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					Enclosed is the Partners Healthcare System Graduate Medical Education Annual Report for Academic Year (AY)
2008-09. The activities and accomplishments described here are the result of a team effort by the Graduate Med-
ical Education (GME) staff, listed below, and the larger community of educators at PHS. Special thanks go to
Jennifer Goldsmith, Georgi Bland and Maria Dellarocco for their efforts in producing this report.

This annual report is intended to provide:
 a current overview of the size and scope of GME at Partners
 an inventory of GME programs and program directors
 information regarding educational programs and other activities that may be useful in preparing program- or
    department-specific accreditation documents or other reports
 a snapshot of changes and key accomplishments in GME during the academic year
 required reporting to the medical staff and governing bodies regarding selected areas of GME oversight.

It is important to recognize the unwavering support that the Partners HealthCare System (PHS) and its member
hospitals provide to graduate medical education, even amidst a sea of external constraints and a number of com-
peting priorities. We are particularly grateful to Drs. Mongan, Gottlieb, Slavin, Nicholson, and Whittemore for their
ongoing advocacy and guidance.

Comments, suggestions, and/or corrections to this report are most welcome, and we are happy to provide more
detailed information upon request.


Debra F. Weinstein, M.D.
Partners Vice President for Graduate Medical Education


AY 2008-09 Partners Graduate Medical Education (GME) Staff:


Debra F. Weinstein, M.D.                                          John Patrick T. Co, M.D., M.P.H.
PHS Vice President for GME                                        Senior Associate Director, PHS GME

Eric Nadel, M.D.                                                  Dempsey Springfield, M.D.
Associate Director, PHS GME                                       Associate Director, PHS GME

Susan Farrell, M.D., Ed.M.                                        Sharon Muret-Wagstaff, Ph.D.
Education Specialist, PHS GME                                     Education Specialist, PHS GME

Jennifer Goldsmith, M.P.H, M.Ed.                                  Maria Dellarocco
Administrative Director, PHS GME                                  Assistant Director, PHS GME

Georgi Bland                                                      Irina Knyshevski
Sr. Accreditation Director, PHS GME                               Accreditation Administrator, PHS GME

Angela Byers                                                      Jessica Perlo
Project Manager, PHS GME                                          GME Strategic Initiatives Coordinator

Shawn Vanner                                                      Lisa DiPrizio
Manager, Partners Office of Resources for Trainees (PORT)         Administrative Coordinator, PORT

Melaurie Brown, Tennille Doyle and Jean Tammaro                   Candace Strouble
Administrative Assistants                                         Coordinator (7/08-3/09)



http://www.partners.org/research/gme/research_gme.asp
Partners Graduate Medical Education Annual Report: AY 2008-09




                  Graduate Medical Education


          Annual Report for Academic Year 2008-09
Partners Graduate Medical Education Annual Report: AY 2008-09



                                                 TABLE OF CONTENTS

                                                                                                                          PAGE
AY 2008-2009 in Review ........................................................................................................... 4

GME PROGRAM SUMMARY .................................................................................................... 7

SELECTED AREAS OF GME OVERSIGHT ............................................................................. 8

Table I: GME PROGRAMS SPONSORED BY THE PARTNERS HOSPITALS ..................... 10

TABLE II: GME DIRECTORS, PROGRAM OVERSIGHT....................................................... 17

TABLE III: PARTNERS INTEGRATED GME PROGRAMS .................................................... 18

TABLE IV: AY 08-09 GME PROGRAM LEADERSHIP TRANSITIONS .................................. 19

TABLE V: AY 08-09 PROGRAM APPROVALS ...................................................................... 19

TABLE VI: AY 08-09 ACCREDITATION STATUS AND REVIEWS ........................................ 20

TABLE VII: AY 08-09 AFFILIATIONS AND INTEGRATION ................................................... 22

Table VIII: EDUCATION RELATED FORUMS ....................................................................... 23

APPENDIX A: EDUCATIONAL PROGRAMS ......................................................................... 24

   Program Director Workshops ............................................................................................... 24
   Clinical Fellows Retreat........................................................................................................ 24
   Core Curriculum Retreat ...................................................................................................... 24
   Chief Resident Course ......................................................................................................... 25

APPENDIX B: CENTERS OF EXPERTISE ............................................................................ 27

APPENDIX C: GME COMMITTEES, AY 2008-09 .................................................................. 28

   BWH Education Committee ................................................................................................. 28
   MGH Executive Committee on Teaching and Education ..................................................... 29
   Partners Education Committee ............................................................................................ 31
Partners Graduate Medical Education Annual Report: AY 2008-09

                                         AY 2008-2009 in Review

During Academic Year (AY) 2008-09, Graduate Medical Education (GME) at Partners HealthCare System, Inc.
(PHS) continued to grow in breadth and depth, strengthened by the commitment of our excellent faculty, the di-
verse learning opportunities offered by patients seeking care across the PHS network, the outstanding resources
of our institutions, and the talent and dedication of our residents and fellows. In working to optimize GME we
have paid close attention to the detailed requirements of accreditation, while pursuing innovations that will help
our educational programs and our trainees fulfill their greatest aspirations.

At the close of AY 08-09 Partners GME training programs numbered 210. Several new training programs were
initiated, but the total number decreased because some existing fellowships coalesced (notably, the surgical sub-
specialties of Pathology). One-hundred two of these GME programs—34 residencies and 68 fellowships—are
accredited by the Accreditation Council on Graduate Medical Education (ACGME); these provide post-graduate
training to 1730 physicians. Nineteen programs accredited by other national organizations, such as the Council
on Dental Accreditation and various specialty societies (Table I), provide training to 45 physicians.

Two Associate Directors for GME were recruited early in the academic year. Dr. Eric Nadel assumed this position
in October, 2008, alongside his role as the Program Director for the BWH-MGH Harvard Affiliated Emergency
Medicine Residency. Dr. Dempsey Springfield, a former Program Director and Chair of Orthopedics in New York,
assumed the role in November, 2008 and was subsequently appointed to an additional role as Program Director
for the Harvard Combined Orthopedic Residency Program. Dr. John Co became Senior Associate Director of
GME and assumed the ACGME-designated “DIO” (Designated Institutional Official) role for the Massachusetts
General and Brigham and Women’s Hospitals. Each clinical department’s GME programs at the Partners hospi-
tals are now linked primarily either to Dr. Co, Dr. Nadel or Dr. Springfield, as shown in Table II.

Dr. Harry Rubash, Chair of Orthopedics at the Massachusetts General Hospital (MGH), continued as Chair of the
MGH Executive Committee on Teaching and Education (ECOTE) and Co-Chair of the Partners Education Com-
mittee (PEC). Dr. Jonathan Borus, former Chair of Psychiatry for Brigham and Women’s/Faulkner Hospitals, as-
sumed the role of Director of Medical Education for Brigham and Women’s Hospital (BWH) and continued to
serve as Chair of the Brigham and Women’s Hospital Education Committee (BWHEC) and Co-Chair of PEC.
While the hospital-based GME committees (GMECs) provide oversight of the GME programs sponsored by each
institution, PEC approves all new program applications for Partners sponsorship and/or national accreditation and
works on broader issues related to medical education and policy development. Residents are elected by their
peers to serve as voting participants on each of the GMECs (Appendix C), and all residents and clinical fellows
are invited to educational forums such as Housestaff Town Meetings (Table IX).

During AY 08-09, the GMECs reviewed nineteen GME programs seeking formal approval as outlined in Table V,
including two BWH Radiology fellowships integrated with and sponsored by the Dana-Farber Cancer Institute
(DFCI). The scope of GME programs reviewed by PEC was extended to include GME programs without direct
patient contact (e.g., Medical Simulation). In accordance with the “Guidelines for Industry Support of Educational
Programs”, PEC and its Gifts Subcommittee reviewed numerous educational gift proposals and updated stand-
ards and processes based on evolving external standards and internal “case law”. PEC made recommendations
to Partners and hospital leadership regarding residency program expansion and resident salaries; discussed
ways of strengthening the program director role; focused intensively on duty hours monitoring and compliance;
and examined a summary of citations from the Residency Review Committees (RRCs) of the ACGME across
specialties, to identify areas ripe for system-wide improvement efforts. Discussions continued regarding the insti-
tutional oversight of non-ACGME fellowship programs at the Partners hospitals: results of a May-June, 2008 sur-
vey of fellows in BWH and MGH non-ACGME programs were reviewed, and an enhanced survey was conducted
in May-June, 2009. The Partners Education Committee also considered periodic reports on the implementation of
the PHS GME strategic initiatives (further detail below), and from a New Innovations (NI) Advisory Committee that
was convened to address a number of issues raised by a PHS NI user survey conducted in the spring of 2008.
This group met throughout the year and was able to prioritize a number of desirable enhancements to the system,
many of which were accomplished after discussions with the vendor.




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Partners Graduate Medical Education Annual Report: AY 2008-09
During the 2008-09 academic year, twenty-nine internal GME program reviews were conducted of PHS programs
under the auspices of the hospital-based education committees. The GMECs evaluated reports from these re-
views, as well as numerous follow-up reports from programs in response to prior internal review recommenda-
tions, to support continuous quality improvement in physician education. Twenty-one GME programs underwent
RRC site visits and all maintained accreditation. Both the BWH and MGH underwent ACGME institutional site
visits focused on duty hours during the year. The BWH also had a full institutional site visit by the ACGME and
MGH received results of the institutional site visit that occurred during the prior academic year. Both were suc-
cessful, with continued accreditation and multi-year review cycles.

