APPROVED MOONLIGHTING SITES

Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

ASSUMPTION COLLEGE BRIAN BUSCONI, M.D. Ortho-Sporting Events Ortho Residents Only

CARDIOLOGY ASSOCIATES OF NEW PAUL BLOCK, M.D. (978) 537-9305 Practice Cardiology Fellows Only. Barbara Ptak ENGLAND Coverage THIS SITE IS LIMITED TO 2ND OR 3RD YEAR CARDIAL FELLOWS. CENTRAL MASS MAGNETIC DEEPAK TAKHTANI, M.D. (508) 831-3700 Provide assistance if Jeffrey Pollier, IMAGING CENTER (CMMIC) medical need arises fo Director rpatients undergoing MRI procedures, such as gadolinium contrast reaction. Fellow will also be asked to provide wet readings on inpatient MRI examinations which will be subsequently reviewed by faculty members. CHC FAMILY HEALTH CENTER BETH MAZYCK, M.D. (978) 878-8100 Primary care-family Family Practice/Fitchburg Ellen Becker FITCHBURG

Monday, October 06, 2014 Page 1 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

CHC GREATER GARDNER Michael Huppert (978) 410-6100 Family med.-primary Clinical services and Timothy Eddy COMMUNITY HEALTH CENTER care/acute care procedures will be within scope of primary care and acute care, including well child, well adult, preventive medicine, acute, and chronic disease management.

Procedures will include: preventive medical visits, acute medical visits, finger stick blood glucose, pap collection, skin punch biopsy, peak flow, pulse ox and ekg. Any procedures performed at moonlighting site will be procedures resident has been given permission to perform independently at Fitchburg Community Health Center (main residency clinic site). CHILD HEALTH ASSOCIATES, P.C. MADELINE MORRIS, M.D. (508) 832-6044 Outpatient Limited to Chiefs and Blaine Rist Fellows

CLINTON HOSPITAL Richard Forster, MD (978) 368-3905 Telephone support and Susan Spongberg call during overnight admissions CLINTON HOSPITAL - Karen Plainte (978) 368-3714 General Neurology Karen Plainte, VP CONSULTATION SERVICES consultation services on Quality & Resource the Geriatric Medical Management/Acting Psych Unit, General President Medical Surgical Unit, and Special Care Unit (telemetry unit)

Monday, October 06, 2014 Page 2 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

CLINTON HOSPITAL ED AND MARC GAUTREAU, M.D. (978) 368-3850 Evaluation and Board eligible, licensed Alicia Pulsifer SPECIAL CARE UNIT management of of fellows may be permitted emergency medical to moonlight at Clinton conditions and clinical Hospital. Sites: Clinton procedures as approved Hospital Emergency in the delineation of Department and Special privileges. Care Unit. Fellows may respond to emergencies Examples of some on the patient floors if procedures performed in there is an immediate the ED: repairs of medical need until the lacerations and patient's primary superficial wounds, arrives. incisions and drainages, foreign body removal, casts and strappings, critical care procedures, CPR, intubations, LPs, central line placement, etc. COMMUNITY HEALTHLINK Nicole Gagne, VP (508) 860-1121 On-call to cover for Restricted to Family Med Jennifer Cole Medical Director in or Psych Resident with full his/her absence. license only. Consultation services will occur between Doctor & nurse to ensure client care is rendered in accordance with professional standards of practice & w/in regulatory guidelines. Most work done over telephone. COMMUNITY Anna Berin (508) 421-4336 Completing Psychiatric Carolyn Droser HEALTHLINK/BURNCOAT FAMILY Evaluations of youth who CENTER have been admitted to Burncoat Family Center which is an Acute Residential Treatment Program; meeting with the multidisciplinary team and nursing as necessary; meeting with families when necessary; conducting medication follow-ups as needed. Documentation is recorded into the electronic Record.

