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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 DellaroccoAdministrative Director, PHS GME Assistant Director, PHS GME

Georgi Bland Irina KnyshevskiSr. Accreditation Director, PHS GME Accreditation Administrator, PHS GME

Angela Byers Jessica PerloProject Manager, PHS GME GME Strategic Initiatives Coordinator

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

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

http://www.partners.org/research/gme/research_gme.asp

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


TABLE OF CONTENTS

PAGEAY 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................................................................................................24Clinical Fellows Retreat.........................................................................................................24Core Curriculum Retreat.......................................................................................................24Chief Resident Course..........................................................................................................25

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

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

BWH Education Committee...................................................................................................28MGH Executive Committee on Teaching and Education......................................................29Partners Education Committee.............................................................................................31


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 ac-credited 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 stan-dards 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 spe-cialties, to identify areas ripe for system-wide improvement efforts. Discussions continued regarding the institu-tional oversight of non-ACGME fellowship programs at the Partners hospitals: results of a May-June, 2008 survey 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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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 vis-its 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 successful, 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.

Major events during the year (detailed in Appendix A) included the 11 th 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 Michael 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

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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-di-rector 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 early-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 Research 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 informa-tion was compiled and posted on the GME website for easy reference, and trainees were invited to meet indi-vidually 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.

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GME PROGRAM SUMMARY

AY 08-09NO. 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: 11No. 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

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SELECTED AREAS OF GME OVERSIGHT

GME Reports to Hospital Leadership:

BWH ChiefsMGH ChiefsBWH-MGH Joint Chiefs CouncilBWH Care Improvement CouncilMGH Board of TrusteesMGH Board of Trustees Research and Education SubcommitteeMGH General Executive CommitteePartners Operating HeadsPartners Senior Management RetreatStrategic 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) sig -

nificant 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 fac-ulty and trainees. Evaluation was discussed in detail at internal reviews of individual programs and at GMEC meetings. 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 addi-tional 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 Carepage 8


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

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Table I: GME PROGRAMS SPONSORED BY THE PARTNERS HOSPITALSSponsoring

Type #Trainees Accreditation Institution Program DirectorAnesthesia

Integrated Program/sObstetrical Anesthesia F 5 BWH William CamannBWH Program/sAnesthesiology R 95 ACGME BWH Daniel DedrickAdult Cardiothoracic Anesthesiology F 5 ACGME BWH Douglas ShookAmbulatory Anesthesia F 0 BWH Beverly PhilipCritical Care Anesthesiology F 4 ACGME BWH Nicholas SadovnikoffNeuroanesthesia-Clinical F 0 BWH Linda AglioNeurophysiologyPain Medicine, Anesthesiology F 8 ACGME BWH Srdjan NedeljkovicRegional Anesthesia F 1 BWH Mercedes ConcepcionVascular Anesthesia F 0 BWH Stanley LeesonMGH Program/sAnesthesiology R 90 ACGME MGH Keith BakerAdult Cardiothoracic Anesthesiology F 4 ACGME MGH Michael FitzsimonsCritical Care Anesthesiology F 3 ACGME MGH Edward BittnerPain Medicine, Anesthesiology F 6 ACGME MGH Gary Brenner

DermatologyIntegrated Program/sDermatology R 19 ACGME MGH Joseph KvedarBWH Program/sCutaneous Oncology CT 1 BWH Andrew WerchniakMGH Program/sDermatology Laser F 2 MGH R. Rox AndersonMelanoma F 0 MGH Hensin TsaoTelemedicine F 0 MGH Joseph Kvedar

Emergency MedicineIntegrated Program/sEmergency Medicine R 56 ACGME BWH Eric Nadel

Internal MedicineIntegrated Program/sAdvanced GI Endoscopy F 2 BWH David Carr-LockeHematology and Oncology F 38 ACGME BWH Robert MayerHospice and Palliative Care F 9 ACGME MGH Vicki JacksonInfectious Disease F 18 ACGME MGH Benjamin DavisNephrology F 18 ACGME BWH J. Kevin TuckerPulmonary Disease and Critical Care F 27 ACGME MGH David SystromBWH Program/sInternal Medicine R 172 ACGME BWH Joel KatzAdvanced Cardiac EP F 2 BWH Laurence EpsteinAllergy and Immunology F 6 ACGME BWH Marianna CastellsCardiovascular Disease F 18 ACGME BWH Joshua BeckmanClinical Cardiac Electrophysiology F 4 ACGME BWH Laurence EpsteinEndocrinology, Diab. & Metabolism F 6 ACGME BWH Robert DluhyGastroenterology F 15 ACGME BWH Robert BurakoffGeneral Internal Medicine F 3 BWH David Bates

