HSR Gme Folder 2011

f p o - b c a r d d i e c u t
F o r m o r e i n f o r m a t i o n , v i s i t o u r w e b s i t e s r h s . o r g
Resident Education
at the Hospital of Saint Raphael
Shaping tomorrows physicians today
Experience. The difference.
About Saint Raphaels
Our Mission Statement

The mission of the Saint Raphael
Healthcare System, sponsored by the
Sisters of Charity of Saint Elizabeth, is
to care for and improve the health of
our patients, with compassion and
with a special concern for the
underserved, poor and elderly.
Some of our mission-focused programs
and services include:
the award-winning Project
MotherCare prenatal and primary
care program and Smiles-to-Go
mobile dental clinic
eight community-based clinics
dedicated to treating the poor and
elderly
two school-based clinics in
Saint Raphaels inner city
neighborhood that offer preventive
and basic health care to students.
Welcome
Dear Resident Candidate:
Thank you for your interest in resident education at the Hospital of Saint Raphael.
Saint Raphaels, in affiliation with Yale University School of Medicine, has sponsored
graduate medical education for more than 100 years. Resident education and service to
our community are the heart and soul of our hospitals caring mission. We look for every
opportunity to improve the quality of residents educational and life experiences. We are
extremely proud of the results, which are reflected in the allegiance of our graduates many
Saint Raphael faculty and attending physicians were once Saint Raphael residents themselves.
Our resident education program is overseen by a Graduate Medical Education Committee
comprised of faculty, administrators and residents. This group regularly conducts detailed
reviews of each residency and fellowship. We examine the educational experience, its
organization and delivery, the performance of faculty and trainees, and the camaraderie
and job opportunities offered to our graduates. We scrutinize the institutions resources,
considering everything from remuneration and benefits to library services and computer
access. We have recruited faculty who not just enjoy medical education, but excel in it.
We are fully committed to the success of each trainee. Residents are given the chance to
completely realize their potential, with broad clinical experiences and opportunities to present
papers and research findings at national meetings. Residents are not given responsibilities
beyond those that contribute to their training and are never asked to do work that does not
require a physician or contribute to their growth.
As a Saint Raphael resident, you will be an important part of our patient-centered care
team. Your opinions will be valued, and your input encouraged. I invite you to apply and
become part of our great tradition. We will give your application very personal consideration.
If you match with Saint Raphaels through the National Resident Matching Program, you will
enjoy one of the finest educational experiences available in one of Americas finest hospitals.

Caren M. Genovese, MPS
Designated Institutional Official
Director of Academic Affairs
Caren M. Genovese, MPS
Designated Institutional Official
Director of Academic Affairs
GME Brochure 2011.indd 1 8/23/11 1:00 PM
2
Who we are .................................................................................. 4
Residency programs
Diagnostic Radiology ......................................................................... 6
General Surgery ............................................................................... 12
Internal Medicine ............................................................................ 18
Oral and Maxillofacial Surgery .......................................................... 24
Transitional Year ................................................................................ 28
Yale-integrated programs ....................................................... 32
Orthopedics
Otolaryngology
Pediatrics
Plastic Surgery
Podiatric Surgery

Clinical resources .................................................................... 34
Anesthesiology
Emergency Medicine
Pathology
Psychiatry
Radiation Oncology

Fellowships ................................................................................ 36
Cardiovascular Disease ....................................................................... 37
Geriatrics ........................................................................................... 38
Nephrology ........................................................................................ 40
Yale fellows ........................................................................................ 42
Gastroenterology
Hematology Oncology
Infectious Diseases
Pulmonary and Critical Care Medicine
Around Connecticut .................................................................. 44
How to apply .............................................................................. 46
Directions ................................................................................... 48
Back pocket
Salaries and benefits
Faculty bios
Visa information
Table of Contents
Standing (left to right)
Joni Hansson, M.D., Nephrology Fellowship
Ernest Moritz, M.D., Transitional Year
Gerard Kerins, M.D., Geriatric Fellowship
Geoffrey Nadzam, M.D., General Surgery
John Kelly, M.D., D.M.D., Oral and Maxillofacial Surgery
Seated (left to right)
Robert Nardino, M.D., Internal Medicine
Andre Ghantous, M.D., Cardiovascular Disease
Philip Dinauer, M.D., Diagnostic Radiology

Pr ogr am Di r ec t or s
T
he 511-bed Hospital of Saint Raphael, a community teaching hospital affiliated
with Yale University School of Medicine, is renowned for excellence in patient
care and medical education.
With beautiful and comfortable facilities, some of the regions top healthcare
professionals, and sophisticated programs and services, Saint Raphaels combines quality
medicine and medical education with a
commitment to the dignity and better
health of each patient.
For more than 100 years, Saint
Raphaels has offered the Greater
New Haven community state-of-the-
art technology, top experts and the
compassionate care that is our hallmark.
Well-recognized on the regional, state and
national level, we are listed in the top 5
percent of hospitals nationwide for clinical
quality performance and womens health
excellence by HealthGrades, a leading
healthcare ratings organization. In 2011,
U.S. News & World Report ranked the
Hospital of Saint Raphael as one of the top
hospitals in the region, with nine medical
specialties cited as high performing:
Cardiology and heart surgery
Diabetes and endocrinology
Ear, nose and throat
Gastroenterology
Geriatrics
Gynecology
Nephrology
Orthopedics
Pulmonology
The American College of Radiology has
also designated Saint Raphaels a Breast
Imaging Center of Excellence, and
Press Ganey has honored Saint Raphaels
Emergency Department as a top improver
in 2010. In addition, the Hospital of Saint
Raphael has been designated as a Bariatric
4
Who we are
How will Saint Raphaels
help you succeed?
outstanding faculty
hands-on experience with the
latest technology
one-on-one mentoring
clinical continuity
balanced work schedule
diverse curriculum
innovative learning
methods
outstanding benefits
shared Yale University School
of Medicine services
outstanding clinical and
research resources
continually expanding
programs
friendly atmosphere
a commitment to you
Surgery Center of Excellence
by the American Society

for Metabolic and Bariatric Surgery.
We lead the state in bilateral joint replacement and we are
regional leaders in weight-loss surgery and single joint replacements.
We rank third in the state and second in our region for the number
of procedures we perform in vascular surgery, thoracic surgery and
spine surgery. Saint Raphaels also stays at the forefront of clinical
advances and leading technology, offering:
CyberKnife
radiosurgery system
DaVinci
surgical robotic system

Cutting-edge vascular operating room
The latest in spine surgery, including lateral interbody fusion
Chemoembolization with drug-eluting beads
Computer-assisted, minimally invasive orthopedic surgery
Minimally invasive chest and esophageal procedures
Minimally invasive radiofrequency and microwave ablation
of liver tumors; minimally invasive resections of the liver
and pancreas
Catheter ablation for atrial fibrillation
Radial artery approach to cardiac catheterization
Multidisciplinary Womens Center for Breast Health,
supported by patient navigators.
Our innovative programs, combined with our
commitment to technology and vision for the future,
position Saint Raphaels as one of New Englands
premier hospitals and sources of medical education. And residency
training is deeply ingrained in the hospitals tradition and purpose.
The teaching environment at Saint Raphaels, with its wide range
of both ambulatory and acute care settings, provides the basis for
a fine residency experience. Our faculty members are outstanding
teachers committed to helping you reach your full potential, and
residents at the Hospital of Saint Raphael are considered important
members of the medical team. Indeed, our residents play an essential
role in providing care to the more than 24,000 inpatients and
175,000 outpatients who each year visit our Emergency Department,
ambulatory/surgical departments and outpatient clinics. As a
resident, you will receive invaluable practical experience that will help
you become both a highly skilled and compassionate clinician.
Founded by the Sisters of Charity of Saint Elizabeth in 1907,
Saint Raphaels is the only Catholic hospital in Greater New
Haven. Its named after the archangel Raphael, patron saint of the
sick and healing. Over the past century, Saint Raphaels has grown
from a 12-room hospital into the Saint Raphael Healthcare System
a nationally respected, integrated delivery system that offers a
comprehensive array of services dedicated to the health and well-
being of Greater New Haven residents.
A comprehensive list of Saint Raphael programs and services can
be viewed on our website at srhs.org.
5
Who we are
The Hospital of Saint Raphael unveiled its newly
renovated Dr. Romeo A. and Lena B. Vidone Birth
Center in January 2011, with a ribbon-cutting and
blessing. The Center, a $2.2 million project, was
constructed with state-of-the-art technology and
a family-centered design utilizing soothing
colors and lighting.

6
Diagnostic
All program graduates in the
last five years have achieved
ABR certification, and the first-
time written and oral board pass
rates have been at or above the
national average.
Philip Dinauer, M.D.,
program director of the Diagnostic
Radiology Residency Program
7
W
hen researching Radiology residency programs, Patrick Duffy, M.D., knew what he wanted. He was
looking for a community-based program with a small number of Radiology residents and no Radiology
fellows a program that allowed for continuous one-on-one training.
I looked at programs throughout the Northeast and on the East Coast and there were about 25 programs that
I had researched and 12 that I seriously considered, said Dr. Duffy, who earned his medical degree at George
Washington University. Having grown up in the area, I knew about Saint Raphaels and its traditions and values.
Generations of families have come to this hospital for a reason.
Once he came to Saint Raphaels to meet with the program faculty, Dr. Duffy said that was the deal clincher for
him. I interviewed at 12 schools, he said. At the end of the day, it was a pretty easy decision. Its a great program.
The most valuable part is the one-on-one training.
Dr. Duffy began his residency training at Saint Raphaels in 2009 and said he would like to stay in the area
following completion of his program in 2013. Coming here is one of the best decisions Ive made, Dr. Duffy said.
Ive been trained very well, and Ive learned a lot.
Four-year residency training
The Department of Radiology at the Hospital of Saint Raphael offers a four-year residency-training program
for 16 total residents. Through the National Resident Matching Program, we accept the best-qualified medical
students from a pool of more than 400 applicants each year. Our residents develop and refine their diagnostic
and interventional skills by being exposed to a broad range of diseases in a diverse patient population, and by
working closely with more than 20 subspecialized, fellowship-trained radiology faculty in a collegial, stimulating
atmosphere. All program graduates in the last five years have achieved ABR certification, and more than 80 percent
of recent graduates have entered fellowship training at excellent programs scattered throughout the country. Saint
Raphaels Radiology residents have historically achieved professional success for several reasons. After completing a
one-year internship approved by the Accreditation Council for Graduate Medical Education (ACGME), residents
enter a four-year program that grounds them in basic radiologic sciences and extensive clinical training in nuclear
medicine, ultrasound, CT scanning, MRI, neuroradiology, and vascular and interventional radiology. Within the
department, educational conferences are typically held twice a day, one at 7:45 a.m. and another at noon. Radiology
faculty members teach residents key diagnostic imaging concepts on a two-year lecture cycle. Also, in-depth case
discussions, journal clubs, grand rounds, and interdisciplinary conferences help residents build a solid foundation of
radiology knowledge and life-long learning skills.
Each year, four new PGY 2 residents are accepted into the program, which is affiliated with Yale University
School of Medicine. The program offers up-to-date equipment to generate diagnostic images, including 64-slice
MDCT, PET, combined PET/CT, 1.5 and 3 Tesla MRI, state-of-the-art ultrasound and fluoroscopy equipment,
and digital mammography. Saint Raphaels was one of the first hospitals in Connecticut to install a 3 Tesla
MRI, resulting in detailed imaging of the brain, spine, body and musculoskeletal system. On rotations with MRI
Radiology Diagnostic
See page 47 for application information
8
emphasis, residents work closely with their attendings to review and dictate MRI exams that
employ some of the most current techniques, including cardiac MRI, MR spectroscopy, MR
cholangiography, MR enterography and noninvasive vascular imaging. Also, when on rotations
with CT emphasis, residents learn how to protocol and interpret multidetector CT images for the
noninvasive diagnosis of various cardiothoracic, abdominal, pelvic, neural and vascular diseases.
Residents participate in interpretation of CT angiography, and virtual 3D imaging, such as CT
colonoscopy. Our Radiology department has been filmless for many years and uses a Picture
Archiving and Communications System (PACS) to electronically save and store radiographic
images. Our residents perform or see the majority of the more than 170,000 diagnostic
examinations and interventional procedures performed in Saint Raphaels Radiology department
each year.
Diversified experiences
The Hospital of Saint Raphael has a modern, spacious, inpatient and outpatient Radiology
department that addresses the needs of a diverse population. All Saint Raphael inpatient beds are
considered radiology teaching beds, providing residents with a wide spectrum of clinical material
and experiences. You will work closely with more than 20 board-certified radiologists, many
of whom hold clinical appointments at Yale University School of Medicine. With them, you
will review case studies daily and learn how to perform procedures, among them fluoroscopy,
myelography, arthrography, arteriography, venography, tumor embolization, angioplasty, vascular
stenting, CT and ultrasound-guided biopsy and drainage, and nuclear medicine procedures.
Also, while working side-by-side with radiology faculty, you will learn how to interpret CT and
magnetic resonance imaging exams. You will become familiar with mammographic screening as
well as more advanced techniques, such as stereotactic, ultrasound-guided, and MR-guided breast
biopsy. (Turn to the back pocket of this booklet for Radiology faculty biographies.)
Core rotations are performed at Saint Raphaels, with additional pediatric radiology training
taking place at Connecticut Childrens Medical Center and Yale-New Haven Hospital. As a third-
year resident, you will attend the renowned four-week course in radiologic-pathologic correlation
Di agnost i c Radi ol ogy
Residents participate
in departmental teaching
conferences twice a day.
9
at the American Institute for Radiology
Pathology in Silver Spring, Maryland,
with tuition paid by Saint Raphaels. This
program offers an excellent overview of
all body systems prior to taking American
Board of Radiology certifying exams.
Each year, members of the Yale physics
department teach a comprehensive course
in radiologic physics to the junior radiology
residents. This course is co-sponsored
by Yale-New Haven Hospital and Saint
Raphaels department of Radiology. Topics
of instruction include the physics of X-ray
production, ultrasound, nuclear medicine,
CT, MRI, mammography and radiation
biology and protection. This course helps
residents prepare for the physics portion
of the American Board of Radiology core
examination.
At Saint Raphaels, residents take part
in daily teaching conferences, radiology
grand rounds, monthly journal clubs, and
monthly interdisciplinary conferences
attended by physicians and residents
from Saint Raphaels departments of
gastroenterology, oncology and pulmonary
medicine, among others. You are also
required to complete at least one research
project during your four years here and
are encouraged to use Radiology faculty
as mentors. Recent and ongoing research
studies have focused on topics such as
embolization of lower gastrointestinal
hemorrhage, imaging of encapsulating
peritoneal sclerosis in dialysis patients,
thoracic biopsy complications, MRI of
breast cancer, MR brain spectroscopy, and
many others. Senior residents are given
the opportunity to present their work to
the department and the Saint Raphael
medical community at a special annual,
year-end academic activity. In the last
several years, our residents have participated
in the introduction to research initiatives
sponsored by the American Roentgen Ray
Society (ARRS) and Radiology Society of
North America (RSNA). Our residents have
presented abstracts and scientific exhibits at
national meetings, including those held by
the American Roentgen Ray Society and the
Radiological Society of North America.
Rotations
Saint Raphael Radiology residents
generally start their day with a 7:45 a.m.
teaching conference, followed by three
hours of clinical service and a noon to
1 p.m. daily lunch teaching conference.
Afternoons are spent performing clinical
duties, with the workday usually ending by
5:30 p.m., unless you are on night call.
Clinical duties and rotations vary for
each resident. Descriptions of the rotations
follow:
GI/GU (fluoroscopy), 4 months:
Combined rotations emphasize fluoroscopic
procedures, such as barium studies
(including single and double contrast
exams), cystography and urethrography,
ERCP, hysterosalpingography and
arthrography.
Emergency/Reading Room, 2-3 months:
Residents develop their radiographic
interpretation skills by reviewing a wide
variety of orthopedic, thoracic and
abdominal cases from the emergency
department, ICUs and inpatient floors, and
outpatient clinics.
Musculoskeletal, 4 months: In this
rapidly growing field of musculoskeletal
imaging, residents are exposed to a wide
variety of MRI studies of the joints, bones
and soft tissues. Residents review orthopedic
radiographs and will have opportunities
to participate in bone biopsies and
arthrographic procedures of various joints,
including the knee, shoulder, wrist and hip.
Cardiothoracic, 4 months: You will
gain experience reading plain films of
chest, CT and MRI, as well as performing
interventional chest procedures lung
biopsies, chest tube placement and
thoracentesis.
CT Abdomen, 3 months: These rotations
are dedicated to the CT evaluation of the
abdomen and pelvis. There is a large case
volume daily, read with body imaging
specialists. You will prescribe, monitor and
read diagnostic CTs as well as perform
CT-guided biopsies and fluid collection
drainages. You will also take part in
reconstructing and interpreting 3-D image
studies, virtual endoscopy, CT angiography,
cardiac scoring and other specialized CT
procedures. The CT scanners are multi-
detector machines with CT fluoroscopy and
cardiac gating. Biopsies, drainages and 3-D
A technologist views a high-definition image of
a heart using 64-Slice Computed Tomography.

