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 Yale
fellows enrolled in the following programs also obtain valuable experience
at Saint Raphael’s. Contact with students and residents is extensive,
with Yale fellows fully integrated into all aspects of patient care
and medical education.
Gastroenterology
Two Gastroenterology fellows are on service at Saint Raphael’s each
weekday, with continuous availability for emergency consult coverage
on nights and weekends. Working closely with faculty, these fellows
provide formal consultations and offer informal opinions; serve
as a focal point of the teaching service; and interact daily with
residents and students. They also provide role models for medical
and surgical residents.
Fellows are exposed to the complete range of inpatient and outpatient
gastroenterological procedures, including diagnostic and therapeutic
endoscopy using the most current endoscopic techniques. Fellows
daily come in contact with acute problems of varying types and severity;
participate in Saint Raphael’s weekly gastroenterology clinic; and
perform colonoscopy screenings in a biweekly colorectal cancer screening
clinic.
Formal teaching conferences take place weekly, and a journal club
meets monthly. Excellent opportunities for clinical research are
also available.
Hematology
Oncology
During this two-year program, fellows spend at least one day a week
in Saint Raphael’s newly remodeled and expanded inpatient cancer unit,
or in its outpatient Father Michael J. McGivney Center for Cancer
Care. In both areas, fellows take part in evaluating and treating
both new and follow-up patients under faculty supervision.
The program is designed to provide comprehensive training in the diagnosis
and multidisciplinary management of neoplastic disorders. The first
year of training is entirely clinical. Each fellow works with primarily
one faculty member, receiving state-of-the-art training in a community
hospital setting. Fellows are exposed to a complete range of inpatient
and outpatient procedures, such as bone marrow aspiration.
They routinely come in contact with acute oncologic problems of varying
types and severity, especially gynecologic malignancies. There are
also increased opportunities to perform consultations for hospitalized
patients on non-medical services.
The second year of training includes both clinical experience and research.
The program also includes an extensive lecture series focused on cancer pathologenesis and the biologic basis of treatment; outpatient clinics structured to focus on specific diseases, followed by an interdisciplinary tumor board meeting; weekly teaching conferences; and monthly journal clubs. Excellent opportunities for medical research are also available.
Infectious
Diseases
One fellow each month participates in inpatient Infectious Diseases
consultation services, seeing patients with a wide variety of community-acquired
infections, nosocomial infections and HIV-related infections.
During this clinical training, fellows spend time with most of Saint
Raphael's Infectious Diseases attending physicians. They routinely
accompany these attendings to the Clinical Microbiology Laboratory,
where they receive instruction on interpretation of gram stains and
other aspects of clinical microbiology. They also actively participate
in the weekly Yale Infectious Diseases clinical conference, which
includes clinical case presentations and didactic lectures.
One first-year fellow and one second-year fellow each spend his or
her HIV outpatient continuity clinic time at Saint Raphael’s Haelen
Center. Fellows here are supervised by dedicated HIV physicians who
provide primary care to a growing number of patients. Fellows have
the opportunity to engage in clinical research dealing with HIV-related
infections, general infectious disease problems and hospital epidemiology.
Pulmonary and Critical Care Medicine
A primary training site for Pulmonary and Critical Care Medicine,
Saint Raphael’s receives 24/7 coverage from Yale fellows. They participate
in a consultation service, evaluating and treating patients with obstructive
lung disease, interstitial lung disease, pleural diseases, lung cancer
and the spectrum of acute pulmonary disorders.
Fellows make daily rounds with attending physicians and medical house
staff in the Medical Intensive Care Unit. They become an essential
part of the MICU team, working and consulting with attending physicians
to provide state-of-the-art care and diagnosis. Informal teaching
sessions also routinely take place.
Fellows also take part in pulmonary consultations for inpatients throughout
the hospital, and for outpatients in our clinics. They assist in invasive
pulmonary and critical care procedures, among them intravascular catheter
placement, thoracentesis and bronchoscopy. Their presence augments
both the quality of learning for residents and the quality of care
for patients.
Fellows are expected to present clinical cases they've worked on at Saint Raphael's to the Connecticut State Chest Conference. They are also responsible for presenting cases for discussion at Saint Raphael's biweekly Pulmonary, Radiology, Pathology and Thoracic Surgery conferences.
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Last updated on 8/6/07 |
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