Yale Arthroplasty Presentation Video March 2026

Transcript

• 00:02Welcome to Yale hip and
• 00:04knee arthroplasty fellowship.
• 00:06This is the presentation for
• 00:07twenty twenty six overview for
• 00:09matching and starting in August
• 00:11of twenty twenty seven.
• 00:14So those of you traveling
• 00:15in, welcome to Yale. Those
• 00:16of you reviewing our program
• 00:17online, thank you for visiting
• 00:19us digitally and virtually. This
• 00:20is the Yale School of
• 00:21Medicine on Cedar Street. That's
• 00:22the Sterling Hall of Medicine.
• 00:24Inside is the
• 00:25Cushing Medical Library, which looks
• 00:27something like this, the historical
• 00:28library.
• 00:29And, it's a beautiful building
• 00:31made to look hundreds of
• 00:32years old.
• 00:33It's very festive in the
• 00:34wintertime with the book tree
• 00:35that they like to set
• 00:36up with librarians and very
• 00:37festive people.
• 00:39So our departmental mission here
• 00:40at Yale Orthopaedics is to
• 00:41deliver exceptional patient care by
• 00:43fostering a culture of respecting
• 00:44well-being, seeking innovation, diversity, and
• 00:46excellence across all our missions,
• 00:48and supporting our community locally
• 00:50and globally.
• 00:52Our chair here in the
• 00:53department is doctor Lathanza.
• 00:54She joined us in September
• 00:56twenty nineteen and was in
• 00:57practice out at UCSF,
• 00:59for about twenty years. She
• 01:00served in numerous roles, including
• 01:02nationally as the president of
• 01:03the Ruth Jackson Orthopedic Society
• 01:04and the creator and president
• 01:06of the very initiative.
• 01:08Our faculty leadership for education
• 01:10specific to the residency program,
• 01:13is now led by Adrianne
• 01:14Associates who's taken the role
• 01:15of, vice chair of education
• 01:16over from doctor Linscott on
• 01:18the right, and the associate
• 01:19program directors are doctor Kaleem
• 01:20and doctor Twasson.
• 01:22And although our fellowship program
• 01:23is independent, we still interact
• 01:24with them quite a bit
• 01:26in terms of educational goals.
• 01:28And as we talked about
• 01:29the schedules overlapping with the
• 01:30residents and fellows, the same
• 01:31rotations, we have to balance
• 01:32it all out. So Adrian
• 01:34is our go to for
• 01:35the vice chair of education.
• 01:36Here
• 01:37in the division, I'm doctor
• 01:39Reuben, the section chief for
• 01:40total joints, and we're joined
• 01:41by faculty. As shown, doctor
• 01:42Poore is our section chief
• 01:43at the VA.
• 01:45Doctor Leininger is, operates between
• 01:47the VA and SRC. Doctor
• 01:48Gibson operates in New Haven
• 01:50SRC.
• 01:50Doctor Hicranil operates in Greenwich
• 01:52and Stanford.
• 01:53Doctor Leslie is our chief
• 01:54of trauma, for orthopedics, but
• 01:56also does quite a number
• 01:57of hip replacements and disaster
• 01:58plastic type cases.
• 02:00Doctor Mansour,
• 02:01has joined us in the
• 02:02last couple of years. He's
• 02:03working here at SRC in
• 02:04New Haven. Doctor Malloy works
• 02:06at SRC at Milford Hospital.
• 02:07Doctor Todd Morrison is in
• 02:09the Bridgeport Milford network and
• 02:10operates at those hospitals primarily.
• 02:12Doctor Wisnia is in New
• 02:13New Haven and Milford. And
• 02:15then doctor Cushing is our
• 02:16current twenty twenty five, twenty
• 02:17twenty six arthroplasty fellow.
• 02:20He operates everywhere. Heck, yeah.
• 02:21Everywhere.
• 02:22I'd like to highlight the
• 02:23educational and experiential diversity of
• 02:25our faculty.
• 02:27I've really tried to hire
• 02:28faculty that come from lots
• 02:29of different places, residency and
• 02:31fellowship as shown here. There's
• 02:33a huge variety of experiences
• 02:34that come from this, training
• 02:36traditions,
• 02:37educational traditions, and so forth
• 02:39and so on. And the
• 02:40problem solving that goes with
• 02:41this is second to none,
• 02:42so you'll be exposed to
• 02:43all these concepts and ideas.
• 02:45And, also, it creates for
• 02:46us an opportunity for networking
• 02:48and interaction with these many
• 02:49programs all over the country
• 02:50and around the world.
• 02:52We honor our, Emeritus faculty
• 02:54members. Doctor Palkers retired in
• 02:55twenty twenty and doctor Wu
• 02:56retired in twenty twenty three.
• 02:57Doctor Palkers was a section
• 02:58chief for thirty four years.
• 02:59And we recall fondly doctor
• 03:01Keggy, our our
• 03:02mentor and friend. He passed
• 03:04away in twenty twenty three.
• 03:06So our division at this
• 03:07point as we go from
• 03:09twenty twenty four to present
• 03:10actually has grown quite a
• 03:12bit. We have seven hospitals
• 03:13across across four delivering networks.
• 03:15We have a y access
• 03:16transfer program that brings complex
• 03:18cases to the main hospital,
• 03:20which for us in the
• 03:20joints world is SRC, Saint
• 03:22Rachel's campus,
• 03:23twenty four seven three sixty
• 03:24five. We're hiring at this
• 03:26moment four more joint surgeons,
• 03:28two in New Haven,
• 03:29one of which is verbally
• 03:30agreed to sign, and we're
• 03:31still hiring for the second
• 03:32position. Milford, who we have
• 03:34signed a surgeon coming out
• 03:35of fellowship at Einstein,
• 03:37and one in Greenwich, who
• 03:37we're we're talking to at
• 03:38the moment, with the hopes
• 03:40of signing in the future.
• 03:41We've added a couple full
• 03:43time clinical researchers. We have
• 03:44a divisional researcher,
• 03:46who's a student, and we
• 03:47have a funded position that
• 03:48will start this June. We
• 03:49have a postdoc from Germany
• 03:51who's doing, funded research from
• 03:53the German Research Foundation. We
• 03:54got a grant for him.
• 03:55I work with doctor Porro,
• 03:56Wysniak, and myself. And then
• 03:57we always have some research
• 03:59students, especially through doctor Wysniak
• 04:00and doctor Grauer's groups, who
• 04:02interact with our division and
• 04:03do lots of projects.
• 04:05Our our fellowship has a
• 04:06very busy call base, and
• 04:08and we do a lot
• 04:09of patient. We have a
• 04:09five hundred to five hundred
• 04:11fifty hip fracture in case
• 04:12of the year. We have
• 04:13a new arthroplasty call panel
• 04:14that started January one of
• 04:15last year that does four
• 04:17or five urgent revision cases
• 04:18every week. And that's a
• 04:19great chance to talk to
• 04:20the fellow about that when
• 04:21you're visiting with Tucker to
• 04:22see kind of what things
• 04:23we're seeing. But we see
• 04:24infections, dislocations, fractures
• 04:26every day, every week, every
• 04:28month, every all year long.
• 04:29So you see a ton
• 04:30of cases. Consistently high case
• 04:32volume and revision burden. Doctor
• 04:34Cushing is the the first
• 04:35six months about three hundred
• 04:36and five. You said you're
• 04:37at three hundred and Fifty
• 04:38six years. Three hundred and
• 04:39fifty something, fifty six. Seven
• 04:41months. In seven months. So
• 04:42that gives you a flavor.
• 04:43And we'll have some averages
• 04:44numbers here as well.