10
procedures are done on a frequent basis, which allows you
to quickly gain proficiency in these techniques.
Ultrasound, 4 months: Our ultrasound section has
six state-of-the-art, real-time units with duplex and
color Doppler capabilities. You will be actively involved
in performing and interpreting abdominal, obstetrical,
peripheral vascular, small parts and intracavitary scans, as well
as performing ultrasound-guided interventional procedures.
Approximately 6,000 cases are performed each year.
Nuclear Medicine, 5 months: This state-of-the-art
department trains residents in routine and advanced
techniques, such as exercise stress testing, SPECT and PET.
A large teaching file and special lecture series help prepare
residents for on-call responsibilities.
Vascular and Interventional, 3 months: All types
of vascular and non-vascular interventional radiology
procedures are performed on a one-to-one basis with
subspecialty attendings. These include both routine and
more sophisticated procedures, among them: diagnostic
vascular and therapeutic procedures such as angioplasty,
stenting, venous access, biliary and renal procedures, as well
as interventional oncology procedures.
Neuroradiology, 5 months: Incorporating CT, MRI,
fluoroscopy and interventional procedures, residents
participate in prescribing, monitoring and interpreting a wide
variety and high volume of head, neck and spine cases in all
areas, under the guidance of subspecialized neuroradiologists.
This includes 3-D CT, functional MRI, magnetic imaging
spectroscopy, perfusion and diffusion imaging, vertebroplasty,
neuroangioplasty and embolization procedures.
MRI Body, 2 months: The department has a 3 Tesla
MRI and a 1.5 Tesla MRI that produce more than 4,000
exams yearly. You will prescribe pulse sequences, monitor

images and attend readout sessions. You will also learn how
to perform and read routine musculoskeletal MRIs, as well
as those that focus on the abdomen, liver and pancreas.
Vascular, cardiac, GYN and urologic MRIs are also stressed.
A comprehensive MRI physics course is taught every year.
Mammography, 3 months: You will participate in
biopsies, needle localizations and diagnostic mammograms
with emphasis on problem solving. Ultrasound and MRI
of the breast as well as ultrasound-guided procedures and
stereotactic biopsies will also be incorporated into the
rotation.
Pediatrics, 3 months: Youll spend one month at the
Connecticut Childrens Medical Center, where pediatric
skeletal and GU radiology are emphasized. Then, two
months in Yales pediatric radiology section will follow,
where imaging pertinent to newborns and children is
learned. Some pediatric imaging is done at Saint Raphaels
through the pediatric clinic and ED.
Research/Electives, 3 months: These three months give
residents the chance to gain extra experience in a radiology
subspecialty or conduct research by working one-on-one
with a Saint Raphael physician.
Call schedule
In the first year, PGY-2 residents take intermittent
buddy call and interventional radiology service call.
When they are in-house, the PGY-2 residents are closely
supervised by the faculty and more senior radiology
residents. Residents do not begin independent, in-house
call until after successful completion of their first 12 months
of training. The PGY 3-5 residents take in-house call in a
night float system in which they typically work five or six
consecutive nights from 8 p.m. until 8 a.m. Faculty reviews

