HPM Tour 2025

Transcript

• 00:00Hi everyone. Welcome to the
• 00:02Yale Hospice and Palliative Medicine
• 00:04Fellowship Program.
• 00:05I'm Doctor. Alex Choi, one
• 00:07of our program faculty and
• 00:09twenty twenty one graduate of
• 00:10the program.
• 00:12We're excited to meet you,
• 00:14and we hope this video
• 00:15will give you a sense
• 00:16of our fellowship experience.
• 00:18Let's start with a day
• 00:19in the life of a
• 00:20palliative care fellow on our
• 00:21inpatient consult service.
• 00:24Our fellows begin their day
• 00:25in the fellows workroom, which
• 00:27they share with the Hmong
• 00:28fellows.
• 00:29Here, they review charts and
• 00:31prepare for the day.
• 00:32It's important to have a
• 00:34dedicated space to focus.
• 00:36Then we have our daily
• 00:37interdisciplinary
• 00:38morning huddle to run the
• 00:39list and distribute consults.
• 00:41And yes, we're always as
• 00:43happy at work. Our inpatient
• 00:45consults come from all areas
• 00:46of the hospital. Let's stop
• 00:47here at the fountain on
• 00:48the first floor where we
• 00:50can see the four pavilions
• 00:51of the hospital.
• 00:52West Pavilion has the CT,
• 00:54ICU, and Transplant unit. It
• 00:56also houses pediatrics.
• 00:58South Pavilion has the ED
• 01:00and the Neurology, Cardiology, and
• 01:02Surgical units.
• 01:04East Pavilion is home to
• 01:05the med surg beds.
• 01:07And North Pavilion houses the
• 01:09medical ICU and several oncology
• 01:11units including separate floors for
• 01:13Hematology,
• 01:14Oncology, and Gai Nong.
• 01:16After seeing patients, Fellows round
• 01:18with their attending.
• 01:19Our faculty place a strong
• 01:21emphasis on teaching, using every
• 01:23opportunity to support Fellows in
• 01:25reaching their learning goals and
• 01:26advancing toward independent
• 01:28expert practice.
• 01:30It's time for lunch! The
• 01:32cafeteria is fine, but you
• 01:33can't miss out on the
• 01:34food carts in front of
• 01:35the medical school. There's halal,
• 01:38arepas,
• 01:39banh mi, bibimbap,
• 01:40salads,
• 01:41and lots more to choose
• 01:42from.
• 01:46In the afternoon, Fellows continue
• 01:47bedside rounds unless they are
• 01:49scheduled for their weekly half
• 01:51day clinic session.
• 01:52Here's a look at our
• 01:53palliative care clinic on the
• 01:55fourth floor of North Pavilion.
• 01:57Fellows are paired with a
• 01:59different attending for each half
• 02:00of the year in our
• 02:01Cancer Centre Palliative Care Clinic.
• 02:03Beyond this, they gain broad
• 02:05exposure to ambulatory palliative care
• 02:07for patients with non cancer
• 02:09diagnoses.
• 02:10At the VA, for example,
• 02:12fellows join palliative care clinicians
• 02:14embedded within ALS, pulmonary, and
• 02:17hepatology teams.
• 02:19At our Saint Raphael's campus,
• 02:21they experience our embedded heart
• 02:22failure clinic.
• 02:24And that's it for the
• 02:25day.
• 02:26Wait, is that
• 02:28sunlight?
• 02:29During your time at Yale,
• 02:30you'll appreciate the many unique
• 02:32things that are available at
• 02:33our institution.
• 02:35One example is the Oncology
• 02:36Extended Care Clinic or ECC,
• 02:39a dedicated space within the
• 02:41hospital that allows our oncology
• 02:43patients to bypass TED
• 02:45and receive urgent care.
• 02:47During the height of the
• 02:48COVID-nineteen
• 02:49pandemic,
• 02:50this space was converted to
• 02:51the supportive care unit, where
• 02:53our palliative care team took
• 02:54care of patients who are
• 02:55comfort measures only.
• 02:58On the seventh floor is
• 02:59the healing garden, another unique
• 03:00place available to patients, families,
• 03:03and staff.
• 03:08Though our fellows spend a
• 03:09large part of the year
• 03:10at Yale New Haven Hospital,
• 03:11they also have a diverse
• 03:13exposure to several hospice and
• 03:14palliative care settings.
• 03:16They spend three weeks with
• 03:17the palliative care team at
• 03:19Westhaven VA,
• 03:20and three weeks with Connecticut
• 03:22Hospice, the first hospice in
• 03:23the US.
• 03:25Fellows also rotate through Middlesex
• 03:27Hospice for four weeks.
• 03:28And later in the year,
• 03:29they spend two weeks learning
• 03:31about the role of hospice
• 03:32medical director
• 03:33with Doctor. Shaben, a regional
• 03:35medical director for VITAS.
• 03:37Fellows also spend two weeks
• 03:39with the Sunflower Palliative Care
• 03:40team at Connecticut Children's Hospital.
• 03:45Fellows appreciate their dedicated scholarly
• 03:48blocks, which provide them time
• 03:49and support to pursue quality
• 03:51improvement
• 03:52and other scholarly projects.
• 03:54These initiatives have made a
• 03:56lasting impact on our program.
• 03:58For example, streamlining our inpatient
• 04:00sign up process,
• 04:02enhancing inpatient and outpatient note
• 04:04templates, and much more.
• 04:06We are proud of our
• 04:07mentorship program that pairs each
• 04:09fellow with a faculty member
• 04:11with similar professional interests.
• 04:13Mentors serve as a resource
• 04:15throughout the fellowship, from everyday
• 04:16questions and concerns,
• 04:18to guidance on scholarly projects,
• 04:20to support during the job
• 04:22search.
• 04:23Outside of work, there are
• 04:24plenty of fun things to
• 04:25do. New Haven is centrally
• 04:27located between Boston and New
• 04:28York City,
• 04:29making it convenient to access
• 04:31either of them on the
• 04:32weekends.
• 04:33But you don't have to
• 04:34go that far. Art museums,
• 04:36parks, beaches,
• 04:38and of course the famous
• 04:39Connecticut Apetes.
• 04:42New Haven has a diverse
• 04:43culinary scene with a variety
• 04:45of authentic cuisines from around
• 04:47the world.
• 04:58The Yale University campus is
• 05:00also located a few blocks
• 05:01from the hospital.
• 05:03New Haven is fun to
• 05:04explore at night too, with
• 05:05options for restaurants, bars, music,
• 05:08and theater venues.
• 05:10We thank the various organizations
• 05:12who are dedicated to enriching
• 05:13the culture of downtown New
• 05:15Haven. For those who are
• 05:16looking to get out of
• 05:17the city, the Connecticut shoreline
• 05:19is home to beautiful views
• 05:20and tasty lobster rolls.
• 05:22Families also do day trips
• 05:24to the beautiful little towns
• 05:25in the northwest corner of
• 05:26the state.
• 05:28Our program provides you with
• 05:30rigorous clinical training along with
• 05:32resources and support to help
• 05:34you thrive,
• 05:35so you leave prepared for
• 05:36any career path you might
• 05:37choose.
• 05:40Thanks for joining me on
• 05:41this virtual tour. We hope
• 05:43we were able to showcase
• 05:44what makes the Yale Palliative
• 05:46Care Program so special and
• 05:48what life in the New
• 05:49Haven area would be like
• 05:50for you and your family.
• 05:52We wish you the best
• 05:53of luck in the match.