• 04:46Our fellows get the international
• 04:47travel experience through the KK
• 04:48Kimbell Fund, which I'll talk
• 04:49about in a moment.
• 04:50Doctor Kwashen went to Paris
• 04:51and Belgium. Doctor Kwasinski went
• 04:53to Germany and Poland for
• 04:54a week each. Doctor Budella
• 04:56went to Johannesburg, South Africa
• 04:57for two weeks and started
• 04:58pushing his planning trip to,
• 05:00India, for two weeks, in
• 05:02May.
• 05:03So who are our graduates?
• 05:04Eric McDonald is our first
• 05:05fellow, and, he did four
• 05:07hundred ninety two cases. Thirty
• 05:09two percent were complex revision.
• 05:10And primary, he's out of
• 05:11California. He was with Kaiser,
• 05:13and he's changed practice to
• 05:14a private group. Doctor Quadra
• 05:15is,
• 05:16was very busy, did six
• 05:17hundred thirty four cases the
• 05:18full year without a COVID
• 05:19shutdown. And, he went to
• 05:21Belgium Paris, and he's practicing
• 05:22out in the Pacific Northwest.
• 05:24Doctor Brzezinski,
• 05:25he was quite busy with
• 05:27five hundred seventy nine cases.
• 05:28Again, the consistent number is
• 05:30about thirty percent complex in
• 05:31revision, and he went to
• 05:32Germany and Poland like I
• 05:33mentioned. And doctor Podell, if
• 05:34we just finished,
• 05:36he did about four hundred
• 05:37fifty cases,
• 05:38and he went to South
• 05:39Africa.
• 05:40He is currently in a
• 05:41different, fellowship now for spine,
• 05:42and he's pursuing a career
• 05:44in Houston after that. Our
• 05:45current fellow, as you see,
• 05:46doctor Cushing is with us.
• 05:48And our next fellow, they're
• 05:49both from Westborough and Northborough,
• 05:51Massachusetts, ironically. Literally right next
• 05:53to me. Right next to
• 05:53each other. Question real quick.
• 05:55How many fellows are you
• 05:56gonna go through before you
• 05:58leave this part out of
• 05:59your presentations? I don't know.
• 06:00We'll see how you perform,
• 06:00doctor.
• 06:01So our average here is
• 06:03five hundred and thirty eight
• 06:04cases. As you see, that's
• 06:05the first four. Tucker's gonna
• 06:06crush the numbers and make
• 06:08that average
• 06:09more. So I think five
• 06:09fifty is a reasonable average
• 06:11number to give you, and
• 06:12twenty five to thirty percent
• 06:13is the the number that
• 06:14I would cite.
• 06:15And like I said, our
• 06:16next, fellow is coming from,
• 06:17UMass. We're very excited to
• 06:19have her join us next
• 06:20year,
• 06:21this year, in August first.
• 06:23So, of course, that brings
• 06:24us to this moment for
• 06:25this this room. We are
• 06:26looking for you, and we're
• 06:28looking for we have one
• 06:29position. That's only one position,
• 06:30but whoever is lucky enough
• 06:32to get the position will
• 06:32be made famous, and will
• 06:34live in this spot right
• 06:36here forever. So We're out
• 06:37there. Hope that you join
• 06:38us. We're excited to meet
• 06:40you all today. So orthopedic
• 06:41surgery residency, we have a
• 06:42very, you know, accomplished group
• 06:44of resident physicians that come
• 06:46out of this program. And
• 06:46I came here in two
• 06:47thousand sixteen at the end
• 06:48of the year and clinically
• 06:50started about ten years ago
• 06:50in two thousand seventeen. So
• 06:52since that time,
• 06:53we have doctor Hughes who
• 06:54went to HFS. Wizzney went
• 06:55to NYU. Nelson went to
• 06:57UVA.
• 06:58Izu went to fellowship in
• 06:59Toronto. He does joints in
• 07:00oncology.
• 07:02Murillo,
• 07:03Induguba, and Vinitag, he went
• 07:05the same year they graduated,
• 07:06which was a challenge to
• 07:07make sure they all got
• 07:08good match, but at OrthoCarolina,
• 07:09NYU, and Stanford. And since
• 07:11then, we've had other residents
• 07:12go to Ottawa, Connecticut Orthopedics
• 07:14locally for a year. Lydia
• 07:15Ani, she went to Nuffield,
• 07:16which was the Oxford program.
• 07:17Zach is currently a fellow
• 07:18at UVA. And in the
• 07:20room here with doctor Kasuba,
• 07:21who's our graduating chief resident
• 07:22this year and current chief
• 07:23resident on our service, who
• 07:25will be touring you around,
• 07:26after the visit.
• 07:28She's going to Columbia for
• 07:29her fellowship next year. We
• 07:30have two threes who are
• 07:32rising stars, Kayla Menes and
• 07:34Rajeev Vasudeva, and that they're
• 07:35applying this fall. So we're
• 07:37very excited as we meet
• 07:38all the fellows to have
• 07:39our own residents going into
• 07:40the programs. Our program has
• 07:41a lot of unique divisional
• 07:43highlights, a vascular necrosis program
• 07:44with doctor Wysnia, doing a
• 07:45lot of three d guided
• 07:46computer navigated
• 07:48surgery.
• 07:49He's got a prospective RCT
• 07:50in motion for hyperbaric oxygen
• 07:52treatment. We have a PGI
• 07:53center of excellence with doctor
• 07:54Malloy looking at infection protocol
• 07:56and policy and research. And,
• 07:58just as an example, last
• 07:59year, MSIS, she had a
• 08:00podium and I think two
• 08:01or three posters.
• 08:03We've we've done pretty well
• 08:04at that meeting with her
• 08:04leadership with doctor Goldin, our
• 08:06infectious disease colleague.
• 08:08All faculty do certain aspects
• 08:09of the three d research
• 08:10and custom design.
• 08:12Data science research group, I
• 08:13work on that with doctor
• 08:14Grauer, especially with our large
• 08:15national ministry of databases. We
• 08:17publish a lot from there.
• 08:19We have a big, patient
• 08:20optimization research group, which also
• 08:22works on social determinants of
• 08:23health, predictive risk assessment.
• 08:26Elie Mansour is interested. He
• 08:27won't be with us this
• 08:28afternoon, but he's interested in
• 08:29AI and applying risk models
• 08:31to assess, orthopedic patients predict
• 08:33risk. And we have an
• 08:34outpatient surgical program at the
• 08:35time we built it before
• 08:36COVID. It was among the
• 08:37first in academic orthopedics. Now,
• 08:39of course, a lot of
• 08:39people doing outpatient surgery, but
• 08:41we're proud of what we
• 08:42built and all. You'll see
• 08:43a little bit of that,
• 08:43in the videos later.
• 08:45Program highlights just to some
• 08:47you know, this is the
• 08:47chance for me to do
• 08:48photo dump and show you
• 08:49all the great things we've
• 08:50done. Twenty twenty two, this
• 08:52is our first Yale Ortho
• 08:53Fellowship Symposium with doctor McDonald
• 08:55Front Center presenting his research.
• 08:57We had a graduation dinner
• 08:58at doctor Gibson's backyard after
• 08:59that with faculty.
• 09:00It was really nice afternoon.
• 09:02Set the tone for future
• 09:03gatherings. This one was in
• 09:04my backyard with doctor Kwaja.
• 09:06And, it's just his favorite
• 09:07color was purple, so we
• 09:08all surprised him by wearing
• 09:10various shades of purple in
• 09:11case you're wondering why it's
• 09:12color coordinated.