More than 80 percent of recent graduates have pursued fellowship training after completing their
Saint Raphael residency. A partial list of where recent graduates have gone includes:
Abdominal body imaging
fellowship
Boston University, MA
Massachusetts General Hospital
Yale-New Haven Hospital
University of South Florida
University of Maryland
Musculoskeletal fellowship
University of Iowa
Brigham & Womens Hospital,
Boston, MA
University of Maryland
Neuroradiology fellowship
University of Colorado Denver
Health Sciences
Duke University, Durham, NC
University of California,
Los Angeles
Breast imaging fellowship
Thoracic Imaging
fellowship
New York University
Interventional Radiology
Emory University, Atlanta, GA
Miami Vascular Institute
Brown University
New York University
Private practice
New York
Di agnos t i c Radi ol ogy
Recent graduates
11
A Radiology resident provides
a preliminary report using
PACS.
and signs off on the residents dictated reports at the end of each call shift. Residents are
then relieved of clinical duties for the remainder of the day. During call time, comfortable
and convenient sleep accommodations are available. Most call rooms include a bed, telephone,
TV, bathroom with shower, and computer with Internet access.
Additional resources
For all residents, Saint Raphaels Health Sciences Library and computer facilities are open
24 hours a day. More than 2,000 books and 400 journals are housed here, along with seven
computers available for use. One computer has a CD burner and a scanner. The photocopier
also offers scanning for the purpose of e-mailing. Fax machine is operational during staffed
hours. The library has its own home page via any computer within the hospitals IP range,
offering programs such as UpToDate, MDConsult, PubMed, Cochrane and the Microsoft
Office programs, among others. These services are complemented by the Yale Medical Library.
There is also a radiology library with a large cross-indexed film teaching file and computer
resources.
All Radiology residents also become members of the New England Roentgen Ray Society
and are able to attend educational conferences in Boston, as well as national meetings.
12
General
My definition of an excellent
surgeon is one who is not only
technically proficient but also well
rounded and able to strike
a healthy balance between
family and career. Nothing puts
patients at ease more than an
affable, compassionate surgeon
who can relate to them on a
personal level this is the surgeon
we hope to train in our program.
Surgeon Geoffrey S. Nadzam, M.D.,
program director of the General Surgery
Residency Program, director of Robotics
Training and Education
13
U
pon graduating from med school, Celeste Nelson, M.D., knew she wanted to one day practice general surgery
without specialization in a rural community. She interviewed at 18 GME programs throughout the country
looking for the perfect residency program to fit her needs.
I was looking for a program that had a strong history of training good general surgeons, said Dr. Nelson, a graduate
of Dartmouth Medical School. I wanted a program that emphasized good surgical decision making. I did not want to
train at a place that emphasized specialization, or where graduates felt obligated to pursue fellowship training.
She found all of that and more at Saint Raphaels.
The first thing that I noticed about this hospital was how happy the residents were, Dr. Nelson said. They seemed
to genuinely like each other and to enjoy working together; the relationship between the residents and the surgical nurses
was also extraordinarily collegial. This impression, combined with the programs superb board passage rate, led me to rank
Saint Raphaels amongst my top choices in the match.
Dr. Nelson began her General Surgery training at Saint Raphaels in July 2007 and will continue to train extensively
through June 2012. Its an excellent learning environment, she said.
Over five years of training, the average chief resident performs approximately 950 cases, including more than 200
cases as chief surgical resident (see chart, page 14). Because Saint Raphaels is a certified Level II Trauma Center that
treats more than 500 patients annually, surgical residents also have the opportunity to function as a primary surgeon
in evaluating trauma and treating emergency surgical conditions experiences that will well prepare them for the
complexities and demands of being a surgeon.
Four Categorical and four Preliminary residents admitted as PGY 1s each year
Affiliated with Yale University School of Medicine, Saint Raphaels General Surgery program features an inclusive and
clinically oriented curriculum that gives experience in both general and subspecialty surgery. Residents work closely with
our 30 full- and part-time faculty staff physicians and benefit from both their clinical experience and didactic teaching.
Most faculty members have clinical appointments at Yale University School of Medicine. (Turn to the back pocket of this
booklet for General Surgery faculty biographies.)
Clinical rotations teach residents patient evaluation, management, and treatment, giving them the breadth of training
needed to manage the total care of surgical patients. Surgical skills and procedures are taught in the simulation lab, where
you will learn techniques and practice skills prior to entering the operating room. In the simulation lab, you will learn the
fundamental knowledge and core technical skills required to perform basic open and laparoscopic surgery. In addition,
you will be able to view operations in real time on a large screen HDTV connected to the OR. Throughout the five years
you will assume more responsibility as you proceed through the program.
The primary programs for resident instruction are weekly core curriculum lectures, which review principal
components of general surgery and basic science; a weekly morbidity and mortality conference; and surgical grand
rounds. A multidisciplinary GI conference and breast conference take place weekly, along with a monthly GI tumor
Surgery
14
board conference and journal club. Service-specific case review
and didactic conferences also take place three times each week.
Residents are assigned topics for presentation and review at these
sessions.
Review for the American Board of Surgery In-Training
Examination (ABSITE) also takes place at intervals throughout
the year with practice oral and written sessions.
Comprehensive
curriculum
As a surgical resident,
you will share with
attending surgeons all
responsibilities related
to their patients pre-
and postoperative
care. The amount of
clinical responsibility is
commensurate with your
level of training, clinical
skills and technical ability.
Most residents experience
the following:
As a PGY 1: Participate
in a broad range of
surgical procedures during
rotations in general and
thoracic surgery and
learn to care for critically
ill patients during an
SICU rotation. (See chart
for details on types of
procedures focused on in
each principal area of study.) You will also be assigned a mentor
faculty member to serve as a resource throughout your residency.
Your mentor will help you initiate a research project during
the year.
As in each of your five years here, you will receive a book
allowance, plus have 24-hour access to a Health Sciences Library
committed to meeting the informational, educational and research
needs of the hospital community. More than 2,000 books and 400
journals are housed
here, along with
seven computers
available for use.
The library has its
own home page
via any computer
within the
hospitals IP range,
offering programs
such as UpToDate
(an evidence-based
clinical information
resource);
MDConsult;
PubMed (an online
medical computer
program that
enables residents to
engage in literature
searches for clinical
projects and
patient care, as well
as write articles
with the guidance
As a resident I found that Saint Raphaels was simply a very nice hospital to work
at. The teaching, the staff, the patients I found the whole package to be extremely
rewarding. Its no surprise that I decided to stay here.
Surgeon Denise Barajas, M.D.
Director, Womens Center for Breast Health
Gener al Sur ger y
Representative Operative Experience
The average number of operative experiences within the defined categories
of the Residency Review Committee (RRC) for the four chief residents who
graduated in 2010:
Operation Average Defined Category
SS&B 66 25
Head/Neck 45 24
Altr 244 72
Abdomen 291 65
Liver 12 4
Pancreas 5 3
Vascular 166 44
Endocrine 13 8
Trauma Op 24 10
Trauma NOp 23 20
Thoracic 55 15
Pediatric 39 20
Plastics 19 5
Laparoscopy B 131 60
Endoscopy 126 85
Laparoscopy C 139 25
15
of attending physicians); Cochrane; and the Microsoft Office programs, among others.
These services are complemented by the Yale Medical Library.
As a PGY 2: Increased responsibility in patient management and operative procedures.
Each resident receives surgical loupes. Youll gain experience in general and endoscopic
surgery, and surgical critical care, and participate in extramural rotations in pediatric surgery,
oncologic surgery and burn management.
As a PGY 3: More independence. As a senior resident, youll assist and perform complex
surgical procedures. Youll gain experience in general, vascular, oncologic and transplant
surgery. Those who exceed academic standards may be given the opportunity to perform a
one-month elective this year. Prior approval by the program director is required.
Guided by faculty and peers on the Research Council Committee, all Categorical
residents are required to have their research project completed by the end of this year, with
submission for publication or presentation. Indeed, Saint Raphael residents regularly present
at regional meetings of the New England division of the American Cancer Society, New
England Surgical Society, the annual meeting of the Connecticut Chapter of the American
College of Surgeons, the annual Connecticut Trauma Conference, and the annual meeting
of the American College of Surgeons. Recent research papers and presentations include
Open Abdomen Management in the Non-Trauma Population: A 5 Years Experience in
a Community Teaching Hospital, Accurate Fluoroscopic Measurement of Adjustable
Laparoscopic Gastric Band Stoma Diameter, Laparoscopic Marsupilization and Partial
Hepatectomy Is an Effective Alternative to Major Hepatectomy in High Risk Patients
with Hepatic Cystadenoma, Prospective Analysis to Determine Adherence to Quality
Standards in Breast Surgery at a Community Teaching Hospital, Laparoscopic Repair of
an Adult Morgagni Diaphragmatic Hernia: Video Presentation and Review of Literature,
Abdominal Aortic Aneurysm Endovascular Repair Complicated by Infection with Clostridium
Septicum, Outcomes of Emergent Ventral Hernia Repair-A Case for Elective Repair of All?,
Transarterial Chemoembolization (TACE) with Drug-Eluting Beads (DEBS) for Unresectable
Liver Tumors.
Gener al Sur ger y
16
As a PGY 4: An important transitional year. To set the stage for ascension to the
chief year, you will oversee the thoracic service and have increased clinical and operative
responsibilities. General and thoracic services are the primary focus of this year.
As a PGY 5: Chief resident status, satisfying the requirements for eligibility to the
American Board of Surgery. You will lead surgical teams, conduct teaching rounds with
junior house staff and perform more than 200 cases. Youre also given the opportunity to
select and attend at least one major scientific meeting, with all expenses paid by the surgery
department.
The curriculum also addresses the Accreditation Council for Graduate Medical
Education (ACGME) six core competencies of Patient Care, Medical Knowledge,
Practice-Based Learning and Improvement, Interpersonal and Communication Skills,
Professionalism, and Systems-Based Practice. These competencies are embedded in the
curriculum and residents must become proficient with them at the level expected of new
practitioners. Educational experiences are structured to provide specific knowledge, skills
and attitudes required for residents to demonstrate competence in these areas.
Rotations
While 80 percent of your training will take place at the Hospital of Saint Raphael,
you will also spend some time at three other Connecticut hospitals. At the Connecticut
Childrens Medical Center you will gain added expertise in pediatric surgery; at Hartford
Hospital you will focus on transplantations, and at Bridgeport Hospital you will receive
training in the surgery and management of burns. In addition you will spend three months
during your second and third years at Roger Williams Medical Center in Providence, Rhode
Island, for a surgical oncology rotation.
Gener al Sur ger y
Your schedule is likely to change during each rotation, with the length of your workday
dependent on clinical volume. Generally, each day begins with your sign-in at 6 a.m.,
followed by patient rounds until 7:30. The remainder of the morning is spent in the
operating room, on nursing units, in the endoscopy suite or attending to patients in clinic
or private practice offices. A morbidity and mortality conference takes place from 7:30 to
8:30 a.m. each Wednesday, followed by a two-hour core curriculum block. Each month,
grand rounds are presented during the 8:30 a.m. session. Surgical clinics take place once
a day while surgical consults occur as often as needed often throughout any given day.
Didactic conferences take place from noon to 1 p.m. three days a week on the general
surgery service and bi-weekly on the vascular service. Tumor boards, breast conference,
indications conference and other conferences are scheduled weekly or monthly. Afternoon
rounds are dedicated to providing patient care and updating the night call team.
The program adheres strictly to the ACGME duty hours policy, which includes limiting
duty hours to 80 hours per week averaged over four weeks, having one day in seven free
from all educational and clinical responsibilities, and maintaining a minimum of 10 hours
between duty shifts. Duty periods of PGY-1 residents do not exceed 16 hours in duration
while PGY-2-5 residents do not exceed continuous on-site duty of 24 hours. Since it is
essential for patient safety and resident education that effective transitions in care occur,
you may remain on-site up to four additional hours in order to accomplish these tasks or
to participate in didactic activities. During call time, comfortable and convenient sleep
accommodations are available. Most call rooms include a bed, telephone, TV, bathroom
with shower, and computer with Internet access.
Evaluation process
At the end of each rotation, residents receive a written evaluation of their clinical
knowledge, technical performance, interaction with members of the healthcare team,
professional attitude and overall progress toward becoming a successful surgeon. You will
also meet no less than twice each academic year with the General Surgery program director
or associate program director to receive a written summary of your performance.
Each year, you must also successfully complete the written ABSITE sponsored by the
American Board of Surgery. Practice oral and written sessions are held several times during
the academic year.
The DaVinci
Surgical System uses robotic

