Yale GIM December 2025 Section Faculty & Staff Meeting

Transcript

• 00:03K.
• 00:04Good afternoon, everyone. Welcome to
• 00:06this month's section faculty and
• 00:07staff meeting. Hello to
• 00:09the thirty plus people out
• 00:10in the, whatever the number
• 00:12is out there on the
• 00:12Internet. You're missing a great
• 00:14lunch.
• 00:15But, here's our agenda for
• 00:17today. We have a pretty
• 00:18packed agenda, so we'll hop
• 00:20right into it here.
• 00:22So
• 00:23that means I have to
• 00:24switch the slides.
• 00:27I'm not sure.
• 00:30Oh, there we go. So
• 00:31next week, December eighteenth,
• 00:34we have,
• 00:35our grand rounds at seven
• 00:36thirty, Nasima and Merchant,
• 00:38and William Hines will be
• 00:40giving a present M and
• 00:41M presentation on inpatient care
• 00:43transition pitfalls,
• 00:44delayed recognition of iatrogenic
• 00:47brachial artery senior pseudoaneurysm.
• 00:50And our noontime talk will
• 00:51be Christopher Kai. He's a
• 00:53research fellow at,
• 00:55Brigham and Women's, and Harvard
• 00:57Medical School. He's also,
• 00:59coming to visit us to
• 01:00look at a research faculty
• 01:01position.
• 01:03The title of this talk
• 01:03is changes in medication use
• 01:05after the inflation reduction act,
• 01:07a difference in differences analysis.
• 01:10So that's next week at,
• 01:12seven thirty and,
• 01:14at noon. Also, don't forget
• 01:16this Friday evening is the,
• 01:18section
• 01:19holiday event.
• 01:21If you've signed up, thank
• 01:22you for being fastidious about
• 01:24signing up. If you haven't
• 01:25signed up but still would
• 01:27like to attend, shoot me
• 01:28an email.
• 01:30Remember, families are invited.
• 01:34We just had our research
• 01:36and scholarship retreat. It was
• 01:38great.
• 01:39Thank you to Carrie Gross
• 01:41and Jeanette Tetreault for pulling
• 01:42it together.
• 01:43He had they put together
• 01:44some wonderful,
• 01:46plenary sessions. We had abstract
• 01:48rehearsals. We had all kinds
• 01:50of,
• 01:51grant feedback sessions. It was
• 01:52terrific. So thank you for
• 01:54that. And then our next
• 01:55retreat will be led by
• 01:57Abba Black, the professional development
• 01:58treat that's retreat that's February
• 02:00sixth.
• 02:01It'll come up quicker than
• 02:02you think. And then our
• 02:03education retreat will be in
• 02:05May.
• 02:07As a reminder, it's FDAC
• 02:09season, so we're in step
• 02:10one right now to complete
• 02:12your FDAC and upload the
• 02:14documents. Deadline, February second.
• 02:17And then so I'll just
• 02:18focus on step one for
• 02:19the sake of time.
• 02:21The other steps will follow
• 02:22after step one. So get
• 02:23that material in. I've I've
• 02:25seen a number of them
• 02:26already, so it's great that
• 02:27people are on top of
• 02:28it.
• 02:30Okay. And I'm gonna
• 02:32pass the baton over to
• 02:33doctor Doolittle, who's gonna talk
• 02:34about the new med piece
• 02:36clinic.
• 02:37Hello, everybody.
• 02:38Good cheer.
• 02:39Good cheer.
• 02:42So here's the scoop,
• 02:44people.
• 02:45There have been some changes
• 02:47in the MedPeds
• 02:48practice.
• 02:50We are now
• 02:51in Fair Haven
• 02:53on three seventy four
• 02:55b
• 02:56Grand Avenue.
• 02:57And that's a picture of
• 02:58the interns outside
• 03:00the front,
• 03:02the front door of the
• 03:03new building. So here's the
• 03:04scoop. There are people in
• 03:06this room
• 03:07who had their continuity clinic
• 03:09in
• 03:11downtown Waterbury, Connecticut.
• 03:13So the program was founded
• 03:15in nineteen ninety
• 03:17eight.
• 03:18And since that time, we
• 03:20were in,
• 03:21Waterbury, Connecticut, connected to Saint
• 03:23Mary's Hospital.
• 03:24Back in the day,
• 03:26there were,
• 03:27the Yale primary care program
• 03:29was based
• 03:30in
• 03:31Waterbury at Saint Mary's Hospital
• 03:33and Waterbury Hospital. So people
• 03:35a lot of people
• 03:37on the faculty got their
• 03:38start there.
• 03:40And so that's a picture
• 03:41of us
• 03:42outside Saint Mary's
• 03:44Hospital,
• 03:46getting a quality award.
• 03:48Since
• 03:49nineteen ninety eight.
• 03:52I know. Well,
• 03:55couple more wrinkles.
• 03:57Anyway and then this place
• 03:58is probably familiar. On on
• 04:00the left there was the
• 04:01founding,
• 04:03storefront of the Fairhaven
• 04:05Community Health Center.
• 04:07It was on Grand Avenue,
• 04:09and it was started by
• 04:10community activists that wanted access
• 04:13to doctors
• 04:14in their community.
• 04:17And then the photo in
• 04:18the middle will be familiar
• 04:19to everyone.
• 04:21One floor is the Cornell
• 04:22Scott internal medicine side, and
• 04:25then the other floor is
• 04:26the
• 04:27pediatric side run by the
• 04:30Fairhaven,
• 04:31community health center. So that
• 04:32happened in in twenty twenty.
• 04:35And then in
• 04:36January
• 04:37of twenty twenty
• 04:40four,
• 04:41Ben Oldfield,
• 04:45an NCSP
• 04:47graduate from this program. He
• 04:49was the chief medical officer.
• 04:51He invited me to have
• 04:52a cup of coffee
• 04:53in the atrium of the
• 04:54hospital. And he said
• 04:56they were thinking of pulling
• 04:58some funds together to build
• 04:59a new building and with
• 05:00the med peds practice
• 05:02be at all interested
• 05:04in in coming down.
• 05:06And so the answer is,
• 05:08of of course, you would
• 05:09because the med pedes gang,
• 05:10the residents,
• 05:12they're Yale residents. They spend
• 05:14eighty percent of their time,
• 05:17at Yale New Haven Hospital,
• 05:18and they were driving up
• 05:19to Waterbury.
