Residents Perspective 2022

November 03, 2022

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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.