva for those wonderful impactful.
• 21:33And generous and brave videos,
• 21:36and I think I couldn't ask for
• 21:38a better start to this state
• 21:41of the department address.
• 21:44At this point I'm going to share my
• 21:48screen and and shift to the more
• 21:52formal part of the presentation.
• 21:56So again, welcome to the 2022
• 21:59state of the department address.
• 22:02Before I go forward,
• 22:04I want to acknowledge my financial interest.
• 22:08I have a stock in a company Biohaven
• 22:11Pharmaceuticals that is publicly traded
• 22:13and stock and some other startups.
• 22:16I consult the pharmaceutical
• 22:18companies I have.
• 22:20Yale has a share of patents that
• 22:23have been licensed to various
• 22:26pharmaceutical companies,
• 22:27in particular related to the use of
• 22:30intranasal ketamine for depression.
• 22:32And suicide risk.
• 22:36So I'm going to talk a bit about resilience,
• 22:39continuing the themes of the presentations
• 22:42that you just heard and talk a little
• 22:46bit about our department community,
• 22:48our educational mission,
• 22:49our clinical programs, our research,
• 22:52and then recognize some very important
• 22:54transitions in our department this year.
• 23:00This word cloud was created by.
• 23:06Members of our medical school
• 23:08community who completed a stress
• 23:10questionnaire and wrote certain words
• 23:13into their into the questionnaire,
• 23:16which expressed the themes that
• 23:19that they were struggling with.
• 23:22And as you can see our
• 23:25time over the past year.
• 23:30Recapitulates many of the themes that
• 23:32you just heard about and we continue
• 23:34to be in an evolving maelstrom in
• 23:37the sense that we just learned that
• 23:39the Supreme Court overturned the Roe.
• 23:41V Wade.
• 23:44Decision and and which is yet another.
• 23:50Challenge for our community.
• 23:55I wanted to thank Ayanna Jordan who
• 23:58delivered an incredible graduation address
• 24:00and we miss her in our community and at
• 24:04one point in her in her presentation,
• 24:07she asked people on the on the on
• 24:12the attending, the grand rounds
• 24:14presentation to contribute to the
• 24:16creation of a resilience word cloud.
• 24:19And here you see the themes of what
• 24:23people entered into that effort.
• 24:27And exercise family friends
• 24:31time saying no speaking up hugs
• 24:35wisdom biking therapy meditation.
• 24:37We're a resilient community
• 24:40and we draw on each other,
• 24:44and we draw on many personal activities
• 24:47that are provide us with pleasure
• 24:50and and help us to have a capacity to
• 24:54manage with the many challenges that
• 24:56we face personally and in our missions.
• 24:59Departmental missions.
• 25:02So overall, how are we doing as a department?
• 25:08Let me just say a little bit
• 25:09about our faculty.
• 25:10As you probably know,
• 25:11we're the second largest
• 25:13department in the medical school.
• 25:15We're about 70% Caucasian,
• 25:16and we're one of the only departments.
• 25:19Maybe the only department
• 25:22in the medical school,
• 25:23if not the university,
• 25:25which is majority female.
• 25:29About half of the department
• 25:31hold the MD or MD PhD degree,
• 25:34the department faculty.
• 25:36And the other half predominantly
• 25:39hold PhD degrees in psychology and
• 25:43neuroscience and other specialties.
• 25:46In terms of faculty tracks
• 25:49within the department,
• 25:50about 14% are in the clinician track.
• 25:53About half are in the
• 25:56clinician educator track.
• 25:57And about 20% are in the
• 26:01clinician scientist track and
• 26:03an equal percentage in the
• 26:05investigator or traditional tracts.
• 26:09In terms of our NIH direct costs
• 26:13attributable to the department,
• 26:15we went down a little bit this year,
• 26:17but still, an incredible research portfolio.
• 26:21A little over $91 million,
• 26:24which makes us #2 in the United
• 26:27States in terms of NIH grant support.
• 26:30And we have significant VA and
• 26:33Department of Defense support.
• 26:35Were among the top programs in
• 26:37the country and our psychiatry
• 26:39and psychology programs, and we.
• 26:44Continue to be drawing a very
• 26:47outstanding group of applicants
• 26:49for our trainee programs.
• 26:51Yale, New Haven Psychiatric
• 26:53Hospital was ranked number 11 in
• 26:56the country and we continue to be a
• 26:59safety net and a national referral.