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Sponsoring Type #Trainees Accreditation Institution Program Director

Heart Failure/Transplant F 4 BWH Lynne StevensonInterventional Cardiology F 5 ACGME BWH Pinak ShahPreventive Cardiology F 4 BWH Michael GazianoRheumatology F 10 ACGME BWH Simon HelfgottSleep Medicine F 2 ACGME BWH Lawrence EpsteinTransplant Nephrology F 0 BWH Edgar MilfordVascular Diagnostic & Interventional F 2 BWH Andrew EisenhauerVascular Medicine F 5 BWH Mark CreagerMGH Program/sInternal Medicine R 159 ACGME MGH Hasan BazariAllergy and Immunology F 2 ACGME MGH Aidan LongCardiac Transplant/Heart Failure F 1 MGH Marc SemigranCardiac Ultrasound (Echo) F 7 MGH Michael PicardCardiovascular Disease F 18 ACGME MGH Calum MacRaeClinical Cardiac Electrophysiology F 1 ACGME MGH Jeremy RuskinClinical Vascular Medicine F 0 MGH Michael JaffEndocrinology, Diab. & Metabolism F 9 ACGME MGH Beverly BillerGastroenterology F 12 ACGME MGH Andrew ChanGeneral Internal Medicine F 3 MGH Michael BarryGI Motility and Functional Disease F 0 MGH Braden KuoInflammatory Bowel Disease F 1 MGH Bruce SandsInterventional Cardiology F 5 ACGME MGH Igor PalaciosNuclear Cardiology F 2 MGH Henry GewirtzObesity Medicine and Nutrition F 0 MGH Lee KaplanRheumatology F 3 ACGME MGH Margaret SetonStructural Heart Disease Intervention F 1 MGH Igor PalaciosTransplant Hepatology F 0 ACGME MGH Raymond ChungTransplant Infectious Disease F 1 MGH Jay FishmanVascular Diagnostic & Interventional F 4 MGH Joseph GarasicSalem-NSMC Program/sInternal Medicine R 21 ACGME Salem-NSMC Wayne Trebbin

Inter-DepartmentalIntegrated Program/sInternal Medicine-Dermatology R ABIM/ABD MGH Joseph KvedarUrogynecology F 0 BWH Neeraj KohliBWH Program/sBehavioral Neurology and F 1 UCNS BWH Kirk DaffnerNeuropsychiatryInternal Medicine-Pediatrics R 4 ACGME BWH Niraj SharmaInternal Medicine-Medical Genetics R 1 ABIM/ABMG BWH Michael MurrayNon-Invasive Cardiac Imaging F 2 BWH J. Wu; S, DorbalaMcLean Program/sBehavioral Neurology and F 1 McLean Bruce PriceNeuropsychiatryMGH Program/sInternal Medicine-Pediatrics R 28 ACGME MGH David TingNWH Program/sTransitional Year R 6 ACGME NWH Janet Larson

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NeurologyIntegrated Program/sNeurology R 43 ACGME MGH David GreerMovement Disorders F 1 MGH Alice FlahertyMultiple Sclerosis F 2 BWH Samia KhouryCritical Care Neurology F 3 UCNS MGH Jonathan RosandNeuromuscular Medicine F 6 ACGME BWH Anthony AmatoVascular Neurology F 4 ACGME MGH Jonathan RosandBWH Program/sClinical Neurophysiology F 3 ACGME BWH Barbara DworetzkyMGH Program/sChild Neurology R 5 ACGME MGH Katherine SimsAdvanced General Neurology F 0 MGH Nagagopal VennaClinical Neurophysiology F 3 ACGME MGH Andrew ColeNeuro-oncology F 2 UCNS MGH Scott Plotkin

NeurosurgeryBWH Program/sBrain Tumor F 1 BWH Peter BlackCerebrovascular F 1 BWH Arthur DayMGH Program/sNeurological Surgery R 8 ACGME MGH Emad Eskandar

Obstetrics and GynecologyIntegrated Program/sObstetrics and Gynecology R 40 ACGME BWH Ruth TuomalaBWH Program/sFamily Planning F 2 BWH Alisa GoldbergFertility and Endocrinology F 1 ABOG BWH Mark HornsteinGynecologic Oncology F 4 ABOG BWH Michael MutoMaternal Fetal Medicine F 2 ABOG BWH Louise Wilkins-HaugMinimally Invasive GYN Surgery F 1 MIGS BWH Jon EinarssonMGH Program/sGynecologic Oncology F 3 ABOG MGH AnneKathryn GoodmanMaternal Fetal Medicine F 2 ABOG MGH Jeffrey EckerMenopause F 0 MGH Jan ShifrenReproductive Endocrinology F 4 ABOG MGH Thomas Toth

