Often Ask About ...
Diverse case mix comes from Greenwich and surrounding Fairfield and Westchester counties. Most social and ethnic groups represented. Additional unusual cases are also seen during Yale electives at their tertiary care sites.
Yale School of Medicine Affiliation
Formally affiliated since 1975. Over 130 contact sessions each year between Yale faculty and Greenwich Hospital residents. Elective time may be scheduled at Yale. Yale students rotate at Greenwich Hospital.
Greenwich Hospital has been nationally recognized for Epic, a state-of-the-art medical information system. Over 700 fully networked, Internet-connected workstations are located throughout the hospital, in each call room, the Outpatient Center and the resident lounge. Information systems support staff available 24 hours/ day. Formal training provided to all house staff.
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.
Full Time Faculty
The Program Director and four additional faculty dedicate all their professional time to the education and welfare of the house staff. The faculty is 100% board certified in Internal Medicine, one with additional certification in Geriatrics.
A hospitalist service provides direct patient care and teaching for patients on resident inpatient floor services.
Ancillary support services 24 hours a day. Comfortable on-call rooms with lockers, networked computers and television. Subsidized housing offered to both one-year preliminary and categorical residents; preliminary residents pay subsidized rental rate, and categoricals are exempt from monthly rent but do pay applicable imputed taxes on rent-free housing as a form of income (the result is a monthly occupancy cost significantly lower than local apartment market rent). Subsidized day care. Lunch provided at teaching conferences. Monthly meal stipend for overnight calls. Newly designed dedicated resident lounge and resident work room. Financial support for electives taken at Yale, research endeavors and board review courses. Two free wellness afternoons offered for self-care during outpatient ambulatory medicine rotation.
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.
EBM is stressed throughout the curriculum, which covers all major Internal Medicine topics.