• 27:02Uh, center?
• 27:07In terms of monitoring our the progress
• 27:10of of diversifying our department,
• 27:13you see at the assistant professor
• 27:16rank that there is a substantial
• 27:20female predominance currently.
• 27:23At the associate professor level.
• 27:28It is, it is not quite,
• 27:31but close to 5050 and still
• 27:33a gap at the professor level.
• 27:36And as you can see,
• 27:37the number of female professors
• 27:40in relation to the number of of
• 27:43male professors is gradually
• 27:44getting closer and closer to 5050.
• 27:50However, with regards to
• 27:53the departmental faculty,
• 27:54we still have a long way to go to
• 27:57achieve diversity at the this I'm
• 28:01currently showing the assistant
• 28:03professors where you can see that
• 28:05we're over 80% Caucasian, and.
• 28:12Lower rates of other
• 28:15racial and ethnic groups.
• 28:17And that disparity is even greater at the.
• 28:22I'm sorry those were numbers.
• 28:23Not not percentages.
• 28:25But the disparity is even greater at
• 28:28the associate and professor level,
• 28:30so this is an area that.
• 28:34Will require continued focused effort.
• 28:40In terms of the department's budget,
• 28:42the department's budget grew by about
• 28:4510 million from about 1:49 last year
• 28:48to about $159 million this year.
• 28:51And the majority of our department
• 28:54budget is about is like in prior years
• 28:58related to the research mission of
• 29:01the department and reflects grants
• 29:03from various sources contracts about
• 29:0634% of the department's revenues
• 29:09come from our clinical work.
• 29:12And a smaller percentage from other sources.
• 29:19As you've heard, a major.
• 29:24Effort in the department has been
• 29:27the Anti Racism task force and and
• 29:30we are extremely fortunate that the
• 29:33task force is Co led by Doctor Cindy
• 29:37Cousteau who's not only our deputy chair
• 29:40for DUI but also associate Dean for
• 29:42gender equity for the medical school.
• 29:45And as you've heard,
• 29:47reflects the work of 6 subcommittees that
• 29:50are Co led by the people of listed here.
• 29:54Each of these subcommittees has been
• 29:57working for a very long period of
• 30:02time and and and given of themselves
• 30:06to contribute to the anti racism
• 30:09work within the department.
• 30:12To my knowledge the anti racism
• 30:14task force is not only the
• 30:16largest departmental initiative,
• 30:18but also the most sustained
• 30:20initiative and in our department
• 30:23over 90 participants from faculty,
• 30:25staff and trainees and and also
• 30:29from our surrounding community.
• 30:31We now have reports from.
• 30:35Subcommittees and our consolidating.
• 30:37I believe maybe just one more group,
• 30:42needs to submit the report,
• 30:43and we're recommending we're
• 30:46consolidating the recommendations
• 30:48into a document that will enable
• 30:51us to focus our our anti racism
• 30:54efforts in ways that are likely to
• 30:57have the most impact so that we
• 31:00can prepare for implementation.
• 31:05One of the spinoffs of our of our department.
• 31:12Anti Racism Task force has been
• 31:14the recognition that we should
• 31:16develop a formal mission vision and
• 31:19value statement for our department
• 31:22because so much of what one does.
• 31:25In trying to develop the.
• 31:28Culture of our department needs to
• 31:32refer back to what it is that we're
• 31:34all trying to do and and to do that.
• 31:37To accomplish that,
• 31:38we need to have a clear mission
• 31:40and vision and value statement.
• 31:43A work group was led by Kyle Peterson
• 31:46and involved many people from the Anti
• 31:49Racism Task force which led to the
• 31:52creation of a writing group which.
• 31:56Included the 10 people listed here
• 32:01including Ukelin Karamu who just.
• 32:05Who's a video you just saw?
• 32:08And I want to thank the writing
• 32:10group for their efforts.
• 32:12The the writing group did build from
• 32:16a department wide survey in 2021,
• 32:19created a first draft,
• 32:21conducted some focus group feedback sessions,
• 32:23created, then a revised draft,
• 32:26and that revised draft is available for
• 32:29comment now and will continue to be
• 32:32available for comment until June 30th,
• 32:35and I hope you'll take the
• 32:38opportunity to to click on this link.
• 32:42And and anyone who would like to
• 32:45do so in and can't reach the link,
• 32:48please just contact my office and
• 32:51we'll provide the link for you.