• 05:21And so,
• 05:24one breath, we just had
• 05:26this great deep affection and
• 05:27fondness and deep roots
• 05:29in,
• 05:30the city of Waterbury and
• 05:32really loved being there.
• 05:34But
• 05:38there are practicality forces
• 05:40that,
• 05:41led us
• 05:42to see Fairhaven and New
• 05:43Haven as the right place
• 05:45for our gang for our
• 05:45training program.
• 05:47And so
• 05:48the photo on the right
• 05:49is July first,
• 05:52twenty twenty five. They built
• 05:54this building,
• 05:55and it's at three seventy
• 05:57four grand,
• 05:58and it cost,
• 06:00thirty eight million dollars.
• 06:02So that's a picture.
• 06:03That's Doug Olson. He's the
• 06:05chief medical officer now, graduate
• 06:07of the Yale Primary Care
• 06:08program.
• 06:09That's Sue Legard, who is
• 06:10a gastroenterologist,
• 06:13in town, and now she's
• 06:15the CEO.
• 06:16That's Marissa Bond. She's the,
• 06:19the director of public health
• 06:21for the city of New
• 06:22Haven. Put that photo on
• 06:23there is that on the
• 06:24opening day of this building,
• 06:27everybody was there.
• 06:29It it was
• 06:30the mayor was there. All
• 06:31the Young Haven Hospital leadership
• 06:33was there.
• 06:35State,
• 06:36Rosa DeLauro
• 06:37beamed in a video there.
• 06:40Everybody was there. And it
• 06:41was a great
• 06:43experience to to to feel
• 06:45the community support for this
• 06:47good place.
• 06:49So some of you might
• 06:50not know where Fairhaven is,
• 06:51so I'll show you. When
• 06:53you walk in the new
• 06:54building, there's this mural.
• 06:57And so so this was
• 06:59Fairhaven.
• 07:01There's the Fairhaven Community Health
• 07:03Center.
• 07:05This is,
• 07:06Grand Avenue. This is State
• 07:09Street.
• 07:10The New Haven Green is
• 07:11over here, and that means
• 07:13the El Nohim and Hopfills
• 07:14over here. And so Fair
• 07:16Haven is this interesting place
• 07:17because
• 07:19you wouldn't necessarily
• 07:21drive through Fair Haven,
• 07:24on the way to somewhere
• 07:25else, the way you might
• 07:26drive through Dixwell Avenue
• 07:28or El Agresso Boulevard or
• 07:29one of these places. It's
• 07:31a it's its own
• 07:33contained place.
• 07:35So,
• 07:38it's the most diverse neighborhood
• 07:40in New Haven.
• 07:42And so this is, what
• 07:43we got now. So it's
• 07:45this big, beautiful
• 07:47thirty five thousand square foot
• 07:48building.
• 07:49We're on the second floor.
• 07:52It's a med peds practice,
• 07:53so we see adults and
• 07:54kids.
• 07:57And it has all the
• 07:58stuff that you'd want.
• 08:00So labs,
• 08:02a case manager sits there
• 08:03in the pod.
• 08:05There are these
• 08:07diabetes educators,
• 08:09nutritionists.
• 08:10There's this really cool program
• 08:12of food as pharmacy.
• 08:14So there are
• 08:15dietitians, nutritionists who are working
• 08:17with patients and they come
• 08:18in and then they go
• 08:19upstairs and they meet with
• 08:20the nutritionist and then head
• 08:22back down.
• 08:24Behavioral health, Fairhaven owns their
• 08:27own laboratory
• 08:29and or or their, their
• 08:30own pharmacy.
• 08:32And so it's very easy
• 08:33to communicate with the pharmacist
• 08:35around, you know,
• 08:36folks who don't have insurance
• 08:38and how much medications cost
• 08:40and all that.
• 08:42So
• 08:43it's been a great it's
• 08:44been a great move for
• 08:46us.
• 08:47Oh, and we even have
• 08:48a labyrinth.
• 08:52The other cool thing about
• 08:53Fairhaven
• 08:56and so I've been a
• 08:57pastor in the in that
• 08:58community off and on since
• 09:00nineteen ninety one, used to
• 09:01be called
• 09:03Dragon.
• 09:05Dragon.
• 09:05Why?
• 09:06Because they used to have
• 09:08seals,
• 09:09not like a stamp, but
• 09:11like the animal seals would,
• 09:12like, swim up and down
• 09:13the Quinnipiac River. So they
• 09:15called it dragon.
• 09:17Also,
• 09:18it was the oyster capital
• 09:20of the world. And when
• 09:21you get when you go
• 09:22into Fairhaven
• 09:24and you'll see these
• 09:25the brackish
• 09:27tidal
• 09:29river was a perfect place
• 09:31for oysters for generations and
• 09:33generations and generations. So was
• 09:35this
• 09:37many of the homes,
• 09:39these clapboard
• 09:40simple
• 09:41homes, were the homes of
• 09:43the of the oyster cap
• 09:45captains. And so that was,
• 09:46like,
• 09:48how the
• 09:49the village grew.
• 09:51Just down the street from,
• 09:54the community health center,
• 09:56is Crisciulo Park.
• 09:58And this place was notable
• 10:00because this was the home
• 10:01of the twenty ninth regiment
• 10:03of the civil war,
• 10:05which was the first
• 10:07black
• 10:09regiment of Connecticut. The first
• 10:11black regiment in the civil
• 10:12war was up in Massachusetts,
• 10:14of course.
• 10:16But Cresciello Park was the
• 10:18place where the twenty ninth
• 10:20regiment
• 10:21mustered.
• 10:23And, so you can go
• 10:24down there, and they have
• 10:25obelisks. And,
• 10:27it's on the tour that
• 10:29we have the residents go
• 10:30on to learn about this
• 10:31neighborhood. So,
• 10:32folks,
• 10:33that's it.
• 10:35That's our new home.
• 10:37That's where we are. Thanks.
• 10:43Thanks, Ben. Of course, we
• 10:44know you have residents there.
• 10:46Are are students rotating there
• 10:48as well?
• 10:50About that. You and I
• 10:52talked about that.
• 10:56There's a hesitation
• 10:58on the part of the.
• 11:05So
• 11:07yeah. Work in progress. Work
• 11:09in progress. Speaking of Peter,
• 11:11Peter's up next. He's gonna
• 11:12talk to us about the,
• 11:14a position
• 11:15that's about to become available
• 11:17for interested faculty, co director
• 11:19of the primary care psychiatry
• 11:22clerkship. Peter.
• 11:30Meetings.
