Yale Plastic Surgery Program Director Message

Transcript

• 00:08Hello there, my name is Andrew Shaw.
• 00:10I'm a faculty member in the division of
• 00:12Plastic Surgery at the Yale School of
• 00:14Medicine and the program director for the
• 00:16Yellow Integrated Plastic Surgery Residency.
• 00:17We're doing virtual interviews again
• 00:19this year and I'm pleased to have this
• 00:21chance to talk to you about our program.
• 00:22Please be sure to watch the companion
• 00:24video produced by our residents and
• 00:26narrated by our own senior resident.
• 00:27Carolyn Swang invades the
• 00:29residents perspective,
• 00:30provides many important details
• 00:31about the program,
• 00:32what you might expect as a training here.
• 00:34In this video, my focus will be on
• 00:37our training philosophy and offering
• 00:38my own perspectives on the program.
• 00:41So you can think of Red Sea as a marathon,
• 00:43or you journey from being a medical student
• 00:45to a plastic surgeon in independent practice.
• 00:48But it's a marathon that you don't run alone.
• 00:50When you join a residency program,
• 00:52you become part of a team.
• 00:53That game that's entrusted with the baton.
• 00:55Responsibility for patient care,
• 00:57education,
• 00:57and other duties of a ton that's
• 00:59shared and passed among your fellow
• 01:00residents over several years.
• 01:01As they each work on and develop
• 01:03your own clinical, technical,
• 01:04and professional skills eventually grow and
• 01:07develop into fully skilled plastic surgeons.
• 01:09Here at Yale plastic surgery,
• 01:11our goal is to help you finish
• 01:12that marathon in stellar fashion.
• 01:14This year marks the 51st anniversary
• 01:15of our status as an accredited
• 01:17plastic surgery residency program,
• 01:18so we can honestly say we've had
• 01:20over a half century of experience in
• 01:22helping residents finish that marathon.
• 01:24And one thing that long experience has
• 01:26shaped is our training philosophy,
• 01:28which recognizes that comparing
• 01:29medical student or resident education
• 01:31is like comparing apples to oranges.
• 01:33While you may have already had plenty of
• 01:35clinical experiences as a medical student,
• 01:37now that you're an individual who
• 01:38is a paid professional with all
• 01:40the elevated expectations.
• 01:41Responsibilities of a professional
• 01:42your educational experience
• 01:43in the clinical setting.
• 01:45It's likely to be quite different
• 01:47and learning strategies that work
• 01:48for you when you were a student may
• 01:50not be as effective or work at all.
• 01:52Once you become a resident.
• 01:54And as you know,
• 01:55patients and their problems don't follow
• 01:56any academic syllabus or curriculum,
• 01:58unlike a science lab course he
• 01:59took in college,
• 02:00where you got to learn all about
• 02:02the scientific theory and concepts
• 02:03first before going to the lab.
• 02:04To apply those principles in a
• 02:05hands on manner in residency.
• 02:07The didactic and practical aspects of
• 02:09surgical learning are not synchronized.
• 02:11You might be expected to apply social
• 02:13concepts long after or even well before
• 02:16any formal like tactic discussion of
• 02:17those concepts plus what you're expected,
• 02:19learn and become proficient in goes far
• 02:22beyond what you might find in a textbook.
• 02:24Or the online curriculum.
• 02:27Plus,
• 02:27our program believes professionalism
• 02:28and being able to perform effectively
• 02:30in our health care system is just
• 02:32as important a technical skill
• 02:33for any plastic surgeon.
• 02:34Being successful in this day and age
• 02:36and being a professional doesn't always
• 02:38come easily and requires practice just
• 02:40like any technical skill does and require
• 02:42us getting out of your comfort zone.
• 02:44But we believe that it's possible
• 02:46with the proper training and
• 02:47repetition to make those skills.
• 02:48Second nature, including the ability to
• 02:50learn from your stakes and how to deal
• 02:52with the constant judgment of patients,
• 02:54other providers, and the public at large.