• 32:53So that you can provide feedback on
• 32:55the mission vision value statement
• 32:57so that we can develop a final draft.
• 33:00Here is the current draft language.
• 33:03The Yale Department of Psychiatry
• 33:05is dedicated to enhancing holistic,
• 33:07well being,
• 33:08facilitating recovery and reducing
• 33:10the suffering and oppression
• 33:12associated with mental illness.
• 33:14We do this through the education
• 33:17of transformative leaders.
• 33:18Excellence in research practice and policy,
• 33:21and restorative and reciprocal
• 33:24community engagement.
• 33:25We embrace multiple approaches to learning
• 33:27levels of analysis and ways of knowing.
• 33:30Throughout this work,
• 33:31we strive to nurture a diverse
• 33:33community of trainees, staff,
• 33:34faculty and partnerships,
• 33:36characterized by compassion, inclusivity,
• 33:39humility, dignity and justice.
• 33:43So I look forward to receiving your feedback.
• 33:47If you've not already provided it through
• 33:50the site that I just showed earlier.
• 33:53I also want to acknowledge the
• 33:55hard work of Project Synapse,
• 33:57and I hope everybody attending the the
• 34:00grand rounds knows about projects and labs,
• 34:03which has been a wonderful initiative
• 34:06to build the staff community and is
• 34:09currently led by Amy Bradley and Kyle
• 34:12Peterson, Mr Kyle Peterson and and.
• 34:17And includes these.
• 34:20People who are contributing their time
• 34:23and effort to to building our staff
• 34:26community and our as a result helping
• 34:30us strengthen our department community.
• 34:35I'm going to shift now a
• 34:37little bit to education.
• 34:38This is a picture of of the
• 34:40department faculty from 1935.
• 34:43You'll notice it's now we're now
• 34:46obviously a much more diverse community,
• 34:49and I wanted to acknowledge the very
• 34:52important contributions of of doctor
• 34:53Bob Rohrbaugh to the development of
• 34:56our culture of education and mission
• 34:58of education in the department.
• 34:59As you know, he stepped down as the
• 35:03psychiatry program director after 15
• 35:06years of transformative leadership
• 35:08and and in the process brought
• 35:11the Department of Psychiatry to.
• 35:14Be ranked number one as the number one.
• 35:18Medical psychiatry department in the country,
• 35:21and we owe him a tremendous debt of
• 35:25gratitude and and and are deeply
• 35:28appreciative for all that he brought to
• 35:31the leadership of the residency program.
• 35:34Doctor Albaugh continues as deputy
• 35:37chair for education in the department.
• 35:40I also want to acknowledge our
• 35:43incredible interim leadership of the
• 35:45residency program over the past year.
• 35:47Doctor Richard Belitsky,
• 35:48as you heard earlier,
• 35:50has has.
• 35:53Come back from his time in the Deans
• 35:57office and stepped in seamlessly
• 35:59to the role of interim residency
• 36:03director and and done an amazing job
• 36:06in not only supporting our resident
• 36:10trainees during difficult year of
• 36:13transition but also helping us to
• 36:16move forward in the residency.
• 36:19I also want to thank Doctor Tobias
• 36:21Wasser who also stepped up.
• 36:24And who led the recruitment of another
• 36:29incredible class of psychiatry
• 36:32residents and who generously gave
• 36:34up his time to to help our residency
• 36:39during this year of transition so?
• 36:43Special thanks to both of you.
• 36:46We our residency is in transition.
• 36:49We conducted a year long research
• 36:52that has produced 3 exceptional
• 36:55finalist candidates.
• 36:57We are in the process of negotiating.
• 37:01To close the recruitment of the
• 37:05residency director position,
• 37:07it is not yet concluded.
• 37:11And in the meantime, Dr.
• 37:14Belitsky has as we try to conclude
• 37:18these negotiations. Dr.
• 37:20Belitsky has agreed to remain in the
• 37:22interim role until December if needed.
• 37:25And we will move forward with the
• 37:29recruitment of two additional associate
• 37:32program directors with a third.
• 37:36Associate program director
• 37:38Recruitment near closure.
• 37:43Shifting now to our clinical programs,
• 37:46these are campuses where we're
• 37:49providing clinical care.
