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 Medical 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 competing 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.
PHS Vice President for GME
John Patrick T. Co, M.D., M.P.H.
Senior Associate Director, PHS GME
Eric Nadel, M.D.
Associate Director, PHS GME
Dempsey Springfield, M.D.
Associate Director, PHS GME
Susan Farrell, M.D., Ed.M.
Education Specialist, PHS GME
Sharon Muret-Wagstaff, Ph.D.
Education Specialist, PHS GME
Jennifer Goldsmith, M.P.H, M.Ed.
Administrative Director, PHS GME
Maria Dellarocco
Assistant Director, PHS GME
Georgi Bland
Sr. Accreditation Director, PHS GME
Irina Knyshevski
Accreditation Administrator, PHS GME
Angela Byers
Project Manager, PHS GME
Jessica Perlo
GME Strategic Initiatives Coordinator
Shawn Vanner
Manager, Partners Office of Resources for Trainees (PORT)
Lisa DiPrizio
Administrative Coordinator, PORT
Melaurie Brown, Tennille Doyle and Jean Tammaro
Administrative Assistants
Candace Strouble
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 diverse 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 subspecialties 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 hospitals 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 Committee (PEC). Dr. Jonathan Borus, former Chair of Psychiatry for Brigham and Women’s/Faulkner Hospitals, assumed 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 standards 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 institutional 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.
page 4
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 reviews, as well as numerous follow-up reports from programs in response to prior internal review recommendations, 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 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 resources 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. Collated anonymous program-specific survey responses were provided to program directors.
Partners’ community and specialty hospitals remain important sites for resident education (Table VII). NewtonWellesley 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 ACGMEaccredited 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 including 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 program leadership and staff. The GME directors serve as liaisons to external organizations related to physician education. In addition, they help identify appropriate solutions to conflicts that may arise between trainees and program leadership, and assist program directors in addressing concerns about the clinical competence or professionalism of individual trainees.
Major events during the year (detailed in Appendix A) included the 11th Annual Partners Housestaff Core Curriculum 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 association 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
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 incoming 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 Codirector 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 collaboration. A compilation of grant opportunities for education-related research was also posted, and is being updated 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 interface of education and patient care, with funding previously allocated via a prior internal grants process. Collection 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 information 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 resources. (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 regarding some of the GME strategic initiatives, easy access to the GME newsletter, and other resources. Collaboration 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)
NO. OF PARTNERS INTEGRATED TRAINING PROGRAMS
2
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 program, 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 faculty 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 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 addressed 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 addressed 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