Seventeen accreditation actions by the Residency Review Committees were reviewed by BWHEC and ECOTE,
some reflecting site visits from the prior year (Table VI). These GMECs also approved the appointments of eight
new ACGME program directors (Table IV), following candidate interviews and review of job descriptions and re-
sources made available to support the role.

Annual recruitment to BWH and MGH programs remained strong in AY 2008-09. As in prior years, a survey of
applicants who could have matched to programs sponsored by these hospitals—including those who did match
and those who chose to go elsewhere—revealed that each of these two institutions continues to be the other’s
strongest competitor (where residency training is not integrated). Personal/family considerations and the high
cost of living in Boston continue to be cited as important factors by applicants who chose to train elsewhere. Col-
lated anonymous program-specific survey responses were provided to program directors.

Partners’ community and specialty hospitals remain important sites for resident education (Table VII). Newton-
Wellesley Hospital (NWH), Spaulding Rehabilitation Hospital (SRH) and Salem Hospital-North Shore Medical
Center (NSMC) each sponsor one ACGME-accredited core residency program. SRH also sponsors two ACGME-
accredited fellowships, and McLean Hospital sponsors one. Many residency and fellowship programs based at
the BWH and/or MGH utilize rotations at the other PHS hospitals: nine send their residents to Faulkner Hospital,
seven to NWH, three to NSMC and two to SRH. The level of GME integration across the Partners academic
medical centers has remained stable with a total of 30 fully integrated BWH-MGH programs (Table III), 32 includ-
ing MGH-sponsored programs integrated with McLean Hospital. More than one-quarter of ACGME trainees at
PHS are in integrated programs.

Partners GME staff oversee accreditation-related activities; support ECOTE, BWHEC, and PEC; carry out internal
program reviews; produce a PHS GME newsletter; provide support and training for directors and coordinators of
the individual training programs; and offer a variety of educational programs to trainees, faculty, and GME pro-
gram leadership and staff. The GME directors serve as liaisons to external organizations related to physician ed-
ucation. In addition, they help identify appropriate solutions to conflicts that may arise between trainees and pro-
gram leadership, and assist program directors in addressing concerns about the clinical competence or profes-
sionalism of individual trainees.
                                                                       th
Major events during the year (detailed in Appendix A) included the 11 Annual Partners Housestaff Core Curricu-
lum Retreat for interns and first-year specialty residents, a Clinical Fellow Retreat, the Chief Resident Course,
Program Director Workshops, GME Coordinator Retreats, and PHS Medical Education Grand Rounds in associa-
tion with Visiting Professorships. GME staff also convened Resident-Clinical Fellow Town Meetings at BWH and
MGH, and provided trainee orientation programs for approximately 750 residents and clinical fellows matriculating
to BWH and MGH programs.


Implementation of GME strategic initiatives continued in AY 08-09.

   Centers of Expertise (COEs) in Academic Health Care Management, led by Jean Elrick, MD and Michael
    Gustafson, MD, and in Global Health and Humanitarian Medicine, directed by David Bangsberg, M.D. and Mi-
    chael Vanrooyen, M.D., MPH were initiated, joining the COE in Patient Care Quality and Safety, launched in
    the spring of 2008 and co-directed by Drs. Tejal Gandhi and Gregg Meyer. Details regarding the COEs are
    provided in Appendix B.
   The GME Education Specialists, Susan Farrell, M.D. and Sharon Muret-Wagstaff, Ph.D., completed detailed
    reviews of written curricula for nearly all ACGME-accredited residency and fellowship programs at BWH and
    MGH, and provided advice for enhancing their design and delivery. Interested program directors and faculty
    were invited to participate in a three-part workshop focused on curriculum development. Initial meetings were
                                                                                                             page 5
Partners Graduate Medical Education Annual Report: AY 2008-09
    held to begin planning for the development of a pilot OSCE (Objective Structured Clinical Examination) for in-
    coming interns.
   A biannual Partners Medical Education Grand Rounds series was initiated. Speakers spend 1-2 days at PHS
    as a Visiting Professor and conduct large and small group sessions on the BWH and MGH campuses. David
    Irby, Ph.D., Vice Dean for Education and Professor of Medicine at the UCSF School of Medicine and Co-
    director of the Carnegie Foundation’s Study of Medical Education initiated the series in October, 2008 and
    Michael Johns, M.D., Chancellor of Emory University and Chair of the Institute of Medicine’s Committee on
    Optimizing Graduate Medical Trainee (Resident) Schedules to Improve Patient Safety was featured in May,
    2009.
   Efforts to facilitate and strengthen medical education-related research at PHS were expanded. Inventories of
    ongoing projects and ideas for future research were assembled and posted on the web to encourage collabo-
    ration. A compilation of grant opportunities for education-related research was also posted, and is being up-
    dated periodically. A “Works in Progress” series was initiated at BWH and MGH, with faculty from the PHS
    system welcome to attend any session. These sessions allow faculty to get input from colleagues about ear-
    ly-stage medical education research projects, and participants learn about study design and other aspects of
    research through the discussions. These are led by Drs. Jon Borus and Graham McMahon at BWH, and by
    Dr. John Patrick Co at MGH. Partners GME leadership participated in planning for a Medical Education Re-
    search Methods course, co-sponsored by the HMS Academy and HMS hospitals, to be offered in the fall of
    2009.
   Implementation moved forward on five pilot projects aimed at enhancing education and efficiency at the inter-
    face of education and patient care, with funding previously allocated via a prior internal grants process. Col-
    lection of initial outcomes data began.
   The Partners Office of Resources for Trainees (PORT) was launched in September, 2008 in order to provide
    additional support for residents and fellows regarding non-academic “quality of life” issues. Relevant infor-
    mation was compiled and posted on the GME website for easy reference, and trainees were invited to meet
    individually via walk-in office hours, by phone or by appointment for a more customized referral to useful re-
    sources. (It became clear by the end of the year, however, that individual consultation was not being utilized.)
    A PORT Advisory Committee, including trainees, program coordinators and directors, and led by PORT and
    GME staff, met periodically to generate and prioritize ideas for the Office.
   The PHS GME website was expanded to include additional information for incoming trainees, details regard-
    ing some of the GME strategic initiatives, easy access to the GME newsletter, and other resources. Collabo-
    ration with the hospital and PHS marketing departments was initiated to plan for further enhancements in the
    organization and architecture of the site.




                                                                                                             page 6
Partners Graduate Medical Education Annual Report: AY 2008-09

                                  GME PROGRAM SUMMARY

                                                                               AY 08-09
        NO. OF GME PROGRAMS SPONSORED BY PARTNERS HOSPITALS                        209


        No. of programs sponsored by BWH: 93 (45 accredited by the ACGME)
        No. of programs sponsored by McLean: 2 (1 accredited by the ACGME)
        No. of programs sponsored by MGH: 106 (51 accredited by the ACGME)
        No. of programs sponsored by NSMC-Salem: 1 (accredited by the ACGME)
        No. of programs sponsored by NWH: 3 (1 accredited by the ACGME)
        No. of programs sponsored by SRH: 4 (3 accredited by the ACGME)


        NO. OF RESIDENCY PROGRAMS                                                   39


        No. of programs sponsored by BWH: 16 (15 accredited by the ACGME)
        No. of programs sponsored by MGH: 20 (17 accredited by the ACGME)
        No. of programs sponsored by NSMC-Salem: 1 (accredited by the ACGME)
        No. of programs sponsored by NWH: 1 (accredited by the ACGME)
        No. of programs sponsored by SRH: 1 (accredited by the ACGME)


        NO. OF FELLOWSHIP PROGRAMS                                                 169


        No. of programs sponsored by BWH: 77 (31 accredited by the ACGME;
           5 with other national accreditation)
        No. of programs sponsored by McLean: 2 (1 accredited by the ACGME)
        No. of programs sponsored by MGH: 86 (34 accredited by the ACGME;
           8 with other national accreditation)
        No. of programs sponsored by NWH: 2
           (1 with other national accreditation)
        No. of programs sponsored by SRH: 3 (2 accredited by the ACGME)


        NO. OF CLINICAL TRAINING PROGRAMS (BWH)                                      2


        NO. OF PARTNERS INTEGRATED TRAINING PROGRAMS                                32


        No. of integrated residency programs: 11
        No. of integrated fellowship programs: 21


        NO. OF PARTNERS TRAINEES                                                  1943


        No. of Residents: 1359 (1342 accredited by the ACGME)
        No. of Fellows: 578 (391 accredited by the ACGME)
        No. of Clinical Trainees: 6




                                                                                          page 7
Partners Graduate Medical Education Annual Report: AY 2008-09

                          SELECTED AREAS OF GME OVERSIGHT

GME Reports to Hospital Leadership:

BWH Chiefs
MGH Chiefs
BWH-MGH Joint Chiefs Council
BWH Care Improvement Council
MGH Board of Trustees
MGH Board of Trustees Research and Education Subcommittee
MGH General Executive Committee
Partners Operating Heads
Partners Senior Management Retreat
Strategic Initiative Steering Committee


Resident Supervision

The Office of GME maintains a database of current trainee supervision policies from each program to ensure that
each clearly addresses:
 who is the designated supervising faculty member when residents need advice, guidance or other assistance
 whom the resident should contact in the event the designated faculty member cannot be reached
 what the trainee should do if s/he is unable to fulfill clinical responsibilities due to a) unexpected illness, b)
   significant fatigue, or c) unusually high clinical volume.

As of AY 2008-09, the contract issued to each resident and fellow includes a copy of the Partners Guidelines for
Supervision.