Monday, October 06, 2014 Page 3 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

DAY KIMBALL HOSPITAL Richard J. Wilcon, M.D. (860) 928-6541 6432 Inpatient - admitting & Restricted to Fellows. rounding on hospitalist patients. CLINIC Mary Maloney, MD (508) 334-5979 Limited to Derm Fellows Esmeralda Valois HAHNEMANN CAMPUS

FAIRLAWN HOSPITAL WILLIAM CORBETT, M.D. (508) 791-6351 Inpatient care of On call coverage of Mary Ann Adams hospitalized patients, inpatients, admissions, admissions & f/u history & physical exams, no procedures. RESTRICTED TO BOARD ELIGIBLE FELLOWS ONLY. FAMILY HEALTH CENTER OF LISA CARTER, M.D. (508) 860-7975 Urgent Care Family Medicine SHIRLEY KATZ WORCESTER

HAHNEMANN FAMILY HEALTH GERALD GLEICH, M.D. (508) 334-8830 Clinical services include Family Medicine CENTER outpatient family medicine clinic visits for acute, chronic and preventive health issues. Procedures to be performed include: Gynecologic exams - including obtaining samples for pap smears, cervical cultures and endometrial biopsies. Contraceptive care - including insertion and removal of intrauterine devices, skin procedures - including punch biopsies, excisional biopsies, incision and drainage, cryosurgery treatment of benign and premalignant skin lesions. Orthopedic procedures - including joint injection and aspiration, and application of splints. Apiration of breast cysts. Interpretation of non- stress tests. Cerumen removal from ear canals. Care of ingrown toenails.

Monday, October 06, 2014 Page 4 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

HARRINGTON HEALTHCARE - JAMES J. SULLIVAN JR., MD (508) 765-9771 Evaluate adult/pediatric Emergency Dept Only Sue Martin EMERGENCY acute illness/injury under supervision of staff physician (for residents) or independently (for fellows) Practice full scope of HARRINGTON MEMORIAL HOSPITAL ARTHUR RUSSO, M.D. (508) 765-9771 Inpatient and emergency Restricted to Cardiology Kristen Morales room consults as well as Fellows (2nd + 3rd year outpatient care as fellows) required. HEALTH ALLIANCE CCU Payam Aghassi, M.D. (978) 466-2234 Admission history, physical Diane Forte exams on all patients admitted to ICU not on resident service and telemetry at the request of an attending physician not on hospitalist service, rapid response team, code tream

HEALTH ALLIANCE HOSPITAL - DAVID AMMERMAN, M.D. (978) 466-2590 Admission assessments, H Michelle Martin HOSPITALIST SERVICE & P's on new admissions to the medical service, not including the Critical Care Unit, Urgent and emergency care of patients throughout the hospital, not including the Cricital Care Unit, as new problems arise, through the Rapid Response and Code Blue System at HealthAlliance. HEALTH ALLIANCE BONNIE RYAN, M.D. (978) 466-2994 Emergency Medicine PGY3 residents and fellows Christine Reilly HOSPITAL/WACHUSETT EMERGENCY HEALTH ALLIANCE PEDIATRIC PATRICK MULDOON (978) 466-2000 Inpatient attending, Restricted to Pediatric 3rd Diane Forte HOSPITALIST SERVICE coverage of the newborn year residents & pediatric nursery, attendance at chief residents high risk deliveries, possible consultation in the emergency department HEYWOOD HOSPITAL ED Steven Yerid, MD (978) 630-6376 ED

Monday, October 06, 2014 Page 5 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

HOLY CROSS SPORTING EVENTS JAY BROADHURST, M.D. Hockey and Football Family Medicine Res Games

MARLBOROUGH HOSPITAL - Richard Forster, MD (508) 486-5678 Inpatient care including Susan Spongberg HOSPITALIST/ICU admissions to medical floor, ICU and consultations on psychiatric floor. Cross coverage of ICU patients in conjunction with E-ICU MARLBOROUGH HOSPITAL - KIMBERLY ROBINSON, MD (508) 481-5000 Daily rounds in ICU. ICU/PULMONARY Central line placement if necessary. Perform pulmonary consults. Cover outpatient pulmonary phone calls (5/weekend)

MARLBOROUGH HOSPITAL - ON Lalita Matta, MD (508) 856-3715 On call GI coverage FOR FELLOWS Maureen Bresee- CALL GI COVERAGE Ferreira

MARLBOROUGH HOSPITAL - ON Lalitta Matta (508) 481-5000 On call coverage Limited to MIS Fellow Lalitta Matta CALL SURGERY COVERAGE

