Covering every aspect of health care for adults, Internal Medicine is the largest department in the Yale School of Medicine, and the largest clinical service at Yale New Haven Hospital. We provide comprehensive and specialized services in all areas in a variety of outpatient settings as well as the Veterans Affairs (VA) Connecticut Health Care System campus in West Haven. Our culture of collaboration and research gives patients access to expert opinions from nearly 1,000 doctors, as well as opportunities to get tomorrow’s health care today through more than 100 clinical trials. Most importantly, we attend to our diverse community of patients with compassionate, thorough care. Specialized care is offered in the following areas: Allergy & clinical immunology Cardiovascular medicine Digestive diseases Endocrinology General internal medicine Geriatrics Hematology Infectious diseases Medical oncology Occupational health & environmental medicine Nephrology Pulmonology, critical care & sleep medicine Rheumatology International reputation for work in understanding function, independence, and quality of life in older persons Key research breakthroughs of the past decade that include the development of a protective Lyme bacillus disease vaccine, exploration of the underlying causes of allergic disease, and the discovery of novel inherited immunological diseases Largest interventional cardiology program in Connecticut Major referral center for patients with type 1 and type 2 diabetes, as well as other metabolic conditions Nationally ranked program in kidney diseases and the largest kidney transplant program in New England, with multidisciplinary care clinics One of the largest peripheral vascular programs in the country, with leadership and participation in multiple new percutaneous device trials Once of only a few motility centers in Connecticut to provide all motility procedures and services Unique medical forensic exams for individuals with claims of torture who are seeking asylum in the U.S.

Spondyloarthritis is a group of inflammatory diseases affecting the spine and joints that affects about 2.7 million Americans, or nearly one in every 100 individuals. Disorders in this group include ankylosing spondylitis (also known as axial spondyloarthritis, or axSpA), psoriatic arthritis, arthritis related to Crohn's disease and ulcerative colitis, and reactive arthritis. The most common symptom is chronic low back pain; patients can also have pain and swelling of joints, tendonitis, heel pain, psoriasis, and inflammatory disease of eye called iritis, or uveitis. The Yale Spondyloarthritis Program was established in February 2019 to provide comprehensive care to patients with spondyloarthritis and to conduct research aimed at finding treatment strategies and discovering biomarkers for early and accurate diagnosis and management. Our program provides coordinated care in a wide range of specialties related to Spondyloarthritis. Our team of experts includes rheumatologists, a physical therapist, rehab medicine specialist, spine surgeon, pain specialist (for musculoskeletal disease), as well as dermatologists, a gastroenterologist, ophthalmologist, psychologist, nutritionist, and cardiologist. In addition to providing clinical care, our program emphasizes patient education, support, and involvement. We provide beginner- and advanced-level patient education and offer a patient support group. Our patients are also able to participate in clinical trials. Our team is committed to improving early diagnosis of axial spondyloarthritis—despite the availability of effective medications, patients experience back pain, disability, and poor quality of life due to delayed diagnosis and lack of timely referrals. In fact, the average delay in diagnosis of axSpA is 8 to 11 years. We seek to improve awareness and early diagnosis through education campaigns that include lectures, group discussions, and social media directed at non-rheumatology physicians.

The Preventive Cardiovascular Health Program at Yale (PCHPY) brings a personalized approach to cardiovascular disease prevention. Patients referred to the program meet with one of our cardiologists for an in-depth consultation that takes into account their biology and biography, along with information from advanced diagnostic testing. This approach leads to a more personalized, evidence-based approach to cardiovascular risk assessment. Using this information, and in partnership with patients, we design tailored programs to reduce cardiovascular risk and improve well-being. PCHPY brings together experts in cardiovascular disease prevention, including cardiologists, nutritionists, exercise physiologists and health psychologists. We also work together with Digital Technology Solutions (Information Technology) and digital health companies to offer high-tech/low-burden approaches to cardiovascular care. Our team is highly attuned to the challenges of maintaining a healthy lifestyle and taking medication, and understands that a one-size-fits all approach often falls short. Instead, we strive to understand and integrate each person’ priorities, preferences and goals into the care plan. This program is particularly focused on people who are: At increased risk for cardiovascular disease, including people with: Severe hypercholesterolemia or familial hypercholesterolemia or elevated Lp(a) Family history of premature coronary artery disease (before the age of 60) Poorly controlled hypertension Underlying inflammatory condition (e.g., rheumatoid arthritis, HIV) A diagnosis of ischemic heart disease or coronary artery disease Women with cardiovascular disease Individuals seeking a more personalized approach to cardiovascular health PCHPY additionally works with communities to identify and address barriers to cardiovascular health, focusing on environmental and social factors that contribute to disparities in health outcomes.