Resident Responsibilities

The trainee contract delineates resident responsibilities, including providing patient care with proper supervision,
fully participating in the training program’s educational activities, submitting evaluations of faculty and the pro-
gram, and abiding by resident duty hour policies which includes logging their work hours honestly and accurately
as required. These issues are discussed at GMEC meetings as well as at program internal reviews.


Resident Evaluation

As in past years, the GME Directors gave a number of presentations focused on evaluation and feedback to facul-
ty and trainees. Evaluation was discussed in detail at internal reviews of individual programs and at GMEC meet-
ings. A review of ACGME RRC citations across all programs was presented to the PEC at its April, 2009 meeting
and the topic of resident evaluation was highlighted: the Partners Education Committee endorsed additional
teaching efforts on this topic for the coming year.


Resident Duty Hours

During AY 08-09, trainees in all ACGME-accredited programs were required to record their duty hours daily using
the duty hours module in the New Innovations residency management suite. Program compliance was reviewed
regularly at the education committee meetings, presented and discussed at various hospital leadership meetings,
and assessed during internal reviews. A number of enhancements in the monitoring software were achieved to
facilitate the residents’ logging of their hours.


Patient Safety and Quality of Care
                                                                                                             page 8
Partners Graduate Medical Education Annual Report: AY 2008-09

At the BWH and MGH orientations for interns, first year specialty residents and fellows, several presentations ad-
dressed various aspects of patient safety. Additional education was provided as part of the Annual Partners
Housestaff Core Curriculum Retreat, the Clinical Fellows Retreat and the Chief Resident course. Topics ad-
dressed included:

   communication skills
   risk management
   patient hand-offs
   patient safety reporting, including use of the electronic incident reporting tool that supports the collection of
    data regarding systems-based issues affecting patient safety
   cultural competence




                                                                                                              page 9
Partners Graduate Medical Education Annual Report: AY 2008-09

 Table I: GME PROGRAMS SPONSORED BY THE PARTNERS HOSPITALS
                                                                             Sponsoring
                                            Type #Trainees   Accreditation   Institution   Program Director
 Anesthesia
      Integrated Program/s
      Obstetrical Anesthesia                F        5                       BWH           William Camann
      BWH Program/s
      Anesthesiology                        R       95       ACGME           BWH           Daniel Dedrick
      Adult Cardiothoracic Anesthesiology   F       5        ACGME           BWH           Douglas Shook
      Ambulatory Anesthesia                 F       0                        BWH           Beverly Philip
      Critical Care Anesthesiology          F       4        ACGME           BWH           Nicholas Sadovnikoff
      Neuroanesthesia-Clinical              F       0                        BWH           Linda Aglio
      Neurophysiology
      Pain Medicine, Anesthesiology         F        8       ACGME           BWH           Srdjan Nedeljkovic
      Regional Anesthesia                   F        1                       BWH           Mercedes Concepcion
      Vascular Anesthesia                   F        0                       BWH           Stanley Leeson
      MGH Program/s
      Anesthesiology                        R       90       ACGME           MGH           Keith Baker
      Adult Cardiothoracic Anesthesiology   F       4        ACGME           MGH           Michael Fitzsimons
      Critical Care Anesthesiology          F       3        ACGME           MGH           Edward Bittner
      Pain Medicine, Anesthesiology         F       6        ACGME           MGH           Gary Brenner
 Dermatology
     Integrated Program/s
     Dermatology                            R       19       ACGME           MGH           Joseph Kvedar
     BWH Program/s
     Cutaneous Oncology                     CT       1                       BWH           Andrew Werchniak
     MGH Program/s
     Dermatology Laser                      F        2                       MGH           R. Rox Anderson
     Melanoma                               F        0                       MGH           Hensin Tsao
     Telemedicine                           F        0                       MGH           Joseph Kvedar
Emergency Medicine
      Integrated Program/s
      Emergency Medicine                    R       56       ACGME           BWH           Eric Nadel
Internal Medicine
      Integrated Program/s
      Advanced GI Endoscopy                 F       2                        BWH           David Carr-Locke
      Hematology and Oncology               F       38       ACGME           BWH           Robert Mayer
      Hospice and Palliative Care           F       9        ACGME           MGH           Vicki Jackson
      Infectious Disease                    F       18       ACGME           MGH           Benjamin Davis
      Nephrology                            F       18       ACGME           BWH           J. Kevin Tucker
      Pulmonary Disease and Critical Care   F       27       ACGME           MGH           David Systrom
      BWH Program/s
      Internal Medicine                     R       172      ACGME           BWH           Joel Katz
      Advanced Cardiac EP                   F        2                       BWH           Laurence Epstein
      Allergy and Immunology                F        6       ACGME           BWH           Marianna Castells
      Cardiovascular Disease                F       18       ACGME           BWH           Joshua Beckman
      Clinical Cardiac Electrophysiology    F        4       ACGME           BWH           Laurence Epstein
      Endocrinology, Diab. & Metabolism     F        6       ACGME           BWH           Robert Dluhy
      Gastroenterology                      F       15       ACGME           BWH           Robert Burakoff
      General Internal Medicine             F        3                       BWH           David Bates



                                                                                                               page 10
Partners Graduate Medical Education Annual Report: AY 2008-09

                                                                              Sponsoring
                                             Type #Trainees   Accreditation   Institution   Program Director

     Heart Failure/Transplant                F       4                        BWH           Lynne Stevenson
     Interventional Cardiology               F       5        ACGME           BWH           Pinak Shah
     Preventive Cardiology                   F       4                        BWH           Michael Gaziano
     Rheumatology                            F       10       ACGME           BWH           Simon Helfgott
     Sleep Medicine                          F       2        ACGME           BWH           Lawrence Epstein
     Transplant Nephrology                   F       0                        BWH           Edgar Milford
     Vascular Diagnostic & Interventional    F       2                        BWH           Andrew Eisenhauer
     Vascular Medicine                       F       5                        BWH           Mark Creager
     MGH Program/s
     Internal Medicine                       R       159      ACGME           MGH           Hasan Bazari
     Allergy and Immunology                  F        2       ACGME           MGH           Aidan Long
     Cardiac Transplant/Heart Failure        F        1                       MGH           Marc Semigran
     Cardiac Ultrasound (Echo)               F        7                       MGH           Michael Picard
     Cardiovascular Disease                  F       18       ACGME           MGH           Calum MacRae
     Clinical Cardiac Electrophysiology      F        1       ACGME           MGH           Jeremy Ruskin
     Clinical Vascular Medicine              F        0                       MGH           Michael Jaff
     Endocrinology, Diab. & Metabolism       F        9       ACGME           MGH           Beverly Biller
     Gastroenterology                        F       12       ACGME           MGH           Andrew Chan
     General Internal Medicine               F        3                       MGH           Michael Barry
     GI Motility and Functional Disease      F        0                       MGH           Braden Kuo
     Inflammatory Bowel Disease              F        1                       MGH           Bruce Sands
     Interventional Cardiology               F        5       ACGME           MGH           Igor Palacios
     Nuclear Cardiology                      F        2                       MGH           Henry Gewirtz
     Obesity Medicine and Nutrition          F        0                       MGH           Lee Kaplan
     Rheumatology                            F        3       ACGME           MGH           Margaret Seton
     Structural Heart Disease Intervention   F        1                       MGH           Igor Palacios
     Transplant Hepatology                   F        0       ACGME           MGH           Raymond Chung
     Transplant Infectious Disease           F        1                       MGH           Jay Fishman
     Vascular Diagnostic & Interventional    F        4                       MGH           Joseph Garasic
     Salem-NSMC Program/s
     Internal Medicine                       R       21       ACGME           Salem-NSMC    Wayne Trebbin
Inter-Departmental
     Integrated Program/s
     Internal Medicine-Dermatology           R                ABIM/ABD        MGH           Joseph Kvedar
     Urogynecology                           F        0                       BWH            Neeraj Kohli
     BWH Program/s
     Behavioral Neurology and                F        1       UCNS            BWH           Kirk Daffner
     Neuropsychiatry
     Internal Medicine-Pediatrics            R        4       ACGME           BWH           Niraj Sharma
     Internal Medicine-Medical Genetics      R        1       ABIM/ABMG       BWH           Michael Murray
     Non-Invasive Cardiac Imaging            F        2                       BWH           J. Wu; S, Dorbala
     McLean Program/s
     Behavioral Neurology and                F        1                       McLean        Bruce Price
     Neuropsychiatry
     MGH Program/s
     Internal Medicine-Pediatrics            R       28       ACGME           MGH            David Ting
     NWH Program/s
     Transitional Year                       R        6       ACGME           NWH           Janet Larson




                                                                                                                page 11
Partners Graduate Medical Education Annual Report: AY 2008-09

                                                                       Sponsoring
                                      Type #Trainees   Accreditation   Institution   Program Director

