Residents Perspective 2022

Transcript

• 00:00Welcome to Yale Plastic
• 00:03and reconstructive surgery.
• 00:05My name is Martin Carney.
• 00:07I am one of the Pgy 5 residents and
• 00:10I am excited to tell you about the
• 00:12program from the residence perspective.
• 00:15If you're watching this,
• 00:16you might be asking yourself,
• 00:18why should I come to Yale for
• 00:22plastic surgery residency?
• 00:23Well, here are some of the
• 00:25features that make Yale a great
• 00:27place to train in plastic surgery.
• 00:29This includes excellent clinical training,
• 00:31autonomy and case volume,
• 00:34a collegial family style environment.
• 00:37The value placed on resident input.
• 00:40Many education and networking opportunities,
• 00:43research opportunities,
• 00:44elective time,
• 00:45international surgical missions,
• 00:47and a strong track record of
• 00:51fellowship matches.
• 00:52Starting with our schedules and education.
• 00:56This chart illustrates how you will
• 00:58spend time on rotations during residency.
• 01:01As you can see,
• 01:02we spend a significant portion
• 01:03of time even as junior residents
• 01:06on the plastic surgery service.
• 01:08We of course,
• 01:09still spend time on general surgery and
• 01:11other services including neurosurgery,
• 01:13ENT anesthesia, orthopedics,
• 01:16MOSE surgery,
• 01:18oral surgery and oculoplastic surgery.
• 01:22This allows us to become well-rounded
• 01:25surgeons while still emphasizing
• 01:26the plastic surgery experience.
• 01:29A special feature of our program
• 01:30is the elective time.
• 01:32During the Pgy 5 and six years.
• 01:35Electives can be used as time
• 01:37to visit fellowships or private
• 01:39practices around the country or world.
• 01:41Here are some examples of where
• 01:44prior residents have traveled
• 01:45for elective rotations.
• 01:46Many residents have matched at
• 01:48fellowships where they went for elective.
• 01:50Many residents have also
• 01:52traveled abroad for electives.
• 01:54This has ranged from going to
• 01:56Paris to Taiwan to Spain, Brazil.
• 01:58The possibilities of what you can do
• 02:01at this time are endless and exciting.
• 02:04Another great feature of our program
• 02:06is the resident cosmetic clinic
• 02:08staffed by the Pgy 4-5 and sixes.
• 02:11In this clinic,
• 02:12the resident acts as a surgeon
• 02:14under the guidance of an attending.
• 02:17We see patients for injectables
• 02:19in addition to cosmetic surgery.
• 02:21We offer all breast,
• 02:23body and facial aesthetic procedures.
• 02:25The resident creates the surgical
• 02:26plan and acts as the primary surgeon
• 02:29under the supervision of faculty.
• 02:32This is a sample day of a resident
• 02:34on the main service, 6:00 AM rounds
• 02:37followed by or cases or clinic.
• 02:40At 5:00 PM the on call resident
• 02:43takes over the console pager and
• 02:45helps finish up any ongoing cases.
• 02:48In terms of call,
• 02:49we share hand call with orthopedic
• 02:51surgery and facial trauma call
• 02:53with ENT and oral surgery.
• 02:54The daytime console resident is a pgy 2.
• 02:58As a pgy 2, you're the patients doctor
• 02:59in the emergency room and you are the
• 03:02one doing the bedside procedures,
• 03:03repairing lacerations,
• 03:04reducing fractures and gaining
• 03:06experience early on in residency.
• 03:09For night consults we use a night float
• 03:12system with the pgy threes and PGI fours.
• 03:14There's a chief resident or junior
• 03:16attending on call who will discuss.
• 03:18Complex and operative consoles
• 03:19with the night float,
• 03:21resident overnight as well as
• 03:23operating when there are urgent cases.
• 03:25For educational conferences we have 3
• 03:281/2 hours of protected time per week.
• 03:31On Wednesday evenings we have grand
• 03:33rounds which are guest speakers,
• 03:34visiting professors or quality
• 03:37assurance conference.
• 03:38On Friday mornings we have a mix of
• 03:40different lecture types including
• 03:41resident run lectures based on the ASPs,
• 03:44ednet curriculum,
• 03:45attending run indication conferences
• 03:48and radiology rounds, Consult,
• 03:50review, upcoming cases,
• 03:51Journal Club and craniofacial conference.
• 03:57We host a lot of visiting professors.
• 04:00These are some we've hosted over
• 04:02the past few years, a who's who of
• 04:05plastic surgery giants and innovators.
• 04:08With each visiting professor we have a
• 04:11residence only session for two hours
• 04:13prior to the grand rounds lecture.
• 04:15This is an opportunity to learn from and
• 04:18network with the visiting professor,
• 04:20expanding our perspective from our
• 04:22day-to-day activities in the program.
