Saint Mary's Hospital is located in Waterbury, Connecticut, 18 miles from Yale University School of Medicine, and 1 ½ hours drive time from Boston and New York City. Saint Mary’s Hospital is licensed for 350 beds, including 20 intensive care unit beds and 19 telemetry beds. Because Saint Mary’s serves a region that includes an urban center, suburban communities, and farming areas, resident physicians receive a broad number of experiences both in the inpatient and outpatient settings. The hospital, in partnership with Waterbury Hospital, is affiliated with the Harold Leever Cancer Center, which is involved in a myriad of clinical trials, and the Waterbury Area Heart Center, which provides primary and elective angioplasty and coronary artery bypass surgery. Other special services offered by Saint Mary’s Hospital include a birthing center coordinated by certified midwives, cardiac rehabilitation and full cardiac services, pulmonary rehabilitation, a sleep disorders laboratory, and an inpatient psychiatric unit staffed by two full-time psychiatrists. A full spectrum of subspecialty services are available for all patients, including those on the house staff clinic panel. A significant number of community physicians were trained locally at the Saint Mary’s Hospital program or the Yale Primary Care Internal Medicine Training Program and take exceptional pride in their hospital and community. On site, the residency program is assisted by a full-time program coordinator, program director, associate program directors, many key clinical faculty, and many distinguished part-time teaching faculty.
Waterbury is the fourth largest city in Connecticut, and according to the 2000 census, has a population of over 100,000, with an even larger catchment area. The FHC was created in 1930 as a vital part of Saint Mary’s Hospital’s link to the Waterbury community in keeping with its mission and goals. It serves 90% of the uninsured and Medicaid-insured population in the Waterbury area. Because it has hosted residents since 1963, it is well-equipped to support a large number of providers and their patients. The clinic also hosts several specialty practices, including dermatology, general surgery (including breast clinic) and surgical subspecialties, geriatrics, hypertension, obstetrics and gynecology, and psychiatry and substance abuse. The FHC continues to serve as the continuity clinic site for the Yale Medicine/Pediatrics Residency Program as well. Supportive services include secure computer access to radiology films and reports, hospital dictations, inpatient and outpatient labs, and cardiology reports; coumadin clinic; diabetes and nutritional counseling; full-time financial counseling and social services; primary care treatment of hepatitis C and HIV; interpreter services; and a full-time laboratory. Because full-time faculty and the clinic medical director also see patients, the clinical is fully functional even when resident sessions are not on site. Patients thus are provided with 24-hour beeper access, and urgent care visits are readily available to them. Rebecca Newell, MD is the Medical Director of the Saint Mary’s Family Health Center.
Yale New Haven Hospital, one of the oldest established hospitals in the United States, is a tertiary referral center and an urban community hospital with approximately 900 beds. Residents care for patients with common medical problems as well as patients with severe disease who might benefit from bone marrow and cardiac transplantation, cortical stimulation and stereotactic neurosurgery, investigative cancer protocols, and other new and innovative technological advances. In addition, the School of Medicine is affiliated with the Yale School of Epidemiology and Public Health as well as the Yale Child Study Center. The depth of basic science research at Yale-New Haven Hospital and Yale School of Medicine are world-renown, and residents have the unique opportunity to engage in meaningful clinical and bench research here. Finally, Yale is one of four sites of the Robert Wood Johnson Clinical Scholars Program, a graduate program designed to provide new skills in quantitative and qualitative sciences so that clinicians may improve health and medical care at the systems level and achieve leadership positions nationally and globally. Residents at Saint Mary’s Hospital participate in the Geriatrics rotation offered at YNHH and at the VA Connecticut Health Care System and various elective and research opportunities.
The VA Connecticut Health Care System (West Haven VA Hospital) is located 30 minutes away from Waterbury and is a full-service tertiary care center serving 54,000 veterans in Connecticut. Because of its cardiac services, it also receives specialty referrals from neighboring state VA Health Care Systems. There are 60 inpatient medicine beds, a 20-bed step down unit, and a 6-bed medical intensive care unit. In addition, there is a Geriatric Evaluation Unit (GEU) where residents spend intensive time assessing, evaluating, and caring for elderly patients in a center specifically geared for this training as well as for additional consultation in Hospital Based Home Care, Nursing Home Care, Nursing Home Community Meetings, and an ambulatory clinic. Residents at Saint Mary’s Hospital participate in a Neurology rotation specifically created for them at the West Haven VA Hospital.