Neurology
     Integrated Program/s
     Neurology                        R       43       ACGME           MGH           David Greer
     Movement Disorders               F       1                        MGH           Alice Flaherty
     Multiple Sclerosis               F       2                        BWH           Samia Khoury
     Critical Care Neurology          F       3        UCNS            MGH           Jonathan Rosand
     Neuromuscular Medicine           F       6        ACGME           BWH           Anthony Amato
     Vascular Neurology               F       4        ACGME           MGH           Jonathan Rosand
     BWH Program/s
     Clinical Neurophysiology         F        3       ACGME           BWH           Barbara Dworetzky
     MGH Program/s
     Child Neurology                  R       5        ACGME           MGH           Katherine Sims
     Advanced General Neurology       F       0                        MGH           Nagagopal Venna
     Clinical Neurophysiology         F       3        ACGME           MGH           Andrew Cole
     Neuro-oncology                   F       2        UCNS            MGH           Scott Plotkin
Neurosurgery
     BWH Program/s
     Brain Tumor                      F        1                       BWH           Peter Black
     Cerebrovascular                  F        1                       BWH           Arthur Day
     MGH Program/s
     Neurological Surgery             R        8       ACGME           MGH           Emad Eskandar
Obstetrics and Gynecology
     Integrated Program/s
     Obstetrics and Gynecology        R       40       ACGME           BWH           Ruth Tuomala
     BWH Program/s
     Family Planning                  F        2                       BWH           Alisa Goldberg
     Fertility and Endocrinology      F        1       ABOG            BWH           Mark Hornstein
     Gynecologic Oncology             F        4       ABOG            BWH           Michael Muto
     Maternal Fetal Medicine          F        2       ABOG            BWH           Louise Wilkins-Haug
     Minimally Invasive GYN Surgery   F        1       MIGS            BWH           Jon Einarsson
     MGH Program/s
     Gynecologic Oncology             F        3       ABOG            MGH           AnneKathryn Goodman
     Maternal Fetal Medicine          F        2       ABOG            MGH           Jeffrey Ecker
     Menopause                        F        0                       MGH           Jan Shifren
     Reproductive Endocrinology       F        4       ABOG            MGH           Thomas Toth
     NWH Program/s
     Minimally Invasive GYN Surgery   F                MIGS            NWH           Keith Isaacson
Oral and Maxillofacial Surgery
     Integrated Program/s
     Dental                           R        6       ADA             BWH           Agnes Lau
     BWH Program/s
     Hospital Dentistry               F        1                       BWH           Agnes Lau
     MGH Program/s
     Oral and Maxillofacial Surgery   R        7       CODA            MGH           Maria Troulis
     Orofacial Pain                   F        1                       MGH           Jeffry Shaefer




                                                                       Sponsoring
                                                                                                       page 12
Partners Graduate Medical Education Annual Report: AY 2008-09

                                          Type #Trainees   Accreditation   Institution   Program Director

Orthopedic Surgery
     Integrated Program/s
     Orthopedic Surgery                   R       60       ACGME           MGH           Dempsey Springfield
     Orthopedic Trauma                    F       2                        MGH           Mark Vrahas
     Shoulder and Elbow                   F       5                        MGH           Laurence Higgins
     Spine Surgery                        F       6                        MGH           Kirkham Wood
     BWH Program/s
     Arthroplasty                         F        3                       BWH           Daniel Estok
     Foot and Ankle                       F        2                       BWH           Michael Wilson
     Hand Surgery (Orthopedics)           F        3       ACGME           BWH           Barry Simmons
     Orthopedic Sports Medicine           F        2       ACGME           BWH           Scott Martin
     MGH Program/s
     Arthroplasty                         F        4                       MGH           Andrew Freiberg
     Hand Surgery                         F        3       ACGME           MGH           Chaitanya Mudgal
     Musculoskeletal Oncology             F        3       ACGME           MGH           Francis Hornicek
     Orthopedic Sports Medicine           F        3       ACGME           MGH           Thomas Gill
     Pediatric Orthopedics                F        1                       MGH           Brian Grottkau
     Podiatric Medicine and Surgery       R        3       CPME            MGH           Robert Scardina
     NWH Program/s
     Spine Surgery                        F        0                       NWH           Louis Jenis
Pathology
     Integrated Program/s
     Blood Banking/Transfusion Medicine   F        2       ACGME           BWH           Richard Kaufman
     Molecular Genetic Pathology          F        4       ACGME           BWH           Janina Longtine
     BWH Program/s
     Pathology- Anatomic and Clinical     R       36       ACGME           BWH           Gayle Winters
     Cytopathology                        F       2        ACGME           BWH           Edmund Cibas
     Hematology Pathology                 F       4        ACGME           BWH           Geraldine Pinkus
     Neuropathology                       F       2        ACGME           BWH           Rebecca Folkerth
     Selective Pathology                  F       3        ACGME           BWH           Christopher Crum
     Surgical Pathology                   F       4                        BWH           Christopher Fletcher
     MGH Program/s
     Pathology- Anatomic and Clinical     R       33       ACGME           MGH           Stephen Black-Schaffer
     Cytopathology                        F       2        ACGME           MGH           Rosemary Tambouret
     Hematology Pathology                 F       1        ACGME           MGH           Robert Hasserjian
     Neuropathology                       F       3        ACGME           MGH           Matthew Frosch
     Subspecialty Surgical Pathology      F                                MGH           Gregory Lauwers
Pediatrics
     MGH Program/s
     Pediatrics                           R       49       ACGME           MGH           Emmett Schmidt
     General Academic Pediatrics          F                                MGH           James Perrin
     Pediatric Advanced Inflammatory      F        2                       MGH           Harland Winter
     Bowel Disease
     Pediatric Critical Care Medicine     F        6       ACGME           MGH           Natan Noviski
     Pediatric Endocrinology              F        7       ACGME           MGH           Madhusmita Misra
     Pediatric Gastroenterology           F        4       ACGME           MGH           Gary Russell
     Pediatric Pulmonology                F        2       ACGME           MGH           Kenan Haver




                                                                                                            page 13
Partners Graduate Medical Education Annual Report: AY 2008-09

                                                                              Sponsoring
                                             Type #Trainees   Accreditation   Institution   Program Director

 Physical Medicine and Rehabilitation
      SRH Program/s
      Physical Medicine and Rehabilitation   R       20       ACGME           SRH           Kevin O'Connor
      Pain Medicine, PM&R                    F       1        ACGME           SRH           Alec Meleger
      Spinal Cord Injury Medicine            F       0        ACGME           SRH           Sunil Sabharwal
      Sports Medicine, PM&R                  F       1                        SRH           Joanne Borg-Stein
Plastic Surgery
      Integrated Program/s
      Plastic Surgery                     R          25       ACGME           BWH           Julian Pribaz
      MGH Program/s
      Reconstructive and Aesthetic Breast F           1                       MGH           William Austen, Jr.
 Psychiatry
      Integrated Program/s
      Child and Adolescent Psychiatry        R       18       ACGME           MGH           Eugene Beresin
      Psychiatry                             R       60       ACGME           MGH           Kathy Sanders
      Addiction Psychiatry                   F       3        ACGME           MGH           Shelly Greenfield
      BWH Program/s
      Psychiatry                             R       56       ACGME           BWH           William Greenberg
      Psychosomatic Medicine                 F       5        ACGME           BWH           David Gitlin
      McLean Program/s
      Geriatric Psychiatry                   F        1       ACGME           McLean        Sumer Verma
      MGH Program/s
      Clinical Psychology                    F        0       APA             MGH           Sheila O'Keefe
      Forensic Psychiatry                    F        1       ACGME           MGH           Ronald Schouten
      Psychosomatic Medicine                 F        3       ACGME           MGH           Gregory Fricchione
 Radiation Oncology
      Integrated Program/s
      Radiation Oncology                     R       29       ACGME           BWH           Jay Harris
      BWH Program/s
      Brachytherapy                          F                                BWH           Phillip Devlin
      MGH Program/s
      Head and Neck Radiation Oncology       F        0                       MGH           Paul Busse
      Proton Radiation                       F        0                       MGH           Annie Chan
 Radiology
      BWH Program/s
      Nuclear Medicine                       F       7        ACGME           BWH           S. Ted Treves
      Radiology-Diagnostic                   R       38       ACGME           BWH           Barbara Weissman
      Abdominal Radiology                    F       6        ACGME           BWH           Stuart Silverman
      Breast Imaging                         F       1                        BWH           Sughra Raza
      Cardiothoracic Radiology               F       1        ACGME           BWH           Beatrice Dickenson
      Emergency Radiology                    F       2                        BWH           Salvatore Viscomi
      Medical Informatics                    F       2                        BWH           Lucila Ohno-Machado
      MR - Image Guided Therapy              F       0                        BWH           Ferenc Jolesz
      Musculoskeletal Radiology              F       7                        BWH           Philipp Lang
      Neuroradiology                         F       6        ACGME           BWH           Liangge Hsu
      Nuclear Oncology – PET                 F       3                        BWH           Annick van den Abbeele
      Oncoradiology                          F       1                        BWH           Fiona Fennessy




                                                                                                                 page 14
Partners Graduate Medical Education Annual Report: AY 2008-09

                                                                             Sponsoring
                                            Type #Trainees   Accreditation   Institution   Program Director