• 09:13Doctor Brzezinski graduated the following
• 09:15year, and although we did
• 09:16not coordinate it, the blue
• 09:17matches the hydrangeas pretty nicely.
• 09:19And I was very happy.
• 09:20My wife was very happy.
• 09:21The hydrangeas were in full
• 09:22bloom for these photos,
• 09:24which is really exciting. So
• 09:25he's he's doing well. He's
• 09:26now at University Orthopedics in
• 09:27New Jersey.
• 09:28So, two weeks in international
• 09:30education is
• 09:32part of this. So in
• 09:32my interview room, I do
• 09:32wanna hear what your proposals
• 09:33are to where you wish
• 09:34to go and where you
• 09:36dream that you'd go for
• 09:37two weeks. This is doctor
• 09:38Bedell traveling to South Africa
• 09:39in Johannesburg,
• 09:40last February. You can see
• 09:41he showed us some things
• 09:42like this OR, which has
• 09:43actually two ORs. And there's
• 09:45a small divider, but there's
• 09:46only one door, and there's
• 09:47two ORs running at the
• 09:48same time. So it's really
• 09:49interesting. You know? It's, just
• 09:50a different way of doing
• 09:51it. It's not wrong or
• 09:52right. It's just, wow. It's
• 09:53a refreshing way to look
• 09:54at the world and see
• 09:55the world through different eyes.
• 09:57I've seen six in Zurich.
• 09:59Directly. Six over. Six in
• 10:00Melbourne.
• 10:02So we have, got it
• 10:03together. This is our team
• 10:04for taking selfies. This is
• 10:05a known thing for him
• 10:06over there in the corner.
• 10:08Doctor Puar loves to take
• 10:09selfies. Here we are taking
• 10:10selfies, him, Gibson, and and
• 10:11McDonald.
• 10:12This is is the babies
• 10:13talking to each other. We
• 10:14went to August in twenty
• 10:14twenty three. We had a
• 10:15nice group, a good group.
• 10:16We got together, took a
• 10:17nice photo in the front
• 10:18there, but we went last
• 10:19year. We had a really
• 10:20good group, even better. We've
• 10:21grown our faculty. We had
• 10:22four out of five of
• 10:23our fellows. We had a
• 10:24a couple current residents. We
• 10:26had a graduated resident. We
• 10:27had a couple students with
• 10:28us. And so the future
• 10:30is bright. I mean, this
• 10:30was for me really a
• 10:31highlight of my experience there
• 10:33at that meeting and the
• 10:33highlight of my year is
• 10:35to get together all these
• 10:35people that I've been involved
• 10:36with working with, and we
• 10:37built this program from scratch
• 10:39when I came here. So
• 10:40to be a part of
• 10:41this is really exciting. It's
• 10:42a it's a program on
• 10:43the rise.
• 10:44As we continue to add
• 10:44faculty, we're gonna keep growing.
• 10:46We're gonna hopefully grow our
• 10:47residency in the next year,
• 10:48growing to either one or
• 10:49two more positions with the
• 10:50residents and hopefully grow the
• 10:51fellowship
• 10:52the year after or so.
• 10:55But doctor Tucker, he got
• 10:57very involved in the meeting.
• 10:58Here he is, you know,
• 10:59teaching for the microphone That's
• 11:00right. Teaching the podium what
• 11:01he thinks.
• 11:02And here we are hanging
• 11:03out in the on the
• 11:04way out. So at at
• 11:05Yale Orthopedics, we have a
• 11:06bunch of fellowship programs now.
• 11:08We have one position joints,
• 11:09trauma, spine, and sports are
• 11:11two hand fellows. Those are
• 11:13shared with plastic surgery.
• 11:14All the clinical benefits and,
• 11:16like, the administration of HRs
• 11:17through the hospital GME program,
• 11:19and I'll touch on that
• 11:20in a minute with the
• 11:20logistics. There's a bunch of
• 11:22nonclinical research fellows, students, lots
• 11:24of scholars that come through
• 11:25this place as you might
• 11:25imagine.
• 11:26The fellow gets to travel.
• 11:27We do have some funding
• 11:28for CME for travel.
• 11:31So national courses like AOS
• 11:33or AUS are great targets.
• 11:34There's also like the Houston
• 11:35DA course, which I teach
• 11:36every year and lots of
• 11:38robotic courses. There's a doctor
• 11:39Hickernell on the bottom right
• 11:40looking very intense teaching Radford
• 11:42and and Quashua some things
• 11:43about,
• 11:44robotic knee surgery.
• 11:47Fellows going to answer your
• 11:48meeting in August. Just lots
• 11:49of photos. We had some
• 11:50posters, which is always fun
• 11:51to get accepted. And and
• 11:53there's a nice photo of
• 11:55that joining us, August twenty
• 11:57twenty three and, get it
• 11:58together. We hosted, grand rounds
• 12:00with doctor Springer. Now we're
• 12:01back in person, so he
• 12:02came to visit us in
• 12:03April twenty twenty four. That's
• 12:04in front of Brady Auditorium
• 12:06on Cedar Street where you
• 12:07walk by today on the
• 12:07walking tour. There's doctor Lloyd,
• 12:10last month taking a stem
• 12:11out and look at smiling
• 12:12ear to ear inside the
• 12:13helmet there. So, it's a
• 12:15great moment. I just happen
• 12:16to walk in and check
• 12:16on it. And, hey, what
• 12:17are you doing? She's, like,
• 12:18banging this thing. It pops
• 12:19out. That's Stephanie Kasuba,
• 12:21scrubbed in as well. I'm
• 12:22sorry that you you'd have
• 12:23a mask on, so I
• 12:23can't see your face there.
• 12:24But,
• 12:25it's the a team right
• 12:26there getting the stem out.
• 12:27So that was fun. Fun
• 12:28moment. As you know, when
• 12:29you pull that stem out,
• 12:29finally, like, oh, this is
• 12:30great. So that's I've been
• 12:31caught that moment.
• 12:33Our department is pleased to
• 12:34start the this is called
• 12:35the Keggie Memorial Lectureship, which
• 12:37is designed, to host a
• 12:38distinguished international,
• 12:40faculty member from somewhere in
• 12:41the world that's invited to
• 12:42to come to Yale to
• 12:43give grand rounds and do
• 12:45some teaching and symposia with
• 12:46our our team and have
• 12:47some dinners and, instruct our
• 12:49faculty and also see the
• 12:50campus have a nice cultural
• 12:51exchange.
• 12:52The Kehay family hosts this,
• 12:54through their generosity.
• 12:56We started this last year.
• 12:57He was a it's a
• 12:58friend and colleague. He was
• 12:59able to come. We had
• 12:59a packed house. It's a
• 13:00lot of fun. And then
• 13:02this year, on June fifth,
• 13:03we're having professor Cezary Faldini
• 13:05from Rizzoli Institute. He's a
• 13:06director. He's coming from Bologna.
• 13:08Still waiting on his talk
• 13:09titles, so I I wanna
• 13:10update it once I have
• 13:11that, but it's gonna be
• 13:12a lot of fun to
• 13:12have him. He's extremely
• 13:14experienced and world class, surgeon
• 13:16who leads that program. He
• 13:17also travels all over Africa
• 13:19doing mission trips. He he's
• 13:20a joint surgeon, but he
• 13:21does a little bit of
• 13:22pediatric orthopedics, spine,
• 13:24video education. He's a really
• 13:25interesting dynamic guy, so it'll
• 13:26be fun to have, him
• 13:28visit. And this is, some
• 13:29photos from the event with
• 13:30doctor Malhotra with our various
• 13:32residents and faculty.