NWH Program/sMinimally Invasive GYN Surgery F MIGS NWH Keith Isaacson

Oral and Maxillofacial SurgeryIntegrated Program/sDental R 6 ADA BWH Agnes LauBWH Program/sHospital Dentistry F 1 BWH Agnes LauMGH Program/sOral and Maxillofacial Surgery R 7 CODA MGH Maria TroulisOrofacial Pain F 1 MGH Jeffry Shaefer

Sponsoring page 12


Type #Trainees Accreditation Institution Program Director

Orthopedic SurgeryIntegrated Program/sOrthopedic Surgery R 60 ACGME MGH Dempsey SpringfieldOrthopedic Trauma F 2 MGH Mark VrahasShoulder and Elbow F 5 MGH Laurence HigginsSpine Surgery F 6 MGH Kirkham WoodBWH Program/sArthroplasty F 3 BWH Daniel EstokFoot and Ankle F 2 BWH Michael WilsonHand Surgery (Orthopedics) F 3 ACGME BWH Barry SimmonsOrthopedic Sports Medicine F 2 ACGME BWH Scott MartinMGH Program/sArthroplasty F 4 MGH Andrew FreibergHand Surgery F 3 ACGME MGH Chaitanya MudgalMusculoskeletal Oncology F 3 ACGME MGH Francis HornicekOrthopedic Sports Medicine F 3 ACGME MGH Thomas GillPediatric Orthopedics F 1 MGH Brian GrottkauPodiatric Medicine and Surgery R 3 CPME MGH Robert ScardinaNWH Program/sSpine Surgery F 0 NWH Louis Jenis

PathologyIntegrated Program/sBlood Banking/Transfusion Medicine F 2 ACGME BWH Richard KaufmanMolecular Genetic Pathology F 4 ACGME BWH Janina LongtineBWH Program/sPathology- Anatomic and Clinical R 36 ACGME BWH Gayle WintersCytopathology F 2 ACGME BWH Edmund CibasHematology Pathology F 4 ACGME BWH Geraldine PinkusNeuropathology F 2 ACGME BWH Rebecca FolkerthSelective Pathology F 3 ACGME BWH Christopher CrumSurgical Pathology F 4 BWH Christopher FletcherMGH Program/sPathology- Anatomic and Clinical R 33 ACGME MGH Stephen Black-SchafferCytopathology F 2 ACGME MGH Rosemary TambouretHematology Pathology F 1 ACGME MGH Robert HasserjianNeuropathology F 3 ACGME MGH Matthew FroschSubspecialty Surgical Pathology F MGH Gregory Lauwers

PediatricsMGH Program/sPediatrics R 49 ACGME MGH Emmett SchmidtGeneral Academic Pediatrics F MGH James PerrinPediatric Advanced Inflammatory F 2 MGH Harland WinterBowel DiseasePediatric Critical Care Medicine F 6 ACGME MGH Natan NoviskiPediatric Endocrinology F 7 ACGME MGH Madhusmita MisraPediatric Gastroenterology F 4 ACGME MGH Gary RussellPediatric Pulmonology F 2 ACGME MGH Kenan Haver

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Physical Medicine and RehabilitationSRH Program/sPhysical Medicine and Rehabilitation R 20 ACGME SRH Kevin O'ConnorPain Medicine, PM&R F 1 ACGME SRH Alec MelegerSpinal Cord Injury Medicine F 0 ACGME SRH Sunil SabharwalSports Medicine, PM&R F 1 SRH Joanne Borg-Stein

Plastic SurgeryIntegrated Program/sPlastic Surgery R 25 ACGME BWH Julian PribazMGH Program/sReconstructive and Aesthetic Breast F 1 MGH William Austen, Jr.

PsychiatryIntegrated Program/sChild and Adolescent Psychiatry R 18 ACGME MGH Eugene BeresinPsychiatry R 60 ACGME MGH Kathy SandersAddiction Psychiatry F 3 ACGME MGH Shelly GreenfieldBWH Program/sPsychiatry R 56 ACGME BWH William GreenbergPsychosomatic Medicine F 5 ACGME BWH David GitlinMcLean Program/sGeriatric Psychiatry F 1 ACGME McLean Sumer VermaMGH Program/sClinical Psychology F 0 APA MGH Sheila O'KeefeForensic Psychiatry F 1 ACGME MGH Ronald SchoutenPsychosomatic Medicine F 3 ACGME MGH Gregory Fricchione