• 04:25After grand rounds,
• 04:26the residents and faculty have dinner
• 04:28with the visiting professor at Moreys,
• 04:31a historic Yale Dinner club.
• 04:34For other educational activity,
• 04:36the division pays for residents to
• 04:39attend both the Intern Boot camp and
• 04:41the ASMS basic course for conferences.
• 04:44If you have papers accepted,
• 04:45then you get to go.
• 04:47The section reimburses 100% for podium
• 04:50presentations at major conferences
• 04:52and 50% for podium or poster
• 04:55presentations at other conferences.
• 04:58We have access to a microsurgery
• 05:00rat lab where we get hands-on
• 05:02practice and microsurgery using
• 05:04the femoral vessels of live rats.
• 05:07We also have access to the Yale Cadaver
• 05:09Lab where we get hands-on training,
• 05:10dissecting flaps and performing other
• 05:13surgical procedures on cadavers
• 05:15through industry sponsored courses.
• 05:18Another great opportunity here is through
• 05:20Doctor Thompson's nonprofit organization,
• 05:22hand help.
• 05:23Which organizes one hand surgery mission
• 05:26a year to Central or South America.
• 05:28Two or three residents go with Doctor
• 05:31Thompson every spring, COVID pending,
• 05:32and we work to make sure everyone who
• 05:35is interested is able to go at some point.
• 05:38This is a photo from the 2019 trip to Peru.
• 05:43As for research,
• 05:44the section holds an annual
• 05:46resident research day every May,
• 05:48so everyone works on a research project.
• 05:50Yale Plastic Surgery alumnus Dr Johan
• 05:54Sassone sponsors two $2000 prizes for
• 05:57the best resident papers every year.
• 06:00After graduation,
• 06:01residents have most often gone onto
• 06:04fellowship and hand craniofacial
• 06:06or microsurgery.
• 06:07Others have also pursued private
• 06:09practice and aesthetic fellowship.
• 06:16As far as where we do our work,
• 06:17there are four main hospitals.
• 06:20These are the York Street campus
• 06:21of Yale New Haven Hospital,
• 06:23which is our main campus,
• 06:25the Saint Rayfield campus
• 06:26of Yale New Haven Hospital,
• 06:28Bridgeport Hospital and the West Haven VA.
• 06:32We also intermittently cover cases at
• 06:34the Yale Shoreline Surgical Center.
• 06:37Most of our rotations are at the main campus,
• 06:39which is the level 1 trauma center.
• 06:42This is where the bulk of
• 06:44oncologic reconstruction,
• 06:44post traumatic reconstruction,
• 06:46craniofacial surgery,
• 06:47general plastic surgery,
• 06:49and Melanoma surgery occurs.
• 06:51The Saint Raphael campus is
• 06:53where you will act as Chief of
• 06:55service as a Pgy 4 and 3.
• 06:57This is a 5 minute drive or shuttle
• 06:59ride away from the main campus.
• 07:02SRC houses the Mcgiveney Surgical Center,
• 07:05which is a state-of-the-art
• 07:06outpatient facility where most of the
• 07:08elective hand surgery is performed.
• 07:13Bridgeport Hospital is Connecticut's
• 07:15only burn center, and we have burn
• 07:18and general surgery rotations there.
• 07:19Bridgeport is about 30 minutes away,
• 07:21the furthest you would be
• 07:24driving in this residency.
• 07:25At the West Haven Veterans Hospital,
• 07:27you act as a junior attending
• 07:29during your Pgy 5 year.
• 07:31This is a 10 minute drive
• 07:32from the main campus.
• 07:33You are the surgeon for this patient
• 07:36population and the experience is incredible.
• 07:39Moving on from sites, let's meet the
• 07:42people who make up Yale plastic surgery.
• 07:45Here are the current residents.
• 07:47Hopefully you will get to know us
• 07:49better sometime around the interview.
• 07:50We are all excited to meet you.
• 07:54Here are the 13 full-time faculty
• 07:56covering the breadth of plastic surgery,
• 07:59including general reconstructive surgery,
• 08:01microsurgery, hand and upper extremity,
• 08:04craniofacial surgery,
• 08:05Melanoma and skin cancer,
• 08:07cosmetic surgery,
• 08:08and gender affirming surgery.
• 08:12We also work with many private
• 08:14practice plastic surgeons in the
• 08:16area who are especially valuable
• 08:19for our aesthetic surgery education
• 08:21and teach us how to run a practice.
• 08:24We also have fellows and hand breast
• 08:28microsurgery and craniofacial surgery.
• 08:30We work closely with many different students.
• 08:33The majority of Yale medical
• 08:34students take a research here,
• 08:36so we have students working
• 08:38with us full-time every year,
• 08:39both from Yale and other institutions.