• 13:33On the right side of
• 13:34the screen, Kayla Mayes is,
• 13:36on the top in that
• 13:36light blue that she's one
• 13:37of our rising threes going
• 13:38to joints. And on the
• 13:39bottom right is Barbara Pierre
• 13:40Lewis, and she's one of
• 13:42our twos rising to the
• 13:42joints world.
• 13:44We host the Japanese hip
• 13:46traveling fellow that Irene was
• 13:47good friends with, so we
• 13:48were able to to host
• 13:49it for a week, from
• 13:50Kyoto.
• 13:51It was a lot of
• 13:52fun. Went to hear his
• 13:53talks. He shadowed us to
• 13:55do some research meetings
• 13:56and posted him for a
• 13:57few beers as well, which
• 13:58is always fun.
• 14:00Deca Lutanza, Wysnia, Tomassini, and
• 14:02Fulkerson and others have founded
• 14:04this three d, lab. They
• 14:05call it the three d
• 14:06Innovation Research Center. They do
• 14:07all sorts of three d
• 14:08models and printing and design.
• 14:10Doctor Lattanzo is really one
• 14:11of the world's experts, especially
• 14:12in upper extremity correction. And
• 14:14so now with Alyssa Glennon
• 14:15in house, they hired her
• 14:16from, she's an engineer from
• 14:17Materialise.
• 14:19She works here. We have
• 14:20a a lab built around
• 14:21her skill set, in fact,
• 14:22Tom Sini's skill sets for
• 14:23biomechanics and three d printing
• 14:25up on the fifth floor
• 14:25of Tompkins building. So now
• 14:27they print all these guides
• 14:28in house. They design them
• 14:29with a CT. They print
• 14:30them, and they go to
• 14:31surgery, sterilize them. It's all
• 14:32in house at Yale.
• 14:33So we've moved everything in
• 14:35house. It's pretty cool. Dan
• 14:36Whiskey in that same group
• 14:37has in our division helped
• 14:38found this master's of science
• 14:40in personalized medicine and applied
• 14:41engineering. So now they have
• 14:42somewhere between twenty and twenty
• 14:43five students every year for
• 14:44a year getting a master's
• 14:45degree And looking at things
• 14:47like three d technologies and
• 14:48custom printing and tissue engineering
• 14:50and subtraction imaging, all these
• 14:52fancy things.
• 14:53And they do all sorts
• 14:54of cool projects and he
• 14:55teaches with them. He's actually
• 14:57part time in the school
• 14:58of engineering, and he's working
• 14:59hard. This is him just
• 15:00mentoring students. So it's a
• 15:02really cool and a unique
• 15:03program, and it it it
• 15:04adds a lot to our
• 15:04orthopedic department here. Dan also
• 15:06runs our AVN center of
• 15:07excellence,
• 15:08looking at early stage AVN
• 15:10treatment
• 15:11and then sort of putting
• 15:12patients, in a position we
• 15:13have joint joint preservation, but
• 15:15also using three d modeling
• 15:16to map it out and
• 15:17do computer navigate delivery of,
• 15:19decompression and stem cells.
• 15:22We had a lot of
• 15:22implants because of my practice
• 15:24doing revisions and doctor Kegi's
• 15:25practice over many, many years.
• 15:26We didn't know what to
• 15:27do with them, and then
• 15:27we decided we're gonna save
• 15:28them all, archive them all,
• 15:29and organize them into a
• 15:30world class collection and is
• 15:32now probably one of the
• 15:33largest collection of HIPAA plants
• 15:34in the world, and it's
• 15:35archived in the securely in
• 15:36the basement of the medical
• 15:37library. This was from an
• 15:39exhibit. You know, we had
• 15:39a in the rotunda of
• 15:40the library, you'll see later
• 15:42on the walk through,
• 15:43and now these are archived.
• 15:45But we we take them
• 15:46out for teaching seminars with
• 15:48the engineering students. So Dan's
• 15:48class, they come once a
• 15:50year. We just did it,
• 15:51with our chief resident, Stephanie,
• 15:52and and Todd was there
• 15:53and others to to be
• 15:54mentors. And we have thematic
• 15:55groups of implants, and the
• 15:57faculty teach and the implants
• 15:58get passed around. The students
• 15:59can actually examine them and
• 16:01and discuss and understand what
• 16:02is the difference, not just
• 16:03look at a picture or
• 16:04textbook, but put in their
• 16:05hands. So it brings the
• 16:06material to life. As Rapport,
• 16:08was invited to to participate
• 16:10in interviews with our Anna
• 16:12Warner from CBS News, and
• 16:13they did a whole investigative
• 16:15report, about proephemer hips.
• 16:17And they came to visit
• 16:18us and film the implants
• 16:19and also interviewed the both
• 16:20of us. So it was
• 16:21a lot of fun to
• 16:22participate in that. I'm I'm
• 16:23greatly honored to contribute this
• 16:25to the world, which was
• 16:26the answer hip textbook, on
• 16:27the left in two thousand
• 16:28sixteen and more recently on
• 16:30the right in twenty twenty
• 16:30four. And doctor Larry Dorr,
• 16:32who many recipes, said the
• 16:33textbook will be the bible
• 16:34for hip surgeons, and he's
• 16:36absolutely right. His words, not
• 16:37mine. So go get the
• 16:39bible, read it,
• 16:40practice with it. It's great.
• 16:42Depew,
• 16:43also has invited me in
• 16:44the past to participate as
• 16:45a teacher, but then we
• 16:46wrote the standard table guide
• 16:47with no no traction tables.
• 16:49Now we have two versions
• 16:50of their technique and was
• 16:51pleased to work with this
• 16:52outstanding group, of individuals to
• 16:54help compose that,
• 16:55for them and also to
• 16:56a video for them on,
• 16:57which is on too many.
• 16:59In terms of other things
• 17:00here at the program, we
• 17:00have an outpatient arthroplasty program,
• 17:02which was first at the
• 17:03Udemy Center at Saint Rachel's
• 17:04campus in two thousand seventeen.
• 17:06We developed our protocols launched
• 17:07in eighteen October,
• 17:09updated them in twenty three,
• 17:10and took those protocols through
• 17:11this care signature order set,
• 17:12which is an order so
• 17:13you can use the whole
• 17:14system. All the hospitals now
• 17:15can do outpatient surgery. So
• 17:17we brought it across our
• 17:18whole system in twenty twenty
• 17:19three, and we launched the
• 17:20nurse navigator program to help
• 17:21guide these patients to a
• 17:22good outcome. We published on
• 17:23that the national symposia, etcetera.
• 17:26And our nurses are fantastic,
• 17:27and they have really improved
• 17:29to the point where we
• 17:29have all joints and all
• 17:30spines covered with nerve navigators
• 17:32now.
• 17:33For Julia hip fracture program,
• 17:34we have a very high
• 17:35case volume. It's in it's
• 17:36in a certification program for
• 17:37the joint commission. We have
• 17:39data dashboards that monitor all
• 17:40this stuff. It was just
• 17:41an example of, you know,
• 17:42teaching at the Orthopedic Nurse
• 17:44Association,
• 17:46and Kristen there in the
• 17:47center pointing. She was our
• 17:48she was my nurse down
• 17:49here at the lead, and
• 17:49now she's in charge of
• 17:50the entire
• 17:51system. She was promoted recently.