• 02:59So here at Yale, we help you develop
• 03:01not only the appropriate content,
• 03:02expertise, and surgical skill,
• 03:04but also through our conference
• 03:05structure and research program,
• 03:07a mindset of lifelong learning
• 03:08that will help you long after
• 03:10you've graduated from our program,
• 03:11become the most effective surgeon can be.
• 03:15And of course, it's all conforms
• 03:16with what they see Jimmy wants.
• 03:17If you look at the list of
• 03:19competencies and abilities at all,
• 03:20AC Jimmy accredited residencies
• 03:22are required to train residence,
• 03:24and you can divide them into
• 03:26internal and external abilities,
• 03:28internal abilities,
• 03:28or those competencies which are
• 03:30dependent on your own skills and
• 03:32efforts like political knowledge,
• 03:33which is your ability to show what you know.
• 03:35Patient care, the ability to apply,
• 03:37what you know, the clinical experiences,
• 03:40procedural competence,
• 03:40the ability to apply what you
• 03:42know inside the operating room,
• 03:43and practice based learning.
• 03:45Which is the ability to use her clinical
• 03:47experiences to improve what you know,
• 03:49which is just a fancy way of saying that
• 03:51you're able to learn from your mistakes
• 03:53in a rigorous and systematic fashion.
• 03:55And then there are the external abilities
• 03:57which append on how you interact in
• 03:59our perceived by those around you.
• 04:00Interpersonal and communication skills,
• 04:01which is ultimately the ability
• 04:03to get other people to trust you,
• 04:05something that any surgeon must
• 04:06have now to be truly effective,
• 04:08sits in space.
• 04:09Practice the ability to provide
• 04:10optimal care within it,
• 04:12and administrative context,
• 04:12which is a fancy way of describing
• 04:14the ability to work with.
• 04:15Others as a team to provide the most
• 04:17effective care for your patient
• 04:19and finally professionalism or
• 04:20just ultimately the ability to do
• 04:23your job well at all times even
• 04:25when you're not at your very best.
• 04:27And so here at Yale,
• 04:28we do our very best to help
• 04:29you develop those abilities.
• 04:31And we do that by providing
• 04:32a learning environment.
• 04:33Desserts best optimize the balance
• 04:35between structure and autonomy.
• 04:37The program has very much returned
• 04:39to offering structured hands on
• 04:40sessions like Cadaver Labs where
• 04:42you get practice at technical skills
• 04:44like dissecting out muscle flaps.
• 04:45And we have a certified microsurgery
• 04:47lab where residents can follow
• 04:49curriculum design here at Yale to
• 04:51learn and practice techniques like
• 04:52performing micro anastamosis well
• 04:54before they have to do it on live patients.
• 04:56And we also have attending lead.
• 04:58Workshops for splinting and
• 05:00other important technical skills.
• 05:03I mentioned before that one of
• 05:04our goals is to foster a mindset
• 05:06of lifelong learning and our
• 05:07educational program design.
• 05:08Promote this habit by empowering
• 05:10our residents to set the schedule
• 05:11and choose the speakers so they
• 05:13want to come as visiting professors,
• 05:14which means several times a year.
• 05:16Having some of the biggest names in
• 05:18plastic surgery comes in New Haven.
• 05:19Spend dedicated exclusive time with
• 05:21the residents were excused from
• 05:23clinical duties during those hours.
• 05:25In addition to our Wednesday
• 05:26afternoon grand Rounds.
• 05:27We also have a dedicated
• 05:28conference series just for the
• 05:30residence on Friday mornings
• 05:31and in order to further develop.
• 05:33Attitude and habit of lifelong learning.
• 05:35We have residents starting US insurance,
• 05:37preparing and giving talks on basic
• 05:39and essential plastic surgery topics.
• 05:41This may seem strange to have P ones
• 05:43and other relatively junior members
• 05:44of the team teaching everyone else,
• 05:46but it helps reinforce the concept that
• 05:48all of us share in the responsibility
• 05:49for education and development in the
• 05:51habits you develop in preparing for these
• 05:53talks and no different than what you'll
• 05:54need something in the future when you
• 05:56want to develop that groundbreaking new
• 05:58operation that's never been done before,
• 05:59and our program supports you by providing
• 06:01access to an array of electronic textbooks.
• 06:03Journals and other resources
• 06:05through the Yale Medical Library.