• 08:43We also have an amazing team of
• 08:45apps that help streamline workflow
• 08:47on the floor and in clinics.
• 08:49They are all incredible and they
• 08:51will help make your life better
• 08:53and easier during residency.
• 08:59Coming to Yale has some nice benefits.
• 09:01Through the House Staff Office,
• 09:03we are paid similarly to our
• 09:04New York City counterparts,
• 09:06but without the same cost of living.
• 09:08We also receive a health staff allowance
• 09:10from the GE Office of $2000 per year,
• 09:12with an additional allowance from
• 09:14the section of plastic surgery
• 09:16of $500.00 to $1500 per year.
• 09:19The House staff allowance can be used for
• 09:21a wide range of expenses including loops,
• 09:23textbooks, electronics.
• 09:25And travel to clinical sites.
• 09:27In addition, we get medical,
• 09:29dental and vision insurance,
• 09:31a retirement matching plan
• 09:33and cafeteria meal cards.
• 09:35If you come here,
• 09:36you will live in or around New Haven,
• 09:38which is a great place to live.
• 09:41We are in New England,
• 09:43which is a beautiful place to
• 09:46experience all Four Seasons.
• 09:48Many of us live in downtown New Haven,
• 09:50like in the building that can be
• 09:52seen from the hospital window.
• 09:54But those who want more space
• 09:56can live in neighboring towns.
• 09:58There are many great options
• 09:59of towns to live in,
• 10:00whether you prefer the beach,
• 10:01the woods,
• 10:02or a suburb where you were still
• 10:05close to shopping and restaurants.
• 10:07It's hard to mention New Haven without
• 10:10talking about Yale University.
• 10:12Through Yale,
• 10:13we have access to breathtaking libraries.
• 10:17As well as theater.
• 10:21A group of residents and faculty
• 10:23went to a show at the Yale Cabaret.
• 10:26Yale also has free world class art museums,
• 10:30and the Harvard Yale game is at Yale
• 10:32every other year and gives us another
• 10:35reason to get together outside of work.
• 10:41Outside of Yale and the
• 10:43surrounding areas of Connecticut,
• 10:44there is great hiking.
• 10:47Which can be especially
• 10:48beautiful during the fall.
• 10:50You can also spend time at the beach.
• 10:54Or go fly fishing and even
• 10:56surfing in Rhode Island,
• 10:58about an hour away.
• 11:01There are a number of farms,
• 11:03orchards, wineries and breweries.
• 11:07And more music and arts at
• 11:09events like the International
• 11:11Festival for Arts and Ideas.
• 11:13New Haven is also a great Food City,
• 11:16and notably a pizza town.
• 11:22There are excellent brunch spots.
• 11:25Great coffee and bubble tea.
• 11:29Ice cream.
• 11:32An array of international and
• 11:34affordable selections at the many
• 11:37food carts outside the hospital.
• 11:39There are clam shacks where you
• 11:41can try a Connecticut lobster roll.
• 11:44Sushi and omakase.
• 11:48And fine dining.
• 11:52We'll wrap up with showing how
• 11:54the best part of your plastic
• 11:56surgery is definitely the people.
• 11:58Residency is challenging,
• 11:59rewarding, grueling and frustrating
• 12:01at times with long hours.
• 12:04So you want to surround yourself
• 12:05with people you enjoy working
• 12:07with and who will support you.
• 12:09We definitely have that here.
• 12:11And these next slides show US spending
• 12:13time together in and out of work,
• 12:14and many of our fun traditions.
• 12:17Whether it's at charity
• 12:19fundraisers or holiday parties,
• 12:21to happy hours and weekend get togethers.
• 12:24We also have group outings,
• 12:26like the annual boat day on
• 12:27Doctor Thompson's sailboat.
• 12:32In addition to boat day,
• 12:33we've had an annual golf day.
• 12:37A now annual tennis day at
• 12:41Doctor Thompson's house.
• 12:42Doctor Cloon hosts Lamb roast and
• 12:44gatherings in his beautiful backyard.
• 12:48Trivia night.
• 12:51Paintballing with doctor Alperovich.
• 12:55Bowling and pickleball.
• 13:00Or listening to, well, me play live music
• 13:23Anyways, if you're tired of New Haven and
• 13:25want to get out of town for the weekend,
• 13:27Boston, New York City,
• 13:29and Philadelphia, to name a few,
• 13:31are just a few hours away by train or car.
• 13:35To put it all together,
• 13:37Yale plastic surgery is a family.
• 13:40We like to work hard and play hard.
• 13:43We enjoy spending time
• 13:45with each other at work.
• 13:50And out of work. And we're excited for
• 13:56our newest members. This could be you.
• 14:01Thanks for taking the time to learn about us.
• 14:04Please feel free to e-mail any of the
• 14:06residents with questions you may have.