Type #Trainees
Accreditation
Sponsoring
Institution
Program Director
BWH
William Camann
BWH
BWH
BWH
BWH
BWH
Daniel Dedrick
Douglas Shook
Beverly Philip
Nicholas Sadovnikoff
Linda Aglio
Anesthesia
Integrated Program/s
Obstetrical Anesthesia
BWH Program/s
Anesthesiology
Adult Cardiothoracic Anesthesiology
Ambulatory Anesthesia
Critical Care Anesthesiology
Neuroanesthesia-Clinical
Neurophysiology
Pain Medicine, Anesthesiology
Regional Anesthesia
Vascular Anesthesia
MGH Program/s
Anesthesiology
Adult Cardiothoracic Anesthesiology
Critical Care Anesthesiology
Pain Medicine, Anesthesiology
F
5
R
F
F
F
F
95
5
0
4
0
ACGME
ACGME
F
F
F
8
1
0
ACGME
BWH
BWH
BWH
Srdjan Nedeljkovic
Mercedes Concepcion
Stanley Leeson
R
F
F
F
90
4
3
6
ACGME
ACGME
ACGME
ACGME
MGH
MGH
MGH
MGH
Keith Baker
Michael Fitzsimons
Edward Bittner
Gary Brenner
R
19
ACGME
MGH
Joseph Kvedar
CT
1
BWH
Andrew Werchniak
F
F
F
2
0
0
MGH
MGH
MGH
R. Rox Anderson
Hensin Tsao
Joseph Kvedar
R
56
ACGME
BWH
Eric Nadel
F
F
F
F
F
F
2
38
9
18
18
27
ACGME
ACGME
ACGME
ACGME
ACGME
BWH
BWH
MGH
MGH
BWH
MGH
David Carr-Locke
Robert Mayer
Vicki Jackson
Benjamin Davis
J. Kevin Tucker
David Systrom
R
F
F
F
F
F
F
F
172
2
6
18
4
6
15
3
BWH
BWH
BWH
BWH
BWH
BWH
BWH
BWH
Joel Katz
Laurence Epstein
Marianna Castells
Joshua Beckman
Laurence Epstein
Robert Dluhy
Robert Burakoff
David Bates
ACGME
Dermatology
Integrated Program/s
Dermatology
BWH Program/s
Cutaneous Oncology
MGH Program/s
Dermatology Laser
Melanoma
Telemedicine
Emergency Medicine
Integrated Program/s
Emergency Medicine
Internal Medicine
Integrated Program/s
Advanced GI Endoscopy
Hematology and Oncology
Hospice and Palliative Care
Infectious Disease
Nephrology
Pulmonary Disease and Critical Care
BWH Program/s
Internal Medicine
Advanced Cardiac EP
Allergy and Immunology
Cardiovascular Disease
Clinical Cardiac Electrophysiology
Endocrinology, Diab. & Metabolism
Gastroenterology
General Internal Medicine
ACGME
ACGME
ACGME
ACGME
ACGME
ACGME
page 10
Partners Graduate Medical Education Annual Report: AY 2008-09
Type #Trainees
Heart Failure/Transplant
Interventional Cardiology
Preventive Cardiology
Rheumatology
Sleep Medicine
Transplant Nephrology
Vascular Diagnostic & Interventional
Vascular Medicine
MGH Program/s
Internal Medicine
Allergy and Immunology
Cardiac Transplant/Heart Failure
Cardiac Ultrasound (Echo)
Cardiovascular Disease
Clinical Cardiac Electrophysiology
Clinical Vascular Medicine
Endocrinology, Diab. & Metabolism
Gastroenterology
General Internal Medicine
GI Motility and Functional Disease
Inflammatory Bowel Disease
Interventional Cardiology
Nuclear Cardiology
Obesity Medicine and Nutrition
Rheumatology
Structural Heart Disease Intervention
Transplant Hepatology
Transplant Infectious Disease
Vascular Diagnostic & Interventional
Salem-NSMC Program/s
Internal Medicine
Accreditation
Sponsoring
Institution
Program Director
BWH
BWH
BWH
BWH
BWH
BWH
BWH
BWH
Lynne Stevenson
Pinak Shah
Michael Gaziano
Simon Helfgott
Lawrence Epstein
Edgar Milford
Andrew Eisenhauer
Mark Creager
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
Hasan Bazari
Aidan Long
Marc Semigran
Michael Picard
Calum MacRae
Jeremy Ruskin
Michael Jaff
Beverly Biller
Andrew Chan
Michael Barry
Braden Kuo
Bruce Sands
Igor Palacios
Henry Gewirtz
Lee Kaplan
Margaret Seton
Igor Palacios
Raymond Chung
Jay Fishman
Joseph Garasic
Wayne Trebbin
F
F
F
F
F
F
F
F
4
5
4
10
2
0
2
5
R
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
159
2
1
7
18
1
0
9
12
3
0
1
5
2
0
3
1
0
1
4
ACGME
ACGME
R
21
ACGME
Salem-NSMC
R
F
ABIM/ABD
0
MGH
BWH
F
1
UCNS
R
R
F
4
1
2
ACGME
ABIM/ABMG
F
1
R
28
R
6
ACGME
ACGME
ACGME
ACGME
ACGME
ACGME
ACGME
ACGME
ACGME
ACGME
Inter-Departmental
Integrated Program/s
Internal Medicine-Dermatology
Urogynecology
BWH Program/s
Behavioral Neurology and
Neuropsychiatry
Internal Medicine-Pediatrics
Internal Medicine-Medical Genetics
Non-Invasive Cardiac Imaging
McLean Program/s
Behavioral Neurology and
Neuropsychiatry
MGH Program/s
Internal Medicine-Pediatrics
NWH Program/s
Transitional Year
BWH
Joseph Kvedar
Neeraj Kohli
Kirk Daffner
BWH
BWH
BWH
Niraj Sharma
Michael Murray
