Yale Plastic Surgery Program Director Message

Transcript

• 00:09Hi, my name is Henry Shaw.
• 00:11I'm a faculty member in the division
• 00:14of Plastic Surgery at the Yale
• 00:15School of Medicine and also the
• 00:17program director for the Yale
• 00:19Integrated Plastic Surgery Residency.
• 00:21We'll be doing virtual interviews again
• 00:22this year and I'm pleased to have this
• 00:24chance to talk to you about our program.
• 00:26Please be sure to watch your companion
• 00:28video produced by residents and
• 00:29narrated by our own senior resident,
• 00:31Martin Carney.
• 00:31It conveys the residents perspective
• 00:33and provides many important
• 00:34details about the program and what
• 00:36you might expect as a trainee.
• 00:37Here in this video, my focus?
• 00:40Will be on our training philosophy and
• 00:42offering my own perspectives on the program.
• 00:44So you can think of residency as a marathon,
• 00:46where your journey from being
• 00:48a medical student to a plastic
• 00:50surgeon in independent practice.
• 00:51But it's marathon that you don't run alone.
• 00:54When you join your residency program,
• 00:55you become part of a team A-Team
• 00:57that's entrusted with the baton of
• 00:59responsibility for patient care,
• 01:01education and other duties.
• 01:02But Tom,
• 01:03that's shared and passed among your
• 01:05fellow residents over several years
• 01:06as you each work on and develop
• 01:08your own clinical,
• 01:09technical and professional skills
• 01:10and eventually grow and develop
• 01:12into fully skilled plastic surgeons
• 01:14here at Yale plastic surgery.
• 01:16Our goal is to help you finish
• 01:18that marathon in stellar fashion.
• 01:20This year marks the 52nd anniversary of
• 01:22our status as an uncredited plastic surgery.
• 01:24Residency program.
• 01:25So we can honestly say we've had over
• 01:281/2 century of experience in helping
• 01:31residents finish this marathon.
• 01:32And one thing that long experience has
• 01:34shaped is our training philosophy,
• 01:36which recognizes that comparing medical
• 01:38student and resident education is
• 01:40like comparing apples to oranges.
• 01:42While you may have had already
• 01:43had plenty of clinical experiences
• 01:45as a medical student,
• 01:46now that you're an individual who
• 01:47is a paid professional with all
• 01:50the elevated expectations and
• 01:51responsibilities of a professional,
• 01:53your educational experience
• 01:54in the clinical setting.
• 01:55Likely to be quite different and
• 01:57learning strategies that work for
• 01:58you when you are a student may
• 01:59not be as effective or work at all
• 02:01once you become a resident.
• 02:04As you know,
• 02:05patients and their problems don't follow
• 02:06any academic syllabus or curriculum.
• 02:09Unlike a science lab force you took
• 02:10in college where you got to learn
• 02:12all about the scientific theory
• 02:13and concepts first before going to
• 02:15the lab to apply those principles
• 02:16in a hands on manner.
• 02:18In residency,
• 02:18the didactic and practical aspects of
• 02:21surgical learning are not synchronized.
• 02:22You might be expect to apply surgical
• 02:24concepts long after or even well.
• 02:26For any formal like that,
• 02:27discussion of those concepts plus
• 02:29what you're expected to learn
• 02:31and become proficient in,
• 02:32goes far beyond what you might find
• 02:35in a textbook or an online curriculum.
• 02:38Plus,
• 02:38our program believes professionalism
• 02:40and being able to function effectively
• 02:42in our healthcare system is just
• 02:44as important as technical skill for
• 02:46any plastic surgeon to be successful
• 02:47in
• 02:48this day and age.
• 02:49And being a professional doesn't always
• 02:51come easily and requires practice
• 02:52just like any technical skill does and
• 02:55requires getting out of your comfort zone.
• 02:57But we believe that it's possible with
• 02:59the proper training and repetition
• 03:01to make those skills second nature,
• 03:02including the ability to learn from
• 03:04your mistakes and how to deal with
• 03:06the constant judgment of patients.
• 03:07Other providers and the public at large.
• 03:11So here at Yale, we help you develop
• 03:12not only the appropriate content,
• 03:14expertise and surgical skill,
• 03:15but also, through a conference
• 03:17structure and research program,
• 03:18a mindset of lifelong learning that
• 03:20will help you long after you've
• 03:22graduated from our program to become
• 03:23the most effective surgeon you can be.