Radiation OncologyIntegrated Program/sRadiation Oncology R 29 ACGME BWH Jay HarrisBWH Program/sBrachytherapy F BWH Phillip DevlinMGH Program/sHead and Neck Radiation Oncology F 0 MGH Paul BusseProton Radiation F 0 MGH Annie Chan

RadiologyBWH Program/sNuclear Medicine F 7 ACGME BWH S. Ted TrevesRadiology-Diagnostic R 38 ACGME BWH Barbara WeissmanAbdominal Radiology F 6 ACGME BWH Stuart SilvermanBreast Imaging F 1 BWH Sughra RazaCardiothoracic Radiology F 1 ACGME BWH Beatrice DickensonEmergency Radiology F 2 BWH Salvatore ViscomiMedical Informatics F 2 BWH Lucila Ohno-MachadoMR - Image Guided Therapy F 0 BWH Ferenc JoleszMusculoskeletal Radiology F 7 BWH Philipp LangNeuroradiology F 6 ACGME BWH Liangge HsuNuclear Oncology – PET F 3 BWH Annick van den AbbeeleOncoradiology F 1 BWH Fiona Fennessy

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Vascular & Interventional Radiology F 3 ACGME BWH Chieh-Min FanWomen's Imaging F 3 BWH Sughra RazaMGH Program/sRadiology-Diagnostic R 38 ACGME MGH Theresa McLoudAbdominal (Body) Imaging F 7 MGH Raul UppotAbdominal and Interv. Radiology F 7 MGH Debra GervaisBreast Imaging F 3 MGH Elizabeth RaffertyCardiac Imaging (MR - CT) F 2 MGH Suhny AbbaraEmergency Radiology F 2 MGH Robert NovellineInterventional Neuroradiology F 3 MGH James RabinovMusculoskeletal Radiology F 4 MGH William PalmerNeuroradiology F 8 ACGME MGH Pamela SchaeferPediatric Neuroradiology F 1 MGH Katherine NimkinPediatric Radiology F 2 ACGME MGH Sjirk WestraThoracic Radiology F 3 MGH JoAnne ShepardVascular & Interventional Radiology F 6 ACGME MGH Ronald Arellano

SurgeryIntegrated Program/sBreast Surgery F 3 SSO MGH Barbara SmithEndocrine Surgery F 1 BWH Francis Moore, Jr.BWH Program/sSurgery-General R 50 ACGME BWH Stanley AshleyAcute Care Surgery F 1 BWH Edward KellyCancer Surgery-Advanced Clinical F 0 BWH Steven MentzerTrainingMinimally Invasive Surgery F 2 BWH David BrooksSurgical Critical Care F 3 ACGME BWH Selwyn RogersVascular Surgery F 2 ACGME BWH Michael BelkinMGH Program/sSurgery-General R 52 ACGME MGH Charles FergusonAcute Care Surgery F 1 MGH Hasan AlamBurn Surgery F 1 MGH Robert SheridanLaryngology and Phonosurgery F 2 MGH Steven ZeitelsMinimally Invasive Surgery F 2 MGH David RattnerSurgical Critical Care F 1 ACGME MGH Hasan AlamTransplant Surgery F 2 ASTS MGH James MarkmannVascular Surgery F 4 ACGME MGH Christopher Kwolek

Thoracic SurgeryBWH Program/sThoracic Surgery R 8 ACGME BWH Raphael BuenoGeneral Thoracic Surgery F 2 BWH Raphael BuenoJoint Thoracic and General Surgery R 2 ACGME BWH Raphael BuenoMinimally Invasive Thoracic Surgery F 1 BWH Raphael BuenoThoracic Oncology F 1 BWH David SugarbakerCardiac Surgery (Junior) CT 5 BWH Raphael BuenoMGH Program/sThoracic Surgery R 9 ACGME MGH Douglas MathisenCardiac Surgery F 0 MGH Douglas MathisenJoint Thoracic and General Surgery R 1 ACGME MGH Douglas Mathisen

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UrologyBWH Program/sUrology R 12 ACGME BWH Jerome RichieUrologic Oncology F 1 BWH Jim HuMGH Program/sUrology R 8 ACGME MGH W. Scott McDougalUrology 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 = ResidencyF = FellowshipCT = 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

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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

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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 Sponsor Program Name R/F Certification

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

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TABLE IV: AY 08-09 GME PROGRAM LEADERSHIP TRANSITIONS

ACGME Sponsor Program Name Outgoing Program Director New Program Director

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 ProgramMGH Internal Medicine – DermatologyMGH Joint Thoracic and General SurgeryMGH GI Motility and Functional DiseaseBWH Colorectal SurgeryMGH SchizophreniaBWH Interventional NephrologyMGH Craniofacial SurgeryBWH Medical DermatologyBWH Clinician NeuroimagingMGH Transplant NephrologyMGH Geriatric PsychiatryBWH Medical SimulationBWH Cutaneous OncologyNWH Spine SurgeryBWH Transplant NephrologyBWH Neuroanesthesia - Clinical NeurophysiologyBWH Women's ImagingBWH-DFCI OncoradiologyBWH-DFCI Translational Imaging