• 37:51I want to acknowledge also that this is
• 37:54a time of new leadership in literally
• 37:56all of the servers in which we work,
• 37:59or at least most of the severes on the
• 38:02left here is doctor Nancy Navaretta,
• 38:03who is our new Commissioner of Mental Health.
• 38:06The Commissioner of the Department
• 38:08of Mental Health and Addiction
• 38:10Services for the State of Connecticut.
• 38:13Next to her is Mr Chris O'Connor,
• 38:16who is the new President of Yale,
• 38:18New Haven Health System.
• 38:20Next to him, Doctor Keith Churchwell,
• 38:23who is the President of Yale,
• 38:25New Haven Hospital and and next to him.
• 38:29Doctor Hunned pot.
• 38:30TWA, who is the new chief of staff for
• 38:33the VA Connecticut healthcare system.
• 38:35So these are each one of these are
• 38:38wonderful new leaders and it's a
• 38:41very exciting opportunity to work.
• 38:43With each of them in in creating a
• 38:47context in Connecticut where the all
• 38:50of our missions department missions
• 38:52can thrive and and move forward.
• 38:56As you heard from Doctor Frank
• 38:59Fortunati in his video,
• 39:00this has been a time of unprecedented
• 39:02pressure at both opportunity
• 39:04and pressure at Yale,
• 39:05New Haven Hospital and this has been
• 39:09a time of just unprecedented census in
• 39:11the Yale New Haven Psychiatry Emergency Room,
• 39:14and I want to particularly acknowledge Dr.
• 39:18Tao, Matos,
• 39:19Santana and his incredible team
• 39:22that have been holding the Fort.
• 39:26During this time as we try to initiate
• 39:30a number of of of steps to reduce the
• 39:35pressure on their team and to make
• 39:39the PS services at Yale, New Haven.
• 39:43Run.
• 39:45In a better way,
• 39:47our inpatient units continue to
• 39:49work with very high acuity,
• 39:51running full basically all the time,
• 39:54despite staffing gaps and our
• 39:58interventional psychiatry program.
• 40:00Somehow managing to continue to
• 40:02increase the throughput of that program,
• 40:05providing impactful treatments
• 40:07for which Yale is a distinctively
• 40:12known and particularly and,
• 40:15and providing a regional and
• 40:18national resource.
• 40:19And I also want to acknowledge
• 40:21the progress made this year under
• 40:24the leadership of Doctor Katie
• 40:26Klingensmith and Carol Cistaro to
• 40:29conduct a database transformation
• 40:31of ambulatory services,
• 40:33increasing both productivity and efficiency.
• 40:39And as Doctor Fortunati alluded to.
• 40:44He has built a basically
• 40:47over the past several years.
• 40:49A new leadership team for Yale,
• 40:51New Haven Psychiatry and I wanted
• 40:53to call out this group of section
• 40:55leaders who have all stepped up
• 40:57and are doing an incredible job.
• 40:59This is a very strong leadership team and
• 41:03bodes very well for Ian Leaven hospital,
• 41:06psychiatry and behavioral
• 41:07health moving forward.
• 41:09I also want to acknowledge our
• 41:11our young New Haven partners
• 41:13but we work hand in glove.
• 41:15With this team,
• 41:16there are some people whose pictures
• 41:18I didn't have and so couldn't include,
• 41:20but but I think we are really blessed
• 41:23to to have outstanding collaboration,
• 41:26which enables us to move
• 41:28forward constructively.
• 41:32It continues to be a
• 41:33challenging time clinically,
• 41:35from an economic perspective.
• 41:36On the one hand,
• 41:37clinical care revenues at Yale,
• 41:39New Haven continue to increase,
• 41:41but costs increase as well,
• 41:43and so we're really not gaining yet in
• 41:48terms of of generating net revenue.
• 41:52Although we're,
• 41:53we believe we're we're through incredible
• 41:56effort under adverse circumstances,
• 41:59certainly holding our own.
• 42:02Economically.
• 42:03From a research point of view.
• 42:05As I mentioned earlier,
• 42:07according if you follow who
• 42:09gets credit for grants,
• 42:10we've had a drop in our NIH
• 42:15portfolio attributable to psychiatry.
• 42:18Although we've played the tag team
• 42:21with the University of Pittsburgh as
• 42:23to who's number one in the country.
• 42:27And and, and there's quite a gap
• 42:30still between our level of funding,
• 42:32the top 2 departments and
• 42:34the rest of the country.