• 03:26And of course, this all conforms
• 03:27with what the ACC Jimmy wants.
• 03:29If you look at the list of competencies
• 03:31and abilities that all ACGME accredited
• 03:33programs are required to train residents in,
• 03:35you can divide them into
• 03:37internal and external abilities.
• 03:39Internal abilities are those
• 03:40competencies which are dependent
• 03:41on your own skills and efforts,
• 03:43like medical knowledge,
• 03:44which is your ability to show what you know.
• 03:47Patient care,
• 03:47the ability to apply what you
• 03:49know to clinical experiences,
• 03:51procedural competence,
• 03:52the ability to apply what you
• 03:54know inside the operating room,
• 03:56and practice based learning,
• 03:57which is the ability to use your clinical
• 04:00experiences to improve what you know,
• 04:02which is a fancy way of saying that
• 04:04you're able to learn from your stakes
• 04:06in a rigorous and systematic fashion.
• 04:08And then there are the external abilities,
• 04:10which depend on how you interact and
• 04:12are perceived by those around you,
• 04:13like interpersonal and communication skills,
• 04:16which is ultimately the ability
• 04:17to get other people to trust you.
• 04:19Something that any surgeon must have now
• 04:21to be truly effective systems based practice.
• 04:24The ability to provide optimal care
• 04:27within administrative context,
• 04:28which is a fancy way of describing
• 04:29the ability to work with others as a
• 04:31team to provide the most effective
• 04:32care for your patient,
• 04:34and finally professionalism,
• 04:35which is ultimately the ability
• 04:36to do your job well at all.
• 04:38Times,
• 04:39even when you're not at your very best.
• 04:42And so here at Yale,
• 04:43we do our very best to help
• 04:45you develop those abilities.
• 04:46And we do that by providing a
• 04:48learning environment that does
• 04:49its best to optimize a balance
• 04:51between structure and autonomy.
• 04:53The program offers structured
• 04:54hands on sessions including Botox
• 04:56and filler injection workshops,
• 04:57as well as cadaver labs where you
• 04:59get practice at technical skills
• 05:00like the sickening out muscle flaps.
• 05:02And we have a certified right
• 05:04microsurgery lab where resins can
• 05:06follow a curriculum design here
• 05:07at Yale to learn and practice
• 05:09techniques like performing Micronesia.
• 05:11Threes well before you have to do
• 05:13it on live patients and we also have
• 05:16attending lead workshops for splinting
• 05:18and other important technical skills.
• 05:20I mentioned before that one of
• 05:21our goals is to foster a mindset
• 05:23of lifelong learning and our
• 05:24educational program
• 05:25is designed to promote this habit
• 05:27by empowering our residents to set
• 05:28the schedule and choose the speaker.
• 05:30So they want to come as visiting professors,
• 05:32which means several times a year having
• 05:33some of the biggest names in plastic
• 05:35surgery come to New Haven to spend
• 05:36dedicated and exclusive time with
• 05:37the residents who are excused from
• 05:39clinical duties during those hours.
• 05:41In addition to our weekly ground rounds,
• 05:43we also have a dedicated conference
• 05:44series just for the residents on
• 05:46Friday mornings and in order to
• 05:48further develop that attitude and.
• 05:50Have habit of lifelong learning.
• 05:52We have resins starting as interns,
• 05:53preparing and giving talks on basic
• 05:56and essential plastic surgery topics.
• 05:58It might seem strange to have Peggy ones
• 06:00and other relatively junior members
• 06:01of the team teaching everyone else,
• 06:03but it helps reinforce the concept that
• 06:05all of us share in the responsibility
• 06:07for your education and development.
• 06:09And the habits you develop in preparing
• 06:11for these talks are no different
• 06:12than what you'll need someday in
• 06:13the future when you want to develop
• 06:15that groundbreaking new operation
• 06:16that's never been done before.
• 06:18And our program supports you by
• 06:19providing access to an array of.
• 06:21Electronic textbooks,
• 06:22journals and other resources
• 06:23through the Yale Medical Library.
• 06:25But of course,
• 06:26it's not just residents who are teaching.