      Vascular & Interventional Radiology   F        3       ACGME           BWH           Chieh-Min Fan
      Women's Imaging                       F        3                       BWH           Sughra Raza
      MGH Program/s
      Radiology-Diagnostic                  R       38       ACGME           MGH           Theresa McLoud
      Abdominal (Body) Imaging              F       7                        MGH           Raul Uppot
      Abdominal and Interv. Radiology       F       7                        MGH           Debra Gervais
      Breast Imaging                        F       3                        MGH           Elizabeth Rafferty
      Cardiac Imaging (MR - CT)             F       2                        MGH           Suhny Abbara
      Emergency Radiology                   F       2                        MGH           Robert Novelline
      Interventional Neuroradiology         F       3                        MGH           James Rabinov
      Musculoskeletal Radiology             F       4                        MGH           William Palmer
      Neuroradiology                        F       8        ACGME           MGH           Pamela Schaefer
      Pediatric Neuroradiology              F       1                        MGH           Katherine Nimkin
      Pediatric Radiology                   F       2        ACGME           MGH           Sjirk Westra
      Thoracic Radiology                    F       3                        MGH           JoAnne Shepard
      Vascular & Interventional Radiology   F       6        ACGME           MGH           Ronald Arellano
 Surgery
      Integrated Program/s
      Breast Surgery                        F        3       SSO             MGH           Barbara Smith
      Endocrine Surgery                     F        1                       BWH           Francis Moore, Jr.
      BWH Program/s
      Surgery-General                       R       50       ACGME           BWH           Stanley Ashley
      Acute Care Surgery                    F       1                        BWH           Edward Kelly
      Cancer Surgery-Advanced Clinical      F       0                        BWH           Steven Mentzer
      Training
      Minimally Invasive Surgery            F        2                       BWH           David Brooks
      Surgical Critical Care                F        3       ACGME           BWH           Selwyn Rogers
      Vascular Surgery                      F        2       ACGME           BWH           Michael Belkin
      MGH Program/s
      Surgery-General                       R       52       ACGME           MGH           Charles Ferguson
      Acute Care Surgery                    F       1                        MGH           Hasan Alam
      Burn Surgery                          F       1                        MGH           Robert Sheridan
      Laryngology and Phonosurgery          F       2                        MGH           Steven Zeitels
      Minimally Invasive Surgery            F       2                        MGH           David Rattner
      Surgical Critical Care                F       1        ACGME           MGH           Hasan Alam
      Transplant Surgery                    F       2        ASTS            MGH           James Markmann
      Vascular Surgery                      F       4        ACGME           MGH           Christopher Kwolek
Thoracic Surgery
     BWH Program/s
     Thoracic Surgery                       R        8       ACGME           BWH           Raphael Bueno
     General Thoracic Surgery               F        2                       BWH           Raphael Bueno
     Joint Thoracic and General Surgery     R        2       ACGME           BWH           Raphael Bueno
     Minimally Invasive Thoracic Surgery    F        1                       BWH           Raphael Bueno
     Thoracic Oncology                      F        1                       BWH           David Sugarbaker
     Cardiac Surgery (Junior)               CT       5                       BWH           Raphael Bueno
     MGH Program/s
     Thoracic Surgery                       R        9       ACGME           MGH           Douglas Mathisen
     Cardiac Surgery                        F        0                       MGH           Douglas Mathisen
     Joint Thoracic and General Surgery     R        1       ACGME           MGH           Douglas Mathisen



                                                                                                                page 15
Partners Graduate Medical Education Annual Report: AY 2008-09

                                                                           Sponsoring
                                        Type #Trainees    Accreditation    Institution   Program Director


Urology
      BWH Program/s
      Urology                           R        12       ACGME            BWH           Jerome Richie
      Urologic Oncology                 F        1                         BWH           Jim Hu
      MGH Program/s
      Urology                           R         8       ACGME            MGH           W. Scott McDougal
      Urology Oncology                  F         0                        MGH           Douglas Dahl




Notes:
1. Integrated programs are those for which two or more Partners hospitals function as co-sponsors.
2. Program Type:
      R = Residency
      F = Fellowship
      CT = clinical training program for which prior completion of a residency is not required
3. Numbers of trainees provided for ACGME programs, and as reported by non-ACGME programs




                                                                                                         page 16
Partners Graduate Medical Education Annual Report: AY 2008-09

               TABLE II: GME DIRECTORS, PROGRAM OVERSIGHT

     DEPARTMENT                        GME DIRECTOR
      Anesthesiology                    Dr. Dempsey Springfield
      Dermatology                       Dr. John Co
      Emergency Medicine                Dr. John Co
      Internal Medicine                 Dr. John Co
      Neurosurgery                      Dr. Dempsey Springfield
      Neurology                         Dr. Eric Nadel
      Nuclear Medicine                  Dr. Dempsey Springfield
      Obstetrics and Gynecology         Dr. John Co
      Oral and Maxillofacial Surgery    Dr. Dempsey Springfield
      Orthopedics                       Dr. Eric Nadel
      Pathology                         Dr. John Co
      Pediatrics                        Dr. Eric Nadel
      Physiatry                         Dr. Dempsey Springfield
      Plastic Surgery                   Dr. Dempsey Springfield
      Podiatry                          Dr. Eric Nadel
      Psychiatry                        Dr. John Co
      Radiation Oncology                Dr. Dempsey Springfield
      Radiology                         Dr. Eric Nadel
      Surgery                           Dr. Dempsey Springfield
      Thoracic Surgery                  Dr. Dempsey Springfield
      Urology                           Dr. Dempsey Springfield




                                                                  page 17
Partners Graduate Medical Education Annual Report: AY 2008-09


              TABLE III: PARTNERS INTEGRATED GME PROGRAMS
The Partners integrated residency and fellowship programs listed below are recognized by the ACGME as spon-
sored by only one institution—either the BWH or the MGH—but are fully integrated across the two institutions.
The Addiction Psychiatry program is integrated across MGH, BWH and McLean. In addition to these programs,
the MGH Psychiatry and Child and Adolescent Psychiatry residency programs are integrated between the MGH
and McLean Hospitals.



                    ACGME
                               Program Name                              R/F   Certification
                    Sponsor
                    MGH        Addiction Psychiatry                      F     ACGME
                    BWH        Advanced GI Endoscopy                     F
                    BWH        Blood Banking- Transfusion Medicine       F     ACGME
                    MGH        Breast Surgery                            F     SSO
                    MGH        Critical Care Neurology                   F     UCNS
                    BWH        Dental                                    R     CODA
                    MGH        Dermatology                               R     ACGME
                    BWH        Emergency Medicine                        R     ACGME
                    BWH        Endocrine Surgery                         F
                    BWH        Hematology and Oncology                   F     ACGME
                    MGH        Hospice and Palliative Medicine           F     ACGME
                    MGH        Infectious Disease                        F     ACGME
                    MGH        Internal Medicine/Dermatology             R     ABIM/ABD
                    BWH        Molecular Genetics Pathology              F     ACGME
                    MGH        Movement Disorders                        F
                    BWH        Multiple Sclerosis                        F
                    BWH        Nephrology                                F     ACGME
                    MGH        Neurology                                 R     ACGME
                    BWH        Neuromuscular Medicine                    F     ACGME
                    BWH        Obstetrical Anesthesia                    F
                    BWH        Obstetrics and Gynecology                 R     ACGME
                    MGH        Orthopedic Surgery                        R     ACGME
                    MGH        Orthopedic Trauma                         F
                    BWH        Plastic Surgery                           R     ACGME
                    MGH        Pulmonary Disease - Critical Care Medicine F    ACGME
                    BWH        Radiation Oncology                        R     ACGME
                    MGH        Shoulder and Elbow                        F
                    BWH        Spine Surgery                             F
                    BWH        Urogynecology                             F
                    MGH        Vascular Neurology                        F     ACGME




                                                                                                      page 18
Partners Graduate Medical Education Annual Report: AY 2008-09

      TABLE IV: AY 08-09 GME PROGRAM LEADERSHIP TRANSITIONS


 ACGME
            Program Name                               Outgoing Program Director   New Program Director
 Sponsor

BWH         Clinical Cardiac Electrophysiology        William Stevenson, M.D.      Laurence Epstein, M.D.
BWH         PHS Obstetrics and Gynecology             Lori Berkowitz, M.D.         Ruth Tuomala, M.D.
BWH         Allergy and Immunology                    Jonathan Arm, M.D.           Marianna Castells, M.D.
BWH         Neuropathology                            Umberto De Girolami, M.D,    Rebecca Folkerth, M.D.
MGH         PHS Orthopedic Surgery                    James Herndon, M.D.          Dempsey Springfield, M.D.
MGH         Cardiovascular Disease                    Calum MacRae, M.D.           Douglas Drachman, M.D.
MGH         Gastroenterology                          Andrea Reid, M.D.            Andrew Chan, M.D.
MGH         Hand Surgery, Orthopedics                 Sang-Gil Lee, MD.            Chaitanya Mudgal, M.D.