• 06:07But of course it's not just residents
• 06:08or teaching attendings lead many
• 06:10clinically oriented sessions to
• 06:11give residents further opportunities
• 06:12to apply their knowledge and the
• 06:14faculty also provide feedback on
• 06:15your talks and teaching technique.
• 06:16As a resident training,
• 06:18you not just become outstanding surgeons,
• 06:20but also our next generation
• 06:23of outstanding educators.
• 06:24And through such experiences,
• 06:25our program helps you figure out
• 06:27and develop a system to organize
• 06:28your clinical experiences so that
• 06:30you can turn them into effective
• 06:31knowledge that you'll be able to
• 06:33apply for the rest of your career.
• 06:36But our program recognizes that learning also
• 06:37happens because of the people around you,
• 06:39which doesn't just include
• 06:41attendings another resonance.
• 06:42But also our nurses and PA's.
• 06:44And we recognize that the most
• 06:45effective care is carried out by teams,
• 06:47not individuals,
• 06:48and so we emphasize the importance
• 06:49of developing team relationships and
• 06:51collaboration with each other and other
• 06:53services in order to provide the best
• 06:54learning environment as well as fishing care.
• 06:57In fact,
• 06:57I see the off service rotations that
• 06:59our residents do with general surgery,
• 07:01anti orthopedics,
• 07:01neurosurgery and other services as
• 07:03very important opportunities for
• 07:05residents to begin to develop the
• 07:07collaborative relationships that you'll
• 07:08depend on in your future careers.
• 07:10And of course,
• 07:11the most important people that you'll
• 07:13learn from our our patients and we
• 07:15recognize that if there are no patients,
• 07:17then our residents can't learn.
• 07:19However,
• 07:19we also recognize that that the tension
• 07:21between residents and educational
• 07:23needs and the absolute mandate to
• 07:25provide the best possible patient care.
• 07:27After all,
• 07:28we're all here and go to the
• 07:29hospital every day to help patients.
• 07:31Our profession exists for the
• 07:33benefit of our patients,
• 07:34not the other way around.
• 07:37But we also recognize that because
• 07:39of this tension or residence,
• 07:40education can easily get lost in this
• 07:42for me to triangle of relationships
• 07:44between attending patient and resident.
• 07:46Fortunately,
• 07:46we have an outstanding array of fact
• 07:48labor experts across all the key
• 07:49domains of plastic surgery and more
• 07:51committed to developing residents in
• 07:52the next generation of outstanding
• 07:53surgeons over the past few years,
• 07:56our faculty has been augmented by the
• 07:57rival several new intelligent surgeons,
• 07:59including our new chief of plastic surgery,
• 08:01Dr Bopa Mock. I invite you to explore
• 08:02and learn more about the interests of our
• 08:04individual faculty members by going to the
• 08:06link shown at the bottom of the screen.
• 08:09Here. I mentioned before the need to learn
• 08:11how to work well as a member of a team,
• 08:13and that's important, not just for
• 08:14providing the most effective patient care,
• 08:16but also develop the ability to productively
• 08:18balance or professional responsibilities
• 08:20with their own personal well being.
• 08:22And that balance is not possible.
• 08:23Residents are not able to work together
• 08:24as a team and look out for one another,
• 08:26which is something that I'm very
• 08:27happy to say.
• 08:28It's been true of our program and you
• 08:29can learn more about their perspective
• 08:31from the residence video which
• 08:32also contains their contact info.
• 08:34If you have anymore questions
• 08:36about their experiences.
• 08:37And in that video you'll hear a great
• 08:39description of what New Haven and
• 08:41our surrounding areas have to offer.
• 08:42I'd like to add that faculty residence
• 08:44all live and work in a compact
• 08:47geographical region that contains
• 08:48a wide variety of urban and rural
• 08:50settings even within the city.
• 08:52Limits of New Haven.
• 08:53There are great places for
• 08:54hiking like East Rock shown here,
• 08:56which is less than a 15 minute drive
• 08:59from our main hospital garage.