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TABLE VI: AY 08-09 ACCREDITATION STATUS AND REVIEWS

Sponsor ACGME Accredited Programs Status

Rev

Accreditation Action Site Visit

Internal Review

BWH Abdominal radiology Continued Accreditation 10/6/2008MGH Addiction psychiatry Continued AccreditationBWH Adult cardiothoracic anesthesiology AccreditationMGH Adult cardiothoracic anesthesiology Accreditation 9/10/2008BWH Allergy and immunology Continued Accreditation 9/12/2008MGH Allergy and immunology Continued Accreditation 4/29/09BWH Anesthesiology Continued Accreditation 2/4/2009MGH Anesthesiology Continued AccreditationBWH Blood banking/transfusion medicine Continued AccreditationBWH Cardiothoracic radiology Continued AccreditationMGH Cardiovascular disease Continued AccreditationBWH Cardiovascular disease Continued Accreditation 3/6/2009MGH Child and adolescent psychiatry Continued AccreditationMGH Child neurology Continued Accreditation 10/10/2008BWH Clinical cardiac electrophysiology Continued AccreditationMGH Clinical cardiac electrophysiology Continued Accreditation 5/18/2009BWH Clinical neurophysiology Continued AccreditationMGH Clinical neurophysiology Accreditation 11/5/08BWH Colon and rectal surgery Proposed withhold, initial

accreditation12/2/08

MGH Critical care medicine Continued AccreditationBWH Critical care medicine Continued Accreditation 3/16/2009MGH Cytopathology Continued AccreditationBWH Cytopathology Continued Accreditation 4/17/2009 1/15/09MGH Dermatology Continued Accreditation 9/14/2008BWH Emergency medicine Continued Full Accreditation 7/14/2008MGH Endocrinology, diabetes, and metabolism Continued AccreditationBWH Endocrinology, diabetes, and metabolism Continued AccreditationMGH Forensic psychiatry Continued AccreditationMGH Gastroenterology Continued AccreditationBWH Gastroenterology Continued Accreditation 5/14/2009 11/13/08BWH Hand surgery, Orthopedics Continued Full AccreditationMGH Hand surgery, Orthopedics Initial Accreditation 9/5/2008MGH Hematology Pathology Continued AccreditationBWH Hematology Pathology Continued Accreditation 12/12/08BWH Hematology and oncology Continued Accreditation 3/13/2009MGH Hospice and palliative medicine Accreditation 7/1/2008MGH Infectious disease Continued AccreditationMGH Internal medicine Continued AccreditationBWH Internal medicine Continued Accreditation 5/17/2009 11/11/08BWH Internal medicine/Pediatrics Continued Accreditation 5/14/2009 11/12/08MGH Internal medicine/Pediatrics Accreditation 6/17/09BWH Interventional cardiology Continued Accreditation 3/6/2009MGH Interventional cardiology Continued AccreditationBWH Molecular genetic pathology Continued AccreditationMGH Musculoskeletal oncology Continued Accreditation 1/16/2009BWH Nephrology Continued Accreditation 9/30/2008

Activity during AY 08-09ACGME Accreditation

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TABLE VI: AY 08-09 ACCREDITATION STATUS AND REVIEWS, cont