• 17:53So, of course, she's moved
• 17:54on from my personal practice,
• 17:55but,
• 17:56I'm happy and I celebrate
• 17:58her accomplishments. And I'm working
• 17:59with a new nurse who
• 18:00now works with Kristen as
• 18:01well. So Jin Lee Lee
• 18:03there in the photo on
• 18:03on the left is, one
• 18:04of our anesthesiologists who runs
• 18:06the nerve block program. We
• 18:07have a a whole number
• 18:08of research projects with her
• 18:09as well looking at,
• 18:10nerve block protocols. We have
• 18:12a forthcoming level one study
• 18:13that's being published in JVGS
• 18:14soon, which is embargoed. I
• 18:16can't tell you about, but
• 18:16I'm excited to see that
• 18:17come out, so keep an
• 18:18eye out.
• 18:19Total joint dashboard is a
• 18:21data tracking feature. The y
• 18:22axis I've mentioned is the
• 18:23patients being transferred across the
• 18:24state and the region. The
• 18:25one phone call they come
• 18:26in.
• 18:27And then we have the
• 18:28PGI center excellence concept, and
• 18:29we have collaborations with IT
• 18:31pharmacy research labs and focusing
• 18:33on various treatments and research
• 18:35projects.
• 18:36So just a couple words
• 18:37about the Keggy Kimbell Fund,
• 18:39and then we'll talk about
• 18:40logistics, and I'll just show
• 18:41you some fun things about
• 18:41New Haven. So this this
• 18:43fund was established with Kooskegee,
• 18:45way back when, and and
• 18:46he raised private money when
• 18:47he was working in the
• 18:48Waterbury area,
• 18:49through donors and and grateful
• 18:50patients. And he helped,
• 18:52train people there, including myself.
• 18:54I did my fellowship with
• 18:55him there to learn the
• 18:56answer approach at a time
• 18:57where there's no other place
• 18:57to go to learn it.
• 18:59And in twenty five years,
• 19:00he hosted about two hundred
• 19:01and fifty foreign fellows, especially
• 19:02from the Baltic States because
• 19:03he was from Latvia.
• 19:04He expanded to Russia and
• 19:05Vietnam and other places and
• 19:07had also not just physicians,
• 19:09but hosted a a number
• 19:10of nurses over the years
• 19:11to advance their nursing education
• 19:12and teach those protocols, and
• 19:14his nurses became leaders as
• 19:15well.
• 19:16So he performed the same
• 19:17thing. He traveled and performed
• 19:19operations all over the, you
• 19:20know, the Russian republics and
• 19:21was hosted for teaching everywhere.
• 19:23So that was part of
• 19:24the program in his mind.
• 19:25And then when when he
• 19:26came down to Yale full
• 19:27time and retired from Waterbury,
• 19:28we brought the program here
• 19:30through Yale endowment,
• 19:31and we hosted before COVID,
• 19:33surgeons, young surgeons, Turkey, China,
• 19:36Republic of Georgia, Vietnam, and
• 19:37Latvia. We had to shut
• 19:38down for a few years.
• 19:39As you can imagine, with
• 19:40COVID, we were banned, but,
• 19:41this is just an example
• 19:42of hosting, doctor Hong and
• 19:44and his wife.
• 19:45And he's back in Vietnam
• 19:46after PhD in Japan. I'm
• 19:48going to visit him now
• 19:49in May, actually.
• 19:51His mentor came thirty years
• 19:52ago as one of Chris
• 19:53Kecky's fellows. So it's really
• 19:55a full circle experience to
• 19:56be part of this kind
• 19:57of exchange. And then more
• 19:58recently in the last year
• 19:59or two, we've had student
• 20:00from Italy who came to
• 20:01visit us. Doctor Kim was
• 20:03a Japanese hip fellow from
• 20:04Japan. Doctor Fifi Bercadu is
• 20:06from University of Ghana. He's
• 20:08a PGY five chief resident.
• 20:10Doctor Sangavi, is from Pune,
• 20:11India.
• 20:12So we've had faculty that
• 20:14have been supported. Aidan, who's
• 20:16here in the room, has
• 20:17traveled to European hip society
• 20:18in Zurich.
• 20:19I traveled to the SIAD
• 20:20meeting in Rome to teach.
• 20:22Aidan and Ilda went to
• 20:23the world expert meeting in
• 20:24Istanbul, and then Ilda went
• 20:25back to represent our group,
• 20:26the ICM infection meeting,
• 20:27last year in Turkey. So
• 20:29the the funds that we
• 20:30have from this program support
• 20:31faculty travel for international education
• 20:33and research.
• 20:34And then the Yale R.
• 20:35Philosophy Fellowship is also supported
• 20:36with a very unique two
• 20:37week traveling fellowship as I've
• 20:39mentioned.
• 20:40So let's talk about our
• 20:41fellowship program, some logistics. We've
• 20:43given you the salary sheets.
• 20:44This is just a digital
• 20:45version of the same thing.
• 20:46Hundred and three thousand is
• 20:47the current base salary with
• 20:48a four thousand dollar discretionary
• 20:50component. And in our internal
• 20:51budget, I think we have
• 20:52another four or five thousand
• 20:53per CME.
• 20:54So there is CME funding
• 20:55that helps into national meetings,
• 20:57and then the various implant
• 20:58companies that host a lot
• 20:59of good revision meetings. And
• 21:00there's the fellows meetings that
• 21:02that you can go to
• 21:02as a leadership meeting NYU.
• 21:04A A lot of those
• 21:05are funded separately and don't
• 21:06hit the budget at all,
• 21:07which is great. So the
• 21:08fellows get to travel quite
• 21:09a bit and go to
• 21:10these meetings. And the the
• 21:11funding is good. It's a
• 21:12good salary. This is from
• 21:13the ACGME website and showing
• 21:15that the PGY six resident,
• 21:17resident or fellow salary is
• 21:18eighty four thousand,
• 21:20across this is forty five
• 21:21programs that they surveyed.
• 21:23Academic medical centers are similar.
• 21:25So I think, you know,
• 21:26relatively speaking, Yale pays well,
• 21:28and the the cost of
• 21:29living in this particular area
• 21:30is fairly low. So it's
• 21:32easy to to survive for
• 21:33a year on this this
• 21:34nice salary for one year.
• 21:35It's good.
• 21:36Hopefully, that's well received.
• 21:37Our rotation schedule, I've given
• 21:39you this in print as
• 21:40well. We printed it since
• 21:41this morning's session.
• 21:42And, basically, we have three
• 21:44tracks, a fellow, a PGY
• 21:45five, and three on our
• 21:46service. We also have interns
• 21:47and sub interns and students,
• 21:48but they kinda fill in
• 21:49the gaps. These are the
• 21:50first assistant rotations.
• 21:52So
• 21:53a fellow is on track
• 21:54one. If they're with me
• 21:55for a ten week resident
• 21:56block, we have five blocks
• 21:57a year. So they would
• 21:58spend about a month with
• 21:58me on that first track.
• 22:00Monday and Wednesday, I'm in
• 22:01the OR. I'm in the
• 22:02office Tuesday morning and Thursday
• 22:03all day. So but there's
• 22:04opportunity to get in the
• 22:05OR at least three days
• 22:06a week, and then usually
• 22:07the fellows in the OR
• 22:08on Fridays.
• 22:09And you could ask the
• 22:10fellow more details about that
• 22:11schedule when you sit down.
• 22:13Doctor Malloy has a similar
• 22:14but parallel schedule. She's in
• 22:16the OR on Tuesday and
• 22:17Thursday and has office time
• 22:19Monday, Wednesday. So there's opportunity
• 22:20if you're on that track
• 22:21to go two or three
• 22:22days in the OR and
• 22:23have a full day in
• 22:23the office somewhere along the
• 22:24line. Same thing with doctor
• 22:25Mansour and and Leininger. We
• 22:26split a week there to
• 22:28fill the week, and this
• 22:29is continuously evolving. But if
• 22:30I'm away, doctor Morrison has
• 22:32cases on the same day,
• 22:33Monday, Wednesday at at Milford.