• 06:27Attendings lead many clinically oriented
• 06:29sessions to give residents further
• 06:30opportunities to apply their knowledge.
• 06:32And the faculty also provides
• 06:33feedback on your talks and teaching
• 06:35technique as a resident,
• 06:36training you not just to
• 06:38become outstanding surgeons,
• 06:39but also our next generation
• 06:42of outstanding educators.
• 06:43And through such experiences,
• 06:44our program helps you figure out and
• 06:46develop a system to organize your
• 06:48clinical experiences that you can turn
• 06:49them into effective knowledge that you'll
• 06:51be able to apply for the rest of your career.
• 06:54But our program recognizes that learning also
• 06:56happens because of the people around you,
• 06:58which doesn't just include
• 06:59attendings and other residents.
• 07:00There's also our nurses and
• 07:02advanced practice providers.
• 07:03And we recognize that the most
• 07:05effective care is carried out by teams,
• 07:06not individuals.
• 07:07And so we emphasize the importance
• 07:09of developing team relationships and
• 07:10collaboration with each other and other
• 07:12services in order to provide the best.
• 07:14Learning environment as well as patient care.
• 07:16In fact,
• 07:17I see the off service rotations that
• 07:18are residents do with general surgery,
• 07:20ENT orthopedics,
• 07:21neurosurgery and other services as
• 07:23very important opportunities for our
• 07:25residents to begin to develop the
• 07:27collaborative relationships that you'll
• 07:28depend on in your future careers.
• 07:30And of course,
• 07:31the most important people that
• 07:32you'll learn from are our patients.
• 07:34We recognize that if there are no
• 07:36patients then residents cannot learn.
• 07:38However,
• 07:38we also recognize the tension
• 07:40between residents,
• 07:40educational needs and the absolute
• 07:42mandate to provide the best possible.
• 07:44Patient care.
• 07:45After all,
• 07:45we're all here and go to the
• 07:47hospital every day to help patients.
• 07:49Our profession exists for the benefit of
• 07:51our patients and not the other way around.
• 07:55That our program recognizes
• 07:57that because of this tension,
• 07:58a residence education can easily get lost
• 08:00in this Bermuda Triangle of relationships
• 08:03between attending patient and resident.
• 08:05Fortunately, we have an outstanding
• 08:07array of faculty who are experts
• 08:08across all the key domains of plastic
• 08:10surgery and who are committed to
• 08:12developing residents into the next
• 08:14generation of outstanding surgeons.
• 08:15Over the past few years,
• 08:16our faculty have been augmented by the
• 08:18rival of several new and talented surgeons.
• 08:21I invite you to explore and learn more
• 08:22about the interests of our individual
• 08:24family members by going to the link.
• 08:25Shown here in the bottom left hand corner,
• 08:29I mentioned before the need to learn
• 08:30how to work well as a member of a team.
• 08:32And that's important not just for
• 08:34providing the most effective patient care,
• 08:36but also to develop the ability
• 08:37to productively balance their
• 08:38professional responsibilities with
• 08:40their own personal well-being.
• 08:41And that balance is not possible,
• 08:43of residents are not able to work together
• 08:45as a team and look out for one another,
• 08:47which is something I'm very happy to
• 08:48say has been true of our program.
• 08:50And you can learn more about their
• 08:51perspective from the residence video,
• 08:53which also contains their contact info if
• 08:54you have any more questions about their.
• 08:56Experience.
• 08:58And in that video,
• 08:59you'll hear a great description of
• 09:00what New Haven and our surrounding
• 09:02areas have to offer.
• 09:03I'd like to add that faculty in
• 09:05residence all live and work in a compact
• 09:07geographical region that contains a
• 09:09wide diversity of rural and urban settings.
• 09:11Even within the city limits of New Haven,
• 09:13there are great places for hiking,
• 09:15like East Rock,
• 09:15shown here we just less than a 15 minute
• 09:18drive from our main hospital garage.
• 09:20If you want even more solitude,
• 09:22you can quickly find that at
• 09:23many places nearby,
• 09:24like the Yale Sailing Club,
• 09:25which sits on Long Island Sound
• 09:27on a quiet part of the Closeline,
• 09:29where you can find the occasional
• 09:30bald eagle and feel like you're
• 09:32somewhere much farther away,
• 09:33like Maine.