Sponsor ACGME Accredited Programs Status

Rev

Accreditation Action Site Visit

Internal Review

MGH Neurological surgery Continued Accreditation 12/3/08MGH Neurology Continued Accreditation 5/5/09BWH Neuromuscular medicine Continued AccreditationBWH Neuropathology Continued Accreditation 10/30/2008MGH Neuropathology Continued Accreditation 4/17/2009 9/24/08MGH Neuroradiology Continued Accreditation 2/25/09BWH Neuroradiology Continued Accreditation 10/21/2008BWH Nuclear medicine Continued Full Accreditation 5/20/09BWH Obstetrics and gynecology Continued Accreditation 5/1/2009MGH Orthopaedic sports medicine Continued Accreditation 1/16/2009 10/17/08MGH Orthopaedic surgery Continued Accreditation 7/1/2009 5/6/09MGH Pain medicine Continued AccreditationBWH Pain medicine Continued Accreditation 3/11/2009MGH Pathology-anatomic and clinical Continued AccreditationBWH Pathology-anatomic and clinical Continued Accreditation 4/17/2009 9/10/08MGH Pediatric critical care medicine Continued Accreditation 10/20/2008MGH Pediatric endocrinology Continued AccreditationMGH Pediatric gastroenterology AccreditationMGH Pediatric pulmonology Continued Accreditation 4/6/2009MGH Pediatric radiology Continued AccreditationMGH Pediatrics Continued AccreditationBWH Plastic surgery Continued AccreditationMGH Psychiatry Continued AccreditationBWH Psychiatry Continued AccreditationBWH Psychosomatic medicine Continued AccreditationMGH Psychosomatic medicine AccreditationMGH Pulmonary disease and critical care Continued AccreditationBWH Radiation oncology Continued Accreditation 5/7/09BWH Radiology-diagnostic Continued Accreditation 10/8/2008MGH Radiology-diagnostic Continued Full Accreditation 2/24/09MGH Rheumatology Continued AccreditationBWH Rheumatology Continued Accreditation 2/13/2009BWH Selective pathology Continued Accreditation 4/17/2009 9/11/08BWH Sleep medicine Continued Accreditation 9/29/2008BWH Surgery Continued Accreditation 2/19/2009 8/5/08MGH Surgery Continued Full Accreditation 11/18/08BWH Surgical critical care Continued Accreditation 1/21/2009MGH Surgical critical care Continued AccreditationMGH Thoracic surgery Continued AccreditationBWH Thoracic surgery Continued Accreditation 2/18/09MGH Transplant hepatology Accreditation 8/22/2008MGH Urology Continued Accreditation 12/3/2008BWH Urology Continued AccreditationBWH Vascular and interventional radiology Continued Accreditation 10/15/2008MGH Vascular and interventional radiology Continued Accreditation 2/26/09MGH Vascular neurology Continued Accreditation 10/31/08BWH Vascular surgery Continued Accreditation 5/27/2009MGH Vascular surgery Continued Full Accreditation

Activity during AY 08-09ACGME Accreditation

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TABLE VII: AY 08-09 AFFILIATIONS AND INTEGRATION

Sponsor Program MGH Program Rotating to BWH1

BWH progam rotating to MGH12

Programs rotating to Faulkner2

Programs rotating to Newton Wellesley2

Programs rotating to Salem Hospital/ NSMC2

Programs rotating to Spaulding Rehab Hospital2

MGH Allergy and Immunology xBWH Allergy and Immunology xBWH Anesthesiology xMGH Anesthesiology x xBWH Cardiovascular Disease xMGH Cardiovascular Disease xMGH Child Neurology x xMGH Cytopathology x xBWH Critical Care Medicine xBWH Gastro Enterology xBWH Hand Surgery x xMGH Hand Surgery xMGH Hematology Pathology xBWH Internal Medicine xMGH Internal Medicine xBWH Internal Medicine/Medical Genetics (NA) x xMGH Internal Medicine/Pediatrics x xBWH Neuromuscular Medicine xMGH Neuropathology x xBWH Ob/GYN (PHS) x x xBWH Pain MedicineMGH Pathology-Anatomic and Clinical xMGH Pediatrics x x xBWH Psychiatry xMGH Psychiatry xBWH Psychosomatic Medicine xMGH Radiology-Diagnostic xBWH Rheumatology xMGH Rheumatology xBWH Surgery xMGH Surgery x xBWH Surgical Critical Care xBWH Urology x

1ACGME 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 community/spe-

cialty hospitals. Some community/specialty hospitals include rotations at BWH and/or MGH (not shown on this table). Source: ACGME WebADS

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Table VIII: EDUCATION RELATED FORUMS

Housestaff Town Meetings

December 2, 2008: BWHJanuary 12, 2009: MGH

Education Committee Meetings

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

MGH Executive Committee on Teaching and Education

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

Partners Education Committee

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

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APPENDIX A: EDUCATIONAL PROGRAMS

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

Program Director WorkshopsParticipation 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, 2008An 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, 2009Program Evaluation and ImprovementDempsey Springfield, MD, Keith Baker, MD, Sharon Muret-Wagstaff, PhD

Clinical Fellows RetreatOctober 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 PanelCommon Legal and Risk Issues for HousestaffCommunication Skills: Difficult ConversationsCulturally Competent CareEthical Issues for Consultants Leadership: Some Challenging QuestionsPresentation SkillsTeaching and Feedback: When You Only Have 5 MinutesThe Effects of Fatigue on Performance Tips for Publishing: Perspective from the NEJMWork-Life Balance

Core Curriculum RetreatMarch 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:

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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 CourseMay 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, 2009MGH: 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

Introduction to Professionalism JCAHO Medical Library Resources Medical Records and Physician Order Entry

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Needle Safety Occupational Health Patient Safety Quality of Care Risk Management Supervision of Trainees TB Fit Testing

Curriculum Development SeriesFall-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 RetreatsOctober 3, 2008April 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 ExpertiseCommon program requirements demystifiedDeveloping a Program Coordinator Best Practice GroupOrientation and the Partners Office of Resources for TraineesNew InnovationsPreparing for an ACGME site visitNew 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.

