Yale Plastic and Reconstructive Surgery Residents' Perspective

Transcript

• 00:00Welcome to young plastic and
• 00:04reconstructive surgery. First off,
• 00:06thank you for your interest in our program,
• 00:08and congratulations on making it this far.
• 00:09We thought we would try to answer a
• 00:11few of your questions in this video.
• 00:14We'll start off with where do we work?
• 00:18Yale New Haven Health has many
• 00:21locations throughout Connecticut,
• 00:22but its main hospital is the
• 00:24Yale New Haven Hospital,
• 00:26which has 1541 beds.
• 00:28Anna split between two campuses,
• 00:30York Street and St Rays.
• 00:33This is the main entrance of the York
• 00:36Street campus, which also includes.
• 00:38The Smile Cancer Center on the
• 00:40North wing of the building.
• 00:42And the Children's Hospital on the West side.
• 00:46And then just a few blocks down
• 00:49the road as SRC or Saint Rays,
• 00:51which is an 18 minute walk away,
• 00:53or a short shuttle bus ride away.
• 00:56This hospital has more of a Community
• 00:59Hospital feel and also includes.
• 01:01The relatively new Mcgivney Center
• 01:03where we perform a significant portion
• 01:05of our outpatient hand surgery.
• 01:09In our junior years,
• 01:11we also spend time on general surgery
• 01:14and burn at Bridgeport Hospital.
• 01:16Which is about 30 minutes away.
• 01:18The farthest you would have to drive
• 01:20for work in this residency program.
• 01:23The final hospital recover
• 01:24is the West Haven VA.
• 01:27Which is only about 10 minutes
• 01:28from the main York Street campus.
• 01:32So now that you know where we work,
• 01:35you must be wondering who we work with.
• 01:38We have 10 full time faculty covering
• 01:41general reconstructive surgery microsurgery
• 01:43including breast lower extremity and hand,
• 01:47upper extremity craniofacial surgery
• 01:49including orthognathic surgery,
• 01:50Melanoma and skin cancer and
• 01:53cosmetic surgery including through
• 01:55the resident cosmetic clinic.
• 01:58Doctor Persing is our section Chief,
• 02:00Doctor Shazar program Director,
• 02:02and doctor.
• 02:03Perez itches are associate program director.
• 02:05We also have the opportunity to work
• 02:08with a great number of private practice
• 02:11surgeons who are especially valuable
• 02:14for esthetic surgery education.
• 02:17We're also fortunate to be able to work with
• 02:20our fellows in hand breast microsurgery
• 02:22and craniofacial surgery next year.
• 02:24We will actually be gaining a second
• 02:27hand fellow as we combine forces
• 02:30with our orthopedic colleagues.
• 02:32We also work very closely with
• 02:34medical students not only as
• 02:35clerkship students and subies,
• 02:37but also as research fellows.
• 02:39Many Yale medical students take
• 02:41advantage of the opportunity to
• 02:42have a fully funded research here,
• 02:44so we are lucky enough to have students
• 02:47working with us full time every year,
• 02:50both from Yale, Ain,
• 02:52other institutions.
• 02:53But we couldn't do our jobs without
• 02:55our great aips who help us out both
• 02:58on the inpatient and outpatient side.
• 03:00They are best friends as interns
• 03:02teaching us everything we need to know
• 03:04and keep us afloat as senior residence.
• 03:06Trying to run the service.
• 03:10OK, so now that we've been talking
• 03:12about work, what our schedules like.
• 03:15As you can see here,
• 03:17we spend a significant portion of our time,
• 03:20even as junior residents on
• 03:21the plastic surgery service,
• 03:23we do have to spend some time in
• 03:25our first few years learning from
• 03:27our general surgery colleagues
• 03:28as well as from other services
• 03:31combined here under miscellaneous.
• 03:33This includes neurosurgery, ents,
• 03:34anesthesia and orthopedics in their first
• 03:37year Mohs surgery in the second year.
• 03:39Oh MFS.
• 03:39In the third year an ocular
• 03:42plastics in the 4th year.
• 03:44And then in our final two years,
• 03:46we have the unique opportunity to have
• 03:48three months of elective time in each year.
• 03:51Electives in the 5th year can be away.
• 03:54Electives similar to sub internships.
• 03:56While electrodes in the six year
• 03:57must be at home and may include
• 04:00aesthetic electives or head and
• 04:02neck microsurgery electives.
• 04:03This elective time can also be used
• 04:06for research or even developing
• 04:08curricula for medical students.
• 04:12We have not been able to travel
• 04:14this year as a result of Cove in,
• 04:16but here is a list of all the
• 04:18different away electives are
• 04:19residents have pursued in the past,
• 04:20ranging from those in Paris and Taiwan
• 04:22to closer to home in New York City.
• 04:27Let's focus a little bit on
• 04:28our main service for a minute.
• 04:30We typically meet around 6:00 AM for rounds.