J. Wu; S, Dorbala
McLean
Bruce Price
ACGME
MGH
David Ting
ACGME
NWH
Janet Larson
page 11
Partners Graduate Medical Education Annual Report: AY 2008-09
Sponsoring
Institution
Program Director
UCNS
ACGME
ACGME
MGH
MGH
BWH
MGH
BWH
MGH
David Greer
Alice Flaherty
Samia Khoury
Jonathan Rosand
Anthony Amato
Jonathan Rosand
3
ACGME
BWH
Barbara Dworetzky
R
F
F
F
5
0
3
2
ACGME
MGH
MGH
MGH
MGH
Katherine Sims
Nagagopal Venna
Andrew Cole
Scott Plotkin
F
F
1
1
BWH
BWH
Peter Black
Arthur Day
R
8
ACGME
MGH
Emad Eskandar
R
40
ACGME
BWH
Ruth Tuomala
F
F
F
F
F
2
1
4
2
1
ABOG
ABOG
ABOG
MIGS
BWH
BWH
BWH
BWH
BWH
Alisa Goldberg
Mark Hornstein
Michael Muto
Louise Wilkins-Haug
Jon Einarsson
F
F
F
F
3
2
0
4
ABOG
MGH
MGH
MGH
MGH
AnneKathryn Goodman
Jeffrey Ecker
Jan Shifren
Thomas Toth
MIGS
NWH
Keith Isaacson
ADA
BWH
Agnes Lau
BWH
Agnes Lau
MGH
MGH
Maria Troulis
Jeffry Shaefer
Type #Trainees
Accreditation
R
F
F
F
F
F
43
1
2
3
6
4
ACGME
F
Neurology
Integrated Program/s
Neurology
Movement Disorders
Multiple Sclerosis
Critical Care Neurology
Neuromuscular Medicine
Vascular Neurology
BWH Program/s
Clinical Neurophysiology
MGH Program/s
Child Neurology
Advanced General Neurology
Clinical Neurophysiology
Neuro-oncology
ACGME
UCNS
Neurosurgery
BWH Program/s
Brain Tumor
Cerebrovascular
MGH Program/s
Neurological Surgery
Obstetrics and Gynecology
Integrated Program/s
Obstetrics and Gynecology
BWH Program/s
Family Planning
Fertility and Endocrinology
Gynecologic Oncology
Maternal Fetal Medicine
Minimally Invasive GYN Surgery
MGH Program/s
Gynecologic Oncology
Maternal Fetal Medicine
Menopause
Reproductive Endocrinology
NWH Program/s
Minimally Invasive GYN Surgery
Oral and Maxillofacial Surgery
Integrated Program/s
Dental
BWH Program/s
Hospital Dentistry
MGH Program/s
Oral and Maxillofacial Surgery
Orofacial Pain
F
R
6
F
1
R
F
7
1
ABOG
ABOG
CODA
Sponsoring
page 12
Partners Graduate Medical Education Annual Report: AY 2008-09
Type #Trainees
Accreditation
Institution
Program Director
R
F
F
F
60
2
5
6
ACGME
MGH
MGH
MGH
MGH
Dempsey Springfield
Mark Vrahas
Laurence Higgins
Kirkham Wood
F
F
F
F
3
2
3
2
BWH
BWH
BWH
BWH
Daniel Estok
Michael Wilson
Barry Simmons
Scott Martin
F
F
F
F
F
R
4
3
3
3
1
3
MGH
MGH
MGH
MGH
MGH
MGH
Andrew Freiberg
Chaitanya Mudgal
Francis Hornicek
Thomas Gill
Brian Grottkau
Robert Scardina
F
0
NWH
Louis Jenis
F
F
2
4
ACGME
ACGME
BWH
BWH
Richard Kaufman
Janina Longtine
R
F
F
F
F
F
36
2
4
2
3
4
ACGME
ACGME
ACGME
ACGME
ACGME
BWH
BWH
BWH
BWH
BWH
BWH
Gayle Winters
Edmund Cibas
Geraldine Pinkus
Rebecca Folkerth
Christopher Crum
Christopher Fletcher
R
F
F
F
F
33
2
1
3
ACGME
ACGME
ACGME
ACGME
MGH
MGH
MGH
MGH
MGH
Stephen Black-Schaffer
Rosemary Tambouret
Robert Hasserjian
Matthew Frosch
Gregory Lauwers
R
F
F
49
ACGME
MGH
MGH
MGH
Emmett Schmidt
James Perrin
Harland Winter
F
F
F
F
6
7
4
2
ACGME
ACGME
ACGME
ACGME
MGH
MGH
MGH
MGH
Natan Noviski
Madhusmita Misra
Gary Russell
Kenan Haver
Orthopedic Surgery
Integrated Program/s
Orthopedic Surgery
Orthopedic Trauma
Shoulder and Elbow
Spine Surgery
BWH Program/s
Arthroplasty
Foot and Ankle
Hand Surgery (Orthopedics)
Orthopedic Sports Medicine
MGH Program/s
Arthroplasty
Hand Surgery
Musculoskeletal Oncology
Orthopedic Sports Medicine
Pediatric Orthopedics
Podiatric Medicine and Surgery
NWH Program/s
Spine Surgery
ACGME
ACGME
ACGME
ACGME
ACGME
CPME
Pathology
Integrated Program/s
Blood Banking/Transfusion Medicine
Molecular Genetic Pathology
BWH Program/s
Pathology- Anatomic and Clinical
Cytopathology
Hematology Pathology
Neuropathology
Selective Pathology
Surgical Pathology
MGH Program/s
Pathology- Anatomic and Clinical
Cytopathology
Hematology Pathology
Neuropathology
Subspecialty Surgical Pathology
Pediatrics
MGH Program/s
Pediatrics
General Academic Pediatrics
Pediatric Advanced Inflammatory
Bowel Disease
Pediatric Critical Care Medicine
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Pulmonology
2
page 13
Partners Graduate Medical Education Annual Report: AY 2008-09
Sponsoring
Institution
Program Director
ACGME
ACGME
ACGME
SRH
SRH
SRH
SRH
Kevin O'Connor
Alec Meleger
Sunil Sabharwal
Joanne Borg-Stein
ACGME
BWH
Julian Pribaz
MGH
William Austen, Jr.