• 22:35Doctor Hickeno operates at Grange
• 22:36in a similar schedule. You
• 22:37can make sure to get
• 22:38down to have experiences working
• 22:39with them.
• 22:40Just some other logistics. All
• 22:42the benefits are online. There
• 22:43used to be a printed
• 22:44brochure. They don't print anymore.
• 22:45As you can imagine, it's
• 22:46all digital. You're welcome to
• 22:48explore that online. Just search
• 22:49search for Yale New Haven
• 22:50Hospital
• 22:51GME benefits program.
• 22:53The family lead policy for
• 22:54faculty is up to twelve
• 22:55weeks. The trainees, it's it's
• 22:56written at it's at discretion
• 22:57of, the program director.
• 22:59We've had two of our
• 23:00first five fellows have a
• 23:01child during, fellowship, and we
• 23:03have given a few weeks
• 23:04off without any without any
• 23:06issues to the fellowship at
• 23:07all. So it's really not
• 23:08an issue,
• 23:09thankfully.
• 23:10We recommend about six weeks
• 23:11total for vacation, two weeks
• 23:13of just purely vacation PTO
• 23:14type time. That could be
• 23:15vacation or job interviews, etcetera.
• 23:17Two weeks for CME or
• 23:19travel. Again, those four weeks
• 23:20are somewhat flexible how you
• 23:22wanna use them.
• 23:23And those are business days,
• 23:24of course. And then, two
• 23:25weeks for the funded international
• 23:27trip, the education trip is
• 23:28recommended. So that's it's some
• 23:29flexibility, but that's kind of
• 23:30what we recommend.
• 23:32Didactic conferences on Monday morning,
• 23:33we have a conference every
• 23:34Monday. That's the fellow led
• 23:35conference. We do indications and
• 23:37case conference.
• 23:39And Thursday morning, same time,
• 23:41we have a resident led
• 23:42conference. We follow the AUKUS
• 23:43curriculum, which is the focal
• 23:44curriculum, which we adopted a
• 23:45couple years ago.
• 23:47And then Friday morning is,
• 23:49usually M and M at
• 23:49seven AM once a month,
• 23:51grand rounds at eight twice
• 23:52a month, and nine to
• 23:53eleven is the resident curriculum
• 23:55as well as anatomy lab
• 23:56course.
• 23:57In April, we usually do
• 23:58a four week block of
• 23:59education with our total joint
• 24:00faculty. So usually in the
• 24:01springtime,
• 24:02there's doctor Cushing presenting at
• 24:04Yale M and M recently.
• 24:06Responsibilities in our fellowship program
• 24:08include call. We we usually
• 24:09say two to three weekends
• 24:10per resident block, which is
• 24:11ten or eleven weeks. So,
• 24:12you know, once a month
• 24:13or so, once every five
• 24:14weeks, something like that. You're
• 24:16really second call. You can't
• 24:17be on first call on
• 24:18our program, so you take
• 24:19second
• 24:20faculty that's on the sign
• 24:21for that weekend.
• 24:22You make rounds and operate
• 24:23it well depending what comes
• 24:25in. In the office and
• 24:26clinic on those tracks, we
• 24:27try to get people targeting
• 24:28about a day a week
• 24:29with three to four days
• 24:29in the hour. Reality has
• 24:31ever expected every day, and
• 24:32participating. And we have a
• 24:33daily sign out seven days
• 24:34a week. So if you're
• 24:35on during the week, we
• 24:35wanna present. If you're on
• 24:36the weekend, there's a seven
• 24:38AM sign out every weekend
• 24:39day.
• 24:39Work hours are expected to
• 24:41be reported to the Yale
• 24:42New Haven Hospital office. We
• 24:43are not ACGME,
• 24:45credentialed here in the fellowship
• 24:46because you're independent license, and
• 24:48you can bill for your
• 24:49time. And we do recoup
• 24:50some of the costs, of
• 24:51the fellowship through that process.
• 24:53But that means we follow
• 24:54the same set of rules
• 24:55at Yale that we have
• 24:56to report work hours.
• 24:58Case log is submitted separately,
• 24:59not to the hospital with
• 25:00the AUKUS. We use the
• 25:01AUKUS case log because we're
• 25:02part of the AUKUS, fellowship,
• 25:04approval for the program. And
• 25:06then research we expect is
• 25:07at least one project suitable
• 25:08for presentation
• 25:10or publication,
• 25:11both at our fellowship symposium
• 25:12in the spring as well
• 25:13as at a regional or
• 25:14national level.
• 25:15Fellows expected to do teaching
• 25:17at these conferences as well
• 25:18as in the OR and
• 25:18on rounds, etcetera. We're always
• 25:20educating students and residents, teaching.
• 25:22There's some physical exam sessions
• 25:24and opportunities to teach with
• 25:25the medical students as part
• 25:26of their formal curriculum. And,
• 25:27M and M is expected
• 25:29and Grand Rounds is expected
• 25:30when it's relevant to total
• 25:31joints. M and M is
• 25:32required. Grand Rounds is not
• 25:34required every week if it's
• 25:35not a total joint surgeon.
• 25:37So you don't have to
• 25:37listen to all spines surgeons.
• 25:39But if you want to,
• 25:40you could. But most of
• 25:41the fellows wanna go and
• 25:42operate those hours. So,
• 25:43credentialing academic appointment, we credential
• 25:45you as an attending surgeon
• 25:46here, so you must have
• 25:47a license. We are not
• 25:48a HCGME program. And the
• 25:49title you earn is clinical
• 25:51instructor orthopedic surgery at Yale
• 25:52School of Medicine.
• 25:54Case volume,
• 25:55we perform somewhere about two
• 25:57thousand cases. It depends how
• 25:58you add that number because
• 25:59we have Granite. We have,
• 26:01cases at Milford and Bridgeport
• 26:03that aren't counted in the
• 26:03sort of the core numbers
• 26:04in New Haven. But in
• 26:05New Haven, we have about
• 26:06twenty five hundred cases here
• 26:07with hip fracture program included.
• 26:09And we are averaging of
• 26:11the first four years for
• 26:12arthoplasty fellows, five thirty eight
• 26:13cases with twenty five to
• 26:14thirty percent complex and revision,
• 26:17cases.
• 26:18For implant vendors, we have
• 26:19all the major vendors, DePuy,
• 26:20Smith, and Nephew, Streicher, and
• 26:22Zimmer.
• 26:23Revisions, we can basically pull
• 26:24anything we need in customs
• 26:25or through Oncos.
• 26:26We do the contracts every
• 26:27couple of years. We're in
• 26:28the middle of a huge
• 26:29cycle right now. Almost done
• 26:30at the end of this
• 26:30month, but we're looking forward
• 26:31to finishing that. And there's
• 26:33doctor Cushing presenting a different
• 26:34imminent with doctor Leslie.
• 26:37So key focus areas for
• 26:38us, we do a lot
• 26:38of anterior hip replacement, partial
• 26:40knee, outpatient arthroplasty,
• 26:41lots and lots of infections
• 26:43and periprosthetic fractures, lots of
• 26:45revisions,
• 26:46lots of hip fractures, everything
• 26:47from the simple to the
• 26:48complex, everything from nails to
• 26:49arthroplasty.
• 26:51In terms of technology, we
• 26:52have IntelliJoint we use routinely.