• 09:01But if you want even more solitude,
• 09:03you can quickly find that many places nearby,
• 09:05like the Yellowstone Club,
• 09:06which sits on Long Island Sound on
• 09:08a quiet part of the coastline where
• 09:09you can find the occasional bald
• 09:10eagle and feel like you're somewhere
• 09:12much farther away, like Maine,
• 09:14but situated actually just a
• 09:15very short drive away from Yale.
• 09:17New Haven hospital.
• 09:19And while some alone time is never
• 09:21a bad thing,
• 09:21our program recognizes that none
• 09:22of us live or work in isolation,
• 09:24and that Yale does not exist in isolation,
• 09:27and so our global health opportunities
• 09:28include the annual mission trips
• 09:30run by our colleague,
• 09:30Doctor Thompson and his hand
• 09:32help organization,
• 09:33which Caroline discuss more in our video.
• 09:35And it's through such opportunities
• 09:37that our program emphasizes the
• 09:38relevance and potential impact that our
• 09:40actions have on the rest of our Community,
• 09:42whether it's in New Haven or beyond.
• 09:46And was out of that spirit of
• 09:48engagement with the world that at
• 09:49the suggestion of our own residence,
• 09:51we were able to make our grand
• 09:52rounds available more broadly to
• 09:54the world large during the lock
• 09:55down period in the spring of 2020,
• 09:57when so many of us were forced to self
• 09:59isolate and were unable to gather together.
• 10:01This is the welcome slide from
• 10:02one of those sessions.
• 10:03During that time period,
• 10:04and as it shows,
• 10:05we had participants joining us from over
• 10:07100 academic and medical institutions
• 10:08from across the United States and Canada,
• 10:11as well as ten other countries,
• 10:13and we recognize that making a broad impact
• 10:15can also come through research efforts.
• 10:17Yellow plastic surgery faculty
• 10:18have very active research programs
• 10:20publishing in major journals,
• 10:21including those outside of plastic
• 10:23surgery like science and Proceedings
• 10:24of the National Academy of Sciences,
• 10:26as well as being editors and
• 10:28contributors to important textbooks,
• 10:30and we expect.
• 10:31Presidents get very much involved
• 10:33starting SPG.
• 10:34Why twos yellow plastic surgery
• 10:36residents present at our annual
• 10:38research day held every year in May.
• 10:40The event is sponsored through
• 10:41the generosity of our alumni,
• 10:42includes prizes for the best papers
• 10:44by residents and medical students.
• 10:46This year's addition was offered
• 10:48over zoom for the second year in
• 10:49a row and featured as a guest
• 10:51judge are visiting Professor,
• 10:52Doctor Box off of the Monkey Clinic.
• 10:56While rotations are discussed
• 10:57in the resonance video,
• 10:58I do want to emphasize the tremendous
• 11:00degree of autonomy control that residents
• 11:02have over their rotation schedules and
• 11:04their final two years of residency,
• 11:05and that many of our residents have
• 11:07used that time to go on away rotations
• 11:10that have helped them put them on a
• 11:13trajectory for successful careers.
• 11:14So I started off talking about how
• 11:16residency is a marathon and our goal
• 11:18is to get you to that finish line.
• 11:21I want to finish here by showing
• 11:22you some more of the folks who
• 11:24have successfully completed this
• 11:25marathon over the past half century.
• 11:27And as you can see,
• 11:28they have kept on running,
• 11:29becoming leaders and making an impact
• 11:31in all sorts of important ways.
• 11:33Yellow plastic surgery is very
• 11:34proud of our alumni and our role
• 11:36in preparing setting them up for
• 11:38their successful careers.
• 11:39We hope that someday we'll be able to
• 11:41add you to that roster of yellow clumsy.
• 11:44In the meantime,
• 11:45would like to extend a warm welcome and
• 11:47thank you for your interest in Yale.
• 11:49Just reminder that if you haven't already,
• 11:51please watch the companion video
• 11:52produced by our residents containing
• 11:54much more information in detail about
• 11:55our program and if you do have any questions,
• 11:58please feel to reach out to me or
• 12:00residency coordinator Monica at
• 12:01the emails shown on the screen.
• 12:03Thank you for your attention and
• 12:05we hope you all stay safe and well
• 12:06and wish you all the very best.