MARLBOROUGH HOSPITAL ED TARYN KENNEDY, M.D. (508) 481-5000 Evaluation and Board eligible, licensed Alicia Pulsifer management of fellow and thir year, emergency medical licensed residents may be conditions and clinical permitted to moonlight at procedures as approved Marlborough Hospital. in the delineation of Sites: Marlborough privileges. Hospital Emergency Department. Fellow and Examples of some Residents may respond to procedures performed in emergencies on the the ED: repairs of patient floors if there is an lacerations and immediate medical need superficial wounds, until the patient's primary incisions and drainages, physician arrives. foreign body removal, casts and strappings, critical care procedures, CPR, intubations, LPs, central line placement, etc. MARLBOROUGH HOSPITAL STEPHEN SWERIDUK, M.D. (508) 481-5000 Contrast Monitoring Radiology Residents RADIOLOGY/SHIELDS MRI

Monday, October 06, 2014 Page 6 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

MEMORIAL EMERGENCY HARRY ARTERS, M.D. (508) 344-5223 Evaluation and FOR FELLOWS ONLY: Alicia Pulsifer DEPARTMENT management of Board eligible, licensed mergency medical fellows may be permitted conditions, medical to moonlight at the clearances, and clincial Memorial Campus procedures as approved Emergency Department in the delineation of privileges.

Examples of some procedures performed in the ED: repairs of lacerations and superficial wounds, incisions and drainages, foreign body removal, casts and strappings, critical care procedures, CPR, intubations, lumbar punctures, central line placement, etc.

Monday, October 06, 2014 Page 7 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

MEMORIAL NEONATAL INTENSIVE Frances J. Bednarek, M.D. 46581 The resident/fellow will be Restricted to PGY-3 & Julie Sealey CARE UNIT (NICU) responsible for PGY-4, pediatric residents, admitting/caring for and NICU fellows infants he/she is responsible for in the NICU as part of the team. He/she will also be responsible for writing orders, covering deliveries, possible neonatal transports, admitting infants to the NICU, and discharging infants from the NICU. Procedures involved include neonatal resuscitation as per NRP guidelines, endotracheal intubation, IV placement, blood culture, umbilical line placement, thoracentesis/chest tube, lumbar puncture, and neonatal transport. An attending physician and an additional nurse practicioner will be available to supervise and assist the resident/fellow with all responsibilities and all procedures. MEMORIAL PROMPT CARE UNIT HARRY ARTERS, M.D. (508) 334-5223 Emergency Medical UMMHC Memorial Alicia Pulsifer Services, minor Campus, "Prompt Care procedures, medical Unit" in the Emergency clearances. Department MEMORIAL PSYCHOSOMATIC PATRICK SMALLWOOD, (508) 856-2148 Emergency psychiatric Residents Kathy Anderson MEDICINE SERVICE M.D. consultations to patients on the Med-Surg floors and emergency department. No procedures or orders written.

Monday, October 06, 2014 Page 8 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

MILFORD REGIONAL MEDICAL TINA ROBAKIEWICZ, M.D. (508) 473-1190 2305 Acting as the attending Limited to fellow and Sue Hill CENTER - ADULT HOSPITALIST hospitalist, the fellow chief residents in internal would evaluate and med + specialists manage adult medical patients in the acute care setting, in keeping with training provided in residency program. Inpatient services. MILFORD REGIONAL MEDICAL WILLIAM A. TOSCHES, M.D. (508) 473-1190 Neurology Consultation CENTER - NEUROLOGY CONSULTATION MILFORD REGIONAL MEDICAL KATHY PERDONI (508) 422-2250 Emergency Department Emerg Fellows Only CENTER ED

MILFORD REGIONAL MEDICAL PETER J. SELL, D.O. (508) 473-1190 Inpt & outpt pediatric Limited to peds residents CENTER PEDIATRIC HOSPITALIST care, including & fellows attendance at deliveries. Routine procedures include newborn resucitation, venipuncture, lumbar puncture, arterial blood samples, bladder catherization, simple suturing & splinters. PROFESSIONALS, INC. AT ADCARE RONALD PIKE, M.D. (508) 453-3028 Physicals History & Physicals only Jeanne Wilbur HOSPITAL

RELIANT MEDICAL GROUP ACHAL AGGARWAL, M.D. (508) 852-0600 Pediatric Urgent Care Limited to Kristen Ells PEDIATRICS Residents & Fellows and Neonatology Fellows.