• 26:54We have two Striker Mangos
• 26:55at Milford, two at Greenwich,
• 26:57and San Ramon's respectively. There's
• 26:59one each. We have a
• 27:00tube tube Velas at Greenwich,
• 27:02and we're looking to increase
• 27:03the number of Velas robots
• 27:04as well as Zimmer Rosa
• 27:06robots.
• 27:07Currently only at the West
• 27:07Haven BAMC. Our fellow does
• 27:09not go to the BAMC
• 27:10at this time,
• 27:11just for simplicity.
• 27:13Custom implants are available with
• 27:14your Oncoats, and we have
• 27:15the Kinsize and the hammer
• 27:16just added, and we have
• 27:17some things coming from the
• 27:18various companies that will be
• 27:20finalized in the next month
• 27:21or two to keep improving
• 27:22access to technology.
• 27:23I added this slide, which
• 27:25is fellowship research projects just
• 27:26to give you a flavor
• 27:27of kind of things that
• 27:28have been done. Eric looked
• 27:29at back to shore as
• 27:30adjunct for PGI Doctor cases.
• 27:32On-site looked at, in close
• 27:33and spondylitis impact on, total
• 27:35hip outcomes through pro diabetic
• 27:37database that Brzezinski proposed a
• 27:39study of intracis mancomonics for
• 27:40total hip arthroplasty and is
• 27:42now actually doing this study
• 27:43in his time at UMDNJ.
• 27:44It's my understanding.
• 27:46Doctor Perdella looked at manipulation
• 27:47rates with, doctor Hickarnell, who's
• 27:49in the room, for cemented
• 27:50versus uncemented total knee arthroplasty
• 27:51in the pro diarom database,
• 27:52and that study was presented
• 27:54and published nationally.
• 27:55Doctor Cushing, our current fellow,
• 27:56is looking at the impact
• 27:57of methylene blue on PMMA
• 27:58cement preparation and polymerization.
• 28:00So feel free in the
• 28:01session with him to ask
• 28:02more about that. So a
• 28:04couple highlights, you know, just
• 28:05in summary, we have one
• 28:06fellow. We really focus on
• 28:08the mentorship and the development
• 28:09of that individual.
• 28:11We highlight the decision making
• 28:13process till it join. We
• 28:14focus on critical thinking skills
• 28:15and planning skills. It's really
• 28:17individualized.
• 28:18Everyone's a little different in
• 28:19this room. Talented folks, but
• 28:20everyone learns a little differently,
• 28:21has different skill sets. We
• 28:22try to identify that and
• 28:24find the opportunities for your
• 28:25personal growth. We wanna make
• 28:26a rapid transition towards independent
• 28:28practice knowing that you were
• 28:28going to practice at the
• 28:29end of the year, and
• 28:30we wanna have a responsive
• 28:31and adaptive training experience. We
• 28:32do give quarterly feedback,
• 28:34with the faculty as bidirectional
• 28:36as well. Program growth, we
• 28:38are continuing to host, global
• 28:40surgeons,
• 28:41exchange ideas, and and participate
• 28:42in the KEGG mentor,
• 28:44sponsorship lectures to expose you
• 28:46to world class ideas.
• 28:48We're expanding the residency
• 28:49program hopefully for the next
• 28:50match cycle, one to two
• 28:51more residents. And after that,
• 28:53in the first this is
• 28:54our seventh cycle. Hopefully, by
• 28:56the eighth, ninth, or tenth
• 28:57cycle, we will have a
• 28:58second Yale Art Bassey fellowship,
• 29:00maybe a third, but let
• 29:01let's just try it one
• 29:02at a time. We'll keep
• 29:03growing. What What are we
• 29:04looking for? I get asked
• 29:05this a lot. Who are
• 29:06you what are you looking
• 29:06for here? Well, number one,
• 29:08I want people who have
• 29:08not trained here.
• 29:09I wanna bring people here
• 29:10from other programs. So all
• 29:11of you are from different
• 29:12programs outside of you. That's
• 29:13very important to me, to
• 29:15give you a chance to
• 29:16learn from us and us
• 29:17to learn from you in
• 29:18a new way,
• 29:19to exchange ideas and and
• 29:20and develop our understanding.
• 29:22I want energetic people who
• 29:23are self motivated and goal
• 29:24oriented. You know, we gotta
• 29:26get out there and learn.
• 29:27You have to be have
• 29:28some grit and persistence to
• 29:29drive these projects
• 29:30to completion. Each of you
• 29:31have done research and other
• 29:33projects on on many different
• 29:34ways, but you've driven those
• 29:35successfully to completion. We look
• 29:36for that. Self directed individuals
• 29:38are curious learners to pursue
• 29:40learning questions and start reading
• 29:42daily to grow and find
• 29:44learning questions in everyday clinical
• 29:46practice and and keep pushing
• 29:47the envelope of their own
• 29:48knowledge and advance our knowledge
• 29:49collectively.
• 29:51So last section is just
• 29:52things to do in New
• 29:53Haven,
• 29:54one of which is go
• 29:55to a holiday party with
• 29:56doctor Rubin.
• 29:58So I was too late
• 29:59to quit according to my
• 30:00sweater, but it's just a
• 30:01sweater post. It's not? The
• 30:02Tucker you know, just anyway,
• 30:04we won't no comments here,
• 30:05but,
• 30:06there's pictures. There's pictures, so
• 30:08just be aware. My head.
• 30:10If it's doctor poor, right,
• 30:12there's always a camera taking
• 30:13selfies. Just saying. You know?
• 30:15But we would be remiss
• 30:16in this program not to
• 30:17talk about food and pizza.
• 30:18And this program is called
• 30:19a pizza, if you must
• 30:20know, in New Haven. It
• 30:21is claimed to fame. There's
• 30:23lots of famous places like
• 30:24Bar and Sally's and, you
• 30:25know, is it modern,
• 30:27and they all debate who's
• 30:28the best. Shell and Bones
• 30:29and Barcelona are not pizza
• 30:30places, but they're absolutely outstanding.
• 30:31And two of my favorite
• 30:32other restaurants
• 30:33in town is a restaurant
• 30:34we can fall.
• 30:35And depending what you read
• 30:37and what rankings you looked
• 30:38at, there are actually rankings
• 30:39from USA Today, daily meal
• 30:40and pizza today.
• 30:42Pepe's, Sally's Modern, Zuppardi's, and
• 30:44Roseland, which are all in
• 30:44the New Haven area, are
• 30:45consistently ranked in the top
• 30:47fifty, and we usually have,
• 30:48you know, about three of
• 30:49them in the top ten
• 30:49every single year. Modern pizza
• 30:51was ruled the top in
• 30:52the USA in twenty twenty
• 30:53three. Here's Barstool Sports. You
• 30:55know the rules. Let me
• 30:56settle this one ten for
• 30:57all the pizza capital, United
• 30:58States, New Haven, Connecticut. Anybody
• 31:00who says otherwise is wrong.
• 31:02So we can say that
• 31:03with confidence. His words, not
• 31:04mine, but I agree. If
• 31:06you don't like pizza, that's
• 31:07okay. We won't talk about
• 31:08it, but you can go
• 31:09on a winery tour. There's
• 31:09a lot of good, like,
• 31:10local wineries in the state
• 31:12of Santa.
• 31:12Some of them have restaurants,
• 31:14which we found one near
• 31:15our house is really great.
• 31:16Connecticut Brewery map has come
• 31:18out, and then new for
• 31:18twenty twenty three was the
• 31:19chicken wing trail in the
• 31:20Connecticut if you really are
• 31:22looking for other things to
• 31:23do. So there's something for
• 31:24everyone.
• 31:24A little bit. Five hundred
• 31:26and seventy three flavors devoured.
• 31:28That's great.