Type #Trainees
Accreditation
R
F
F
F
20
1
0
1
25
Physical Medicine and Rehabilitation
SRH Program/s
Physical Medicine and Rehabilitation
Pain Medicine, PM&R
Spinal Cord Injury Medicine
Sports Medicine, PM&R
Plastic Surgery
Integrated Program/s
Plastic Surgery
R
MGH Program/s
Reconstructive and Aesthetic Breast F
1
Psychiatry
Integrated Program/s
Child and Adolescent Psychiatry
Psychiatry
Addiction Psychiatry
BWH Program/s
Psychiatry
Psychosomatic Medicine
McLean Program/s
Geriatric Psychiatry
MGH Program/s
Clinical Psychology
Forensic Psychiatry
Psychosomatic Medicine
Radiation Oncology
Integrated Program/s
Radiation Oncology
BWH Program/s
Brachytherapy
MGH Program/s
Head and Neck Radiation Oncology
Proton Radiation
Radiology
BWH Program/s
Nuclear Medicine
Radiology-Diagnostic
Abdominal Radiology
Breast Imaging
Cardiothoracic Radiology
Emergency Radiology
Medical Informatics
MR - Image Guided Therapy
Musculoskeletal Radiology
Neuroradiology
Nuclear Oncology – PET
Oncoradiology
R
R
F
18
60
3
ACGME
ACGME
ACGME
MGH
MGH
MGH
Eugene Beresin
Kathy Sanders
Shelly Greenfield
R
F
56
5
ACGME
ACGME
BWH
BWH
William Greenberg
David Gitlin
F
1
ACGME
McLean
Sumer Verma
F
F
F
0
1
3
APA
ACGME
ACGME
MGH
MGH
MGH
R
29
ACGME
BWH
Jay Harris
BWH
Phillip Devlin
MGH
MGH
Paul Busse
Annie Chan
BWH
BWH
BWH
BWH
BWH
BWH
BWH
BWH
BWH
BWH
BWH
BWH
S. Ted Treves
Barbara Weissman
Stuart Silverman
Sughra Raza
Beatrice Dickenson
Salvatore Viscomi
Lucila Ohno-Machado
Ferenc Jolesz
Philipp Lang
Liangge Hsu
Annick van den Abbeele
Fiona Fennessy
F
F
F
0
0
F
R
F
F
F
F
F
F
F
F
F
F
7
38
6
1
1
2
2
0
7
6
3
1
ACGME
ACGME
ACGME
ACGME
ACGME
Sheila O'Keefe
Ronald Schouten
Gregory Fricchione
page 14
Partners Graduate Medical Education Annual Report: AY 2008-09
Vascular & Interventional Radiology
Women's Imaging
MGH Program/s
Radiology-Diagnostic
Abdominal (Body) Imaging
Abdominal and Interv. Radiology
Breast Imaging
Cardiac Imaging (MR - CT)
Emergency Radiology
Interventional Neuroradiology
Musculoskeletal Radiology
Neuroradiology
Pediatric Neuroradiology
Pediatric Radiology
Thoracic Radiology
Vascular & Interventional Radiology
Sponsoring
Institution
Program Director
ACGME
BWH
BWH
Chieh-Min Fan
Sughra Raza
38
7
7
3
2
2
3
4
8
1
2
3
6
ACGME
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
Theresa McLoud
Raul Uppot
Debra Gervais
Elizabeth Rafferty
Suhny Abbara
Robert Novelline
James Rabinov
William Palmer
Pamela Schaefer
Katherine Nimkin
Sjirk Westra
JoAnne Shepard
Ronald Arellano
F
F
3
1
SSO
MGH
BWH
Barbara Smith
Francis Moore, Jr.