• 04:32Depending on our patient list and whether
• 04:34or not we have morning conference,
• 04:36in which case we may meet earlier.
• 04:40After rounds we touch base with
• 04:42the attendings, formulate plans,
• 04:43write notes and pre op.
• 04:45The first patients for the day.
• 04:47The first case of the days,
• 04:49generally around 7:15 AM.
• 04:50If you are not assigned to cases,
• 04:53you were there, help out on the
• 04:55floor or head over to the clinic.
• 04:57Every resident on service does a
• 04:59minimum of 1/2 day of clinic per week.
• 05:02Finally, the on call resident takes
• 05:04over the console pager at 5:00 PM,
• 05:06which is when everyone needs to run the list.
• 05:08After we have discussed all
• 05:10the patience of the day,
• 05:12the chief typically then goes
• 05:13at flat rounds with the on call
• 05:15resident so everyone is on the same
• 05:17page before the day team leaves.
• 05:22A couple of important service details.
• 05:26We have what we call panel every other week.
• 05:29This includes plastic surgery,
• 05:31call and hand call with
• 05:33or without facial trauma,
• 05:35call or hand call is shared with
• 05:38orthopedic surgery while facial trauma
• 05:40call is shared with Ian Tiano manifest.
• 05:44During the day, our Konsult resident
• 05:47is typically the second year resident.
• 05:50Overnight we have an in house intern
• 05:53call pool that we share with E&T.
• 05:56As well as the night float
• 05:58system for consoles.
• 05:59This is typically staffed by pgy threes
• 06:02and pgy force on the York Street service.
• 06:06They are night float for one week at a time,
• 06:09typically Monday evening to Monday morning.
• 06:11The next week,
• 06:12essentially working a 24 hour and
• 06:14the first Monday then switching to
• 06:16nights for the remainder of the week.
• 06:18Their back to normal days in
• 06:20the following Tuesday.
• 06:23This is a home call system,
• 06:26but residents are expected to
• 06:28respond in a timely manner.
• 06:30These residents cover the York Street
• 06:32campus SRC an the VA at night.
• 06:34An important note this night float
• 06:36service was created just two years ago
• 06:39at the initiative of our Chief residents.
• 06:41This is reflective of the power of
• 06:43the faculty, gives us to shape our
• 06:46program into what we think is best.
• 06:49We mentioned our conference is
• 06:51a little bit earlier.
• 06:52Here are more details.
• 06:54We typically have three days with
• 06:56some kind of conference.
• 06:58On Mondays from 6:45 to 7:30.
• 07:00We typically have console or
• 07:02view upcoming cases indication,
• 07:04conference or radiology rounds.
• 07:06On Wednesday evenings from five to six,
• 07:09we typically have grand rounds with
• 07:11guest speakers or visiting professors,
• 07:13or once a month we have quality
• 07:16assurance or Eminem.
• 07:17And then on Friday mornings we have
• 07:19a dedicated 2 hours of didactic time.
• 07:22Usually these are resident lectures
• 07:24based on Aspet said net curriculum
• 07:26or once a month we have a joint
• 07:29craniofacial quality assurance
• 07:30with TNT and OMA Fest.
• 07:34We mentioned are visiting
• 07:35professors a little bit.
• 07:37This is a list of all the visiting
• 07:39professors we've had in recent years.
• 07:41These visiting professors are
• 07:44amazing opportunities to learn
• 07:46from greats in our field.
• 07:48We typically have them spend 2 hours
• 07:50of dedicated time with the residents
• 07:52only after which they give a grand
• 07:54rounds to the entire division.
• 08:00And then after that it's party time we
• 08:02typically take are visiting professors
• 08:04at to dinner and drinks it more.
• 08:06Ease of private club at Yale since the
• 08:081800s were the tradition is to share large
• 08:11goblets of mysteriously colored drinks.
• 08:13Although this may have to be a
• 08:15tradition that will have to be
• 08:17re imagined after the pandemic.
• 08:22Back to some more serious topics.
• 08:24I'm sure you're also wondering what
• 08:25benefits we get as residents at Yale.
• 08:30First off, we have a pretty
• 08:31competitive salary or paid similarly
• 08:33to our New York City counterparts,
• 08:35but don't know the same cost of living.
• 08:40We have a House staff allowance of
• 08:42$1400 for all residents and this can
• 08:45be used for a wide range of things
• 08:48including conference travel, loops,
• 08:51textbooks, laptops and cell phones.
• 08:54We also have an allowance from our section.
• 08:58Specifically, this ranges from $500
• 09:00to $1500 depending on your pgy year.
• 09:04In addition, we also get conference
• 09:07reimbursement 100% for podium
• 09:09presentations at major conferences,
• 09:11or 50% for podium presentations
• 09:14at other conferences or poster
• 09:17presentations at any conferences.
• 09:19We of course also get access to Yale,
• 09:22including all of its research
• 09:25and other amenities.