                       TABLE V: AY 08-09 PROGRAM APPROVALS

    Institution                Program
    MGH                        Internal Medicine – Dermatology
    MGH                        Joint Thoracic and General Surgery
    MGH                        GI Motility and Functional Disease
    BWH                        Colorectal Surgery
    MGH                        Schizophrenia
    BWH                        Interventional Nephrology
    MGH                        Craniofacial Surgery
    BWH                        Medical Dermatology
    BWH                        Clinician Neuroimaging
    MGH                        Transplant Nephrology
    MGH                        Geriatric Psychiatry
    BWH                        Medical Simulation
    BWH                        Cutaneous Oncology
    NWH                        Spine Surgery
    BWH                        Transplant Nephrology
    BWH                        Neuroanesthesia - Clinical Neurophysiology
    BWH                        Women's Imaging
    BWH-DFCI                   Oncoradiology
    BWH-DFCI                   Translational Imaging




                                                                                                               page 19
Partners Graduate Medical Education Annual Report: AY 2008-09

          TABLE VI: AY 08-09 ACCREDITATION STATUS AND REVIEWS
                                                       ACGME Accreditation                Activity during AY 08-09
                                                                                   R
                                                                                   e Accreditation              Internal
Sponsor   ACGME Accredited Programs                 Status                         v    Action      Site Visit  Review
BWH       Abdominal radiology                       Continued Accreditation                                    10/6/2008
MGH       Addiction psychiatry                      Continued Accreditation
BWH       Adult cardiothoracic anesthesiology       Accreditation
MGH       Adult cardiothoracic anesthesiology       Accreditation                                             9/10/2008
BWH       Allergy and immunology                    Continued Accreditation           9/12/2008
MGH       Allergy and immunology                    Continued Accreditation                         4/29/09
BWH       Anesthesiology                            Continued Accreditation                                    2/4/2009
MGH       Anesthesiology                            Continued Accreditation
BWH       Blood banking/transfusion medicine        Continued Accreditation
BWH       Cardiothoracic radiology                  Continued Accreditation
MGH       Cardiovascular disease                    Continued Accreditation
BWH       Cardiovascular disease                    Continued Accreditation                                    3/6/2009
MGH       Child and adolescent psychiatry           Continued Accreditation
MGH       Child neurology                           Continued Accreditation                                   10/10/2008
BWH       Clinical cardiac electrophysiology        Continued Accreditation
MGH       Clinical cardiac electrophysiology        Continued Accreditation                                   5/18/2009
BWH       Clinical neurophysiology                  Continued Accreditation
MGH       Clinical neurophysiology                  Accreditation                                              11/5/08
BWH       Colon and rectal surgery                  Proposed withhold, initial                      12/2/08
MGH       Critical care medicine                    accreditation
                                                    Continued Accreditation
BWH       Critical care medicine                    Continued Accreditation                                   3/16/2009
MGH       Cytopathology                             Continued Accreditation
BWH       Cytopathology                             Continued Accreditation           4/17/2009     1/15/09
MGH       Dermatology                               Continued Accreditation           9/14/2008
BWH       Emergency medicine                        Continued Full Accreditation                              7/14/2008
MGH       Endocrinology, diabetes, and metabolism   Continued Accreditation
BWH       Endocrinology, diabetes, and metabolism   Continued Accreditation
MGH       Forensic psychiatry                       Continued Accreditation
MGH       Gastroenterology                          Continued Accreditation
BWH       Gastroenterology                          Continued Accreditation           5/14/2009    11/13/08
BWH       Hand surgery, Orthopedics                 Continued Full Accreditation
MGH       Hand surgery, Orthopedics                 Initial Accreditation                                      9/5/2008
MGH       Hematology Pathology                      Continued Accreditation
BWH       Hematology Pathology                      Continued Accreditation                                    12/12/08
BWH       Hematology and oncology                   Continued Accreditation                                   3/13/2009
MGH       Hospice and palliative medicine           Accreditation                     7/1/2008
MGH       Infectious disease                        Continued Accreditation
MGH       Internal medicine                         Continued Accreditation
BWH       Internal medicine                         Continued Accreditation           5/17/2009    11/11/08
BWH       Internal medicine/Pediatrics              Continued Accreditation           5/14/2009    11/12/08
MGH       Internal medicine/Pediatrics              Accreditation                                   6/17/09
BWH       Interventional cardiology                 Continued Accreditation                                    3/6/2009
MGH       Interventional cardiology                 Continued Accreditation
BWH       Molecular genetic pathology               Continued Accreditation
MGH       Musculoskeletal oncology                  Continued Accreditation           1/16/2009
BWH       Nephrology                                Continued Accreditation           9/30/2008




                                                                                                                  page 20
Partners Graduate Medical Education Annual Report: AY 2008-09

      TABLE VI: AY 08-09 ACCREDITATION STATUS AND REVIEWS, cont
                                                     ACGME Accreditation                Activity during AY 08-09
                                                                                 R
                                                                                 e Accreditation              Internal
Sponsor   ACGME Accredited Programs               Status                         v    Action      Site Visit  Review
MGH       Neurological surgery                    Continued Accreditation                                      12/3/08
MGH       Neurology                               Continued Accreditation                          5/5/09
BWH       Neuromuscular medicine                  Continued Accreditation
BWH       Neuropathology                          Continued Accreditation                                    10/30/2008
MGH       Neuropathology                          Continued Accreditation           4/17/2009     9/24/08
MGH       Neuroradiology                          Continued Accreditation                         2/25/09
BWH       Neuroradiology                          Continued Accreditation                                    10/21/2008
BWH       Nuclear medicine                        Continued Full Accreditation                    5/20/09
BWH       Obstetrics and gynecology               Continued Accreditation                                     5/1/2009
MGH       Orthopaedic sports medicine             Continued Accreditation           1/16/2009     10/17/08
MGH       Orthopaedic surgery                     Continued Accreditation            7/1/2009      5/6/09
MGH       Pain medicine                           Continued Accreditation
BWH       Pain medicine                           Continued Accreditation                                    3/11/2009
MGH       Pathology-anatomic and clinical         Continued Accreditation
BWH       Pathology-anatomic and clinical         Continued Accreditation           4/17/2009     9/10/08
MGH       Pediatric critical care medicine        Continued Accreditation                                    10/20/2008
MGH       Pediatric endocrinology                 Continued Accreditation
MGH       Pediatric gastroenterology              Accreditation
MGH       Pediatric pulmonology                   Continued Accreditation                                     4/6/2009
MGH       Pediatric radiology                     Continued Accreditation
MGH       Pediatrics                              Continued Accreditation
BWH       Plastic surgery                         Continued Accreditation
MGH       Psychiatry                              Continued Accreditation
BWH       Psychiatry                              Continued Accreditation
BWH       Psychosomatic medicine                  Continued Accreditation
MGH       Psychosomatic medicine                  Accreditation
MGH       Pulmonary disease and critical care     Continued Accreditation
BWH       Radiation oncology                      Continued Accreditation                          5/7/09
BWH       Radiology-diagnostic                    Continued Accreditation                                    10/8/2008
MGH       Radiology-diagnostic                    Continued Full Accreditation                    2/24/09
MGH       Rheumatology                            Continued Accreditation
BWH       Rheumatology                            Continued Accreditation                                    2/13/2009
BWH       Selective pathology                     Continued Accreditation           4/17/2009     9/11/08
BWH       Sleep medicine                          Continued Accreditation           9/29/2008
BWH       Surgery                                 Continued Accreditation           2/19/2009      8/5/08
MGH       Surgery                                 Continued Full Accreditation                    11/18/08
BWH       Surgical critical care                  Continued Accreditation                                    1/21/2009
MGH       Surgical critical care                  Continued Accreditation
MGH       Thoracic surgery                        Continued Accreditation
BWH       Thoracic surgery                        Continued Accreditation                         2/18/09
MGH       Transplant hepatology                   Accreditation                                              8/22/2008
MGH       Urology                                 Continued Accreditation           12/3/2008
BWH       Urology                                 Continued Accreditation
BWH       Vascular and interventional radiology   Continued Accreditation                                    10/15/2008
MGH       Vascular and interventional radiology   Continued Accreditation                         2/26/09
MGH       Vascular neurology                      Continued Accreditation                                     10/31/08
BWH       Vascular surgery                        Continued Accreditation                                    5/27/2009
MGH       Vascular surgery                        Continued Full Accreditation




                                                                                                                page 21
Partners Graduate Medical Education Annual Report: AY 2008-09

               TABLE VII: AY 08-09 AFFILIATIONS AND INTEGRATION
Sponsor   Program                                   MGH           BWH           Programs      Programs      Programs      Programs
                                                    Program       progam        rotating to   rotating to   rotating to   rotating to
                                                    Rotating to   rotating to   Faulkner2     Newton        Salem         Spaulding
                                                         1              2
                                                    BWH           MGH1                        Wellesley2    Hospital/     Rehab
                                                                                                            NSMC2         Hospital2
MGH       Allergy and Immunology                    x
BWH       Allergy and Immunology                                  x
BWH       Anesthesiology                                                        x
MGH       Anesthesiology                            x                                         x
BWH       Cardiovascular Disease                    x
MGH       Cardiovascular Disease                                  x
MGH       Child Neurology                           x                                                                     x
MGH       Cytopathology                             x             x
BWH       Critical Care Medicine                                  x
BWH       Gastro Enterology                                                     x
BWH       Hand Surgery                                            x             x
MGH       Hand Surgery                              x
MGH       Hematology Pathology                      x
BWH       Internal Medicine                                                     x
MGH       Internal Medicine                                                                   x
BWH       Internal Medicine/Medical Genetics (NA)                 x             x
MGH       Internal Medicine/Pediatrics              x                                         x
BWH       Neuromuscular Medicine                                  x
MGH       Neuropathology                            x             x
BWH       Ob/GYN (PHS)                                                                        x             x             x
BWH       Pain Medicine
MGH       Pathology-Anatomic and Clinical           x
MGH       Pediatrics                                x                                         x             x
BWH       Psychiatry                                                            x
MGH       Psychiatry                                                                          x
BWH       Psychosomatic Medicine                                                x
MGH       Radiology-Diagnostic                      x
BWH       Rheumatology                                            x
MGH       Rheumatology                              x
BWH       Surgery                                                               x
MGH       Surgery                                                                             x             x
BWH       Surgical Critical Care                                  x
BWH       Urology                                                               x

1
 ACGME programs sponsored by BWH and MGH that are not fully integrated, but whose trainees have rotations
at the sister academic medical center.

