Diverse case mix comes from Greenwich and surrounding Fairfield and Westchester counties. Most social and ethnic groups are represented. Rare cases that are worthy of publication in medical literature are encountered at Greenwich Hospital and Yale New Haven Health tertiary care sites. Hospital and program leadership are fully committed to diversity, equity, and inclusion through system-enhanced initiatives to support residents, staff, and patients.
Formally affiliated since 1975. Over 110 contact sessions each year between Yale faculty and Greenwich Hospital residents. Elective time may be scheduled at Yale (only in PGY II and PGY III years). Yale students rotate at Greenwich Hospital on inpatient and outpatient rotations.
Minimized through careful attention to work loads, call schedules and learning environment. Evaluated by confidential survey twice yearly. Resources are available through the program and institution to address resident wellness (see Wellness Section).
Residents are expected to write all orders on their patients. Resident surveys demonstrate satisfaction with the level of decision-making autonomy provided by the program.
There are over 100 Greenwich Hospital internists representing all specialties who directly support the residency program, including nine who dedicate 100% of their professional effort to the education and welfare of the residents.
Hospitalists provide direct patient care and teaching for patients on resident inpatient floor services. In addition, two of three teams are managed by academic hospitalists dedicated to medical education.
Ancillary support services are available 24 hours a day. Comfortable on-call rooms with lockers, networked computers, and televisions. Subsidized housing offered to both one-year preliminary and categorical residents; preliminary residents pay subsidized rental rate, and categorical residents are exempt from monthly rent but do pay applicable taxes on imputed income from rent-free housing (the result is a monthly occupancy cost significantly lower than local apartment market rent). Subsidized day care. Lunch stipend provided for teaching conferences. Monthly meal stipend for overnight calls. Newly designed dedicated resident lounge and resident workrooms. Financial support for electives taken at Yale, research endeavors, and board review courses. Four free wellness afternoons offered for self-care during outpatient ambulatory medicine rotations.
Greenwich Hospital actively incorporates simulation as an education strategy. SYN:APSE simulation center, as part of Yale New Haven Health System (YNHHS), provides hands-on training to prepare trainees for the challenges of complex medical management. The facility has high-fidelity mannequins with sophisticated audiovisual systems and multiple camera views, in addition to simultaneous on- screen viewing of video and patient vital signs. The debriefing is designed to facilitate discussion and encourage participants to evaluate their own performance.
The Greenwich Hospital/Yale University Program selects one PGY-4 chief resident every year. Resident physicians apply during their PGY-2 year. Clinical responsibilities of the position are primarily ambulatory (outpatient internal medicine), but well-established opportunities exist to “moonlight” on the Greenwich Hospital internal medicine hospitalist service. Most of our PGY-4 chief residents have been Greenwich Hospital internal medicine residents (“internal candidates”) for the position, but outside candidates from other residency programs are encouraged to apply. In addition to clinical duties, the chief resident serves as a junior faculty member in our residency program and typically achieves a voluntary faculty appointment as Clinical Instructor of Medicine at Yale School of Medicine.
Our most recent “internal” PGY-4 chief resident matched into endocrinology fellowship at the Mayo Clinic in Rochester, MN, in the flagship program of the Mayo Clinic Alix School of Medicine. They were one of only two fellows accepted into this small fellowship program for the 2022-23 academic year. Our most recent “external” PGY-4 chief resident trained at Yale-New Haven Hospital for residency before leading our program as chief resident, and they matched into pulmonary/critical care fellowship at the New York-Presbyterian Hospital in New York City, in the flagship program of Columbia University Vagelos College of Physicians and Surgeons.