• 31:29Around New Haven, there's a
• 31:30lot of cool places. Lighthouse
• 31:31Point Park is in the
• 31:32point near the ocean, and
• 31:33New Haven Green is downtown,
• 31:34the traditional New Haven center.
• 31:36If you like hiking, there's
• 31:37a lot of good places
• 31:38within a fifteen, twenty minute
• 31:40drive of downtown New Haven,
• 31:41including East Rock Park or
• 31:42West Rock, which are actually
• 31:43in New Haven. You can
• 31:44go hiking there. This is
• 31:45one of the former residents
• 31:46with his dog. He sent
• 31:47all these photos, so I
• 31:48included them.
• 31:49There's, of course, the famous
• 31:50Harvard versus Yale football game.
• 31:51If you like to sports,
• 31:52there's lots of things to
• 31:53see and do. This is,
• 31:55alternates between Yale and Harvard
• 31:56each year. And then this
• 31:57year was hosted at Yale.
• 31:58And one of the things
• 31:59we got a hold of
• 32:00was the Yale Harvard choral
• 32:01concert, which is, like, called
• 32:02the Glee Club battle. So
• 32:04Harvard went first. They performed
• 32:05a bunch of different really,
• 32:06like, beautiful songs and performances,
• 32:08and then they sang their
• 32:09fight song, and they yell
• 32:10that up and performed and
• 32:12did their and they sang
• 32:12their fight song. And the
• 32:14whole audience was singing along
• 32:15and people are dressed up.
• 32:16So this is my family
• 32:17up in Woolsey Mall. It's
• 32:18just a beautiful place to
• 32:19go. And I tell the
• 32:20faculty and and guest that
• 32:21this New Haven Philharmonic performs
• 32:23there. There's a lot of
• 32:23really amazing lectures and and
• 32:25and performances that many of
• 32:27them are free actually, and,
• 32:28this one was a free
• 32:29event. So it was a
• 32:30lot of fun.
• 32:31Ice hockey is a favorite
• 32:32of mine. The Ingles rink
• 32:33is really cool. It looks
• 32:34like a it's called the
• 32:35Yale whale inside. It looks
• 32:36like a whale tail on
• 32:37the front As you see
• 32:38the bottom left photo. Inside,
• 32:39it's like the body of
• 32:40a whale. It's really a
• 32:41cool space.
• 32:42It's just kind of, really
• 32:43futuristic design from the nineteen
• 32:45fifties or sixties. But,
• 32:47family likes to go, and
• 32:48then we recently took a
• 32:49couple of the residents, the
• 32:50Yale Dartmouth games. And my
• 32:51wife on the bottom right,
• 32:52she's a Dartmouth alum, and
• 32:53so she wears her gear.
• 32:54So I said, we gotta
• 32:55bring more people dressed in
• 32:56Yale gear. So we brought
• 32:58Stephanie and Tucker. Mark was
• 32:59a visiting student. So we
• 33:00all got, some tickets, and
• 33:01we had a good time.
• 33:02It was a lot of
• 33:02fun.
• 33:04Following week,
• 33:06UPenn was in town for
• 33:07basketball games to Ellie Mansoor.
• 33:08He took his family as
• 33:09you see in the his
• 33:10little kids there, cute cute
• 33:12button. And, my family went
• 33:13to the game. We met
• 33:14up with Mike and,
• 33:15Brett Levine from Georgetown who
• 33:17was in town visiting us.
• 33:18So he gave us a
• 33:19little breakfast, a lunch lecture,
• 33:20then we went over the
• 33:21game. It was a lot
• 33:21of fun. But it was
• 33:22it was a good time,
• 33:23and it's right downtown. It's
• 33:25just easy to get to.
• 33:26All the museums from Yale
• 33:27are free. It's the public.
• 33:28The Art Gallery Center for
• 33:29the British Art, Peabody Museum,
• 33:31Knights of Columbus, a separate
• 33:32museum.
• 33:34Music halls, theaters, and that's
• 33:36just locally. It's not hard
• 33:37to get from here to
• 33:38New York or Worcester or
• 33:39Boston, Rhode Island, Vermont, New
• 33:41Hampshire.
• 33:42I like to go watch
• 33:43baseball games. So up in
• 33:44Connecticut, you have the Yarn
• 33:45Goats in Hartford, which is
• 33:45the Colorado Rockies, double a
• 33:47team. In Worcester, the Woosocks,
• 33:48the triple a team, they're
• 33:50really fun at the end
• 33:50of the season to see
• 33:51all the players that are
• 33:52rehabbing or going up and
• 33:53down, from Boston. So you
• 33:54get to see them there.
• 33:56If you like to gamble,
• 33:57this is a great place
• 33:58to come.
• 33:59Second only to Las Vegas,
• 34:00actually. You have three casinos
• 34:01that are, like, the the
• 34:02three biggest casinos in the
• 34:03world. At least Foxwoods and
• 34:04Manhigan's not too big in
• 34:05the world, within a forty
• 34:07five minute drive.
• 34:08So if you wanna scratch
• 34:09the, gambling itch, this is
• 34:11a great place to spend
• 34:11all your money.
• 34:13Alternatively, if you just wanna
• 34:15go rope climbing, this is
• 34:16the world largest indoor rope
• 34:17class course. It's indoors four
• 34:19stories at behind Jordan's Furniture
• 34:20Store in New Haven right
• 34:21off highway.
• 34:23And you get you get
• 34:24roped in and you get
• 34:24this, harness, and you're locked
• 34:26into this thing. You go
• 34:27through these different ropes courses.
• 34:28They have zip lines, you
• 34:29know, it's a lot of
• 34:30fun. And if you have
• 34:30kids, as I do, my
• 34:31kids are fifteen and seventeen
• 34:33now. It's something we visit
• 34:34over many years, many times.
• 34:35It's a lot of fun
• 34:36to go to. Last couple
• 34:37slides just to highlight, the
• 34:39amazing people in our orthopedic
• 34:40residency program, both faculty as
• 34:42well as residents.
• 34:43We have a great crew.
• 34:44You'll meet a couple of
• 34:46our senior residents that are
• 34:47on our joint service, and
• 34:48they'll give you some tours
• 34:49of the campus. And we'll
• 34:50talk about that in a
• 34:51minute after I close this
• 34:52show.
• 34:53Every year there's a turkey
• 34:54bowl that Don Tuasen from
• 34:55the PD Spine service organizes,
• 34:58and this residence versus attendings.
• 34:59I got really beaten up,
• 35:00even though I looked bigger,
• 35:02they just absolutely pummeled us
• 35:03that day.
• 35:05And I haven't gone back
• 35:05since because I've just, I
• 35:07was very humbled by the
• 35:08physical abuse that I took
• 35:09by the residents.
• 35:11It was fine. It's something
• 35:12to do. And this is
• 35:13our formal biggest exercises that
• 35:14so called disputations, which is
• 35:16our resident
• 35:17graduation day this year. It's
• 35:18going to be in, in
• 35:20may at the end of
• 35:20a Thursday. And then the
• 35:21fellowship research day is the
• 35:22Friday right after.
• 35:24We usually have a visiting
• 35:25speaker or two, who acts
• 35:26as the dis one of
• 35:27the disputants and gives a
• 35:29distinguished lecture. So it's a
• 35:30really nice, faculty, great tradition,
• 35:33and it's a wonderful place
• 35:34to be. So I thank
• 35:35you for watching the video
• 35:36and joining us here for
• 35:38this interview day and look
• 35:39forward to your questions. Feel
• 35:40free to contact me with
• 35:42any specific questions or our
• 35:43coordinator,
• 35:44and thank you very much.