NOTES:
 Some non-ACGME accredited BWH or MGH-based programs also include rotations at PHS communi-
  ty/specialty hospitals.
 Some community/specialty hospitals include rotations at BWH and/or MGH (not shown on this table).
 Source: ACGME WebADS




                                                                                                                              page 22
      Partners Graduate Medical Education Annual Report: AY 2008-09

                    Table VIII: EDUCATION RELATED FORUMS


Housestaff Town Meetings
December 2, 2008: BWH
January 12, 2009: MGH



Education Committee Meetings
Brigham and Women’s Hospital Education Committee
September 5, 2008
December 1, 2008
March 25, 2009
June 1, 2009


MGH Executive Committee on Teaching and Education

October 8, 2008
December 12, 2008
March 18, 2009
June 17, 2009


Partners Education Committee

August 13, 2008
October 24, 2008
December 19, 2008
February 18, 2009
April 1, 2009
June 26, 2009




                                                                      page 23
        Partners Graduate Medical Education Annual Report: AY 2008-09

                         APPENDIX A: EDUCATIONAL PROGRAMS

The Partners Office for Graduate Medical Education provides educational programs for trainees, faculty, and pro-
gram staff.

Program Director Workshops
Participation in the faculty development series designated as “Program Director Workshops” is open to all Pro-
gram Directors, Chief Residents, Associate Program Directors, other faculty and frequently program coordinators,
depending on the topic. CME credit is provided.

September 8 and 9, 2008
An Institutional OSCE at Partners? Implications for Residency and Fellowship Training
Presented by Monica Lypson, MD Assistant Dean of Graduate Medical Education, University of Michigan

May 20 and 21, 2009
Program Evaluation and Improvement
Dempsey Springfield, MD, Keith Baker, MD, Sharon Muret-Wagstaff, PhD

Clinical Fellows Retreat
October 29, 2008

Approximately 90 fellows attended the second annual Partners Clinical Fellow Retreat. The retreat addresses
goals similar to the Housestaff Core Curriculum Retreat—that is, to (1) provide trainees with a valuable educa-
tional opportunity within a block of protected time; (2) foster learning and relationship-building across specialties;
and (3) help program directors fulfill curricular requirements. Topics related to the core competencies, profes-
sional development, and work-life balance were presented:

                       Topics covered:
                       Career Panel
                       Common Legal and Risk Issues for Housestaff
                       Communication Skills: Difficult Conversations
                       Culturally Competent Care
                       Ethical Issues for Consultants
                       Leadership: Some Challenging Questions
                       Presentation Skills
                       Teaching and Feedback: When You Only Have 5 Minutes
                       The Effects of Fatigue on Performance
                       Tips for Publishing: Perspective from the NEJM
                       Work-Life Balance



Core Curriculum Retreat
March 10 and 11, 2009

All Partners interns and first-year specialty residents were invited to attend the full-day Core Curriculum Retreat;
approximately 300 participated. As in prior years, the program was repeated on two consecutive days so that
half the trainees could attend at one time. to facilitate clinical coverage. Plenary sessions were “Residents as
Teachers and Mentors,” presented by Steven Schlozman, M.D., MPH, and “Quality and Patient Safety (as seen
from the bedside)” presented by Cyrus Hopkins, M.D.

Multiple small-group breakout sessions, each led by an experienced faculty educator, addressed the following
topics:


                                                                                                              page 24
       Partners Graduate Medical Education Annual Report: AY 2008-09


       Topics Presented:
          Common Legal and Risk Issues for Housestaff
          Communication Skills – Difficult Conversations with Patients
          Evaluation and Feedback
          Work-Life Balance: Oxymoron or Possibility
          Working with Medical Interpreters to Help You Deliver High Quality Care
          Alternative Career Paths in Medicine


Chief Resident Course
May 6, 2009

Approximately 70 incoming Chief Residents participated in the annual full-day Chief Resident Course. Plenary
topics were “Enhancing Leadership Skills in the Chief Resident” (Debra Weinstein, M.D.) and “Challenging Com-
munication” (Ron Walls, M.D.), complemented by small group break-out sessions and followed by a Program Di-
rector panel and a panel of outgoing Chief Residents.

             Topics covered:
                     Challenging Communications
                     Clinical Teaching
                     Creating Change: Choosing a CR project that will have a Positive Impact on the Program
                     Enhancing Leadership Skills in the Chief Resident Role
                     Giving and Getting Effective Feedback
                     Management 101: Running a Meeting
                     Giving a Talk
                     Supporting Residents with Personal and Professional Difficulties
                     Work-Life Balance
                     Time Management
                     Writing a Paper and Getting It Published



Orientation Programs for Incoming Interns, First-year Specialty Residents, and Clinical Fellows

BWH: June 18; and July 1, 2009
MGH: June 22; and July 1, 2009

                           Topics Covered:
                               Introduction to Graduate Medical Education – Ombuds Services
                               ACLS
                               Benefits
                               Centers of Expertise
                               Central Line Training
                               Core Competencies
                               Credentialing, Licensure and Malpractice
                               Duty Hours
                               Employee Assistance Program
                               Fire, Safety and Security
                               Handoffs
                               HIPAA Compliance (Healthstream)
                               Infection Control

                                                                                                               page 25
       Partners Graduate Medical Education Annual Report: AY 2008-09

                               Introduction to Professionalism
                               JCAHO
                               Medical Library Resources
                               Medical Records and Physician Order Entry
                               Needle Safety
                               Occupational Health
                               Patient Safety
                               Quality of Care
                               Risk Management
                               Supervision of Trainees
                               TB Fit Testing



Curriculum Development Series
Fall-Winter, 2008-09

Dr. Farrell organized a three-part workshop focused on curriculum development, attended by 27 program direc-
tors and other teaching faculty.

Program Coordinator Retreats
October 3, 2008
April 3, 2009

Coordinator retreats were organized by Angela Byers with assistance from other GME staff; one was held on/near
each campus and coordinators from across PHS were invited to both. Each program was attended by approxi-
mately 125 coordinators. Sessions covered information common across programs and allowed coordinators to
share ideas about best practices.

                      Topics covered:
                      Centers of Expertise
                      Common program requirements demystified
                      Developing a Program Coordinator Best Practice Group
                      Orientation and the Partners Office of Resources for Trainees
                      New Innovations
                      Preparing for an ACGME site visit
                      New Coordinators overview




New Innovations Training

Group and individual training sessions in use of the New Innovations residency management suite were provided
to program staff by Maria Dellarocco.




                                                                                                       page 26
         Partners Graduate Medical Education Annual Report: AY 2008-09

                               APPENDIX B: CENTERS OF EXPERTISE

Two Centers of Expertise (COEs) were initiated during AY 08-09. Participation in the COEs has been growing,
though the number of residents able to attend monthly sessions remained modest. New matriculants in July,
2009 were asked to sign up for existing and potential COEs aligned with their areas of interest. It appears that
the level of interest in these areas is quite high, though the time available for residents to participate is limited.


COE in Quality and Safety
This COE is chaired by Drs. Tejal Gandhi and Gregg Meyer, and offered the following monthly seminars.
 Didactic Sessions AY08 – 2009
 Patient Safety Research and Practice                                                          David Bates, MD, MSc
 Quality & Safety 101                                                                          Lucian Leape, MD
 Safety Management Lessons from the Air Force & the Titanic,                                   Gregg Meyer, MD, MSc
 CRICO Videos “When Things Go Wrong” and “Sued”, along with an informal faculty discussion     Tejal Gandhi, MD, MPH Gregg Meyer,
                                                                                               MD, MSc
 Quality and the Evolution of the Healthcare Marketplace                                       Gregg Meyer, MD, MSc
 Pay for Performance Contracts                                                                 Jessica Dudley, MD
 Transparency in Health Care Quality                                                           Elizabeth Mort, MD, MPH
  Problem doctors - Assessing and Improving Performance and Competence                         Lucian Leape, MD
 Lessons in Safety and Quality from a For-Profit Multi-Hospital System: Can It Be Achieved?    Jennifer Daley, MD
 The Nash Equilibrium Breaks Down: How current market pressures make improvement possi-        Thomas Lee, MD, MSc
 ble and imperative

The Quality and Safety COE invited requests for research funding up to $5,000 for resident projects in the area of
quality and safety; two projects were funded. This COE also provided funding for trainees to attend IHI's National
Forum on Quality Improvement in Health Care and/or to NPSF's Annual Congress.
Sponsored residents were asked to present a summary of meeting highlights to their COE resident colleagues
after the meeting. The COE website provides interested trainees with easy access to relevant literature, notices
about local rounds and conferences, and biosketches of individual faculty who make themselves available for ad-
vice or mentoring.


COE in Academic Healthcare Management
Led by Drs. Jean Elrick and Michael Gustafson, this COE was launched in early 2009.

Topic                       Facilitator(s)

Kick-off                    Jean R. Elrick, MD; Vice President of Administration, MGH; Gary Gottlieb MD, MBA; President, BWH; Michael
Receptions                  Gustafson, MD, MBA; Vice President Clinical Excellence, BWH; Peter L. Slavin, MD, President, MGH

Influence of Market Forces
                           Tom Glynn. PhD, Chief Operating Officer, PHS
on Healthcare

Reimbursement 101           Peter Markell, Chief Financial Officer, PHS
Healthcare & the Media      Peter Brown, PHS Marketing

A listing of residents with some experience in this area was compiled and posted on the web so that these resi-
dents can be available as peer resources, in addition to the faculty members who have agreed to be available for
mentoring, shadowing, etc. The COE arranged for ten residents to attend the Partners Senior Management Re-
treat on June 1, 2009.


COE in Global Health and Humanitarian Medicine
This COE was initiated in June, 2009 and is co-directed by David Bangsberg, MD and Michael VonRooyen, MD.
Core faculty have been recruited and a seminar series was planned to initiate in September, 2009.