• 42:35But I'd like to highlight something that
• 42:38doesn't come across in those numbers.
• 42:40And this is the amount of money that the
• 42:43department actually expends on research.
• 42:46And as you can see,
• 42:47the amount of money that expends
• 42:49on research continues to rise,
• 42:51and what this really reflects
• 42:53this mismatch between how much
• 42:55we're spending and and the credit.
• 42:58They're getting from grants is somewhat
• 43:01attributable to a consequence of of
• 43:04the passing of doctor Kathleen Carroll.
• 43:08She LED a large research initiative
• 43:11called the Nyda Clinical Trials Network,
• 43:14Yale Site and with her passing that Grant
• 43:17moved from the Department of Sachitra
• 43:20to the Department of Emergency Medicine,
• 43:23decreasing our apparent amount of grant.
• 43:28Revenue by about $10 million,
• 43:31but if you actually look at what we're doing,
• 43:35the amount of research activity in
• 43:37the department hasn't really decreased
• 43:39at all and continues to grow.
• 43:41And that's because of the incredible
• 43:45resilience and productivity of our
• 43:49faculty who continue to be engaged
• 43:52in in innovation and finding new
• 43:55ways to push the field forward.
• 43:58Year after year.
• 44:01I want to also highlight incredible
• 44:03strengths in some transitions,
• 44:05so I'd like to acknowledge Dr.
• 44:06Sherrel Bellamy and her new leadership
• 44:10of the perch program and to thank Doctor
• 44:14Larry Davidson for his leadership and
• 44:17a founding leadership of the Approach
• 44:20program and leadership for for many,
• 44:23many years.
• 44:24I also want to highlight some of the major
• 44:27research initiatives in their apartment,
• 44:30such as the Pronet initiative
• 44:32for the schizophrenia program,
• 44:34led by Doctor Scott Woods in our department.
• 44:36The transcends initiative to identify
• 44:39novel treatment for cognitive
• 44:41impairments for schizophrenia led by
• 44:43Ellen and Petrovich in our department.
• 44:46The Yale Tobacco Center of Regulatory
• 44:48Science Co, led by doctors.
• 44:51Christian and Karen and O'Malley.
• 44:54These are three substance abuse
• 44:56related centers.
• 44:57The score on sex differences in alcohol use,
• 45:00led by Doctor Sherry McKee and the Center
• 45:03for the Translation or Science of Alcoholism.
• 45:07I also want to acknowledge that we have
• 45:10major initiatives that are happening
• 45:12at the VA or or involve the DAV a
• 45:16including a large national pain initiative.
• 45:20the VA Mirec led by Mehmet Sofuoglu
• 45:23and the National Center for PTSD,
• 45:27which has two divisions,
• 45:29one on neuroscience.
• 45:31Which Doctor,
• 45:32Petrakis and I lead and one on
• 45:35health services led by Doctor Hoff.
• 45:39And there are signs of growth.
• 45:41A new program in psychedelic Science,
• 45:43Science Co.
• 45:44LED led by Doctor Chris Pittenger
• 45:46and involving a number of faculty,
• 45:49particularly Ben Kelmendi.
• 45:52Yeah.
• 45:55Doctor Al Kay Alex Kwan, Dr Cyril D'souza,
• 46:00Mohini Ranganathan, and others,
• 46:02and funding through philanthropy to
• 46:05train people to provide treatment.
• 46:08The psychotherapy associated with psychedelic
• 46:12delivery of psychedelic treatments.
• 46:14We want to acknowledge expansion of an
• 46:17already strong and productive research
• 46:19group through two new recruitments.
• 46:22The recruitment of Doctor Laura Hawkins.
• 46:24And Doctor Albert Higgins Chen.
• 46:28Who will really bring new energy to an
• 46:33already group already doing exciting work?
• 46:37And also acknowledge expansion
• 46:39of the of the PTSD Brain bank.
• 46:42Our role in the PTSD Brain Bank consortium.
• 46:45National VA PTSD brain bank.
• 46:49Are are the research intramural program
• 46:51is led by Doctor Matrix Agenti in our
• 46:55department and we're in this work.
• 46:57We're linking postmortem brain
• 47:00research cellular models.
• 47:03Simple animal systems,
• 47:04particularly through a collaboration
• 47:06with Doctor Ellen Hoffman and the Child
• 47:09Study Center and with the establishment
• 47:11of Doctor Alicia Cheese Laboratory.