• 11:32Okay.
• 11:33Just click on it.
• 11:35Okay.
• 11:36Yeah. Keyboard. On the arrow.
• 11:38Just the down arrow. To
• 11:39the right.
• 11:40Here. Yeah. Try that. Go
• 11:42to the right. Yeah. Beautiful.
• 11:44Okay.
• 11:45Greetings, everybody, here and elsewhere.
• 11:47I'm Peter Ellis. I'm the
• 11:49co director of the primary
• 11:50care clerkship.
• 11:52And,
• 11:53with bittersweet news, I've been
• 11:55in this direct position for
• 11:56ten years,
• 11:58and the time is right
• 11:59for new leadership. So I'm
• 12:01here to announce that I
• 12:02will be stepping down in
• 12:03June of twenty twenty six.
• 12:05Coincidentally,
• 12:06the person who developed this
• 12:08clerkship back in nineteen ninety
• 12:10two or three, and, Ben,
• 12:12doctor Doolittle, thank you for
• 12:14setting the tone of history,
• 12:15is here in the room
• 12:16today.
• 12:17So this clerkship was really
• 12:19started and innovated,
• 12:21fantastically by our own doctor
• 12:22Walter Kernan, who's here.
• 12:25So
• 12:26I was still in kindergarten
• 12:27back in nineteen ninety two
• 12:28and,
• 12:29no, not really. But Walter
• 12:30really set the standard as
• 12:32an innovator and,
• 12:33recruiting community faculty. So I'm
• 12:35gonna tell you a little
• 12:36bit about the clerkship briefly
• 12:37and that we have a
• 12:37packed agenda.
• 12:39But what a wonderful tradition
• 12:41Walter started, and, I hope
• 12:43I've tried to live up
• 12:44to that. I think the
• 12:45state of the clerkship is
• 12:46strong.
• 12:47It's in good shape, and
• 12:49it will also benefit from
• 12:50new leadership and innovation. So,
• 12:52I wanted to thank Walter
• 12:54for all his fantastic work,
• 12:55particularly the faculty development,
• 12:57which is a tradition we
• 12:58do every year with dinners
• 12:59and, celebrate our community faculty.
• 13:01So,
• 13:03I'm gonna get to this,
• 13:03but it's a great opportunity
• 13:05for anybody who is interested
• 13:06in,
• 13:07engaging with our faculty, community
• 13:09faculty,
• 13:10who still take care of
• 13:11the majority of the patients
• 13:12in our community.
• 13:14And I do think that
• 13:15having students in the community
• 13:18elevates
• 13:19the quality of practice. I
• 13:20say that speaking personally when
• 13:21I have students makes me
• 13:22on my game,
• 13:24and I think it helps
• 13:25all practices,
• 13:26maybe even Fairhaven
• 13:28if they'll have them. So,
• 13:31this position will be available
• 13:32on July of twenty twenty
• 13:33six, and there'll be an
• 13:34announcement coming out very shortly.
• 13:36Check your emails.
• 13:37We absolutely hope that the
• 13:39next leader will come from
• 13:40our section and maintain that
• 13:42tradition. However, it's open to
• 13:43any,
• 13:45section in the department of
• 13:46medicine.
• 13:48Anybody in the latter faculty
• 13:49is welcome to apply.
• 13:53So
• 13:54so just to quickly review,
• 13:55there are four core clerkships
• 13:57at Yale.
• 13:58And, in the new iteration
• 14:00several years ago, they're defined
• 14:01as follows. Number one is
• 14:02a surgical approach to the
• 14:03patient. These are twelve week
• 14:05clerkships that are mandatory. So
• 14:06students start in January of
• 14:08their second year, about eighteen
• 14:09months in, which is typical
• 14:11of most medical schools now.
• 14:13The medical approach to the
• 14:14patient,
• 14:15well, by the way, Felix
• 14:16Louie is head of the
• 14:16surgical medical. It's Angie Kang.
• 14:18I don't know if Angie's
• 14:19out there. Pediatrics and OB
• 14:20GYN in our clerkship to
• 14:22biopsychosocial
• 14:23approach
• 14:24to the patient.
• 14:25Thank you, by the way,
• 14:26for these slides,
• 14:28very much for putting them
• 14:29together,
• 14:31which is, a combined internal
• 14:33medicine and,
• 14:35in pediatrics.
• 14:37We call that primary care
• 14:38because we don't yet have
• 14:39a department of family medicine
• 14:40at Yale. That may change.
• 14:42And, we we pair it
• 14:43with psychiatry, which we think
• 14:45for many reasons is a
• 14:46is an apt pairing.
• 14:49Job description. Just briefly.
• 14:51The major part of this
• 14:52job is, basically supervising the
• 14:54training of Yale students in
• 14:56the in our community sites
• 14:57and in hospital practices. So
• 15:00big portion of my time
• 15:01is making sure these sites
• 15:02are,
• 15:03functioning well, and I get
• 15:05to do site visits and
• 15:06meet all of these great
• 15:07faculty. So I go to
• 15:08the VA.
• 15:09So who's at the VA?
• 15:10We have,
• 15:12wonderful training. If you were
• 15:13here, I was gonna call
• 15:14you up in name, but
• 15:15maybe I won't.
• 15:16Cornell Scott, for sure, mission
• 15:18driven center, New Haven Primary
• 15:20Care Consortium, where many of
• 15:22us teach
• 15:23with residents, Wednesday evening clinic,
• 15:26of course, Yima, my faculty
• 15:28practice, Bridgeport, Greenwich,
• 15:29fantastic sites. Northeast Medical Group
• 15:32and community based practices are
• 15:33still,
• 15:34probably the bulk of our
• 15:35sites. So we have,
• 15:39maybe twenty sites in total.
• 15:41And,
• 15:42Jen Rockfeld, for any of
• 15:43you, did a fantastic job.
• 15:45So we've recruited these community
• 15:47faculty. Many even been trained
• 15:48with Dana Dunn in the
• 15:50Stanford faculty development model.
• 15:52So they're excellent teachers.
• 15:54And then,
• 15:55anyone wanna travel, you get
• 15:56to go to San Francisco
• 15:57and Tennessee and check out
• 15:59our beloved sites, San Francisco
• 16:01in particular,
• 16:02from two alums of Yale
• 16:03who have, pretty much endowed
• 16:05that place. And we typically
• 16:07send ten or more students
• 16:09every year to San Francisco,
• 16:10and they have a fantastic
• 16:11time there.