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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 – 2009Patient Safety Research and Practice David Bates, MD, MScQuality & Safety 101 Lucian Leape, MD Safety Management Lessons from the Air Force & the Titanic, Gregg Meyer, MD, MScCRICO Videos “When Things Go Wrong” and “Sued”, along with an informal faculty discussion Tejal Gandhi, MD, MPH Gregg Meyer,

MD, MScQuality and the Evolution of the Healthcare Marketplace Gregg Meyer, MD, MScPay for Performance Contracts Jessica Dudley, MDTransparency in Health Care Quality Elizabeth Mort, MD, MPH Problem doctors - Assessing and Improving Performance and Competence Lucian Leape, MDLessons in Safety and Quality from a For-Profit Multi-Hospital System: Can It Be Achieved? Jennifer Daley, MDThe Nash Equilibrium Breaks Down: How current market pressures make improvement possi-ble and imperative

Thomas Lee, MD, MSc

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 af-ter 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-offReceptions

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

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

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.

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APPENDIX C: GME COMMITTEES, AY 2008-09BWH Education Committee

Chair Jon Borus, MD BWH Director of Medical EducationPartners Vice President, GME Debra Weinstein, MDSenior Associate Director, GME John Patrick Co, MD, MPHAssociate Director, GME Eric Nadel, MDAssociate Director, GME Dempsey Springfield, MDChief Medical Officer Anthony Whittemore, MDQuality and Safety Representative Allen Kachalia, MD MedicineSimulation Representative Charles Pozner, MD Medical Director, STRATUS CenterHMS PCE Director Erik Alexander, MD BWH Dir. of Medical Student Educ.Residency Program Directors Stanley Ashley, MD Surgery

Lori Berkowitz, MD PHS OB-GYNRaphael Bueno, MD Thoracic SurgeryDaniel Dedrick, MD AnesthesiaWilliam Greenberg, MD PsychiatryJay Harris, MD PHS Radiation OncologyJoel Katz, MD MedicineTracey Milligan, MD PHS NeurologyEric Nadel, MD PHS Emergency MedicineJulian Pribaz, MD PHS Plastic SurgeryJerome Richie, MD UrologyNiraj Sharma, MD Internal Medicine-PediatricsS. Ted Treves, MD Nuclear MedicineBarbara Weissman, MD RadiologyGayle Winters, MD Pathology

Fellowship Program Directors Fiona Fennessy, MD OncoradiologySimon Helfgott, MD RheumatologyRichard Kaufman, MD PHS Blood Banking – Trans. Med.Frederick Makrauer, MD GastroenterologyRobert Mayer, MD PHS Hematology-OncologySrdjan Nedeljkovic, MD Pain MedicineRobert Odze, MD Gastrointestinal PathologyDouglas Shook, MD Adult Cardiothoracic Anesthesia

Resident/Fellow Representatives Kendra Bowman, MD General SurgeryEmily Brown, MD PHS Emergency MedicineJanice Chyou, MD Internal MedicineMatthew Doran, MD AnesthesiologyDanielle Margalit, MD PHS Radiation OncologySara Nelson, MD PHS Emergency MedicineSusan Pasnick, MD Internal MedicineEric Rosenthal, MD PHS Neurocritical Care & Stroke Fidencio Saldana, MD Cardiovascular DiseaseSimon George Talbot, MD PHS Plastic SurgeryPeter Vezeridis, MD PHS Orthopaedic SurgeryKatherine Young, MD Psychiatry

GME Staff Georgi Bland GMEIrina Knyshevski GME

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MGH Executive Committee on Teaching and Education

Chair Harry Rubash, MD Chair, Orthopedic SurgerySenior Associate Director, GME John Patrick Co, MD, MPHPresident of MGH (delegate) Ann Prestipino Senior Vice PresidentMGH Trustee (Emeritus) Matina Horner, Ph.D.Partners Vice President, GME Debra Weinstein, MDChair, MGH Chiefs' Council W. Gerald Austen, MDChief Medical Officer Britain Nicholson, MDQuality and Safety Representative Andrew Karson, MDSimulation Representative James Gordon, MDInstitute of Health Professions (IHP) Janis Bellack, RN, PhD President, MGH IHPMGPhysician Organization David Torchiana, MD President, MGPOHMS PCE Director (representative) Marc DeMoya, MD Surgery Clerkship DirectorResidency Program Directors Deborah Pedersen, MD Anesthesiology