R
F
F
50
1
0
ACGME
BWH
BWH
BWH
Stanley Ashley
Edward Kelly
Steven Mentzer
F
F
F
2
3
2
BWH
BWH
BWH
David Brooks
Selwyn Rogers
Michael Belkin
R
F
F
F
F
F
F
F
52
1
1
2
2
1
2
4
ACGME
MGH
MGH
MGH
MGH
MGH
MGH
MGH
MGH
Charles Ferguson
Hasan Alam
Robert Sheridan
Steven Zeitels
David Rattner
Hasan Alam
James Markmann
Christopher Kwolek
R
F
R
F
F
CT
8
2
2
1
1
5
ACGME
BWH
BWH
BWH
BWH
BWH
BWH
Raphael Bueno
Raphael Bueno
Raphael Bueno
Raphael Bueno
David Sugarbaker
Raphael Bueno
R
F
R
9
0
1
ACGME
MGH
MGH
MGH
Douglas Mathisen
Douglas Mathisen
Douglas Mathisen
Type #Trainees
Accreditation
F
F
3
3
R
F
F
F
F
F
F
F
F
F
F
F
F
ACGME
ACGME
ACGME
Surgery
Integrated Program/s
Breast Surgery
Endocrine Surgery
BWH Program/s
Surgery-General
Acute Care Surgery
Cancer Surgery-Advanced Clinical
Training
Minimally Invasive Surgery
Surgical Critical Care
Vascular Surgery
MGH Program/s
Surgery-General
Acute Care Surgery
Burn Surgery
Laryngology and Phonosurgery
Minimally Invasive Surgery
Surgical Critical Care
Transplant Surgery
Vascular Surgery
Thoracic Surgery
BWH Program/s
Thoracic Surgery
General Thoracic Surgery
Joint Thoracic and General Surgery
Minimally Invasive Thoracic Surgery
Thoracic Oncology
Cardiac Surgery (Junior)
MGH Program/s
Thoracic Surgery
Cardiac Surgery
Joint Thoracic and General Surgery
ACGME
ACGME
ACGME
ASTS
ACGME
ACGME
ACGME
page 15
Partners Graduate Medical Education Annual Report: AY 2008-09
Sponsoring
Institution
Program Director
ACGME
BWH
BWH
Jerome Richie
Jim Hu
ACGME
MGH
MGH
W. Scott McDougal
Douglas Dahl
Type #Trainees
Accreditation
R
F
12
1
R
F
8
0
Urology
BWH Program/s
Urology
Urologic Oncology
MGH Program/s
Urology
Urology Oncology
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
Anesthesiology
Dermatology
Emergency Medicine
Internal Medicine
Neurosurgery
Neurology
Nuclear Medicine
Obstetrics and Gynecology
Oral and Maxillofacial Surgery
Orthopedics
Pathology
Pediatrics
Physiatry
Plastic Surgery
Podiatry
Psychiatry
Radiation Oncology
Radiology
Surgery
Thoracic Surgery
Urology
GME DIRECTOR
Dr. Dempsey Springfield
Dr. John Co
Dr. John Co
Dr. John Co
Dr. Dempsey Springfield
Dr. Eric Nadel
Dr. Dempsey Springfield
Dr. John Co
Dr. Dempsey Springfield
Dr. Eric Nadel
Dr. John Co
Dr. Eric Nadel
Dr. Dempsey Springfield
Dr. Dempsey Springfield
Dr. Eric Nadel
Dr. John Co
Dr. Dempsey Springfield
Dr. Eric Nadel
Dr. Dempsey Springfield
Dr. Dempsey Springfield
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 sponsored 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
page 18
Partners Graduate Medical Education Annual Report: AY 2008-09
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
MGH
MGH
MGH
BWH
MGH
BWH
MGH
BWH
BWH
MGH
MGH
BWH
BWH
NWH
BWH
BWH
BWH
BWH-DFCI
BWH-DFCI
Program
Internal Medicine – Dermatology
Joint Thoracic and General Surgery
GI Motility and Functional Disease
Colorectal Surgery
Schizophrenia
Interventional Nephrology
Craniofacial Surgery
Medical Dermatology
Clinician Neuroimaging
Transplant Nephrology
Geriatric Psychiatry
Medical Simulation
Cutaneous Oncology
Spine Surgery
Transplant Nephrology
Neuroanesthesia - Clinical Neurophysiology
Women's Imaging
Oncoradiology
Translational Imaging
page 19
Partners Graduate Medical Education Annual Report: AY 2008-09
TABLE VI: AY 08-09 ACCREDITATION STATUS AND REVIEWS
ACGME Accreditation
Sponsor
BWH
MGH
BWH
MGH
BWH
MGH
BWH
MGH
BWH
BWH
MGH
BWH
MGH
MGH
BWH
MGH
BWH
MGH
BWH
MGH
BWH
MGH
BWH
MGH
BWH
MGH
BWH
MGH
MGH
BWH
BWH
MGH
MGH
BWH
BWH
MGH
MGH
MGH
BWH
BWH
MGH
BWH
MGH
BWH
MGH
BWH
ACGME Accredited Programs
Abdominal radiology
Addiction psychiatry
Adult cardiothoracic anesthesiology
Adult cardiothoracic anesthesiology
Allergy and immunology
Allergy and immunology
Anesthesiology
Anesthesiology
Blood banking/transfusion medicine
Cardiothoracic radiology
Cardiovascular disease
Cardiovascular disease
Child and adolescent psychiatry
Child neurology
Clinical cardiac electrophysiology
Clinical cardiac electrophysiology
Clinical neurophysiology
Clinical neurophysiology
Colon and rectal surgery
Critical care medicine
Critical care medicine
Cytopathology
Cytopathology
Dermatology
Emergency medicine
Endocrinology, diabetes, and metabolism
Endocrinology, diabetes, and metabolism
Forensic psychiatry
Gastroenterology
Gastroenterology