• 16:13Faculty recruitment and development is
• 16:15a big part. It's an
• 16:16opportunity to meet our faculty
• 16:17out in the community, as
• 16:18I said. We have teaching
• 16:19awards, which they love.
• 16:21Didactic program remains really important.
• 16:23So many of you teach.
• 16:25I think, Tracy Rabin, if
• 16:26you're out there, thank you
• 16:27for teaching diabetes. Ben Gallagher
• 16:29teaches hypertension.
• 16:31Jorge Moreno, obesity. I do
• 16:32a topic on screening. We
• 16:34have interviewing skills that remain
• 16:35really important in our clerkship,
• 16:38really foundational.
• 16:39So Susan Kashoff, Delia Alcantara,
• 16:42do some interviewing skills in
• 16:43our problem focused workshop, physical
• 16:45exam and orthopedics.
• 16:46Thank you to,
• 16:48Steve Holt and Joe Donrow.
• 16:50Yes. Student grading is important.
• 16:52And then this person will
• 16:54interact with the clerkship director.
• 16:55Should I meet surgery, OB
• 16:56GYN? It's helpful if you
• 16:58ever need letters from other
• 16:59department heads. Why I enjoy
• 17:01being served for director, and
• 17:02I'm gonna end with a
• 17:03couple of pictures.
• 17:04Many reasons. For all of
• 17:05us, we love working with
• 17:07the EL students. They're bright.
• 17:08They're idealistic. I think they
• 17:09keep them on our game.
• 17:11The,
• 17:12in my opinion, this clerkship
• 17:14teaches the foundational skills of
• 17:16doctoring,
• 17:17which is interviewing skills, relationship
• 17:19skills.
• 17:20They don't get it to
• 17:21the same degree, in my
• 17:22opinion, in other clerkships. Why?
• 17:24Because it's longitudinal.
• 17:25They get to see practice
• 17:27practitioners who've been at it
• 17:28for twenty, thirty, forty years,
• 17:31that role modeling.
• 17:33And I think the benefits,
• 17:34as I mentioned, are bidirectional.
• 17:37You get to connect with
• 17:38these community physicians. And
• 17:41when you see how hard
• 17:42they work, you say, wow.
• 17:43Our life isn't so bad
• 17:44here.
• 17:46It's well supported. We have
• 17:48a full time clerkship administrator,
• 17:50and you get to collaborate
• 17:51with some great people. There's
• 17:53a new energy and buzz,
• 17:54I would say, in medical
• 17:55education with, Jess Saluzzi, Jeremy
• 17:57Butler, John Francis,
• 17:59Bill Rando,
• 18:00big focus on pedagogy now.
• 18:03So I'm leadership, of course,
• 18:05is there, Dana, Vinny.
• 18:07And then clinical skills and
• 18:08assessment,
• 18:09this position can certainly, and
• 18:11I encourage this, interact with
• 18:12the first and second year
• 18:14educators,
• 18:15Jaydeep, Michael, and colleagues, Barry
• 18:17Wu. Who's Barry? Thank you.
• 18:21Rachel, Jen Rockfield, Matthew Ellman.
• 18:24And you'll meet other clerkship
• 18:25directors as I alluded to.
• 18:26So just to show a
• 18:27few pictures, this is Yale
• 18:28Health. We have a student
• 18:29every month out there, John
• 18:30Toksoy, if you're listening. Thank
• 18:32you for taking our students.
• 18:34This looks like a Frank
• 18:35Gehry building. Does it not?
• 18:36But I don't think it
• 18:37is. The famous architect who
• 18:39just passed away.
• 18:41The consortium, of course.
• 18:43And this is our final
• 18:44slide just showing a really
• 18:46happy community physician, David Antonetti,
• 18:48who won the teacher of
• 18:49the year award last year,
• 18:50works out at Long Wharf,
• 18:51and is a happy Yale
• 18:52student.
• 18:54So that's
• 18:55that's my announcement. Any questions?
• 18:59No. How much should support
• 19:00GED for this role? There's,
• 19:02currently twenty seven point five,
• 19:05FTE for all clerkship directors
• 19:07that's been standardized. So twenty
• 19:08point two seven five.
• 19:11Yeah.
• 19:12Thank you,
• 19:13Peter, and
• 19:15thank you, Walter, prior to
• 19:17Peter for helping me create
• 19:18this clerkship. It's a wonderful,
• 19:21wonderful,
• 19:22educational experience for our students.
• 19:25Next, Jeremy Schwartz,
• 19:27is representing us on the
• 19:28faculty advisory council. Jeremy.
• 19:31Yep. Take it away. Thanks.
• 19:33Thanks, everybody. So,
• 19:36I've been serving this role
• 19:37now for about two or
• 19:38three months,
• 19:40and I was privileged to,
• 19:42take the torch from Lisa
• 19:44Pugliese, who held that, I
• 19:45think, first two terms, six
• 19:46years.
• 19:47And so my,
• 19:49plan is to,
• 19:52have something called fact feedback.
• 19:54We'll do this three times
• 19:55a year. We'll do it
• 19:56at this section meeting and
• 19:57then follow it up with
• 19:58a little blurb in the
• 20:00newsletter.
• 20:02And,
• 20:04let's just go through this.
• 20:05So what's the fact? Just
• 20:06an overview. And I guess
• 20:08the big picture here for
• 20:09the reason I wanna do
• 20:10this fact feedback is to
• 20:11just increase the transparency and
• 20:12awareness
• 20:13among folks in the section
• 20:14of what's going on at
• 20:15fact, tell give you some
• 20:17some highlights of what the
• 20:18discussions have been over the
• 20:19preceding couple of months,
• 20:21and as we'll get to
• 20:22towards the end, just establish
• 20:23an, a venue or an
• 20:25avenue for, ongoing,
• 20:28communication anonymous communication with me
• 20:30about issues that you wanna
• 20:31bring up. So the purpose
• 20:32of the FAQ is to
• 20:33provide a forum for representatives,
• 20:36which I represent GIM, to
• 20:38bring new ideas and concerns
• 20:39from a broad range of
• 20:40faculty perspectives
• 20:42directly to the dean's office.
• 20:43So we're appointed for from
• 20:45each department for three year
• 20:46terms. You can repeat, as
• 20:47I told you, Lisa did
• 20:48for six years max.
• 20:50And then in addition to
• 20:51those members, there are three
• 20:53representatives for ARS,
• 20:55one rep for Moore,
• 20:57and, one rep from SWIM.