Steven Schlozman, MD Child and Adolescent PsychiatryKatherine Sims, MD Child NeurologyDavid Ting, MD Internal Medicine – PediatricsJoseph Kvedar, MD PHS DermatologyEric Nadel, MD PHS Emergency MedicineHasan Bazari, MD Internal MedicineEmad Eskandar, MD Neurological SurgeryDavid Greer, MD PHS NeurologyLori Berkowitz, MD PHS Obstetrics and GynecologyMaria Troulis, MD Oral and Maxillofacial SurgeryDempsey Springfield, MD PHS OrthopedicsW. Stephen Black-Schaffer, MD PathologyEmmett Schmidt, MD PediatricsJay Austen, MD PHS Plastic SurgeryKathy Sanders, MD PsychiatryAnthony Zietman, MD PHS Radiation OncologyTheresa McLoud, MD Radiology – DiagnosticCharles Ferguson, MD Surgery – GeneralDouglas Mathisen, MD Thoracic SurgeryDianne Sacco, MD Urology

Fellowship Program Directors Aidan Long, MD Allergy-ImmunologyKenan Haver, MD Pediatric PulmonologyCalum MacRae, MD Cardiovascular DiseaseGary Brenner, MD Pain MedicineRosemary Tambouret, MD CytopathologyMichael Jaff, MD Vascular MedicineDavid Systrom, MD PHS Pulmonary Disease-Crit. CareRonald Arellano, MD Vascular & Interventional Radiology

Resident/Fellow Representatives Alyssa Letourneau, MD Internal Medicine-PediatricsBradley Monash. MD Internal Medicine-PediatricsBenjamin White, M.D PHS Emergency MedicineJay Shah, MD Internal MedicineHarald Ott, MD Surgery – GeneralKyle Eberlin, MD PHS Plastic SurgeryMichael Roehrl, MD PathologyNicte Mejia, MD PHS NeurologyJames Monica, MD PHS Orthopedic Surgery

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Daniel Guss, MD PHS Orthopedic SurgeryDavid Grelotti, MD PsychiatryMargot Phillips, MD Psychiatry

GME Staff Georgi Bland GMEIrina Knyshevski GME

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PARTNERS EDUCATION COMMITTEE

Co-Chair Harry Rubash, MD MGH OrthopedicsCo-Chair Jon Borus, MD BWH Medical EducationPartners Vice President, GME Debra Weinstein, MD PHS Graduate Medical EducationSenior Associate Director, GME John Patrick Co, MD, MPH PHS Graduate Medical EducationAssociate Director, GME Eric Nadel, MD PHS Emergency MedicineAssociate Director, GME Dempsey Springfield, MD PHS OrthopedicsChief Medical Officer, BWH Anthony Whittemore, MDChief Medical Officer, MGH Britain Nicholson, MDChair, MGH Chiefs' Council W. Gerald Austen, MDFaulkner Hospital Pardon Kenney, MD SurgeryMcLean Hospital Shelly Greenfield, MD Chief Academic OfficerSalem Hospital (NSMC) Wayne Trebbin, MD Internal MedicineNewton-Wellesley Hospital Lawrence Friedman, MD Internal MedicineSpaulding Rehabilitation Hospital Ross Zafonte, DO Physical Medicine & RehabilitationMGH Trustee (Emeritus) Matina Horner, Ph.D.HMS PCE Director Erik Alexander, MD BWH Medicine clerkship directorHMS PCE Director Marc DeMoya, MD MGH Surgery clerkship directorProgram Director Representatives Stanley Ashley, MD BWH Surgery

Lori Berkowitz, MD PHS OB-GYNW. Stephen Black-Schaffer, MD MGH PathologyDaniel Dedrick, MD BWH AnesthesiaCharles Ferguson, MD MGH Surgery – GeneralSimon Helfgott, MD BWH RheumatologyJoel Katz, MD BWH MedicineRobert Mayer, MD PHS Hematology-OncologyTheresa McLoud, MD MGH Radiology – DiagnosticRosemary Tambouret, MD MGH Cytopathology

Trainee Representatives Kyle Eberlin, MD PHS Plastic SurgeryDaniel Guss, MD PHS Orthopedic SurgeryDanielle Margalit, MD PHS Radiation OncologySara Nelson, MD PHS Emergency MedicineMichael Roehrl, MD MGH PathologyFidencio Saldana, MD BWH Cardiovascular Disease

GME Staff Georgi Bland PHS GMEIrina Knyshevski PHS GME

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