                                                                                                                               page 27
       Partners Graduate Medical Education Annual Report: AY 2008-09

                     APPENDIX C: GME COMMITTEES, AY 2008-09
                                    BWH Education Committee
Chair                               Jon Borus, MD              BWH Director of Medical Education
Partners Vice President, GME        Debra Weinstein, MD
Senior Associate Director, GME      John Patrick Co, MD, MPH
Associate Director, GME             Eric Nadel, MD
Associate Director, GME             Dempsey Springfield, MD
Chief Medical Officer               Anthony Whittemore, MD
Quality and Safety Representative   Allen Kachalia, MD         Medicine
Simulation Representative           Charles Pozner, MD         Medical Director, STRATUS Center
HMS PCE Director                    Erik Alexander, MD         BWH Dir. of Medical Student Educ.
Residency Program Directors         Stanley Ashley, MD         Surgery
                                    Lori Berkowitz, MD         PHS OB-GYN
                                    Raphael Bueno, MD          Thoracic Surgery
                                    Daniel Dedrick, MD         Anesthesia
                                    William Greenberg, MD      Psychiatry
                                    Jay Harris, MD             PHS Radiation Oncology
                                    Joel Katz, MD              Medicine
                                    Tracey Milligan, MD        PHS Neurology
                                    Eric Nadel, MD             PHS Emergency Medicine
                                    Julian Pribaz, MD          PHS Plastic Surgery
                                    Jerome Richie, MD          Urology
                                    Niraj Sharma, MD           Internal Medicine-Pediatrics
                                    S. Ted Treves, MD          Nuclear Medicine
                                    Barbara Weissman, MD       Radiology
                                    Gayle Winters, MD          Pathology
Fellowship Program Directors        Fiona Fennessy, MD         Oncoradiology
                                    Simon Helfgott, MD         Rheumatology
                                    Richard Kaufman, MD        PHS Blood Banking – Trans. Med.
                                    Frederick Makrauer, MD     Gastroenterology
                                    Robert Mayer, MD           PHS Hematology-Oncology
                                    Srdjan Nedeljkovic, MD     Pain Medicine
                                    Robert Odze, MD            Gastrointestinal Pathology
                                    Douglas Shook, MD          Adult Cardiothoracic Anesthesia
Resident/Fellow Representatives     Kendra Bowman, MD          General Surgery
                                    Emily Brown, MD            PHS Emergency Medicine
                                    Janice Chyou, MD           Internal Medicine
                                    Matthew Doran, MD          Anesthesiology
                                    Danielle Margalit, MD      PHS Radiation Oncology
                                    Sara Nelson, MD            PHS Emergency Medicine
                                    Susan Pasnick, MD          Internal Medicine
                                    Eric Rosenthal, MD         PHS Neurocritical Care & Stroke
                                    Fidencio Saldana, MD       Cardiovascular Disease
                                    Simon George Talbot, MD    PHS Plastic Surgery
                                    Peter Vezeridis, MD        PHS Orthopaedic Surgery
                                    Katherine Young, MD        Psychiatry
GME Staff                           Georgi Bland               GME
                                    Irina Knyshevski           GME



                                                                                          page 28
        Partners Graduate Medical Education Annual Report: AY 2008-09

                        MGH Executive Committee on Teaching and Education

Chair                                   Harry Rubash, MD                Chair, Orthopedic Surgery
Senior Associate Director, GME          John Patrick Co, MD, MPH
President of MGH (delegate)             Ann Prestipino                  Senior Vice President
MGH Trustee (Emeritus)                  Matina Horner, Ph.D.
Partners Vice President, GME            Debra Weinstein, MD
Chair, MGH Chiefs' Council              W. Gerald Austen, MD
Chief Medical Officer                   Britain Nicholson, MD
Quality and Safety Representative       Andrew Karson, MD
Simulation Representative               James Gordon, MD
Institute of Health Professions (IHP)   Janis Bellack, RN, PhD          President, MGH IHP
MGPhysician Organization                David Torchiana, MD             President, MGPO
HMS PCE Director (representative)       Marc DeMoya, MD                 Surgery Clerkship Director
Residency Program Directors             Deborah Pedersen, MD            Anesthesiology
                                        Steven Schlozman, MD            Child and Adolescent Psychiatry
                                        Katherine Sims, MD              Child Neurology
                                        David Ting, MD                  Internal Medicine – Pediatrics
                                        Joseph Kvedar, MD               PHS Dermatology
                                        Eric Nadel, MD                  PHS Emergency Medicine
                                        Hasan Bazari, MD                Internal Medicine
                                        Emad Eskandar, MD               Neurological Surgery
                                        David Greer, MD                 PHS Neurology
                                        Lori Berkowitz, MD              PHS Obstetrics and Gynecology
                                        Maria Troulis, MD               Oral and Maxillofacial Surgery
                                        Dempsey Springfield, MD         PHS Orthopedics
                                        W. Stephen Black-Schaffer, MD   Pathology
                                        Emmett Schmidt, MD              Pediatrics
                                        Jay Austen, MD                  PHS Plastic Surgery
                                        Kathy Sanders, MD               Psychiatry
                                        Anthony Zietman, MD             PHS Radiation Oncology
                                        Theresa McLoud, MD              Radiology – Diagnostic
                                        Charles Ferguson, MD            Surgery – General
                                        Douglas Mathisen, MD            Thoracic Surgery
                                        Dianne Sacco, MD                Urology
Fellowship Program Directors            Aidan Long, MD                  Allergy-Immunology
                                        Kenan Haver, MD                 Pediatric Pulmonology
                                        Calum MacRae, MD                Cardiovascular Disease
                                        Gary Brenner, MD                Pain Medicine
                                        Rosemary Tambouret, MD          Cytopathology
                                        Michael Jaff, MD                Vascular Medicine
                                        David Systrom, MD               PHS Pulmonary Disease-Crit. Care
                                        Ronald Arellano, MD             Vascular & Interventional Radiology
Resident/Fellow Representatives         Alyssa Letourneau, MD           Internal Medicine-Pediatrics
                                        Bradley Monash. MD              Internal Medicine-Pediatrics
                                        Benjamin White, M.D             PHS Emergency Medicine
                                        Jay Shah, MD                    Internal Medicine
                                        Harald Ott, MD                  Surgery – General
                                        Kyle Eberlin, MD                PHS Plastic Surgery
                                        Michael Roehrl, MD              Pathology
                                        Nicte Mejia, MD                 PHS Neurology
                                        James Monica, MD                PHS Orthopedic Surgery
                                                                                                    page 29
      Partners Graduate Medical Education Annual Report: AY 2008-09

                          Daniel Guss, MD        PHS Orthopedic Surgery
                          David Grelotti, MD     Psychiatry
                          Margot Phillips, MD    Psychiatry
GME Staff                 Georgi Bland           GME
                          Irina Knyshevski       GME




                                                                          page 30
       Partners Graduate Medical Education Annual Report: AY 2008-09

                                    Partners Education Committee
Co-Chair                              Harry Rubash, MD                MGH Orthopedics
Co-Chair                              Jon Borus, MD                   BWH Medical Education
Partners Vice President, GME          Debra Weinstein, MD             PHS Graduate Medical Education
Senior Associate Director, GME        John Patrick Co, MD, MPH        PHS Graduate Medical Education
Associate Director, GME               Eric Nadel, MD                  PHS Emergency Medicine
Associate Director, GME               Dempsey Springfield, MD         PHS Orthopedics
Chief Medical Officer, BWH            Anthony Whittemore, MD
Chief Medical Officer, MGH            Britain Nicholson, MD
Chair, MGH Chiefs' Council            W. Gerald Austen, MD
Faulkner Hospital                     Pardon Kenney, MD               Surgery
McLean Hospital                       Shelly Greenfield, MD           Chief Academic Officer
Salem Hospital (NSMC)                 Wayne Trebbin, MD               Internal Medicine
Newton-Wellesley Hospital             Lawrence Friedman, MD           Internal Medicine
Spaulding Rehabilitation Hospital     Ross Zafonte, DO                Physical Medicine & Rehabilitation
MGH Trustee (Emeritus)                Matina Horner, Ph.D.
HMS PCE Director                      Erik Alexander, MD              BWH Medicine clerkship director
HMS PCE Director                      Marc DeMoya, MD                 MGH Surgery clerkship director
Program Director Representatives      Stanley Ashley, MD              BWH Surgery
                                      Lori Berkowitz, MD              PHS OB-GYN
                                      W. Stephen Black-Schaffer, MD   MGH Pathology
                                      Daniel Dedrick, MD              BWH Anesthesia
                                      Charles Ferguson, MD            MGH Surgery – General
                                      Simon Helfgott, MD              BWH Rheumatology
                                      Joel Katz, MD                   BWH Medicine
                                      Robert Mayer, MD                PHS Hematology-Oncology
                                      Theresa McLoud, MD              MGH Radiology – Diagnostic
                                      Rosemary Tambouret, MD          MGH Cytopathology
Trainee Representatives               Kyle Eberlin, MD                PHS Plastic Surgery
                                      Daniel Guss, MD                 PHS Orthopedic Surgery
                                      Danielle Margalit, MD           PHS Radiation Oncology
                                      Sara Nelson, MD                 PHS Emergency Medicine
                                      Michael Roehrl, MD              MGH Pathology
                                      Fidencio Saldana, MD            BWH Cardiovascular Disease
GME Staff                             Georgi Bland                    PHS GME
                                      Irina Knyshevski                PHS GME




                                                                                                  page 31

				
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