• 47:13We're now able to track genes
• 47:16identified through the postmortem
• 47:19brain research and genetics all
• 47:21the way through into simple animal
• 47:24models that can be used to help us.
• 47:27Develop new treatments for PTSD.
• 47:33Another major initiative
• 47:35is the Wood Sai Institute.
• 47:38You've probably heard something about it,
• 47:40but now it's actually come to
• 47:43beginning to come to exist.
• 47:45It's led by.
• 47:48Doctor Nick Turk Brown from the
• 47:51Department of Psychology and it involves
• 47:543 clusters of activity that are are
• 47:58based going to be geographically
• 48:01located in the 100 college building.
• 48:03The place where the Alexion company
• 48:07was previously located and this
• 48:09is this will involve a section
• 48:12of Neurocognition and behavior.
• 48:14A section on neurodevelopment and
• 48:17plasticity and a section on neural
• 48:20computation and machine intelligence.
• 48:23This center is going to bring
• 48:25together basic neuroscientists,
• 48:27cognitive neuroscientists, engineers,
• 48:30computational neuroscientists,
• 48:32to try to better understand the
• 48:34mechanistic basis of cognition,
• 48:36and develop a new strategies to enhance
• 48:40cognition and perhaps to remediate
• 48:43cognitive deficits and involves
• 48:45many faculty in the Department of
• 48:48Psychiatry working hand in glove
• 48:50with faculty from other departments.
• 48:52I'm really excited.
• 48:54That the establishment of the Woodside
• 48:56Institute in this building coincides
• 48:58with the move of the Department
• 49:01of Psychology to 100 College St.
• 49:03So psychiatry and psychology will be
• 49:08geographically reunited after after
• 49:10many years of geographic separation.
• 49:12I think this will foster wonderful
• 49:15collaborations between our two
• 49:17our two departments,
• 49:18along with the Department of Neuroscience,
• 49:20which is also going to be
• 49:22located along with several.
• 49:24Faculty members in our department.
• 49:25So I think this is a really
• 49:28exciting opportunity for our
• 49:31department to stimulate our our.
• 49:37New kinds of interactions
• 49:39of our department and other
• 49:42departments in the university.
• 49:44I also want to acknowledge 3
• 49:46faculty who received endowed
• 49:47professorships during the year.
• 49:49Doctor Nee Addy,
• 49:51the Albert E Kent professor the 1st.
• 49:56Endowed professor.
• 50:00From African American in the department.
• 50:03Doctor Chris Pittenger.
• 50:07Deputy Chair for Translational Research
• 50:10and Doctor Suchitra Krishnan Sarin,
• 50:13the Alberdi Kent Professor of psychiatry.
• 50:17So these are incredible people.
• 50:20I can say that there are many,
• 50:22many more people deserving.
• 50:26Endowed professorships in our department
• 50:29and it is something that is a.
• 50:33That I work on throughout the year to
• 50:36try to find ways to not only honor,
• 50:39but provide support to our
• 50:42our distinguished faculty.
• 50:47I'd like now just to briefly honor.
• 50:55And recognize people who have received
• 50:58a national honors within the department.
• 51:01There are so many people who have received
• 51:03so many important honors that there's not
• 51:06time to acknowledge all of them individually.
• 51:09But I do want, as I've done in prior years.
• 51:12I do want to give you a little bit of
• 51:15a flavor of the wide range of people
• 51:17in our department who are having a
• 51:20national impact and being recognized.
• 51:23Nationally and internationally and and so
• 51:28I'm going to just slowly scroll through
• 51:32the people and some of the honors.
• 51:36This is obviously can't recognize everybody,
• 51:39but but certainly give you a little bit
• 51:41of a flavor of people who have received
• 51:44these honors during the past year.
• 52:15I also want to acknowledge.
• 52:18A gift to this department from Doctor
• 52:22Vlad Church and Biohaven Pharmaceuticals
• 52:25that will enable the department to
• 52:28continue the Thomas Detrie Awards
• 52:31to residents engaged in research.
• 52:35This has been a program that has been
• 52:38in the department for over a decade.
• 52:41And and will now be able to continue.
• 52:45I also want to acknowledge a number
• 52:48of retirements in our department's
• 52:50recent or impending retirements.