technology to extend the benefits of minimally
invasive surgery.
2009 Graduates
CT Fellowship: University of Kentucky,
Lexington, KY
MIS Fellowship: Mount Sinai,
New York, NY
MIS Fellowship: Danbury Hospital,
Danbury, CT
Flight Surgeon: Langley Air Force
Base, Langley, VA
2010 Graduates
Pediatric Surgery Fellowship, Miami
Childrens Hospital, Miami, FL
Thoracic Fellowship, Albany Medical
Center, Albany, NY
HPB Fellowship, Auckland City
Hospital, Auckland, NZ
Vascular Fellowship, UMDNJ,
New Brunswick, NJ
Gener al Sur ger y
See page 47 for application information 17
A partial list of where recent
graduates have gone after
completing their Saint Raphael
residency includes:
Recent graduates
18
Internal
Students present cases to the
associate program director
during daily rounds.
Theres as much style to medicine
as there is science. Textbook
knowledge is essential, but it
doesnt teach you how to be caring
or compassionate. Thats something
we try to impress upon residents,
and something that makes Saint
Raphaels special physicians
really care about patients, students
and each other.
Cardiologist Robert Morrison, M.D.,
faculty
19
Medicine Internal
W
hen Ashar Usmani, M.D., began looking for an Internal Medicine residency program in the United States,
he carefully considered two things: 1) How proficient patient care was; and 2) How medical education was
incorporated into medical care. I was looking for a good balance between medical education and patient
care, said Dr. Usmani, who earned his medical degree at Dow Medical College in 2007, followed by a year-long
internship in Pakistan. Saint Raphaels Internal Medicine Residency Program struck a perfect balance.
I looked primarily in the Northeast at about 30 programs, said Dr. Usmani, who came to the U.S. in 2008 to conduct
research at Yale Medical School. What struck me immediately about Saint Raphaels was the hospitality of the faculty and
the friendly environment, he said. Were one big happy family.
What he also liked about the program was that he could choose to prepare for a career in patient care, or step into the
field of academia. I had both options, he said.
Since beginning his residency training at Saint Raphaels in 2009, Dr. Usmani said he has found the supervised
autonomy and patient interaction to be valuable components of his education. I not only learn from books, I also learn
from my patients, he said.
Dr. Usmani said he would like to follow up his residency with a fellowship at Saint Raphaels. It was an excellent
decision to come here, he said. It has helped me in my own growth as a professional and as a person.
Saint Raphaels Internal Medicine Residency Program is a program that boasts a consistent three-year rolling pass rate
of 100 percent on the American Board of Internal Medicine board exams, an achievement that few hospitals can claim.
Accredited by the Accreditation Council for Graduate Medical Education (ACGME), the Internal Medicine Residency
Program and Saint Raphaels Cardiology Fellowship Program received five-year accreditation by the ACGME in 2011.
Both our accredited Preliminary and Categorical teaching programs offer renowned faculty in an outstanding academic
health science setting. Whether your professional goals involve primary care or a subspecialty, Saint Raphaels will help you
become a highly skilled and compassionate clinician.
Our Internal Medicine training program balances primary care with acute medicine. With our close affiliation with
nearby Yale University School of Medicine, our program can help you become a high-caliber, caring clinician with a
scientific yet humanistic foundation in Internal Medicine.
Teaching program
We want you to get the most out of your residency experience at the Hospital of Saint Raphael. The Department of
Medicines full-time faculty is devoted solely to resident teaching at the bedside, in the resident continuity clinic, in
small- and large-group didactic sessions, and through mentorship of scholarly activity. (Turn to the back pocket of this
booklet for Internal Medicine faculty biographies.) We have implemented a unique schedule that alternates four weeks of
inpatient or subspecialty elective experience with two weeks of ambulatory medicine for the duration of training. Progressive
responsibility in both inpatient and ambulatory settings is emphasized.
20
Ambulatory Medicine
Primary care outpatient medicine is experienced in
two ways: continuity clinic where residents develop,
in essence, their own practice as they become the
primary physician for a panel of patients. Residents
will also work in teams, such that in the context of the
alternating block schedule, one member of the team
will always be on an ambulatory rotation, allowing
continuity within this small group. A formal curriculum
is delivered through conferences that occur morning
and afternoon on Monday, Wednesday and Friday, as
well as the educational half-day on Thursday morning.
This curriculum is excellent preparation for the practice
of general Internal Medicine. Preventive care and
ambulatory diagnosis and treatment are emphasized.
Each two-week ambulatory medicine block includes:
Primary care clinic On average, there are six half-
day continuity clinics during each ambulatory Medicine
block throughout all three years of training. The
resident-to-attending ratio is generally 2 or 3:1, and
all patients are discussed with an attending. Residents
become responsible for a specific group of patients, and
care for those patients all three years. Residents also
work as part of a clinic team, designed to function as an
independent practice. All clinics are supervised by Saint
Raphael faculty.
Specialty and subspecialty medicine Each two-week
block has a different emphasis; examples include:
PGY 1: Ophthalmology, Urology, University of New Haven Student Health Service,
Psychiatry, Gynecology, Pediatrics (Adolescent Medicine), Geriatrics;
PGY 2: Endocrinology, Gastroenterology, New Haven STD Clinic, HIV Clinic, Oncology,
Pulmonology, Connecticut Hospice;
PGY 3: Dermatology, Rheumatology, Gynecology, Allergy, Orthopedics, Rehabilitation
Medicine, Cardiology, Geriatrics.
During these experiences, residents rotate through the private practice offices of specialty
physicians to learn the pearls of diagnosing specific conditions, how to medically manage
problems and acute emergencies, and when to refer patients.
Community ambulatory rotation PGY 2 residents spend a month at the office of a general
community internist, learning skills needed to perform medicine in the private practice setting.
This experience provides an opportunity for residents to learn office practice management, interact
with insurers and managed care personnel, and observe varied approaches to care. This networking
often leads to practice opportunities in the area.
Inpatient Medicine
During rotations on our critical care units, residents are part of a multidisciplinary team
that includes full-time intensivists and subspecialty fellows providing teaching and supervision.
Residents will become experienced in managing critical illness and participate in all facets of care,
including family meetings.
On other general medicine inpatient rotations, the teams consist of one supervising resident,
two PGY 1s and one student, with full-time supervision by a hospital-based clinician educator.
Residents have primary responsibility for evaluating and managing patients as they are admitted
to the hospital, and throughout their hospital stay. Consultant teams consisting of a subspecialty
attending, fellow and rotating resident are readily available and provide support in patient care.
Depending on the rotation, residents may have admitting responsibility daily or every other day.
I nt er nal Medi ci ne
A medical challenge
conference is held monthly
as preparation for the board
exam. Using a computer display
with scanned photos, smears
and short-answer questions,
residents play as part of a
team. Its proven to be a fun and
informal way to review medicine
in a competitive setting.
21
Rotations include advanced telemetry
(step-down), inpatient cardiology, medical
oncology, medical telemetry (includes
stroke), and general medicine.
All rotations involve collaboration with
a night float service. Only supervising
(PGY 2 and PGY 3) residents have
overnight call during critical care rotations.
(More information on call facilities and
responsibilities is listed on page 23.)
Additional Core Rotations
All residents complete rotations in
emergency medicine, geriatrics, neurology
and medical consultation.
Emergency Medicine You will have the
opportunity for first contact with the full
range of patients presenting to the Hospital
of Saint Raphael emergency department,
a Level II trauma center. There are also
didactic sessions and a peer teaching case
conference.
Geriatrics Offers a balanced
outpatient/inpatient experience in
geriatrics. You will learn the basics of
assessing geriatric patients and managing
common syndromes. With a geriatrician,
you will see patients in Saint Raphaels
Senior Assessment Clinic, and make home
visits with a geriatric physician assistant.
Neurology This is primarily an
inpatient consultation service. Focus is
on becoming facile with the neurological
examination, and the management of
common neurology problems. Hospital of
Saint Raphael is a certified stroke center
and residents will participate in daily
multidisciplinary stroke rounds.
Consultation Medicine This rotation
gives the resident an opportunity to
provide internal medicine consultation to
the surgery, psychiatry and obstetrics and
gynecology services, including preoperative
risk assessment and perioperative
management of medical problems.
Curriculum
The didactic curriculum is organized
around a topic-based approach to learning.
Faculty present intensive daily interactive
conferences grouped by topic, designed
to promote reading and retention. For
example, if the topic of one three- or four-
week period is cardiology, all activities and
lessons relate to this subject daily noon
conferences, Department of Medicine
Grand Rounds, ambulatory conferences,
etc. At the end of the period, residents
show what they have learned by taking
part in a medical quiz game modeled after
Jeopardy! Questions tie in to the study
topic, focused on information essential for
passing board exams.
Other opportunities that enhance
learning include:
Resident morning report: A daily review
of overnight admissions with the night
float residents with chief resident and
faculty participation; also, there are full
case presentations three times weekly; and
a pathology, radiology or electrocardiology
session once per week;
Intern report: Once-weekly conference
for PGY 1s and students only, focusing
on evaluation and management of a variety
of common and uncommon medical
conditions, with an emphasis on clinical
reasoning;
PGY 3 Board review sessions: Led by
full-time faculty, sessions primarily use
MKSAP questions relating to the monthly
topic, where residents answer questions
with an audience response system;
Conferences (e.g., autopsy conferences):
Offers hands-on anatomical correlation of
clinical findings;
Medical grand rounds: Includes rounds
at the Hospital of Saint Raphael and
Yale;
Small group sessions: Organized by
PGY, with a variety of topics such as
interactive sessions on EKG interpretation,
radiology and other interpretative skills;
ethics discussions; and cultural competency
conferences.
Resident Teaching Opportunities
You may supervise medical students
from Yale University School of Medicine
or University of Connecticut, or Physician
Assistant Students from Yale University
or Quinnipiac University on inpatient
rotations.
Peer teaching conferences: At noon
conference, each PGY 3 resident, working
with an attending, presents a topic with
text and literature review to fellow residents
and faculty members.
Journal Club: Residents work with
faculty to analyze an article, discussing
study design, strengths, weaknesses, and
application to the clinical setting. There are
small group journal club sessions organized
by post-graduate year.
The director of ambulatory
education reviews the weekly
pre-clinic conference curriculum
with residents.
Saint Raphaels Health Sciences Library and computer facilities: Open 24 hours a day. More than
2,000 books and 400 journals are housed here, along with seven computers available for use. One
computer has a CD burner and a scanner. The photocopier also offers scanning for the purpose of
e-mailing. Fax machine is operational during staffed hours. The library has its own home page via
any computer within the hospitals IP range, offering programs such as UpToDate; MDConsult;
PubMed (enables residents to engage in literature searches for clinical projects and patient care, as
well as write articles with the guidance of attending physicians); Cochrane; and the Microsoft Office
programs, among others. These services are complemented by the Yale Medical Library.
Research: Our curriculum stresses the importance of research methodology. All Categorical
residents work on a research project and are strongly encouraged to publish research findings.
You will receive considerable instruction and support in hypothesis generation, protocol design,
and statistical analysis of data and manuscript preparation. Many residents present oral and
poster presentations at the annual meeting of the Connecticut Chapter of the American College
of Physicians.
Elective rotations
Residents choose from a wide variety of elective opportunities at Saint Raphaels, Yale-New
Haven Hospital and the VA Connecticut Healthcare System, West Haven campus. Each elective
emphasizes subspecialties or related fields of medicine, enhancing training and introducing
residents to career opportunities.
Electives offered at Saint Raphaels include:
Cardiology You will evaluate and follow patients with a spectrum of cardiac diseases, both
at the inpatient level and in the clinic. Bedside skills and physical diagnoses are emphasized and
provide important correlations with techniques for invasive and noninvasive cardiac diagnoses.
You will round with the attending and cardiology fellow, plus follow patients in the Coronary
Care and the Cardiothoracic Intensive Care units. Competence in EKG interpretation is ensured.
Weekly conferences at Saint Raphaels and Yale enhance the overall experience.
Gastroenterology This elective will give you excellent exposure to the spectrum of
acute inpatient
gastrointestinal and
hepatic disorders.
Bedside teaching
is provided by the
full-time attending
staff, as well as three
gastroenterology
fellows. You will
work up and evaluate
patients, plus observe
endoscopic procedures
on patients with whom
you are involved.
Daily teaching and
work rounds include
review of diagnostic
imaging and biopsy
materials with
experienced attending
physicians. Four clinical
conferences take place
weekly one at Yale,
three at Saint Raphaels.
22
Residents and program director
discuss patients during teaching
rounds.
23
Hematology Oncology You will work under the supervision of a Yale
fellow and an attending Saint Raphael hematology-oncology physician. At
the inpatient level, youll evaluate and follow patients, with emphasis on
diagnosis and therapy of common neoplasms and hematologic disorders, as
well as management of common treatment complications. Management of
patients in our outpatient Father Michael J. McGivney Center for Cancer
Care is stressed, with ample opportunity for longitudinal follow-up. Weekly
conferences at Saint Raphaels and Yale provide further discussion and
teaching opportunities. Competence is achieved in reviewing the peripheral
smear and a variety of biopsy samples.
Infectious Diseases You will be an important member of the team,
providing consultation and follow-up on patients with a challenging and
stimulating variety of infectious and inflammatory disorders. Working
closely with the Yale fellow and a full-time Saint Raphael attending staff
member, you will gain important experience in diagnosis, therapy, and
comprehensive management of common and not-so-common infections.
Clinical microbiology is emphasized, and there are many opportunities
for the Yale fellow and attending to teach students. Weekly ID
conferences are held at Yale.
Nephrology Youll work closely with fellows and participate actively
in conferences at both Saint Raphaels and at Yale-New Haven Hospital.
You will attend the weekly renal clinic, weekly dialysis conference, and
various clinical nephrology and physiology conferences at Saint Raphaels
and Yale. Emphasis is on evaluation, diagnosis and treatment of acute
renal failure, chronic renal failure and glomerulonephritis. Discussions
are held concerning electrolyte and acid-base abnormalities, and the
application of basic renal physiology to the clinical understanding of these
entities. The evaluation of patients with hypertension is also reviewed.
Pulmonary and Critical Care Pulmonary physiology and
physiopathology are emphasized as you evaluate and follow a variety of
patients in the intensive care unit, the inpatient setting and the clinic.
This elective represents an opportunity to study and understand the
radiographic correlation with anatomy and disease. Youll work closely
with the Yale fellow and Saint Raphaels faculty members, as well as
with members of the Radiology, Pathology and Surgery departments.
Weekly conferences are held at Saint Raphaels and Yale, including the
Connecticut State Chest Conference, in which students are expected to
actively participate. Youll also gain valuable exposure to bronchoscopy,
thoracentesis, pleural biopsy and invasive critical care monitoring.
Endocrinology and Rheumatology are built into the ambulatory
schedule but are also available as elective rotations at Yale-New Haven
Hospital.
Daily schedule
Many factors, of course, determine what each day is like. For most
Internal Medicine residents, a typical day at Saint Raphaels includes
signing in at 7 a.m.; attending morning report until 8 a.m. (patient pre-
rounds for PGY 1s); and carrying out management and teaching rounds
from 8:30 to 10:30 a.m. and patient care from 10:30 a.m. to noon. A
noon conference with free lunch takes place each weekday, followed by
other care responsibilities.
Also scheduled on various days are medical grand rounds, quality
and patient safety conferences, professors rounds (case discussions with a
senior clinician), autopsy conference and a renal pathology conference.
Call schedule
Some rotations require PGY 1s to take sign-outs from their other
daytime colleagues and remain on-call until 8 p.m., when the night float
arrives. Supervising residents take call every fourth night when in the ICU.
For night residents, comfortable and convenient sleep
accommodations are available. Most call rooms include a bed, telephone,
TV, bathroom with shower, and computer with Internet access.
Night float consists of two-week blocks on a specific unit or ward.
PGY 1 night floats are supervised by PGY 2 or 3 residents with attending
physicians always available.
Cardiology
Baylor University, TX
Baystate Hospital, MA
Hospital of Saint Raphael
Endocrinology
University of Oklahoma
Gastroenterology
Norwalk Hospital, CT
Geriatrics
Yale School of Medicine/
Hematology
Hematology/Oncology
Albert Einstein University, NY
Emory University, GA
University of Buffalo, NY