ST. VINCENT HOSPITAL NURSERY WILLIAM HORGAN, D.O. (508) 363-5156 Newborn Nursery Restricted to Laurie Cullins Neonatology Fellows and 3rd yr Peds; 4th yr Med Peds residents ST. VINCENT HOSPITAL SURGERY LEON JOSEPHS, M.D., Chief (508) 363-5000 First admitting History & Surgery Robin Simons Physical notes, evaluations, and diagnosing pre-operative care, first or second assist during operative procedures and post-op care and other unit or patient specific services.

Monday, October 06, 2014 Page 9 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

TRI-RIVER JOSEPH ANTAKI, M.D. (508) 278-5573 All outpatient - low levelof Carl Lussiar AND RICHARD DESIMONE activity scheduled/triaged visitis UMASS 3 LAKESIDE STEP DOWN UNIT CRAIG SMITH, M.D. (508) 334-3712 Admissions, Transfers, FOR FELLOWS ONLY Janie LaRochelle Coverage at night, A- lines, Central Line UMASS 6&7 ICU & MEMORIAL CCU NICHOLAS SMYRNIOS, (508) 856-1975 Substitute for usual in unit site combined - one Karen Barrell M.D. & PETER BAGLEY, coverage provided by approval M.D. residents + mid level Univ Campus Medical providers - perform H+P, ICUs - 6&7 ICU Perform procedures these Memorial Campus are certified for, perform Medical ICUs - CCU other supervised procedures UMASS AND MEMORIAL SURGICAL TIMOTHY EMHOFF, M.D. (508) 856-1168 Arterial catheter insertion, Surg residents > or = to Linda Power INTENSIVE CARE UNITS (SICU) Central venous catheter PGY2 who have already insert, Pulmonary completed a SICU cathether insertion, rotation (pgy-1 Dialysis catheter insertion experience would count) Emerg Med residents > or = to PGY2 who have already completed a SICU rotation or have voluntarily become oriented to SICU work flows by being present for at least one 12 hour shift. residents > or = to PGY3 (CA-2) who have already completed a SICU rotation (PGY2 experience would count) Int Med residents or fellow > or = to PGY3 who have completed SICU rotation or have voluntarily become oriented to each SICU's (Memorial, 3ICU, L2ICU) work flows by being present for at least one 12 hour shift for each ICU. UMASS BONE MARROW Rajneesh Nath (774) 441-8321 Limited to Marci Landri TRANSPLANT UNIT / Fellows Only

Monday, October 06, 2014 Page 10 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

UMASS CARDIAC CATH LAB DANIEL FISHER, M.D. (774) 442-5211 Cardio Cath Lab Cardiology Fellows Stephanie L. Carlino

UMASS EMERGENCY DEPARTMENT ERIC BRUSH, M.D. (508) 421-1750 Evaluation and FOR FELLOWS ONLY: Alicia Pulsifer (SOUTH & NORTH POD) management of Board eligible, licensed emergency medical fellows may be permitted conditions, medical to moonlight at University clearances for Campus Emergency Emergency Mental Department in patient Health Services, and care areas South Pod clinical proecures as and North Pod. approved in the delineation of privileges.

Examples of some procedures performed in the ED: repairs of lacerations and superficial wounds, incisions and drainages, foreign body removal, casts and strappings, critical care procedures, CPR, intubations, lumbar punctures, central line placement, etc. UMASS FAMILY AND COMMUNITY MICHAEL REYES, M.D. 42818 Outpatient clinical Family Medicine Lauren MEDICINE CLINIC (BENEDICT) services and family Fletcher/Office practice Manager UMASS FAST TRACK UNIT MARTIN REZNEK, M.D. (508) 421-1750 Emergency Medical UMMHC University Alicia Pulsifer Services and minor Campus, Fast Track Unit in procedures, Emergency Emergency Deparment Mental Health Medical Clearances UMASS INPATIENT PSYCH 8 EAST CEZAR CIMPEANU, M.D. (774) 443-8678 Initial comprehensive Restricted to psych Kathleen Anderson psychiatric evaluation, residents PGY 3 + 4 + follow up and triage of psych fellows medical conditions UMASS LAKESIDE 3 ICU, 3 WEST, STANLEY TAM, M.D. (508) 334-3278 Emergency evaluation of Restricted to gen surg, LAKESIDE STEP-DOWN pre-operative patient as vasc surg residents, PGY3 needed. Standard post- and above or surgery operative care of ICU fellows. and floor cardiothoracic patients. UMASS LIFE FLIGHT MARC RESTUCCIA, M.D. (508) 421-1400 Critical Care Transport Life Flight Helicopter Alicia Pulsifer