• 52:53Dr Marshall Mandelkern,
• 52:55who was has been a long standing of
• 52:58a faculty member in our department.
• 53:00He was chief of the psychiatry
• 53:03services at Saint Raphael Hospital and
• 53:07has led the long term psychotherapy
• 53:09track from a number of years.
• 53:11We deeply appreciated his contributions.
• 53:14Doctor Tom McMahon.
• 53:15Led the West Haven division of CMHC
• 53:18and has been an instrumental mentor
• 53:21and educator in the department in the
• 53:25Sychology section, Joan Crecca the the.
• 53:31You know person who is.
• 53:33Held the psychology section together for
• 53:36many many years as the as the key Staff,
• 53:39staff, person and who is, you know,
• 53:43a beloved figure in our department
• 53:45and Karen Robotti,
• 53:46who similarly has has been.
• 53:51One of the cornerstones of our
• 53:53department for a very long time as
• 53:56an administrative staff member.
• 53:57I has played such a key role in the
• 54:01Department of Business Administration
• 54:03and a really valued colleague and
• 54:06contributor to the success of our
• 54:09department who also has retired this year.
• 54:14Also, when I acknowledge.
• 54:17My administrative assistant help
• 54:19in Donahoe who is retiring after
• 54:2225 years of working with me.
• 54:25There's probably no tougher job than putting
• 54:29up with me for 25 years and helping.
• 54:33Is just a remarkable.
• 54:37Contributor in so many ways to
• 54:40the success of the Chair Chair's
• 54:43office for the Department of
• 54:46Psychiatry and just a wonderful.
• 54:50Collaborator and partner in all that
• 54:51we do in the Chairs office for the
• 54:54department and I I can tell you,
• 54:56helping that we are in your in
• 54:59your debt as a department and I am
• 55:02personally deeply in your debt for
• 55:04all that you have brought to your
• 55:07work every day for the department.
• 55:09So thank you so much.
• 55:12I also want to acknowledge some people
• 55:15who passed away during the past year.
• 55:17Charlie Reardon,
• 55:18an expert in substance abuse
• 55:20research and treatment,
• 55:22who also was a chief of psychiatry
• 55:24at the Saint Raphael's Doctor
• 55:27Michael Stelman from CMHC.
• 55:30And particularly two people,
• 55:33Seth Axelrod,
• 55:34who passed away this year after a long
• 55:37and courageous battle against a long illness.
• 55:40Really an inspiring person.
• 55:43A person who trained with
• 55:46Doctor Marsha Linehan,
• 55:47the person who developed
• 55:49dialectical behavioral therapy,
• 55:50and who brought DBT TL.
• 55:53He also established and LED for many years,
• 55:57a national conference on borderline
• 56:00personality disorder and in so many ways,
• 56:02inspired, mentored,
• 56:05collaborated, taught.
• 56:07And treated so many people in our community,
• 56:11Seth,
• 56:12we miss you terribly.
• 56:17And lastly, Steve Southwick.
• 56:19This is a picture of Steve
• 56:22Southwick on the 9th floor of the
• 56:26VA Connecticut healthcare system.
• 56:28This is there's someone here you probably
• 56:32don't recognize due to his disguise.
• 56:35This is from the 1980s.
• 56:38Steve Rachel yehuda.
• 56:40One of his mentees,
• 56:42who has gone on to become a
• 56:45major figure in in PTSD research.
• 56:47Earl Giller,
• 56:48former chief of psychiatry at the VA.
• 56:53But but I I thought it was very fitting.
• 56:56To reflect on on all that Steve has
• 56:59contributed as a pioneer in in PTSD
• 57:03research and resilience research.
• 57:05His resilience parental principles
• 57:07are are really important for
• 57:10us to reflect on when we,
• 57:12ourselves, individually,
• 57:13our families and our Community are are
• 57:17tested by so many challenges these days.
• 57:22His his His 10 principles were
• 57:26to keep a positive attitude,
• 57:30to reframe stressful thoughts
• 57:33in more constructive ways.
• 57:35To develop one's moral compass.
• 57:38In ways that enable us to be
• 57:40connected to a broader and deeper
• 57:42and inspiring sense of mission.
• 57:45To find resilient role models.
• 57:48Who's whose behavior is we can
• 57:51emulate in in in learning ways that
• 57:54we can be individually resilient.
• 57:56To find ways to face our fears
• 57:59and in so doing.
• 58:02Work to manage them constructively.