Hand surgery, Orthopedics
Hand surgery, Orthopedics
Hematology Pathology
Hematology Pathology
Hematology and oncology
Hospice and palliative medicine
Infectious disease
Internal medicine
Internal medicine
Internal medicine/Pediatrics
Internal medicine/Pediatrics
Interventional cardiology
Interventional cardiology
Molecular genetic pathology
Musculoskeletal oncology
Nephrology
Status
Continued Accreditation
Continued Accreditation
Accreditation
Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Accreditation
Proposed withhold, initial
accreditation
Continued
Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Full Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Full Accreditation
Initial Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Activity during AY 08-09
R
e Accreditation
Internal
v
Action
Site Visit
Review
10/6/2008
9/10/2008
9/12/2008
4/29/09
2/4/2009
3/6/2009
10/10/2008
5/18/2009
11/5/08
12/2/08
3/16/2009
4/17/2009
9/14/2008
1/15/09
7/14/2008
5/14/2009
11/13/08
9/5/2008
12/12/08
3/13/2009
7/1/2008
5/17/2009
5/14/2009
11/11/08
11/12/08
6/17/09
3/6/2009
1/16/2009
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
Sponsor
MGH
MGH
BWH
BWH
MGH
MGH
BWH
BWH
BWH
MGH
MGH
MGH
BWH
MGH
BWH
MGH
MGH
MGH
MGH
MGH
MGH
BWH
MGH
BWH
BWH
MGH
MGH
BWH
BWH
MGH
MGH
BWH
BWH
BWH
BWH
MGH
BWH
MGH
MGH
BWH
MGH
MGH
BWH
BWH
MGH
MGH
BWH
MGH
ACGME Accredited Programs
Neurological surgery
Neurology
Neuromuscular medicine
Neuropathology
Neuropathology
Neuroradiology
Neuroradiology
Nuclear medicine
Obstetrics and gynecology
Orthopaedic sports medicine
Orthopaedic surgery
Pain medicine
Pain medicine
Pathology-anatomic and clinical
Pathology-anatomic and clinical
Pediatric critical care medicine
Pediatric endocrinology
Pediatric gastroenterology
Pediatric pulmonology
Pediatric radiology
Pediatrics
Plastic surgery
Psychiatry
Psychiatry
Psychosomatic medicine
Psychosomatic medicine
Pulmonary disease and critical care
Radiation oncology
Radiology-diagnostic
Radiology-diagnostic
Rheumatology
Rheumatology
Selective pathology
Sleep medicine
Surgery
Surgery
Surgical critical care
Surgical critical care
Thoracic surgery
Thoracic surgery
Transplant hepatology
Urology
Urology
Vascular and interventional radiology
Vascular and interventional radiology
Vascular neurology
Vascular surgery
Vascular surgery
Status
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Full Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Full Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Full Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Accreditation
Continued Full Accreditation
Activity during AY 08-09
R
e Accreditation
Internal
v
Action
Site Visit
Review
12/3/08
5/5/09
10/30/2008
4/17/2009
9/24/08
2/25/09
10/21/2008
5/20/09
5/1/2009
1/16/2009
7/1/2009
10/17/08
5/6/09
3/11/2009
4/17/2009
9/10/08
10/20/2008
4/6/2009
5/7/09
10/8/2008
2/24/09
2/13/2009
4/17/2009
9/29/2008
2/19/2009
9/11/08
8/5/08
11/18/08
1/21/2009
2/18/09
8/22/2008
12/3/2008
10/15/2008
2/26/09
10/31/08
5/27/2009
page 21
Partners Graduate Medical Education Annual Report: AY 2008-09
TABLE VII: AY 08-09 AFFILIATIONS AND INTEGRATION
Sponsor
Program
MGH
Program
Rotating to
1
BWH
MGH
BWH
BWH
MGH
BWH
MGH
MGH
MGH
BWH
BWH
BWH
MGH
MGH
BWH
MGH
BWH
MGH
BWH
MGH
BWH
BWH
MGH
MGH
BWH
MGH
BWH
MGH
BWH
MGH
BWH
MGH
BWH
BWH
Allergy and Immunology
Allergy and Immunology
Anesthesiology
Anesthesiology
Cardiovascular Disease
Cardiovascular Disease
Child Neurology
Cytopathology
Critical Care Medicine
Gastro Enterology
Hand Surgery
Hand Surgery
Hematology Pathology
Internal Medicine
Internal Medicine
Internal Medicine/Medical Genetics (NA)
Internal Medicine/Pediatrics
Neuromuscular Medicine
Neuropathology
Ob/GYN (PHS)
Pain Medicine
Pathology-Anatomic and Clinical
Pediatrics
Psychiatry
Psychiatry
Psychosomatic Medicine
Radiology-Diagnostic
Rheumatology
Rheumatology
Surgery
Surgery
Surgical Critical Care
Urology
BWH
progam
rotating to
Programs
rotating to
Faulkner2
2
Programs
rotating to
Newton
Wellesley2
MGH1
Programs
rotating to
Salem
Hospital/
Programs
rotating to
Spaulding
Rehab
NSMC2
Hospital2
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
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/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 program staff.