• 09:26The division also pays for us to
• 09:30attend both the Intern Bootcamp
• 09:32an the ASMS Basic course.
• 09:35We also have access to the Microsurgery Rat
• 09:39Lab where we can get hands on practice.
• 09:42Using the femoral vessels of live rats.
• 09:46We also have access to the Yale Cadaver
• 09:49Lab where we often have training
• 09:52through industry sponsored courses.
• 09:54And finally,
• 09:55one of the best things we have
• 09:57access to his doctor,
• 09:58Thompson's nonprofit organization handheld,
• 10:00which provides much needed care to
• 10:03patients who may not otherwise receive it.
• 10:05At least two or three residents are
• 10:07able to go a doctor Thompson abroad
• 10:10every spring and we always try to make
• 10:13sure everyone who is interested is able
• 10:15to attend sometime during their time here.
• 10:17This is a picture of hand
• 10:20help in 2019 in Peru.
• 10:22Of note,
• 10:22we're also trying to create a
• 10:24craniofacial counterpart as well,
• 10:25so look forward to that in the future.
• 10:31Now enough about work, what do we do for fun?
• 10:36We gotta yell. Sponsored events
• 10:39such as charity fundraisers.
• 10:41And happy hours hosted by the
• 10:43Yale residents and fellow Senate.
• 10:46We also have what we like to call
• 10:48mandatory fun like the Annual Boat
• 10:49Day that we have every summer
• 10:51during which Doctor Thompson
• 10:53takes everyone out on his boat.
• 10:58Even the residents who don't know
• 11:00how to swim have fun, kind of.
• 11:05Birthday is always followed by
• 11:06dinner with the Residents, Fellows,
• 11:09medical students and staff.
• 11:12We also sometimes replicate these
• 11:14days by going out on Doctor
• 11:16Steinbacher's boat for Journal
• 11:18clubs while it's still warm.
• 11:20In addition to both day,
• 11:22we also have an annual golf day.
• 11:25Some of us are better at driving
• 11:27the golf cart then golfing,
• 11:28but it's always a great time.
• 11:32This of course is followed
• 11:35by another dinner together.
• 11:37Sometimes we skip the activities
• 11:39and go straight to the food.
• 11:40This is a lamb roast hosted by Doctor
• 11:44Cloonan is amazing backyard last year.
• 11:47We also sometimes get together for trivia
• 11:49nights paintballing with Doctor Alperovich,
• 11:52or to listen to our Co
• 11:55residence in their band.
• 11:57Now is actually a good time to talk about
• 12:00what it's like to live in New Haven,
• 12:01which is actually the first
• 12:04planned city in America.
• 12:05New Haven is obviously in New England,
• 12:07which is a great place to
• 12:10experience all Four Seasons.
• 12:12Many of us live downtown,
• 12:14like in this building that can
• 12:15be seen from a hospital window,
• 12:18although those with families or
• 12:20those who want more space tend
• 12:22to opt to live slightly further
• 12:24away in the neighboring towns.
• 12:26The biggest part of New
• 12:29Haven is undoubtably Yale.
• 12:30Through Yale,
• 12:31we have access to amazing libraries.
• 12:36As well as theater.
• 12:39Here is a group of us gathered
• 12:41after a show at the Yale Cabaret.
• 12:44We also have great art.
• 12:47And then there's also the Harvard Yale game,
• 12:49which is at Yale every other year
• 12:51and gives us another excuse to get
• 12:53together and show some spirit.
• 12:58Outside of yell, there
• 12:59is also a great hiking.
• 13:04And sailing such as to the Thimble
• 13:07Islands in the Long Island Sound.
• 13:10You can also spend time sitting on the beach.
• 13:16We're going fishing or even
• 13:18surfing just a few hours away.
• 13:21They are also great farms and orchards
• 13:24for things like Apple picking.
• 13:26And more arts and music at
• 13:28things like the International
• 13:30Festival for Arts and Ideas.
• 13:34If you want to relive your childhood,
• 13:36you can even go to Six Flags,
• 13:37which is a favorite thing for a number
• 13:39of our residents to do a few years ago.
• 13:43Most importantly, however,
• 13:45livability.com actually named
• 13:47New Haven as the best foodie
• 13:50city in the country in 2014.
• 13:52We have no mostly for brick oven pizza,
• 13:55but you can find much more at the more
• 13:57than 120 restaurants located within
• 13:59two blocks of the New Haven Green.
• 14:15But if you're tired,
• 14:16New Haven and just want to get out
• 14:18of town for the weekend, Boston,
• 14:20New York City and Philadelphia,
• 14:21or just a few hours away.
• 14:25So to put it all together,
• 14:27yellow plastic surgery as a family,
• 14:29we like to work hard and play hard.
• 14:33We enjoy spending time
• 14:34with each other at work.
• 14:39An out of work.
• 14:42We're excited to meet our
• 14:44newest members of the team.
• 14:47Please feel free to email any of
• 14:49the residents with any questions.
• 14:51Thanks for listening.