• 58:06To develop active coping skills
• 58:09to help us to manage our stress.
• 58:14To nurture our support networks.
• 58:17That in turn,
• 58:19nurture us to prioritize our
• 58:21physical well being as we work to,
• 58:25to nurture our emotional and mental health.
• 58:29And to train our brains because
• 58:33being stimulated and challenging
• 58:35is one of the ways that we can.
• 58:39Become both most fully ourselves
• 58:43to achieve the impact that that
• 58:46we can achieve and and and to
• 58:50enjoy what we're doing.
• 58:52At the same time.
• 58:56And playing to our strengths so.
• 59:00In closing, I just want us all to remember
• 59:04that this is an incredible community.
• 59:07We are. We do so much for other people.
• 59:11We do so much for each other.
• 59:15We enjoy and and celebrate the
• 59:19accomplishments of everyone in our community.
• 59:24And we're evolving.
• 59:26We are changing. We are adapting.
• 59:31We are innovating. And.
• 59:36And we are having an impact.
• 59:39And we are all part of that process
• 59:42and everybody contributes to it so.
• 59:46I I really I I I am thrilled to continue
• 59:51to lead this department every day.
• 59:55I'm inspired by all that you all
• 59:58bring to this department and.
• 01:00:04In in closing, I want to again thank
• 01:00:07in particular the people that made
• 01:00:09the videos today and thank Chris
• 01:00:11Gardner for pulling those videos
• 01:00:14together and thank all of you and
• 01:00:18we have a little bit of time for
• 01:00:22questions so I will stop sharing my
• 01:00:25screen and see if there is a way.
• 01:00:31To answer questions.
• 01:00:38And to to state comments.
• 01:00:44So let me see the first.
• 01:00:47Some of the comments that I see are.
• 01:00:53One, a comment that Michelle Silva's
• 01:00:57statement needs to be corrected.
• 01:00:59As of Wednesday, she is now officially
• 01:01:02associate professor and congratulations
• 01:01:03to Michelle and her promotion.
• 01:01:08And then. Comments really about
• 01:01:14how wonderful the videos were,
• 01:01:17so moving. So, so wonderful.
• 01:01:22There's a comment from Charlie.
• 01:01:25Nice to everybody that there is a going
• 01:01:28to be a rally to denounce the Supreme
• 01:01:31Court decision and there's a link to
• 01:01:34people who want to get involved with that.
• 01:01:37A comment from. Directly to me,
• 01:01:41so since it was directly to me,
• 01:01:43I will omit the name of the person
• 01:01:45who named the count made the comment,
• 01:01:47which is that we also have the
• 01:01:50most diverse class of residents
• 01:01:51among Ivy League programs.
• 01:01:53Besides being the only of the
• 01:01:56eight programs who accept.
• 01:01:58Accepted in Internet International
• 01:02:01medical graduate this year.
• 01:02:04A and he said this person says
• 01:02:06I'm very grateful to be here and
• 01:02:09we're grateful to have you here.
• 01:02:16The yodelin put the survey
• 01:02:19link for the for the for the.
• 01:02:26Mission Vision value statement into the chat.
• 01:02:28So anyone who wants to go to that website
• 01:02:33should be able to provide. Comments.
• 01:02:37How Peterson corrected my slide in
• 01:02:40in saying that Yodelin is also one
• 01:02:42of the Co leads for Project Synapse.
• 01:02:45I apologize for that that error.
• 01:02:50And Amy Bradley, one of the Co leaders,
• 01:02:52says that if you'd like to join and
• 01:02:55become more a part of Project Synapse that
• 01:02:58there's a site project synapse at yale.edu.
• 01:03:02Best with best wishes to help
• 01:03:05in the amazing help and Donohoe.
• 01:03:08And who the question is,
• 01:03:12what will I do without you helping?
• 01:03:15And and I will.
• 01:03:18That's a great question,
• 01:03:21but I I can't say that we have.
• 01:03:23We will shortly announce a person
• 01:03:26who will step into house and help
• 01:03:29and's position later this year.
• 01:03:32And and I think you will get to know her.
• 01:03:37And as I have done very in
• 01:03:42the recruitment process so.
• 01:03:52I'm open to taking any questions
• 01:03:54that anyone has this point.
• 01:03:56I I see a question about
• 01:03:57whether the department could
• 01:03:58make a statement about Roe.