• 21:00And the responsibilities, essentially, we
• 21:02meet twice a month. Every
• 21:03other meeting is just the
• 21:04FACT.
• 21:05Those meetings are not minuted.
• 21:07The meetings with the FAAC
• 21:08plus the dean are minuted,
• 21:10and those minutes are available
• 21:12on the on the FAAC
• 21:12website.
• 21:14So there is that transparency,
• 21:15but,
• 21:16hopefully, we'll increase that with
• 21:18these FAAC feedback sessions. So
• 21:19just to give you a
• 21:20sense of recent
• 21:22goings on within the fact,
• 21:23these actually preceded my,
• 21:25arrival on the, on the
• 21:27council,
• 21:27but there was a conversation
• 21:29about clear guidance on triennial
• 21:31and sabbatical eligibility,
• 21:33revising
• 21:35administrative work workflows
• 21:37around subcontracts and material transfer
• 21:39agreements.
• 21:40There was a meeting that
• 21:41was focused on accountability and
• 21:43data driven insight and oversight
• 21:45of research administration,
• 21:47conversation about institutional implications of
• 21:49part time status,
• 21:51and administrative
• 21:52and responsiveness cross coverage,
• 21:56issues raised by by faculty.
• 21:58So in terms of the
• 22:00past couple of meetings while
• 22:01I've been on the FAQ,
• 22:02so we were joined by
• 22:03doctor McGovern, who's deputy dean
• 22:05of clinical affairs and CEO
• 22:06of of Yale Medicine. So
• 22:07just some highlights from that
• 22:09meeting.
• 22:10We heard about,
• 22:12or talked about this ongoing
• 22:13perception,
• 22:15among faculty
• 22:16that clinical leadership and clinical
• 22:18faculty are brought into the
• 22:20conversation late in the game
• 22:21when it comes to,
• 22:24changes going on within Yale,
• 22:26within Yale New Haven Health
• 22:27System.
• 22:29We heard about some ongoing
• 22:31conversations around how do we
• 22:33as faculty learn about all
• 22:34of the resources available to
• 22:36us. And so,
• 22:37some thoughts coming from,
• 22:39Yale Medicine around the use
• 22:41of chatbots or text messages
• 22:42to direct content to us.
• 22:46Conversation about how do we
• 22:47operate more efficiently in the
• 22:48current climate and the administrative
• 22:50struggles that many of us,
• 22:51face both in research and
• 22:53clinical spaces.
• 22:55Lack
• 22:56of clinical and lab space.
• 22:57We heard about the YSM
• 22:59master space plan,
• 23:01that is evolving.
• 23:03And,
• 23:07doctor McGovern,
• 23:08mentioned,
• 23:09discussions that are ongoing about
• 23:11moving people back toward more
• 23:13in person work.
• 23:15Just last week, Sam Ball,
• 23:17who's deputy dean of academic
• 23:18affairs, joined the FACC,
• 23:20to go over academic tracks,
• 23:23talked about the continuing evolution
• 23:25of the academic clinician track,
• 23:27some concerns that were shared
• 23:29with him at the meeting.
• 23:31One from especially really heavily
• 23:33clinical departments or representatives
• 23:36rep who are who are
• 23:37whose constituents are heavily clinical
• 23:40about lack of effort for
• 23:41academic pursuits that are required
• 23:43for promotion.
• 23:44And I think there's,
• 23:45you know, we many of
• 23:47us in this section might
• 23:48feel that as well.
• 23:50And concerns were shared about
• 23:51a perception that those who
• 23:53were unsuccessful in being promoted
• 23:55by a clinician, educator, scholar
• 23:57are being encouraged to move
• 23:58to academic clinician.
• 24:00Though according to doctor Ball,
• 24:01that actually is a very
• 24:02rare occurrence,
• 24:04in practice.
• 24:06And then towards the end,
• 24:07a brief conversation about the
• 24:09evolution of the r o
• 24:10one as sort of less
• 24:11of a go quote, unquote
• 24:13golden ticket for the clinician
• 24:14scientist
• 24:15track folks. So as I
• 24:17mentioned before, the minutes of
• 24:18these meetings are available on
• 24:19the website, but I'll bring
• 24:20highlights to this venue every
• 24:22couple of months.
• 24:24So,
• 24:25I already mentioned this. We'll
• 24:26do this FAQ feedback here
• 24:28and in the,
• 24:29newsletter. I'd really want this
• 24:30to be bidirectional, so I'll
• 24:32report out to you, but
• 24:33I also need to hear
• 24:34from you to know what
• 24:35is of importance from the
• 24:36section
• 24:37membership to bring to the
• 24:38FAQ.
• 24:40So we can do that
• 24:41here if people want, you
• 24:42know, after I'm done speaking,
• 24:43but probably because of time,
• 24:46I'll turn you to this.
• 24:47So I put together a
• 24:48very brief
• 24:50back feedback survey. It's gonna
• 24:52remain up throughout the academic
• 24:54year. There is a singular
• 24:56open ended text box that
• 24:57says, here is the concern
• 24:58I would like to raise
• 24:59to the FAQ.
• 25:02And I'd love to know
• 25:03if anybody in the room
• 25:04thinks that something is missing,
• 25:05that you'd you'd want something
• 25:06else in this survey.
• 25:08But I'll just say that,
• 25:11the survey can be anonymous
• 25:12if you don't put your
• 25:13name. But if you wanna
• 25:14talk to me about the
• 25:15issue that you're raising, you
• 25:16need to put your name,
• 25:17so that I can reach
• 25:18out to you.
• 25:19Just I'll just pause for
• 25:20a second. Any thoughts about
• 25:23anything else that you would
• 25:24want in a survey like
• 25:25this, or is a single
• 25:26open ended question sufficient?
• 25:28One quick thought Yeah. That
• 25:29that QR code, we can
• 25:32talk to Vivian, put it
• 25:33in every newsletter so it's
• 25:35there. Every month, you'll get
• 25:36a newsletter, and this will
• 25:38be available for you to
• 25:39Totally fine. Yep. I've I
• 25:41I put the the hyperlink
• 25:42in the, content that'll go
• 25:44out in this month's newsletter,
• 25:45but if you wanna do
• 25:46that, I'd I'd welcome it.
• 25:47Yep. Just to make it
• 25:48accessible. Totally. That's great.
• 25:50And I will close with
• 25:52this. You've gotten, I think,
• 25:53two emails from me so
• 25:55far.
• 25:56This is coming out from
• 25:57the fact. I'm just delivering
• 25:58it to my constituents who
• 26:00are who is who are
• 26:01you.