Nephrology
Brigham & Womens
Hospital, MA
Oncology
National Institutes of Health
Pulmonary/Critical Care
Emory University, GA
Norwalk Hospital, CT
Recent graduates
IM Resident Fellowships (2009-2011 Graduating Classes)
24
Oral and Maxillofacial
I dont mean to sound boastful,
but theres really no program like
ours. We have a strong, dedicated
faculty, a good mix of didactic
and hands-on experience, and
some of the best young residents
around. Our residents, in fact, are
sought after. We regularly get calls
from practices looking for new
associates. Every resident who
leaves here is well prepared either
to enter a private practice or start
their own.
Leonard Skope, D.D.S., assistant program
director of the Oral and Maxillofacial
Surgery Residency Program
25
Oral and
M
aryann Udy, D.M.D, researched nearly 90 residency programs and considered 40 before selecting Saint Raphaels for
her postgraduate Oral and Maxillofacial Surgery (OMS) Residency Program. I was looking for a residency with well-
trained, highly respected faculty, said Dr. Udy, who earned her D.M.D. degree from the University of Nevada, Las
Vegas (UNLV) School of Dental Medicine. I wanted to train at a facility that would optimally prepare me for private practice
OMS. It was also important to select a program with a reputation of successfully placing residents in fellowships if I elected to do
so in my later residency years.
Dr. Udy, who began her training at Saint Raphaels in 2009, said many things impressed her about Saint Raphaels OMS
program, including its leadership and reputation. It is well known that Hospital of Saint Raphael OMS residents are sought after
for partnerships in practices due to their proficiency in the field, she said.
The most valuable part of my training has been the surgical experience Ive gained early on, Dr. Udy noted. The surgical
cases are abundant and all levels of residents participate as primary resident surgeons. This includes both outpatient sedation
procedures as well as those in the operating room. Being utilized to this degree early in training allows us to be proficient,
well-rounded surgeons when we near the completion of our four years. We also get invaluable experience on our rotations and
are utilized as a primary team member, she said. The general surgery, plastic surgery and anesthesia rotations, in particular, are
highly beneficial.
Each year, two applicants are selected to enter Saint Raphaels Oral and Maxillofacial Surgery Residency Program, which is
affiliated with Yale University School of Medicine. Accredited by the Commission on Dental Accreditation, the program teaches
residents the full scope of skills needed to practice OMS in either a hospital or private office, including the use of all current
techniques of pain and anxiety control. The four-year curriculum also provides all the prerequisites and requirements needed to
qualify for, and succeed in, the American Board of Oral and Maxillofacial Surgerys certification process.
Saint Raphael OMS residents gain experience from providing a full range of ambulatory services in a modern outpatient clinic,
with teaching and supervision provided by a full-time director, a part-time assistant director, and more than 20 board-certified
voluntary faculty from community practices. The outpatient experience at Saint Raphaels OMS Clinic is supplemented by
rotations to Yale-New Haven Hospital where the OMS residents work alongside general practice and pediatric dental residents in
new, modern facilities under the direction of OMS faculty common to both hospitals. (Turn to the back pocket of this booklet for
Oral and Maxillofacial Surgery faculty biographies.)
Major surgical experience is also gained in the emergency and operating rooms of both the Hospital of Saint Raphael and
nearby Yale-New Haven Hospital, so that each resident receives a progressive education in both major and minor OMS.
Clinical teaching
Residents perform most services offered in Saint Raphaels outpatient Oral and Maxillofacial Clinic a spacious, state-of-the-art
facility that sees a wide range of patients and is fully equipped to provide the full scope of OMS ambulatory surgery and anesthesia.
Many patients come from poor, inner city neighborhoods and face multiple health issues. Saint Raphaels Smiles to Go! mobile
dental van, which provides preventive dental care to needy schoolchildren and others in the area, refers many patients to the
clinic. Thus, Saint Raphaels offers OMS residents a broad and thorough medical education. Patients are also referred regularly for
OMS care from the General Dental and Pediatric Dental training programs at Yale-New Haven Hospital, as well as from private
practices in the area.
Surgery
Maxillofacial
Residents provide hands-on care from the beginning, although
responsibilities are progressive and are based on skill and experience.
Supervised operating experience is encouraged, with the complexity
of the case matching the residents ability.
On most days, formal teaching rounds take place in the morning,
followed by clinical instruction, conferences, lectures and seminars.
Afternoon work rounds are conducted by the chief resident. Faculty
are consulted both formally and informally by all residents involved
in patient care.
While most of each of the
four years is spent providing
inpatient and outpatient OMS
care at Saint Raphaels and
Yale-New Haven Hospital,
residents gain added expertise
from rotations through
Anesthesia, Medicine,
Emergency Medicine, General
Surgery, Otolaryngology,
Plastic Surgery and Oral
Pathology. Each of these
areas focuses on the following
objectives:
Medicine (2 months in
PGY 1): Developing patient
evaluation skills is the main
thrust of this rotation.
Residents spend much of
their time focusing on body systems and functions, along with tools
used to diagnose illness particularly electrocardiography, general
radiography and clinical laboratory tests. The resident will learn to take
a comprehensive health history and become competent in reviewing
systems, conducting physical examinations and accurately reporting
and interpreting findings. Treatments of common medical illnesses will
also be discussed, with emphasis on cardiac, pulmonary, hepatic, renal
and endocrine conditions.
Anesthesia (4 months in PGY 1): Participating in all department
clinical and didactic activities, residents leave this rotation with the
ability to evaluate the physical status of a patient, and assess whether
there are physiologic risks to that patient receiving anesthesia. The
resident will study anatomy and physiology of the respiratory,
circulatory and nervous systems, as well as learn their responses to
various preoperative medications, general anesthesia and pain control
medications. Different techniques for administering and monitoring
anesthesia will be learned, and patients of various degrees of complexity
will be seen. The resident will become proficient in managing
emergencies and complications related to anesthesia, including
establishing and maintaining an airway; maintaining respiration and
circulation; and performing both basic and advanced life support.
Competence in managing both perioperative and post-anesthesia
recovery including prevention, early detection and management
of possible problems is stressed.
Emergency Medicine (1 month in PGY 2): Along with residents
rotating from other programs within the hospital, the resident will
focus on evaluating patients with a wide range of acute surgical and
medical conditions. Additionally, there are opportunities to perform
minor procedures including suturing lacerations, abscess incision and
drainage and minor orthopedic procedures. Residents also become
familiar with ECG and laboratory data analysis, use of emergency
drugs, emergency airway management, cardiopulmonary resuscitation
and neurologic evaluation.
General Surgery (4 months in PGY 2): As a member of the General
Surgery team, the OMS resident is assigned to a variety of surgical
resident teams
with a variety of
general surgical
emphases,
including
intensive care.
The resident
will admit
and work up
patients, prepare
patients for the
operating room,
participate in
operating room
cases, manage
postoperative
patients and
attend all rounds
and conferences.
Knowledge
of general principles of surgery including tissue handling and
wound care will be a focus, as well as preoperative assessment
and management. Peri- and postoperative management of fluids,
electrolytes, blood products and surgical nutrition will be stressed,
along with preventing and managing common postoperative
complications. Treating critically ill or trauma patients is also a
component.
Plastic Surgery (3 months in PGY 2): Conducted at Hartford
Hospital and the Connecticut Childrens Medical Center, the general
principles and techniques of plastic surgery are learned as residents
experience the pre-, intra- and postoperative management of patients
undergoing a variety of plastic surgery procedures, with emphasis
on craniofacial. The resident is assigned to duties based on level of
experience and participates in all reports, rounds and conferences.
Oral Pathology (1 month in PGY 3): Residents spend one month
at the Long Island Jewish Medical Center in New Hyde Park, N.Y.,
taking part in its accredited oral pathology training program. Duties
include examining and evaluating patients, preparing specimens for
histopathologic examination, reviewing histopathology specimens and
presenting findings to supervising faculty. Residents also participate in
all didactic activities, particularly clinicopathologic conferences.
Call schedule
While assigned to OMS, junior residents are on call every third or
fourth night with chief resident and faculty backup. Calls are taken
either from home or within the hospital, depending upon the clinical
needs of the service. During rotations to other departments, residents
follow that departments call schedule.
26
Or al & Maxi l l of aci al Sur ger y
There are no specific electives in the program. Each block is scheduled with specific
specialty-related rotations. A sample schedule for the four-year program looks like this:
PGY 1 PGY 2 PGY 3 PGY 4
July OMS Emergency OMS OMS
August Medicine Surgery OMS OMS
September Medicine Surgery OMS OMS
October Anesthesia Surgery OMS OMS (Yale)
November Anesthesia Surgery OMS OMS (Yale)
December Anesthesia Plastic Surgery OMS OMS (Yale)
January Anesthesia Plastic Surgery OMS OMS
February OMS Plastic Surgery OMS OMS
March OMS OMS OMS OMS
April OMS OMS OMS OMS (Yale)
May OMS OMS Oral Pathology OMS (Yale)
June OMS OMS OMS OMS (Yale)
Lectures, seminars and more
Weekly lectures, conferences and seminars are conducted by
physicians and dentists on the Saint Raphael staff, by faculty of Yale
University School of Medicine and by guest lecturers. These include:
Mondays: Journal club, case conference and orthodontic conference,
as well as a tumor board at Yale-New Haven Hospital;
Tuesday afternoons: OMS lecture series and implant conference;
Wednesday mornings: Surgical morbidity and mortality conference
and surgical grand rounds;
First and third Thursday: Head and Neck tumor conference;
Third Thursday: Pathology review and OMS grand rounds;
Friday morning: Teaching Conference with Chief.
From September to November and March to May, an oral pathology
course also takes place from 7:30 to 10:30 a.m. on six Saturday mornings.
Residents, with the help of a faculty preceptor, are also required to
participate in a scholarly project during each year of training, with a goal
of publishing and presenting the results of their work before the end of
the fourth year. At the conclusion of every year, each resident presents a
paper for the Resident Research Competition.
To further the clinical residency education at the hospitals, residents
also attend a course in head and neck surgical anatomy and meetings
conducted by the Connecticut Society of Oral and Maxillofacial
Surgeons. Chief residents also attend one scientific meeting during the
final year of training. Additional seminars and conferences are decided
upon individually, particularly when a resident has had a paper accepted
for presentation at a major national meeting. Saint Raphaels also provides
a generous book allowance to residents.
Evaluations
Each resident is monitored daily by the program director and assistant
director. Formal assessments are made in writing every six months and
reviewed by the resident, director and other appropriate faculty members.
To track their progress, residents also take the Oral and Maxillofacial
Surgery In-Service Training Examination each year. A mock board oral
examination is carried out annually in conjunction with the residency
program at the University of Connecticut to evaluate the residents
didactic performance.
For all residents, Saint Raphaels Health Sciences Library and
computer facilities are open 24 hours a day. More than 2,000 books and
400 journals are housed here, along with seven computers available for
use. One computer has a CD burner and a scanner. The photocopier also
offers scanning for the purpose of e-mailing. A fax machine is operational
during staffed hours. The library has its own home page via any computer
within the hospitals IP range, offering programs such as UpToDate,
MDConsult, PubMed, Cochrane and the Microsoft Office programs,
among others. These services are complemented by the Yale Medical
Library. Within the OMS Clinic, there is a comfortable conference room
with study desks for each resident and full audiovisual and computer
capabilities for conferences.
27
Or al & Maxi l l of aci al Sur ger y
A partial list of places where
recent graduates have entered
private practice after completing
our OMS program includes:
Our most recent department self-study showed that each
fourth-year resident:
managed more than 60 traumatic injuries and pathologic conditions
performed more than 2500 dentoalveolar surgeries
placed more than 40 dental implant devices
performed more than 200 outpatient anesthetics
participated in more than 175 major operating room cases
California
Connecticut
Louisiana
Massachusetts
Michigan
Montana
New York
North Dakota
Pennsylvania
South Dakota
Recent graduates
28
Transitional
The curriculum is specially
designed to meet the educational
needs of medical school graduates
looking for one year of fundamental
clinical education before entering
a chosen career specialty, or for
those who have not yet decided on
a career and want to explore their
options in a closely supervised
setting.
Ernest Moritz, M.D., program director of
the Transitional Year Program
29
H
aving lived in the New Haven area for five years, Christopher Painter, M.D., was familiar with Saint Raphaels
Transitional Year Program long before he applied. Some of my classmates participated in the Transitional Year
Program and had a very positive experience, said Dr. Painter, a graduate of Yale Medical School. They felt the
breadth and depth of the program was very good.
In his own search, Dr. Painter looked at 10 different programs around the country and concluded that Saint Raphaels
would be a good fit for him as well. I was looking for a place that had a teaching-friendly environment and offered
an opportunity for growth, he said. I wanted to stay here and I liked the variety that the Transitional Year Program
offered.
The format of Saint Raphaels Transitional Year Program allows residents to gain valuable experience and develop a
broad knowledge base in several clinical areas before transitioning to their residency program. Its the interface between
Medicine and Surgery, said Dr. Painter, whose specialty is Anesthesia. When youre on a medical or surgical rotation,
theres no mystery involved. You get to see both processes. Thats a strength of the program.
Another strength is diversity. At Saint Raphaels, you take care of people from all walks of life, Dr. Painter said. I
think diversity and variety are key.
Each year, nine residents are accepted into Saint Raphaels Transitional Year Program, which provides well-balanced
graduate medical education in several key clinical disciplines.
Integrating rotations in Internal Medicine, General Surgery, Emergency Medicine, Pediatrics, Radiology and
elective time, the Transitional program is sponsored by Saint Raphaels Departments of Medicine and Radiology and
is affiliated with Yale University School of Medicine. Assignments are broken into blocks, with residents assuming the
same responsibilities as Categorical residents on respective services, including rotations in critical care units and specific
medical and surgical services. You may also arrange electives in many of the hospitals available clinical teaching services,
and orient them toward acute or ambulatory care. Among the choices are anesthesiology, dermatology, endocrinology,
gastroenterology, infectious diseases, nephrology, neurology, ophthalmology, podiatry, radiation oncology and radiology.
During every rotation, you will be an integral member of the patient care team and encouraged to fully participate in
department conferences and teaching activities. Full-time faculty and senior house officers provide individual supervision
and teaching. Because we want you to get the most from your residency experience, our full-time faculty is devoted
primarily to resident teaching whether at a patients bedside or as a mentor for a reading group. (Turn to the back
pocket of this booklet for Transitional Year faculty biographies.)
Resident performance is evaluated monthly by department faculty, and the program director meets quarterly with individual
trainees assuring that you receive the counseling and tailored curriculum needed to best meet your career and training goals.
Year
30
Tr ans i t i onal Year
Core rotations
Each Transitional Year residents schedule is individually
designed to meet both resident needs and program requirements.
Over the course of the academic year, however, each resident rotates
through the following four-week blocks:
1 block Medical Intensive Care Unit
1 block Cardiology
1 block Telemetry Medicine
2 blocks General Medicine
2 blocks General Surgery
1.5 blocks Pediatrics
1 block Emergency Medicine
2.5 block Electives (including 0.5 block Radiology selective)
1 block Vacation
Internal Medicine
Medical rotations include separate assignments to the intensive
care unit (ICU) and cardiology teams. On all medical rotations you
are part of a team that includes full-time faculty and senior residents.
In the ICU and cardiology rotations, supervision is provided by a
full-time intensivist and cardiologist, respectively, and subspecialty
fellows. On general medicine and telemetry rotations the teams
consist of one senior resident, two PGY-1 residents and a student,
with full-time supervision by a hospital-based clinician educator.
Subspecialty fellows and additional teaching attendings provide
teaching and supervision. Residents have primary responsibility for
evaluating and managing patients as they are admitted to the hospital
and throughout the hospital stay. Consultant teams consisting of
a subspecialty attending, fellow and rotating resident are readily
available and provide support in patient care.
Also scheduled on various days are medical grand rounds,
chairmans rounds (case discussions with a focus on clinical decision-
making and systems of care), professors rounds (case discussions