• 09:33But you're really just situated a very short
• 09:36drive away from Yale New Haven Hospital,
• 09:39and while some time alone
• 09:40is never a bad thing,
• 09:41our program recognizes that none
• 09:42of us live or work in isolation,
• 09:45and that Yale does not exist in isolation.
• 09:47And so our global health
• 09:49opportunities include the animal.
• 09:50Annual mission trips run by Doctor
• 09:52Thompson and his handheld organization,
• 09:54which Martin discusses in his video.
• 09:57And it's through such opportunities that
• 09:58our program emphasizes the relevance
• 10:00and potential impact that our actions
• 10:01have on the rest of our Community,
• 10:03whether it's here in New Haven
• 10:05or in the world beyond.
• 10:06And.
• 10:08And it was out of that spirit of
• 10:09engagement with the world that,
• 10:10at the suggestion of our own residents,
• 10:12we were able to make our grand
• 10:14rounds available more broadly to the
• 10:16world at large during the lockdown
• 10:17period in spring 2020 when many
• 10:19of us were forced to
• 10:20self isolate and were
• 10:21unable to gather together.
• 10:23This is the welcome slide from one of
• 10:24those sessions during that time period.
• 10:26And as it shows, we had participants
• 10:27joining us from over 100 academic
• 10:29and medical institutions from
• 10:31across the United States and Canada
• 10:32as well as ten other countries.
• 10:34And we know that making up broad impact
• 10:36can also come through research efforts.
• 10:38Yale Plastic surgery faculty have
• 10:40very active research programs,
• 10:41publishing and major journals in
• 10:43plastic surgery as well as those
• 10:45outside plastic surgery like the
• 10:47journal Science and the Proceedings
• 10:49of the National Academy of Sciences.
• 10:51And we expect residents to get
• 10:53very much involved in research,
• 10:54starting a speech by two selfless
• 10:56surgery residents present at
• 10:57our annual research day,
• 10:59held every year in May.
• 11:00The event is sponsored through
• 11:01the generosity of our alumni,
• 11:03includes prizes for the best papers
• 11:04by residents and medical students.
• 11:06For the first time in three years,
• 11:07we were able to hold this year's
• 11:09edition in person.
• 11:10And we were very happy to be able
• 11:12to welcome as our guest Judge,
• 11:13Doctor Dennis Orgel of Brigham
• 11:15Women's Hospital,
• 11:16who also delivered a fantastic
• 11:18talk as our visiting professor.
• 11:20While our rotations are discussed
• 11:22in the residence video,
• 11:23I do want to emphasize that the
• 11:25tremendous degree of autonomy and control
• 11:27that our residents have over their
• 11:29rotation schedules as senior residents,
• 11:30especially in their pgy 5 year,
• 11:32and that many of our residents
• 11:34have used that time to go on away
• 11:36rotations have helped put them on a
• 11:38trajectory for successful careers.
• 11:40I started off talking about how
• 11:41residency is a marathon and how our
• 11:43goal is to get you to that finish line.
• 11:45I want to finish here by showing
• 11:46you some more of the folks who
• 11:48have successfully completed this
• 11:49marathon over the past half.
• 11:51Century now, as you can see,
• 11:52they have kept on running,
• 11:54becoming leaders and making an impact
• 11:56in all sorts of important ways.
• 11:58Yale plastic surgery is very
• 11:59proud of our alumni and our role
• 12:02in preparing and setting them up
• 12:03for their successful careers.
• 12:05We hope that someday you'll be
• 12:07able to we'll be able to add you
• 12:09to that roster of yellow alumni.
• 12:11In the meantime,
• 12:11we'd like to extend a warm welcome and
• 12:13to thank you for your interest in Yale.
• 12:15Just a reminder, if you haven't already,
• 12:17please wash the companion video
• 12:19produced by our residents containing
• 12:20much more information.
• 12:21In detail about the program,
• 12:23especially from the resident perspective.
• 12:25And if you do have any questions,
• 12:27please feel free to reach out to me
• 12:29or our residency coordinator Monica at
• 12:31the emails shown here on the screen.
• 12:33Thank you so much for your attention
• 12:35and we hope you all stay safe and
• 12:37well and wish you all the best.
• 12:38Take care.