• 26:02This is a faculty led,
• 26:05survey, anonymous survey,
• 26:07around faculty experiences with career
• 26:09development. So if you haven't
• 26:10done it, either look at
• 26:11your email or scan it
• 26:12now. It should take about
• 26:13ten minutes to complete. And
• 26:15with that, I will end.
• 26:18Questions or any questions or
• 26:19comments? Yeah. Yeah.
• 26:21Could you give examples of
• 26:22what are appropriate things to
• 26:23raise through the fact versus
• 26:25should go through other efforts?
• 26:26Yeah. I mean, I would
• 26:28say as as as was
• 26:29said to us at the
• 26:30first meeting, you know, the
• 26:32things the dean wants to
• 26:33hear from faculty are
• 26:35items that are considered actionable,
• 26:37right, not just
• 26:39be a venue for complaints.
• 26:41So if you have things
• 26:42that you think
• 26:44you'd like to see change
• 26:45and have ideas for how
• 26:46those might change,
• 26:48those sorts of issues are
• 26:49welcome.
• 26:51I would you know, I'm
• 26:52just I'm new to the
• 26:53role and still learning about
• 26:54it too. So I think
• 26:55for now, I would say
• 26:57anything goes. I might modify
• 26:59that,
• 27:00a couple months hence, but,
• 27:01you know, I don't want
• 27:02it to be a sound
• 27:03just a venue for
• 27:05spilling,
• 27:07complaints.
• 27:08I want them to be,
• 27:09you know,
• 27:11actionable and and,
• 27:14yeah. I'll stop there. I
• 27:16don't know, Patrick, if you
• 27:16have Well,
• 27:19want someone recognized for some
• 27:22thing they're doing that may
• 27:23not be recognized. You could
• 27:24you could write into this
• 27:26and let
• 27:27Sure.
• 27:28Jeremy know that, hey. Did
• 27:29you are you aware that,
• 27:31you know, Chris
• 27:32that you've done this great
• 27:33thing. That sort of stuff
• 27:34is Yeah. That sort of
• 27:35stuff is it would be
• 27:36fine. I would say, you
• 27:37know, what I'll do over
• 27:38the months
• 27:39you know, the the the
• 27:40months between these fact feedback
• 27:41is just see what comes
• 27:42in. Obviously, not everything that
• 27:44comes in is gonna be
• 27:45raised to the level of
• 27:47the dean, but we'll see
• 27:48what what the
• 27:49themes are, and we'll sort
• 27:51of go from there. But
• 27:52I wanted to at least
• 27:53establish an open communication line
• 27:54and see what people wanna
• 27:56share. So it's great. Jeremy,
• 27:58can I add something there?
• 28:00Yeah. Lisa, please. You're already
• 28:02doing amazing stuff.
• 28:04To the question that was
• 28:05asked, my impression
• 28:07it took me a long
• 28:08time to figure out what
• 28:11actually was appropriate for a
• 28:12fact to do. And it's
• 28:13bigger
• 28:14like, the dean is uninterested,
• 28:17in things that relate to
• 28:18a section. She really wants
• 28:20those things to be managed
• 28:22within a section.
• 28:26Impact people across the school
• 28:27of medicine. So those are
• 28:29things like,
• 28:32parental leave, which was an
• 28:33initiative
• 28:34many years ago now as
• 28:36an example to people, research
• 28:38administration,
• 28:41business office things, you know,
• 28:43kind of bigger, broader stuff
• 28:45than just
• 28:46our personal lives, our section
• 28:48stuff, things like that. Great.
• 28:50Lisa, that's super helpful. Thank
• 28:52you.
• 28:54Alright. Thanks, everybody.
• 28:56So I I wanna thank
• 28:58Lisa for her six years
• 28:59of service, which was tremendous,
• 29:01and Jeremy for taking on
• 29:03this role,
• 29:04for at least three years,
• 29:05perhaps six.
• 29:07The the one thing that
• 29:09Jeremy and Lisa have in
• 29:10common,
• 29:11is they're they're very substantially
• 29:13involved in our three core
• 29:15missions. All both of them
• 29:16are very involved in patient
• 29:18care, very involved in education,
• 29:20and both of them have
• 29:21funded research programs. So they
• 29:23have a
• 29:24they're they're they're uniquely positioned
• 29:26to be able to deal
• 29:27with those three issues in
• 29:27a very even handed way.
• 29:29So,
• 29:30again, thanks to Lisa,
• 29:32and thanks to Jeremy.
• 29:34Okay. Next, we're gonna talk
• 29:36about the Yale education scholar,
• 29:38scholar fellowship.
• 29:40And our presenters are Donna.
• 29:42I think Donna's gonna be
• 29:43online. Is that right? I
• 29:44am. I am in line,
• 29:46and, any banging is the
• 29:48finishing up my sump pump.
• 29:50So
• 29:51Okay. Well,
• 29:53Donna, I hope your sump
• 29:54pump goes well, and take
• 29:55it away.
• 29:56Alright. Well, thanks, everyone. Just,
• 29:59this is the time of
• 30:00year where we're looking for
• 30:02applications for our education scholar
• 30:04faculty development
• 30:06program.
• 30:07So we can go ahead.
• 30:10Do I advance slides? How
• 30:12does that work? I I
• 30:13can advance if you'd like.
• 30:14Okay.
• 30:17So this is a one
• 30:18year faculty development course and
• 30:20educational scholarship,
• 30:21sponsored by the School of
• 30:23Medicine.
• 30:24Some of you might remember
• 30:25we had a predecessor
• 30:27course called ACES, and that
• 30:28was just for our department
• 30:30of medicine that ran for
• 30:31five years.
• 30:33This is the second year
• 30:34where we've
• 30:35brought this into the school
• 30:36of medicine. And, really, the
• 30:38goals are to support personalized
• 30:40educational
• 30:41initiatives of both CES and
• 30:43AC faculty,
• 30:45provide resources to aid folks
• 30:47in the success of their
• 30:49own educational scholarship, and provide
• 30:51mentorship, which we'll talk about
• 30:53in a minute, and career
• 30:54development.
• 30:56You can go ahead.
• 30:58So what we have is
• 30:59a weekly two and a
• 31:01half hour educational,
• 31:03scholarship seminars. We do about
• 31:05thirty during the course of
• 31:06an academic year.
• 31:08What the highlight is is
• 31:10that you get regular mentoring
• 31:12with two mentors, and these
• 31:13mentors could either be within
• 31:15our department or across depart
• 31:17the, different departments depending on
• 31:19what your your project is.