Program Director Workshops
Participation in the faculty development series designated as “Program Director Workshops” is open to all Program 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 educational 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, professional 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 Communication” (Ron Walls, M.D.), complemented by small group break-out sessions and followed by a Program Director 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 directors 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 approximately 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
Quality & Safety 101
Safety Management Lessons from the Air Force & the Titanic,
CRICO Videos “When Things Go Wrong” and “Sued”, along with an informal faculty discussion
Quality and the Evolution of the Healthcare Marketplace
Pay for Performance Contracts
Transparency in Health Care Quality
Problem doctors - Assessing and Improving Performance and Competence
Lessons in Safety and Quality from a For-Profit Multi-Hospital System: Can It Be Achieved?
The Nash Equilibrium Breaks Down: How current market pressures make improvement possible and imperative
David Bates, MD, MSc
Lucian Leape, MD
Gregg Meyer, MD, MSc
Tejal Gandhi, MD, MPH Gregg Meyer,
MD, MSc
Gregg Meyer, MD, MSc
Jessica Dudley, MD
Elizabeth Mort, MD, MPH
Lucian Leape, MD
Jennifer Daley, MD
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
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 advice 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
Receptions
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
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 residents 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 Retreat 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
Partners Vice President, GME
Senior Associate Director, GME
Associate Director, GME
Associate Director, GME
Chief Medical Officer
Quality and Safety Representative
Simulation Representative
HMS PCE Director
Residency Program Directors
Fellowship Program Directors
Resident/Fellow Representatives
GME Staff
Jon Borus, MD
Debra Weinstein, MD
John Patrick Co, MD, MPH
Eric Nadel, MD
Dempsey Springfield, MD
Anthony Whittemore, MD
Allen Kachalia, MD
Charles Pozner, MD
Erik Alexander, MD
Stanley Ashley, MD
Lori Berkowitz, MD
Raphael Bueno, MD
Daniel Dedrick, MD
William Greenberg, MD
Jay Harris, MD
Joel Katz, MD
Tracey Milligan, MD
Eric Nadel, MD
Julian Pribaz, MD
Jerome Richie, MD
Niraj Sharma, MD
S. Ted Treves, MD
Barbara Weissman, MD
Gayle Winters, MD
Fiona Fennessy, MD
Simon Helfgott, MD
Richard Kaufman, MD
Frederick Makrauer, MD
Robert Mayer, MD
Srdjan Nedeljkovic, MD
Robert Odze, MD
Douglas Shook, MD
Kendra Bowman, MD
Emily Brown, MD
Janice Chyou, MD
Matthew Doran, MD
Danielle Margalit, MD
Sara Nelson, MD
Susan Pasnick, MD
Eric Rosenthal, MD
Fidencio Saldana, MD
Simon George Talbot, MD
Peter Vezeridis, MD
Katherine Young, MD
Georgi Bland
Irina Knyshevski
BWH Director of Medical Education
Medicine
Medical Director, STRATUS Center
BWH Dir. of Medical Student Educ.
Surgery
PHS OB-GYN
Thoracic Surgery
Anesthesia
Psychiatry
PHS Radiation Oncology
Medicine
PHS Neurology
PHS Emergency Medicine
PHS Plastic Surgery
Urology
Internal Medicine-Pediatrics
Nuclear Medicine
Radiology
Pathology
Oncoradiology
Rheumatology
PHS Blood Banking – Trans. Med.
Gastroenterology
PHS Hematology-Oncology
Pain Medicine
Gastrointestinal Pathology
Adult Cardiothoracic Anesthesia
General Surgery
PHS Emergency Medicine
Internal Medicine
Anesthesiology
PHS Radiation Oncology
PHS Emergency Medicine
Internal Medicine
PHS Neurocritical Care & Stroke
Cardiovascular Disease
PHS Plastic Surgery
PHS Orthopaedic Surgery
Psychiatry
GME
GME
page 28
Partners Graduate Medical Education Annual Report: AY 2008-09
MGH Executive Committee on Teaching and Education
Chair
Senior Associate Director, GME
President of MGH (delegate)
MGH Trustee (Emeritus)
Partners Vice President, GME
Chair, MGH Chiefs' Council
Chief Medical Officer
Quality and Safety Representative
Simulation Representative
Institute of Health Professions (IHP)
MGPhysician Organization
HMS PCE Director (representative)
Residency Program Directors
Fellowship Program Directors
Resident/Fellow Representatives
Harry Rubash, MD
John Patrick Co, MD, MPH
Ann Prestipino
Matina Horner, Ph.D.