with a senior clinician), autopsy conference and a variety of
subspecialty conferences.
During each rotation, youll begin your day with a 7 a.m.
sign-in. Work rounds with the clinician educator take place from
8 to 10 a.m., followed by independent work time. A noon
conference with free lunch takes place each weekday, followed by
time for admissions, team teaching or other care responsibilities.
During your Internal Medicine rotations, you will participate
in several programs specifically designed to enhance your learning
experience, including:
Regular conferences: Include autopsy with hands-on anatomical
correlation of clinical findings; EKG interpretation with an attending
cardiologist to learn the techniques of basic and advanced EKG
reading; Hospital of Saint Raphael medical grand rounds and Yale
medical grand rounds (transportation provided).
Peer-teaching conferences: A PGY 2 or 3 resident, working with an
attending, presents a topic with text and literature review to fellow
residents and faculty members.
Journal club: Residents work with faculty to analyze an article
and discuss principles of evidence-based medicine, individual study
design, strengths, weaknesses and application of the study to the
clinical setting.
Medical Quiz Show Conference (modeled after Jeopardy!):
Using a computer display with scanned photos, smears and short-
answer questions, residents play monthly as part of a team. Its
proven to be a fun and informal way to review medicine in a
competitive setting.
General Surgery
Transitional residents are assigned to general surgery teams, each
under the direction of an attending physician and a chief surgical
resident. You will be an active participant in pre- and post-op
management, surgery and clinic. Exposure to several subspecialties is
facilitated through team assignments, vascular and thoracic, among them.
The central work area of the
main treatment room of the
Emergency Department
31
Tr ansi t i onal Year
Emergency admissions, pre-op assessment, participating in surgical
procedures like thoracotomy and laparotomy, and post-op care of
patients are also part of the experience. Weekly clinic time allows for
both patient follow-up and experience in outpatient management of
common surgical problems, such as peripheral vascular disease and
ostomy care. Organized conferences provide additional opportunities
for learning and discussion.
Emergency Medicine
Under the direction of full-time, board-certified physicians,
residents receive training and experience in acute adult medical and
surgical illnesses such as chest pain, stroke, myocardial infarction,
syncope, pneumonia, acute cardiopulmonary arrest and trauma patient
evaluation in our Level II Trauma Center. The educational emphasis
is specific for emergency medicine and includes daily instruction and
teaching, plus working closely with Internal Medicine and General
Surgery residents. Didactic educational materials specific to emergency
medicine are provided and interesting patient scenarios are formally
presented at the end of the rotation.
Daily experiences range from triage of major emergencies
to decisive management of common ambulatory problems.
Communication and interaction with patients, families and other
physicians are emphasized. Triage decisions, discharge instructions and
follow-up plans are among the many topics discussed during personal
emergency physician supervision.
Pediatrics
This rotation will provide you with valuable experience in
managing both well and sick infants, children and adolescents, as
well as in interacting with concerned parents and family members.
Pediatrics is our ambulatory rotation, and the emphasis is on
outpatient care.
Most of the 12,000 patients seen in the Saint Raphael Pediatric
Clinic each year are by appointment, but urgent and semi-urgent
cases are also seen each day. This clinic experience will teach you the
principles of pediatric diagnosis, treatment, health maintenance and
health education. You will work closely with residents from Yale-New
Haven Hospital, with supervision by our full-time Pediatric faculty.
Electives
Working with the program director or another faculty advisor,
youll arrange for electives oriented toward acute or ambulatory care.
In addition to a two-week selective in radiology, other choices
include anesthesiology, dermatology, endocrinology, gastroenterology,
infectious diseases, neurology, ophthalmology, podiatry and radiation
oncology, among others. You are encouraged to take the electives
that interest you most and best match your career objectives. Most
Transitional residents perform these electives at Saint Raphaels,
although they can also be done at Yale or the VA Connecticut
Healthcare System, West Haven campus. Most of our residency
programs rotate through these centers. Up to four weeks of electives
away from Saint Raphaels, including opportunities away from New
Haven, may be arranged.
For all residents, Saint Raphaels Health Sciences Library and
computer facilities are open 24 hours a day. More than 2,000 books
and 400 journals are housed here, along with seven computers
available for use. One computer has a CD burner and a scanner. The
photocopier also offers scanning for the purpose of e-mailing. Fax
machine is operational during staffed hours. The library has its own
home page via any computer within the hospitals IP range, offering
programs such as UpToDate, MDConsult, PubMed, Cochrane and
the Microsoft Office programs, among others. These services are
complemented by the Yale Medical Library.
Based on your interests, research and study opportunities are also
available in a variety of clinical departments. These are arranged one-
on-one with the program director and other faculty members.
A partial list of where our recent graduates have gone after completing our Transitional program includes:
Yale School of Medicine/Yale-New Haven Hospital,
Anesthesiology
Ophthalmology
Radiology
Tufts University Radiology
Beth Israel Deaconess Medical Center
Anesthesiology
Hartford Hospital Radiology
University of California Irvine
Anesthesiology
Mount Sinai Hospital Radiology
University of Connecticut Anesthesiology
Radiation Oncology
Wake Forest University Ophthalmology
Indiana University Dermatology
Hospital of Saint Raphael Radiology
Recent graduates
32
Yale-Integrated
R
esidents work side-by-side with dedicated faculty members
many tops in their field who greatly enhance the clinical
services available to patients. They also add an important
dimension to Saint Raphaels Graduate Medical Education program.
Orthopedics
This Yale University-affiliated training program selects five
orthopedic residents each year for work at Saint Raphaels, the VA
Connecticut Healthcare Systems West Haven campus, Waterbury
Hospital and Yale-New Haven Hospital. Residents rotate through
each, with the final year divided into periods spent as chief resident
at Yale-New Haven Hospital, the VA Healthcare System, and in
laboratory investigation and the study of basic science. The varied
patient populations of these four hospitals provide an excellent
opportunity to experience the many aspects of orthopedic surgery.
Residents maintain an active conference schedule to study both
clinical material and basic science. Residents are also expected to
pursue independent investigative projects. While at Saint Raphaels,
residents are expected to present their cases at the weekly Tuesday
morning conference. The PGY 4 covers the total joint cases. Saint
Raphaels does the most total joint cases in Connecticut and there is
an abundance of cases from which the resident can choose. The same
attending physicians and clinical professors who work at Yale also cover
Saint Raphaels. Therefore, there is a continuity of teaching throughout
the residency.
Otolaryngology
The Hospital of Saint Raphael Section of Otolaryngology is one
of three teaching sites for PGY 3, PGY 4 and PGY 5 residents in the
Yale University School of Medicine residency program. It offers a great
breadth of clinical material in surgery and the ENT clinic. Residents
have access to an on-site, surgical simulation laboratory. Clinical
Many Yale University School of
Medicine and Yale-New Haven
Hospital programs include a
rotation at the Hospital of Saint
Raphael, where residents gain
unique experiences treating the
diverse populations that come to
a community hospital.
Yale-Integrated
33
Programs
materials range from routine otolaryngological
procedures and cosmetic facial surgery to
advanced endoscopic sinus surgery, head and
neck oncology and skull-based tumors, such as
pituitary tumors and acoustic neuromas.
Pediatrics
Each PGY 1 resident spends four weeks
at the Hospital of Saint Raphael, where they
learn about the practice of outpatient general
pediatrics. Their responsibilities include well-
child visits, sick visits and newborn nursery
rounds. Third-year pediatric residents rotate
for four-week blocks as well and have an
opportunity to spend one rotation as chief,
in which they have more teaching and
administrative responsibilities. During their
chief rotation, they also have an opportunity
to learn more about the New Haven
community by going on site visits to different
community agencies.
The Section of Pediatrics is part of the
Department of Womens and Childrens
Services and consists of a newborn nursery
with 12 bassinets, a Newborn Intensive Care
Unit with eight beds, the Pediatric Primary
Care Center and Chapel Pediatrics; there is
currently a small inpatient unit with three
beds. Pediatricians also provide medical
care for youths in Saint Raphaels 20-bed
childrens inpatient psychiatry unit.
Saint Raphaels emphasis is on providing
residents with a view of community hospital
practice, direct experience with a wide range
of pediatric problems, and experience in the
private sector of pediatric practice. Saint
Raphaels logs more than 20,000 pediatric
visits yearly, including 11,000 to the Primary
Care Center and 5,000 to Chapel Pediatrics.
The section also provides care for over 1,000
newborns and child psychiatry inpatients.
Pediatricians also provide medical services
outside the hospital at the New Haven
Juvenile Detention Center, the Childrens
Center residential treatment facility, at
neighborhood clinics located within nearby
schools and through Saint Raphaels nationally
recognized Project MotherCare clinic.
Plastic Surgery
The Section of Plastic Surgery at the
Hospital of Saint Raphael is integrated with
Yale University School of Medicine and the
Yale Plastic Surgery Residency Program.
Of the 13 plastic surgeons on the attending
staff and four on the courtesy staff, most
have dual and integrated roles at Yale-New
Haven Hospital and Yale University School
of Medicine. A senior resident in plastic
surgery from Yale rotates at Saint Raphaels
every three months, as does a Hospital of
Saint Raphael General Surgery resident at the
PGY 1 level. The Plastic Surgery Clinic meets
every Thursday afternoon, and the Quality
Assurance Conference is held monthly in
conjunction with Yale.
Saint Raphaels offers plastic surgery
residents the opportunity to experience all
aspects of this specialty including hand, breast,
skin cancer, micro, replantation and cosmetic
surgery.
All residents deal with congenital and
acquired defects in both adults and children.
Chief residents in General Surgery receive
extensive exposure from cleft lip to jaw cancer.
Many go on to enter two- or three-year plastic
surgery training programs.
Podiatric Surgery
The Hospital of Saint Raphael is one
of the major rotation sites for the Yale-VA
Podiatric Surgery Residency Program, a
three-year program that offers comprehensive
training in all aspects of foot and ankle care.
The residency accepts five residents per
year and is completed through rotations at
each of the four major affiliated hospitals:
Hospital of Saint Raphael, Yale-New Haven
Hospital, Hospital of Central Connecticut
and VA Connecticut Healthcare System.
Numerous community hospitals and surgery
centers round out the training program,
providing a fine combination of inpatient,
outpatient, routine and urgent care.
Residents assigned to the Hospital of
Saint Raphael complete internal medicine,
orthopedic surgery and podiatric medicine and
surgery rotations, with a strong emphasis on
senior level surgical care. The residents gain
invaluable training in the operative repair of
foot and ankle trauma, joint replacement and
elective reconstructive surgery of the foot and
ankle, in part, due to the strong relationship
developed between the Orthopedics and
Podiatry services.
The comprehensive residency program is
structured to provide high-quality clinical,
academic, and research opportunities.
The training far exceeds minimal activity
volume set forth by the Council on Podiatric
Medical Education, and the experience
gained adequately prepares graduates for the
certification pathways of the American Board
of Podiatric Surgery and the American Board
of Podiatric Orthopedics and Medicine