• 31:20And Jackie will talk about
• 31:22hers and her mentors.
• 31:24And then we would ask
• 31:26that you have a half
• 31:27day a week approximately
• 31:28to work on your scholarship
• 31:31project that you're having.
• 31:33So, again, we started this
• 31:34last year in our first
• 31:36cohort with fifteen participants. I'm
• 31:38not gonna read through all
• 31:40the folks that participated,
• 31:41but you can see from
• 31:42our own internal medicine, we
• 31:44had Ben Cherry from our
• 31:45section
• 31:46and from an EMG hospitalist,
• 31:48Yamini Krishnan.
• 31:51And I'll note very small
• 31:53number
• 31:54from our section. Okay, Patrick.
• 31:56Go
• 31:57ahead.
• 31:58This year, we only have
• 32:00five from our department of
• 32:02medicine. It's so sad.
• 32:04Wanted to get some more,
• 32:05and we have Patty,
• 32:07Rose who's from our PA
• 32:09program online and then Jackie
• 32:10who's I said is gonna
• 32:11talk about
• 32:13her her role and what
• 32:14she's been doing.
• 32:16And just so that folks
• 32:18have an idea for that
• 32:19predecessor
• 32:20course, the precursor, the ACES,
• 32:23we had quite a number
• 32:24of people from our section.
• 32:26There was thirty total over
• 32:27the five years through our
• 32:28department, and you can see
• 32:30that a large portion in
• 32:32fact, we were the largest
• 32:33representative section
• 32:35for that program and sending
• 32:37people.
• 32:40So what is it that
• 32:41we actually do? So we
• 32:43have,
• 32:44I think, now over seventeen
• 32:46faculty across and outside of
• 32:48Yale School of Medicine who
• 32:50are experts
• 32:51in their field.
• 32:53And, again, I'm not gonna
• 32:54read through all of the
• 32:56things that we do, but
• 32:57key elements to doing educational
• 33:00scholarship like library research, how
• 33:02do you develop a curriculum?
• 33:04What about the needs assessment?
• 33:06How do you do survey
• 33:07research? Things that were not
• 33:09really taught or taught well
• 33:11or taught at all, qualitative
• 33:12research,
• 33:13focus groups that Abba Black
• 33:16talks with us about,
• 33:18multimedia and technology,
• 33:20EPAs.
• 33:20How do you actually even
• 33:22evaluate your own educational scholarship?
• 33:24So we have we have
• 33:25workshops on statistics.
• 33:27We bring in the IRB
• 33:29to talk about IRB initiatives
• 33:31and how do you do
• 33:32that for educational
• 33:33scholarship.
• 33:34And then how do you
• 33:35go ahead and present these
• 33:37at either in abstracts or
• 33:39in,
• 33:40publication?
• 33:42Okay. Thank you.
• 33:45I wanna spend a minute
• 33:46talking about the mentoring because
• 33:48this is a new model
• 33:49that I developed for this
• 33:51program,
• 33:52and it's structured mentoring for
• 33:54each participant
• 33:55by by two faculty
• 33:57with educational scholarship training. Ideally,
• 34:00I'm matching one senior with
• 34:02one junior mentor.
• 34:04And the idea is to
• 34:05sort of train up, if
• 34:06you will, these junior mentors.
• 34:08And Ben Gallagher, I believe
• 34:10is there. He's serves as
• 34:12one of our our mentors
• 34:13who's gone through, the ACES
• 34:15program. There's quite a few,
• 34:17who've done that and are
• 34:19now mentors, and I'll get
• 34:20to that slide in a
• 34:21minute.
• 34:22But
• 34:23having done this a couple
• 34:24of years now and being
• 34:25in that senior role, I'm
• 34:27learning from everybody. I'm learning
• 34:29from the participant.
• 34:30I'm learning from my colleague
• 34:32who's the sometimes a junior,
• 34:34but might be my peer
• 34:36mentor.
• 34:37And we do some mentor
• 34:39training,
• 34:40as well. Umma Fatak helps
• 34:41me with that from the
• 34:42department of pediatrics talking about
• 34:44how do we think about
• 34:46mentoring,
• 34:48for projects.
• 34:51And,
• 34:53I actually have
• 34:55this number I forgot to
• 34:56change. I have twenty nine
• 34:58faculty mentors this year, and
• 35:00you can see
• 35:02a large portion of them
• 35:04are from our department of
• 35:05medicine and even more,
• 35:07the majority are from our
• 35:08section. And,
• 35:11this is so critically important
• 35:13to have faculty who can
• 35:15mentor
• 35:16either because they're a content
• 35:18expert in the topic area
• 35:20that the person has or
• 35:21because they have a lot
• 35:22of educational scholarship,
• 35:25training. And again, the mentor
• 35:26mentee pairs may not be
• 35:29section specific or department specific.
• 35:31It's really trying to get
• 35:32good
• 35:33mentoring depending on the person's
• 35:35project.
• 35:39It was I'm not gonna
• 35:40go through the total recruitment,
• 35:42but a lot of this
• 35:43is just word of word-of-mouth
• 35:45and word on the street.
• 35:46I I did some snowball
• 35:47technique to try to gather
• 35:50people from different departments
• 35:51who have educational
• 35:53scholarship skills.
• 35:54And if you wanna use
• 35:56this
• 35:56QR code, this will take
• 35:58you to the OAPD
• 36:00website, which hosts that,
• 36:02houses rather the spreadsheet of
• 36:05all the people who are,
• 36:06have educational scholarship skills who'd
• 36:08be willing to mentor folks.
• 36:13I just wanted to give
• 36:14you a sense of what
• 36:15are people doing, and this
• 36:16was projects from last year's
• 36:19cohort, our first cohort.
• 36:22Again, not going to read
• 36:23them all, but there's some
• 36:25fun things out there that
• 36:26people are doing.
• 36:29We have from
• 36:31the section of, hospital medicine
• 36:34direct ED care for interns
• 36:36experience in hospital medicine called
• 36:38Define
• 36:40And so Yamini worked on
• 36:41that, and she's,
• 36:43currently
• 36:44looking at the impact of
• 36:45this novel educational
• 36:47curriculum.
• 36:51So we're in the process
• 36:52right now. Should have received
• 36:54an email from a second
• 36:55reminder this morning
• 36:57for recruiting.