Monday, October 06, 2014 Page 11 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

UMASS MEMORIAL HOSPITALIST - Richard Forster, MD (508) 334-8515 Inpatient Admissions, H&P Susan Webb MEMORIAL & UNIVERSITY CAMPUS

UMASS MEMORIAL MRI & IMAGING STEVEN SWERIDUK, M.D., (508) 756-7300 Resident will be available Radiology Residents Stephen T. Sweriduk, CENTER MEDICAL DIRECTOR to evaluate patients who MD might undergo an allergic reaction to gadolinium MRI contrast. The allergic profile of the utilized agent, Magnevist is quite good and mild allergic reactions are very infrequent. Moderate and severe reactions are very rare. The resident would initially evaluate patients presenting with some symptoms after gadolinium injection and would assess for need of transfer to the hospital emergency room, and/or the need to summon BLS or ACLS emergency medical services UMASS MEMORIAL PSYCH Alan Brown, MD (508) 856-4087 Initial diagnostic RESIDENCY COVERAGE interviews, follow-up visits for emergent issues UMASS MEMORIAL'S AMBULATORY Rebecca Lundquist Outpatient evaluation & E Forensic & Child Psych Marie Paquette PSYCHIATRY SERVICE & M services

UMASS PEDIATRIC INTENSIVE CARE SCOT BATEMAN, M.D. (774) 442-2164 Care and mgmt of all Pediatric and Med/Ped Patricia O'Neil UNIT, 5ICU patients admitted to 5ICU Residents PGY2 & 3 under the supervision of the attending intensivist. Ventilator mgmt, sepsis mgmt, advanced respiratory care and electrolyte mgmt. UMASS PEDIATRIC PRIMARY CARE LINDA SAGOR, M.D. (508) 856-4198 Pedi PC Sat. Clinic Pediatric and Med/Ped Aracely Valencia SATURDAY CLINIC IN BENEDICT Residents

UMASS PEDIATRIC RADIOLOGY Joseph Makris, MD (508) 856-2783 Inpatient, outpatient, ED RESTRICTED TO Sandra Costa RADIOLOGY FELLOWS

UMASS URGENT CARE BRUCE WEINSTEIN, M.D. (508) 856-3912 PC/UC

Monday, October 06, 2014 Page 12 of 13 Name of Hospital/Facility/Practice Contact Person Office Number Extension Service Restrictions Name of Admin Provided/Procedures Contact Performed

WETZEL CENTER, YOU, INC Ludmilla Tonkonogy, MD (508) 849-5640 Weekend psychiatric FOR FELLOWS Shannon LaFerriere admission coverage

WING EMERGENCY SERVICES, P.C. RICHARD FRENIER, D.O. (978) 466-2994 Emergency Medicine Limited to PGY-3 and Christine Reilly higher

WORCESTER FREE CLINICS JAMES LEDWITH, MD Patients will be seen in the Includes Epworth Jennifer MacDonald style of an outpatient Methodist Church and family med practice. Akwaaba Free Clinic Very few minor procedures (such as small abcess drainage) will be performed. Ambulatory care only, average of 15 patients per night. WORCESTER RECOVERY CENTER RONALD GREENE, D.O. (508) 856-1412 admission h&p exams, AND HOSPITAL/UMASS MEMORIAL restraint & services eval/renewal, eval & treatment of psychiatric/medical problems WORCESTER STATE COLLEGE JAY BROADHURST, M.D. Sports Events Family Practice

WORCESTER STATE COLLEGE ORTHO BRIAN BUSCONI, M.D. Sports Events Ortho Only - Part of Program Description

Monday, October 06, 2014 Page 13 of 13