34
S
aint Raphael residents enhance their expertise in patient care
and disease diagnosis through rotations and clinical experiences
throughout the hospital.
Anesthesiology
The department of Anesthesiology covers all phases of general,
regional and local anesthesia for all types of surgical and obstetrical
cases. The department is also involved in evaluating and treating
chronic pain.
Department mortality and morbidity meetings take place monthly.
The department also sponsors a monthly series of presentations by
nationally known speakers.
Emergency Medicine
The Hospital of Saint Raphaels Emergency department is a high-
volume, high-acuity department with 60,000 patient visits annually.
Under the supervision of board-certified Emergency Medicine
physicians, interns and residents from medical and surgical disciplines
evaluate and treat patients of all ages with a broad spectrum of injuries
and illnesses.
The department is a certified Level II trauma center, certified stroke
center, and provides immediate access to acute interventional cardiology.
A number of advanced services are utilized in the department a
paperless electronic documentation system, computerized order entry
and access to electronic medical records. Also with digital radiography,
images can be accessed from any workstation. The department has also
implemented bedside ultrasonography, advanced airway management
with Glidescope, and point-of-care laboratory testing.
Pathology
Residents learn to appreciate the complexities of pathology by
working closely with Saint Raphael pathologists. An understanding of
the pathologists contribution to patient care and the specific acquisition
of skills and knowledge are gained through individual instruction and
numerous clinical conferences.
Saint Raphaels laboratories are well equipped, largely automated
and have ample capabilities for methodology evaluation, new procedure
development and quality assurance studies. Major procedures in all
divisions of surgery and medical specialties make for an unusually fine
source of material in surgical pathology.
Clinical
The playscape for patients in Child and
Adolescent Psychiatry
Our innovative programs and
services, combined with our
commitment to technology and
vision for the future, position
Saint Raphaels as one of New
Englands premier hospitals and
sources of medical education.
35
Clinical
Psychiatry
Supervised by a faculty psychiatrist
board-certified in psychosomatic medicine,
PGY 3 residents take part in Saint Raphaels
psychiatric consultation service by evaluating
patients on medical and surgical units. In this
role, they gain valuable experience providing
psychiatric assessments and treatment including
counseling and pharmacotherapy.
Internal Medicine residents rotate through
the outpatient clinic where they gain exposure
to acute and chronically mentally ill patients.
More than 900 child, adolescent and
adult psychiatric inpatients are treated
at Saint Raphaels each year. Featuring a
comprehensive, integrated model of inpatient
and outpatient care, services include a day
hospital, evening chemical dependence
treatment, and 24-hour emergency care. PGY
1 residents can also elect to rotate through
Saint Raphaels 20-bed inpatient Child and
Adolescent Psychiatry unit.
The department of psychiatry regularly
holds grand rounds attended by residents,
physicians, mental health professionals and
others interested in the topics, which cover a
full range of behavioral health treatment and
research.
Radiation Oncology
Radiation Oncology services are provided
through Saint Raphaels Father Michael J.
McGivney Center for Cancer Care. Residents
rotating through this busy facility gain valuable
clinical experience from the wide spectrum of
malignancies being treated. The department
is equipped with state-of-the-art equipment,
including modern, supervoltage linear
accelerators with electron capabilities, intensity
modulated radiation therapy, orthovoltage
and superficial equipment, computerized
simulators, three-dimensional isodose planning,
physics, consultations, radioactive implants,
high-dose rate afterloading equipment and
Mammosite, and stereotactic radiosurgery
with CyberKnife
.
Residents work side-by-side with
radiation oncologists, examining patients and
participating in their oncologic management.
Residents learn how to perform a head and
neck examination, plus observe procedures
in both the department and operating
room. They also participate in several
multidisciplinary conferences.
Resources
The Hospital of Saint Raphael is one of the
select hospitals in the country with the
cancer-fighting technology of CyberKnife
,
using radiosurgery to destroy operable and
inoperable tumors anywhere in the body
with pinpoint accuracy.
36
Fellowships
The presence of fellowships
provides our residents with
additional educational and
research opportunities, and
improves their ability to obtain
subspecialty training.
Robert Nardino, M.D.,
program director of the Internal
Medicine Residency Program
Fellowships
37
Cardiovascular Disease
Training in Cardiovascular Disease is a three-year program accredited by the Accreditation Council for Graduate Medical
Education (ACGME). Two fellows per year are accepted, with a total complement of six fellows. All applicants must have
completed a three-year Categorical Internal Medicine residency.
The Cardiovascular Disease fellowship training program is designed to provide the subspecialty fellow with didactic
instruction, and clinical experience in the pathophysiology, diagnosis, treatment, and management of patients with
cardiovascular disease. Four-week rotation blocks provide the framework for exposure to all required elements of cardiology
training, with an emphasis on the development of cognitive, clinical, interpretive and procedural skills. Interpersonal skills,
professional attitudes and humanistic qualities of the Cardiovascular Disease residents are continuously assessed through
competency-based education initiatives:
Cardiovascular Disease fellow rotations at the Hospital of Saint Raphael;
Clinical rotations including the Coronary Care Unit, Cardiothoracic Intensive Care Unit, Clinical Consult Service,
Electrophysiology Service and the Ambulatory Clinic;
Invasive rotations in the Cardiac Catheterization Laboratory and the Electrophysiology Laboratory;
Non-invasive rotations in echocardiography, stress testing, nuclear cardiology and ECG interpretation with exposure to
cardiac CT and cardiac MRI; and
Elective rotations in specific areas of cardiology, including cardiac MRI and cardiac CT.
Cardiovascular Disease fellows are assigned to the weekly longitudinal Ambulatory Clinic. Two fellows per session are
supervised by a full-time attending cardiologist in a faculty practice office setting. The Ambulatory Clinic, which is staffed
by nurses and a cardiac nutritionist, is complemented by on-site interaction with the cardiac rehabilitation program, a staff
endocrinologist, and the director of the Lipid Clinic.
Cardiovascular Disease fellows attend the weekly multi-disciplinary cardiology management conference, the didactic core
curriculum lectures, cardiac catheterization laboratory conference, noninvasive imaging conference and board review sessions,
as well as the quarterly morbidity and mortality conference, cardiology and cardiothoracic surgery journal clubs, and ECG
conference. Additionally, attending physicians have direct teaching responsibilities during each of the rotation blocks. These
small group sessions allow for the free discussion between the sub-specialty fellow, the house staff and the attending staff.
Cardiovascular Disease fellows have ongoing opportunities to strengthen presentation and teaching skills.
Sub-specialty fellows identify and present the cases at the multi-disciplinary cardiology management conference, cardiac
catheterization laboratory conference, and morbidity and mortality conference, as well as present papers at the cardiology
and cardiothoracic journal clubs. Teaching responsibilities of the Cardiovascular Disease fellows include didactic lectures,
interpretation of ECGs, and discussion of interesting cardiology cases with the medical house staff assigned to the CCU, and
on the cardiology elective. Cardiovascular Disease fellows also facilitate the discussion in the weekly internal medicine case
management conference.
Cardiovascular Disease fellows actively participate in clinical research initiatives, which include original hypothesis-
generated research, and multi-center clinical trials. Cardiovascular Disease residents are encouraged to participate in
professional organizations, and attend local and national conferences.
Car di ovas cul ar Di seas e
38
Geriatrics
This fully accredited, one-year fellowship in Geriatric Internal Medicine will
lead to eligibility for Certification in Geriatric Medicine. One fellow is accepted
annually. Applicants must have completed a three-year residency program in Internal
Medicine. The Geriatric fellowship is designed to provide the sub-specialty resident
with detailed instruction, exposure and experience in the pathophysiology, diagnosis,
treatment, management and understanding of geriatric syndromes and related
conditions.
Geriatric fellowship rotations
Inpatient and geriatric consult team and interdisciplinary geriatric program
unit Fellows will become part of the interdisciplinary team with a geriatrician,
advanced practice geriatric nurse, social worker, physical therapist, occupational
therapist, pharmacist and chaplain, in the provision of consultative care. In an effort
to maintain and maximize function of older adults, fellows will be exposed to the full
spectrum of geriatric syndromes. Such syndromes include dementia, delirium, falls,
immobility, depression, polypharmacy, end-of-life issues and functional assessment.
Outpatient Geriatric Assessment
Fellows will be part of the interdisciplinary geriatric team, providing geriatric
consultative services to a variety of referral services. The goal of this rotation is to help
fellows become experts in assessing geriatric syndromes that imprint on function in
older adults as well as interfacing with a variety of professional referral sources.
Geriatric Continuity Experience
Under the auspices of the Hospital of Saint Raphaels ElderCare Program, fellows
will provide ongoing primary care for older adults. The goal of this experience is
to enable fellows to learn to manage older adults with multiple chronic conditions.
The ElderCare Program is a series of primary care sites throughout the Greater New
Haven area located in senior residences and senior centers. Currently, the Hospital
of Saint Raphael, in conjunction with community partners, operates seven such sites.
Ger i at r i cs
Residents and fellows
are involved in direct community
outreach, including educational
programs for various
groups.
Fellows will also have the opportunity to complete home visits with physician assistants and local home care agencies as needed as
part of their continuity experience.
Geropsychiatry
Working with a board-certified geropsychiatrist, the fellow will be exposed to the broad scope of common psychiatric
syndromes, psychopharmacologic interventions, basic psychodynamics and psychotherapeutic interventions and family assessments
in dealing with older adults. The intensity of the inpatient unit as well as the hospital-wide consultative service provides the
required clinical experience in this rotation.
Geriatric Rehabilitation
Working under the direct supervision of a board-certified physiatrist, fellows will have contact with older adults undergoing
rehabilitation under the auspices of the outpatient rehabilitation program. Fellows will participate in the interdisciplinary
management of older adults with stroke, traumatic brain injury and musculoskeletal disorders.
The Sister Anne Virginie Grimes Health Center
Fellows, under the direct supervision of the fellowship program director and geriatricians at the facility, will follow patients
over a set period of time. Direct observation of case presentations, chart audits, clinical and teaching skills provide information for
feedback and instruction. Fellows will also attend the weekly program director rounds at the facility.
Saint Raphaels program provides ongoing opportunities for the fellow to develop presentation and teaching skills. In addition
to attending weekly didactic conferences on a variety of geriatric topics and monthly geriatric journal club, fellows are expected to
present four to six conferences per year to a variety of hospital and professional audiences. The geriatric fellow also has multiple
responsibilities and interactions in terms of teaching and supervising the Internal Medicine residents while they complete their
geriatric rotations under the general direction of the geriatric fellow and the faculty. This process is structured to enable the
geriatric fellows to develop teaching skills while completing bedside teaching rounds with the residents, reviewing the direct
application of geriatric principles to individual patients, and specifically instructing residents on the management of multiple
geriatric syndromes. The fellows also direct the interdisciplinary team meetings under the supervision of the attending physician.
Research
Fellows will receive scheduled tutorials as part of the ongoing lecture series on research methodologies in geriatrics and
gerontology. The goal of this activity is to provide each fellow with the skills necessary to critically assess research in gerontology
and geriatrics and to be able to formulate research questions related to the same.
39
Ger i at r i cs
The Sister Anne Virginie Grimes Health
Center, a 125-bed skilled nursing facility, is
part of the Saint Raphael Healthcare System
and is located proximal to the main hospital,
providing both short-term rehabilitation and
long-term care services to older adults.
40
The Saint Raphael
Nephrology program
director and fellows
meet with patients in the
hospitals dialysis centers.
Nephr ol ogy
Nephrology
The Hospital of Saint Raphael offers a two-year, post-doctoral fellowship in
Nephrology leading to board certification. The fellowship is accredited by the
Accreditation Council for Graduate Medical Education (ACGME). Up to two fellows
are accepted annually after completion of a three-year residency program in Internal
Medicine. The Nephrology fellowship program is designed to provide the subspecialty
fellow with didactic instruction and clinical experiences in the pathophysiology,
diagnosis, treatment and management of patients with diseases of the kidney.
Nephrology fellowship rotations: There are seven major educational/patient care
experiences that focus on different aspects of renal medicine:
Inpatient Consult/ESRD Rotation
Fellows participate in a very active consultation service evaluating and treating
patients with acute and chronic kidney disease, acid-base and electrolyte disorders
and hypertension, as well as disorders of mineral metabolism. This will include
patient care in the ICU and non-ICU setting. The Hospital of Saint Raphael is
unique in that it offers a broad range of renal replacement therapies to care for the
needs of their patients. This includes traditional hemodialysis, peritoneal dialysis,
continuous venovenous hemofiltration (CVVH) and sustained low efficiency dialysis
(SLED). The fellow will also gain experience in the placement of temporary vascular
access, performance and interpretation of urinalysis and performing and interpreting
percutaneous renal biopsies.
41
Longitudinal Renal Clinic Rotation
The fellows actively participate in outpatient evaluation of patients with proteinuria, hematuria, hypertension, electrolyte
disorders and acute and chronic kidney disease in a weekly supervised clinic setting. This rotation provides the trainee the
opportunity to watch certain diseases unfold over time, to intervene when appropriate with pharmacologic and other therapies,
to develop close, nurturing relationships with patients, and develop integrated treatment programs drawing on individual health
professionals, community agencies and educational materials.
Outpatient Hemodialysis Rotation
In this rotation the fellow will manage a shift of hemodialysis patients for the two years of their fellowship. Through this
experience they will learn and gain experience in all aspects of the patients hemodialysis care. During this rotation, they will
also gain exposure to other state-of-the-art modalities, such as home hemodialysis, self-care dialysis, nocturnal hemodialysis and
in-center peritoneal dialysis.
Outpatient Peritoneal Dialysis Rotation
The fellows will manage a cohort of peritoneal dialysis patients through the two years of fellowship and gain the education and
expertise necessary to become competent in outpatient peritoneal dialysis. The fellows will also spend two weeks each year in the
peritoneal dialysis unit receiving concentrated instruction on how a successful peritoneal dialysis unit functions.
Inpatient Transplant Rotation
Inpatient transplantation training occurs in cooperation with transplant program at Yale-New Haven Hospital. The fellow
will rotate on the Yale inpatient transplant service for three one-month blocks over the two years of their fellowship. Through
this experience (and the outpatient transplant clinic rotation) the fellow will gain expertise in managing issues particular to renal
transplantation.
Outpatient Transplant Clinic Rotation
The fellows will attend a half-day a week transplant clinic, four months each year for the two years of their fellowship. Here,
they will have the opportunity to evaluate potential transplant donors and recipients as well as gain clinical experience in the long-
term management of transplant recipients in the ambulatory setting.
Research Rotation
Nephrology fellows are expected to pursue a clinical research project under faculty guidance. There are five dedicated monthly
research blocks throughout the course of the fellowship. Fellows will receive scheduled tutorials as part of an ongoing lecture series
on research methodologies.
Conferences
There is a wealth of educational experiences throughout the fellowship. Multiple teaching conferences include (but are not
limited to) a monthly renal biopsy conference, literature review, research-in-progress conference, as well as weekly patient care
and core curriculum conferences. Nephrology fellows are also expected to be involved in the education of students, house staff
and faculty.
Saint Raphaels Dialysis Centers are
blending new amenities, such as
heated chairs and touch-screen TVs,
with a flexible and dynamic program
to satisfy a full range of patient needs.