• 36:59The application deadline
• 37:00is January ninth. So if
• 37:02you know of junior faculty
• 37:04or you yourself have something
• 37:06that you thought you wanted
• 37:07to get some more scholarship
• 37:09help in, please
• 37:10apply.
• 37:14And we have Jackie here
• 37:15who's gonna who's currently enrolled
• 37:17in the program and can
• 37:18tell us a little bit
• 37:19about her experience.
• 37:28Had to lower the mic.
• 37:31Yes. So I'm currently,
• 37:32in the educational scholars fellowship.
• 37:35And, you know, I just
• 37:37wanna thank Donna and Patrick,
• 37:39for all the mentorship thus
• 37:40far and support to be
• 37:41a part of this. So,
• 37:43with my project,
• 37:45it's a little bit of
• 37:46a niche. So I think
• 37:47that if you're something that
• 37:48you're thinking about that you're
• 37:49interested in may not you
• 37:50may not feel like might
• 37:52have a broad impact or
• 37:54maybe something very specific that
• 37:56you're interested in, I would
• 37:57encourage you to just reach
• 37:59out to Donna and float
• 38:00the idea out there,
• 38:02and get some feedback on
• 38:03it. So I'm interested,
• 38:06in disaster preparedness and emergency
• 38:08management and trying to build
• 38:09up a knowledge base,
• 38:10within internal medicine for that,
• 38:13which is something that really,
• 38:15isn't touched upon much, but
• 38:17it's something that I personally
• 38:18have a lot of interest
• 38:19in. And so,
• 38:21it was,
• 38:22very well supported,
• 38:24and is currently the focus
• 38:25of my project in in
• 38:27this fellowship.
• 38:29With that, Donna did an
• 38:30excellent job with my pairing.
• 38:32And so I have an
• 38:33emergency medicine physician, Jeremy Renzetti,
• 38:36who also has educational,
• 38:38scholarship,
• 38:39background.
• 38:41And then I also am
• 38:42paired with Rob Fogarty, who
• 38:43actually sits
• 38:45on
• 38:46our,
• 38:47emergency management council,
• 38:49who for the hospital system.
• 38:51And so between those two,
• 38:53I'm not only getting the
• 38:54hospital perspective, but also the
• 38:56emergency medicine perspective as well
• 38:58as the background for the
• 38:59clinical skills.
• 39:01And so all of that
• 39:02has been excellent for my
• 39:03project, but for my own
• 39:04personal growth and professional development,
• 39:07it really helped me reframe
• 39:09how I approach educational scholarship,
• 39:11but I'm only halfway through
• 39:12at this time.
• 39:14And so I'm I can't
• 39:15wait to see what else
• 39:15that we have going on
• 39:16and and what the outcomes
• 39:18are, but everything's very practical
• 39:20based and really focused on
• 39:21having a deliverable,
• 39:23that you can affect change
• 39:25with. And so that's what
• 39:26makes this scholarship
• 39:28and the fellowship really exciting.
• 39:31Any questions for Jackie or
• 39:37Does this program require ten
• 39:38percent support to work on
• 39:40your project?
• 39:43Yeah. I mean, that's a
• 39:44great question.
• 39:46Yes and no.
• 39:49Not additional
• 39:50time, but through the AC
• 39:52track and the CES track,
• 39:54you're supposed to have protected
• 39:56time, and we can get
• 39:57into long deliberations of whether
• 39:59that happens or not. I
• 40:00don't know, Jackie. How are
• 40:01you managing your time?
• 40:04Yeah. Between,
• 40:05Patrick and my, direct departmental
• 40:07clinical leaders, I've I've had
• 40:09protected time, set aside not
• 40:10only for the, scholarship
• 40:12activities, but also to make
• 40:13sure that I have time
• 40:15to get the project done.
• 40:17Yeah. We've we've made it
• 40:18a priority in general medicine
• 40:19to be sure we coordinate
• 40:21with the
• 40:22faculty members in the program
• 40:24and whoever their clinical education
• 40:26leadership is, should that time
• 40:27is protected. I'm not sure
• 40:28how it works in other
• 40:29sections of the departments, but
• 40:30I think we've been reasonably
• 40:32successful at doing that.
• 40:34Patrick has been the
• 40:36strong supporter and the consistent
• 40:39financial supporter of folks who
• 40:41wanna do this. So I
• 40:42really appreciate Patrick's doing that.
• 40:44It's not consistent across
• 40:46sections or departments, but it's
• 40:48critical
• 40:49to get your work done
• 40:51to have that protected time.
• 40:54So with that said, I
• 40:55wanna, again, remind people the
• 40:56January ninth due date
• 40:58for the application. I don't
• 40:59think the application is particularly
• 41:01burdensome, so,
• 41:02I would get to it
• 41:03and try to get in
• 41:04before the holidays would be
• 41:05my suggestion.
• 41:07To me, it's important. I
• 41:08really wanna,
• 41:10see at least one member
• 41:12of our section participate in
• 41:13this program every year. I
• 41:15think the skills it provides,
• 41:17can really help move your
• 41:19careers forward, whether you're academic
• 41:20clinician track or CES track.
• 41:23I I think these skills
• 41:24are really important
• 41:25in this environment. So I
• 41:26really and if we have
• 41:28more than one person from
• 41:29general medicine doing it next
• 41:30year, that's great too. So
• 41:32applications
• 41:33encouraged.
• 41:35Yeah. And and I'll just
• 41:36add that,
• 41:37I've I'm only almost here
• 41:39for two years. And so
• 41:40even if you're a very
• 41:41early faculty member who's just
• 41:43getting started, I wouldn't wait,
• 41:45because this is something that'll
• 41:46be foundational.
• 41:49Okay. Thank you, Don and
• 41:50Jackie. Jackie, quick question. Do
• 41:52you have enough time? Or
• 41:55I think I could use
• 41:56more.
• 41:58So, we're gonna put off
• 42:00the last item on our
• 42:01agenda to the first item
• 42:03on our January meeting agenda
• 42:04because of,
• 42:06time.
• 42:07Thank you all for being
• 42:09here today.
• 42:10And, again,
• 42:12January ninth is the due
• 42:13date on this application.
• 42:15I look forward to seeing
• 42:16as many of you as
• 42:17can make it to the
• 42:18holiday event tomorrow night. The
• 42:20ultrasounds are
• 42:22working hard rehearsing their set
• 42:24list,
• 42:25for the party. So, they'll
• 42:27be there and ready to
• 42:28go. So,
• 42:29thank you all, and enjoy
• 42:31the rest of the day.