Debra Weinstein, MD
W. Gerald Austen, MD
Britain Nicholson, MD
Andrew Karson, MD
James Gordon, MD
Janis Bellack, RN, PhD
David Torchiana, MD
Marc DeMoya, MD
Deborah Pedersen, MD
Steven Schlozman, MD
Katherine Sims, MD
David Ting, MD
Joseph Kvedar, MD
Eric Nadel, MD
Hasan Bazari, MD
Emad Eskandar, MD
David Greer, MD
Lori Berkowitz, MD
Maria Troulis, MD
Dempsey Springfield, MD
W. Stephen Black-Schaffer, MD
Emmett Schmidt, MD
Jay Austen, MD
Kathy Sanders, MD
Anthony Zietman, MD
Theresa McLoud, MD
Charles Ferguson, MD
Douglas Mathisen, MD
Dianne Sacco, MD
Aidan Long, MD
Kenan Haver, MD
Calum MacRae, MD
Gary Brenner, MD
Rosemary Tambouret, MD
Michael Jaff, MD
David Systrom, MD
Ronald Arellano, MD
Alyssa Letourneau, MD
Bradley Monash. MD
Benjamin White, M.D
Jay Shah, MD
Harald Ott, MD
Kyle Eberlin, MD
Michael Roehrl, MD
Nicte Mejia, MD
James Monica, MD
Chair, Orthopedic Surgery
Senior Vice President
President, MGH IHP
President, MGPO
Surgery Clerkship Director
Anesthesiology
Child and Adolescent Psychiatry
Child Neurology
Internal Medicine – Pediatrics
PHS Dermatology
PHS Emergency Medicine
Internal Medicine
Neurological Surgery
PHS Neurology
PHS Obstetrics and Gynecology
Oral and Maxillofacial Surgery
PHS Orthopedics
Pathology
Pediatrics
PHS Plastic Surgery
Psychiatry
PHS Radiation Oncology
Radiology – Diagnostic
Surgery – General
Thoracic Surgery
Urology
Allergy-Immunology
Pediatric Pulmonology
Cardiovascular Disease
Pain Medicine
Cytopathology
Vascular Medicine
PHS Pulmonary Disease-Crit. Care
Vascular & Interventional Radiology
Internal Medicine-Pediatrics
Internal Medicine-Pediatrics
PHS Emergency Medicine
Internal Medicine
Surgery – General
PHS Plastic Surgery
Pathology
PHS Neurology
PHS Orthopedic Surgery
page 29
Partners Graduate Medical Education Annual Report: AY 2008-09
GME Staff
Daniel Guss, MD
David Grelotti, MD
Margot Phillips, MD
Georgi Bland
Irina Knyshevski
PHS Orthopedic Surgery
Psychiatry
Psychiatry
GME
GME
page 30
Partners Graduate Medical Education Annual Report: AY 2008-09
Partners Education Committee
Co-Chair
Co-Chair
Partners Vice President, GME
Senior Associate Director, GME
Associate Director, GME
Associate Director, GME
Chief Medical Officer, BWH
Chief Medical Officer, MGH
Chair, MGH Chiefs' Council
Faulkner Hospital
McLean Hospital
Salem Hospital (NSMC)
Newton-Wellesley Hospital
Spaulding Rehabilitation Hospital
MGH Trustee (Emeritus)
HMS PCE Director
HMS PCE Director
Program Director Representatives
Trainee Representatives
GME Staff
Harry Rubash, MD
Jon Borus, MD
Debra Weinstein, MD
John Patrick Co, MD, MPH
Eric Nadel, MD
Dempsey Springfield, MD
Anthony Whittemore, MD
Britain Nicholson, MD
W. Gerald Austen, MD
Pardon Kenney, MD
Shelly Greenfield, MD
Wayne Trebbin, MD
Lawrence Friedman, MD
Ross Zafonte, DO
Matina Horner, Ph.D.
Erik Alexander, MD
Marc DeMoya, MD
Stanley Ashley, MD
Lori Berkowitz, MD
W. Stephen Black-Schaffer, MD
Daniel Dedrick, MD
Charles Ferguson, MD
Simon Helfgott, MD
Joel Katz, MD
Robert Mayer, MD
Theresa McLoud, MD
Rosemary Tambouret, MD
Kyle Eberlin, MD
Daniel Guss, MD
Danielle Margalit, MD
Sara Nelson, MD
Michael Roehrl, MD
Fidencio Saldana, MD
Georgi Bland
Irina Knyshevski
MGH Orthopedics
BWH Medical Education
PHS Graduate Medical Education
PHS Graduate Medical Education
PHS Emergency Medicine
PHS Orthopedics
Surgery
Chief Academic Officer
Internal Medicine
Internal Medicine
Physical Medicine & Rehabilitation
BWH Medicine clerkship director
MGH Surgery clerkship director
BWH Surgery
PHS OB-GYN
MGH Pathology
BWH Anesthesia
MGH Surgery – General
BWH Rheumatology
BWH Medicine
PHS Hematology-Oncology
MGH Radiology – Diagnostic
MGH Cytopathology
PHS Plastic Surgery
PHS Orthopedic Surgery
PHS Radiation Oncology
PHS Emergency Medicine
MGH Pathology
BWH Cardiovascular Disease
PHS GME
PHS GME
page 31