Nephr ol ogy
42
Yal e f el l ows
Gastroenterology
Hematology Oncology
Infectious Diseases

Gastroenterology
Two Gastroenterology fellows are on service at Saint Raphaels
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 Raphaels 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 three
days a week in Saint Raphaels 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 primarily with 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. 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. For an overview of the
many cancer clinical trials under way here, visit the Saint Raphael
website, srhs.org/clinicaltrials.
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 Raphaels five Infectious Diseases attending physicians.
They 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.
Yale fellows
Yale fellows enrolled in the following programs also obtain valuable experience at Saint Raphaels. Contact with residents is extensive,
with Yale fellows fully integrated into all aspects of patient care and medical education.
The Hematology Oncology rotation at the Hospital of Saint Raphael is a unique
opportunity for trainees to gain insight in the management of cancer patients who
are low income with many medical and social comorbidities. Under the direct
supervision of Saint Raphael medical oncologist Andrea Silber, M.D., (left) the
fellows will learn how to provide high quality evidence-based care, with special
attention to appropriate use of healthcare resources.
One first-year fellow and one second-year fellow each spend his or her HIV outpatient
continuity clinic time at Saint Raphaels 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.
A primary training site for Pulmonary and Critical Care Medicine, Saint Raphaels 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 residents 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 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 theyve worked on at Saint Raphaels to
the Connecticut State Chest Conference. They are also responsible for presenting cases for
discussion at Saint Raphaels biweekly pulmonary, radiology, pathology and thoracic surgery
conferences. A monthly critical care journal club is also led by the fellow.
Gastroenterology
Hematology Oncology
Infectious Diseases

Yal e f el l ows
A medical technologist
processes HIV and HCV viral load
samples using a next-generation
bDNA instrument in Saint
Raphaels Microbiology Lab. The
Labs Molecular Section also
performs PCR testing for Group
B Streptococcus and Clostridium
difficile and will soon be
implementing MRSA screening
using the GeneXpert
System.
Gastroenterology
Hematology Oncology
Infectious Diseases

43
44
A
ll work and no play? No way! Social activities, team-building
exercises and well-deserved leisure time are all important
aspects of Saint Raphaels residency program. And whether
youre single, married or have a family with children, theres lots to do.
Organized, monthly group outings include baseball games and
indoor rock climbing. A summer picnic, holiday party and recognition
dinner generally take place annually. Theres also much to enjoy on
your own whether youre looking to dance all night, quietly sip a
cappuccino, hike a mountain trail, shop for shoes or just sit under a
tree with a good book.
Located on Long Island Sound between New York and
Boston, New Haven is a city that combines New England charm
with cosmopolitan life; internationally known museums with
international cuisine.
Settled in 1638 and full of historic buildings with wonderful
architecture, its a diverse community that features a lovely, historic
Green; grand, old homes and modern apartment buildings; a long
shoreline with walking paths; several parks with hiking and picnicking
areas; unique shops, restaurants and bookstores; a huge downtown
library; access to the countless academic, sports and cultural programs
offered at Yale and other area universities; and so much more.
Distinct neighborhoods that preserve and showcase different
nationalities and ethnic groups are located throughout the city. Indeed,
one of the most well known areas, Wooster Square, is a hub for Italian
restaurants, the best pizza (former President Clintons favorite!) and
renowned Italian fairs and festivals. New Havens annual International
Festival of Arts & Ideas, artidea.org, also annually draws thousands of
people from throughout the world to take part in two weeks of diverse
theater, music, dance, poetry, visual art and lecture presentations.
Around
Life outside the residency
program
45
Around Connecticut
New Haven is also home to the Long Wharf Theater, Yale
Repertory Theater and the historic Shubert Performing Arts Center,
featuring some of the top theatrical talent in the nation. Nightlife
buzzes with many live musical performances. Theres something for
every taste classical, jazz, swing, pop, rap and rock. And during the
summer, free outdoor concerts take place on the Green and at various
city parks.
For the sports lover, theres public access to numerous skating
rinks; minor league baseball and hockey teams within a 30-minute
drive; the University of Connecticuts nationally ranked mens and
womens basketball teams; and the annual New Haven Open at Yale
tennis tournament. Several local universities come alive each football
season. And several ski slopes are just an hours drive away. There are
also many places along Long Island Sound and rivers to rent boats,
fishing equipment and jet skis.
New York and Boston are both less than two hours away and easily
accessible by car or train.
For the art lover, the city has a half-dozen major museums with
international collections, as well as dozens of galleries. Most of these
are located in the Chapel Street-Broadway area, and within walking
distance of Saint Raphaels.
Surrounding New Haven are suburbs that feature classic New
England landscape long, sandy beaches and boardwalks; forests;
mountains; and many lakes and rivers that are great for water activities.
Among the other varied offerings from neighboring communities:
beautiful nature preserves with wild birds, trails and sea creatures; the
Peabody Museum of Natural History; the Shoreline Trolley Museum;
rose gardens; Sleeping Giant State Park and the Eli Whitney Museum;
horse-drawn wagon rides; several public golf courses; pick-your-own
pumpkins, strawberries and other treats; and the list goes on.
To learn more about New Haven and Southern Connecticut,
visit these websites:
New Haven Chamber of Commerce: newhavenchamber.com
City of New Haven: cityofnewhaven.com
Greater New Haven Convention and Visitors Bureau:
newhavencvb.org
Info New Haven: infonewhaven.com
Connecticut Department of Tourism: ctvisit.com
New Haven is a culinary delight with more than
200 restaurants. Its easy to find a delicious
meal satisfying any budget or ethnic taste.
46
How to apply
Lynn-Marie Wright
Internal Medicine and
Geriatrics
Elizabeth Joyce
Diagnostic Radiology
Kathy Contois
Internal Medicine
Stephanie Pane
Transitional Year and
Nephrology
Amy Murphy
Lillian Figueroa, C-TAGME,
General Surgery
Lisa Mancini, (not pictured)
Oral and Maxillofacial Surgery
(from left to right)
Program Coordinators
Residency programs
Diagnostic Radiology
Radiology accepts applications only through the Electronic
Residency Application Service (ERAS). All positions are filled through
the National Resident Matching Program (NRMP), so you must be
registered on the NRMP website, nrmp.org. The Radiology code is
1090420A0. For additional information, contact Hospital of Saint
Raphael program coordinator Elizabeth Joyce at 203.789.3118 or
ejoyce@srhs.org.
General Surgery
General Surgery accepts applications only through the Electronic
registered on the NRMP website, nrmp.org. The General Surgery codes
are 1090440C0 and 1090440P0. For additional information, contact
Hospital of Saint Raphael senior residency program coordinator
Lillian Figueroa, C-TAGME, at 203.789.3443 or lfigueroa@srhs.org
Internal Medicine
Internal Medicine accepts applications only through the Electronic
registered on the NRMP website, nrmp.org. The Internal Medicine
codes are 1090140C0 and 1090140P0. For additional information,
contact Hospital of Saint Raphael program coordinator
Lynn-Marie Wright at 203.789.6080 or lwright@srhs.org.
Oral and Maxillofacial Surgery
Oral and Maxillofacial Surgery accepts applications only through
the Postdoctoral Application Support Service (PASS) of the American
Dental Education Association. Fill out this online-only application
by visiting the ADEA website, adea.org. All positions are filled through
the National Dental Matching Program. For more information or
assistance on registering with this program, visit natmatch.com/dentres.
For additional information, contact Hospital of Saint Raphael program
coordinator Lisa Mancini at 203.789.5924 or lmancini@srhs.org.
Transitional Year
Transitional Year accepts applications only through the Electronic
registered on the NRMP website, nrmp.org. The Transitional code
is 1090999P0. For additional information, contact Hospital of Saint
Raphael program coordinator Stephanie Pane at 203.789.3989 or
spane@srhs.org.
Fellowships
The Cardiovascular Disease Fellowship program accepts applications
only through the Electronic Residency Application Service (ERAS). All
positions are filled through the National Resident Matching Program
(NRMP), so you must be registered on the NRMP website, nrmp.org.
The Cardiovascular Disease Code is 1090141F0. For additional
information, contact Hospital of Saint Raphael program coordinator
Amy Murphy at 203.789.6045 or amurphy@srhs.org.
Geriatrics
To obtain an application for the Geriatric Fellowship program,
please call the program coordinator, Lynn-Marie Wright, at
203.789.6080 or lwright@srhs.org.
Nephrology
Nephrology Fellowship accepts applications only through
the Electronic Residency Application Service (ERAS). All positions
are filled through the National Resident Matching Program (NRMP),
so you must be registered on the NRMP website,nrmp.org. The
Nephrology code is 10550550. For additional information, contact
Hospital of Saint Raphael program coordinator Stephanie Pane at
203.789.3989 or spane@srhs.org.
You can also contact our residency programs by mail at:
The Hospital of Saint Raphael
1450 Chapel St.
New Haven, CT 06511
Attn: Graduate Medical Education Program
47
How to apply
By car:
From Hartford (North): Leave I-91 at Exit 1 (Downtown
New Haven) and continue straight on the exit expressway, where it
merges with North Frontage Road. Continue through four lights,
and turn right at the fifth light on to Orchard Street. After the first
light, you will see a garage to your left and another to your right.
From Shore Towns (East): Leave I-95 at Exit 47 (Downtown
New Haven) and continue straight on the exit expressway, where it
merges with North Frontage Road. Continue through four lights,
and then turn right at the fifth light on to Orchard Street. After the
first light, you will see a garage to your left and another to your right.
From Waterbury and Upstate New York (Northwest): Follow
Route 69 South to Route 63 South (Whalley Avenue), continue
down Whalley for about two and a quarter miles and take a right on
Sherman Avenue. Take a left at George Street and an entrance to
the hospital garage will be on the left. Additional parking is available
by taking the next left on to Orchard Street. Parking will be on the
right side.
48
Directions
From Bridgeport and New York City Areas (West): Leave the
Wilbur Cross Parkway at Exit 57 (Route 34 East) and continue
on Route 34 until you cross Ella Grasso Boulevard. Continue
straight ahead on to Derby Avenue. Derby Avenue changes into
George Street. Once past Sherman Avenue, a garage is on your left.
Additional parking is available if you take the next left on to Orchard
Street. The garage will be on your right.
Or, leave I-95 North at Exit 47 (Downtown New Haven) and
continue straight on the exit expressway, where it merges with North
Frontage Road. Continue through four lights and then turn right at
the fifth light on Orchard Street. After the first light, you will see a
garage to your left and another to your right.
Please note ... Saint Raphaels has two major parking garages, the
George Street Garage and the Orchard Street Garage. Interviewing
residents can park for free in either garage. Just be sure to bring your
parking ticket inside the hospital to be validated.
By bus:
Contact Connecticut Transit at 203.624.0151 or visit cttransit.
com. Routes run between 6:30 a.m. and 6:30 p.m. weekdays and
Saturday, and 7 a.m. to 6 p.m. on Sundays/Holidays, includes
service to and from Tweed-New Haven Airport and Union Station.
For more information call 203.624.0151.
By train:
Amtrak (from Boston), Metro-North (from New York)
and Shore Line East (from New London) all make regular
stops at New Havens downtown Union Station, which is less than
two miles from Saint Raphaels. For details, contact:
Amtrak at 800.872.7245 or amtrak.com/destinations/
newhaven-ct.html
Metro-North at 800.638.7646 or mta.info
Shore Line East at 800.255.7433 or shorelineeast.com
The Hospital of Saint Raphael
is located at 1450 Chapel Street
in New Haven, Connecticut,
and is easily accessible
by car, bus or train.

HSR Gme Folder 2011

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

HSR Gme Folder 2011

Uploaded by

Copyright:

Available Formats

f p o - b c a r d d i e c u t

by the American Society

surgical robotic system

Surgical System uses robotic

You might also like