Integrated Residency Program

INTEGRATED RESIDENCY PROGRAM

Lori R. Berkowitz, MD, Residency Program Director

Natasha Johnson, MD, Associate Director, BWH Samantha Pulliam, MD, Associate Director, MGH Robert L. Barbieri, MD, Chairman, BWH Isaac Schiff, MD, Chairman, MGH Kristen Koch, Coordinator

MISSION Our mission is to train physicians to become clinically superior obstetrician- gynecologists and leaders in women’s health care.

The residents are members of the Brigham and Women’s Hospital-Massachusetts General Hospital Integrated Training Program in Obstetrics and Gynecology. There are currently 40 residents in the four-year program. They participate in clinical activities at five institutions: BWH, MGH, Salem Hospital/North Shore Medical Center, Children’s Hospital Boston and Newton-Wellesley Hospital.

ACCOMPLISHMENTS IN AY 2007-2008  Refined didactic curriculum with 1) summer ultrasound lecture series 2) laparoscopy and hysteroscopy workshops 3) ethics and patient communication skills curriculum.  Surgical skills curriculum with inclusion of one-on-one teaching with dry lab exercises and testing for postgraduate level-specific procedural credentialing.  Continued anatomy prosection workshops for advancement in understanding female pelvic floor anatomy.  Quality assessment project within the ambulatory department for practice improvement.  Strengthening of research projects guided by the Research Committee.  New website launched.  Hosted successful recruitment season with eleven top medical school graduates enrolled for the incoming PGY1 class to begin the RRC-approved expansion to eleven residents per year.

RESIDENT RESEARCH DAY – MAY 1, 2008 Each year residents present their research before an audience of peers and faculty and a visiting professor; this year Barbara Goff, MD, Professor and Director, Gynecologic Oncology, University of Washington, who spoke on Teaching and Evaluating Surgical Skills.

Presenters: Topics Joseph Doyle, MD Effect of Standard Surgical-Medical Intervention on the q Progression of Endometriosis in an Adolescent Population Emily Ko, MD Robotic Versus Open Radical Hysterectomy: A Comparative Study at a Single Institution Leslie Garrett, MD Pathologic and Epidemiologic Study of a Candidate Precursor to Pelvic Serous Cancer in BRCA+ Women Barrett Robinson, MD, MPH Passive Second Stage of Labor and Assisted Delivery in Patients with Congenital Heart Disease

Ugonna Duru, MD Post-Operative Outcomes and Return To Normal Activities Following LSH and TLH Eloise Chapman, MD Use of Multi-Media as an Educational Tool to Improve HPV Vaccine Acceptability

Christopher Herndon, MD Disease Perception and Treatment by Tribal Healers of an Amazonian Forest Culture: A Five-Year Ethnomedical Study Alexander Quaas, MD, PhD The Use of GnRH Antagonists in Ovulation Induction /OI/IUI to IVF conversions Freddy Montero, MD Perspectives of Latina Women on Cesarean Delivery

Zev Williams, MD, PhD Use of RNAi as a Contraceptive Melanie Smith, MD, PhD The Effect of Weather on "No Show" Rates in the OB/GYN Clinics at BWH

GRADUATION - JUNE 20, 2008 Held at the Harvard Club, Boston. Dinner, presentations and an entertaining skit from the PGY 3 class completed the evening.

CHIEFS OPPORTUNITIES THEY WILL PURSUE Eloise Chapman, MD GYN Oncology Fellowship, Northwestern Ugonna Duru, MD Faculty, The Women's Hospital of Greensboro, NC Christopher Herndon, MD REI Fellowship, UCSF Shruthi Mahalingaiah, MD REI Fellowship, BWH Freddy Montero, MD MFM Fellowship, Columbia Alexander Quaas, MD Faculty Practice, MGH Barrett Robinson, MD MFM Fellowship, Northwestern Melanie Smith, MD Private Practice, Boston S. Zev Williams, MD REI Fellowship, Cornell Chloe Zera, MD MFM Fellowship, BWH

THOSE WHO CONTRIBUTED SIGNIFICANTLY TO RESIDENT TRAINING: Michael Muto, MD Irving Award for Excellence in GYN Teaching Thomas McElrath, MD, PhD Safon Award for Excellence in OB Teaching Elizabeth Fenton-Diggins, RN Ella Adams Award Recognizes non-clinician staff for contributions to resident life.

OTHER AWARDS Kari Braaten, MD, MPH Berlex – Best PGY 2 Teacher Award S. Zev Williams, MD, MPH Humanism Award Residents, faculty, and support staff at BWH/ MGH honor a graduating chief resident for demonstrating a philosophy that asserts the dignity and worth of people. INCOMING INTERNS MEDICAL SCHOOL Tiffany Blake-Lamb University of Arizona Kevin Elias Vanderbilt University Katharine Esselen Tufts University Cecile Ferrando SUNY Stony Brook Sanaz Ghazal Yale University Joan Hier Dartmouth Dana Myers UCSF Amy Paris UCLA Alejandro Rauh-Hain Universidad Panamericana Sharon Silveira Dartmouth Ryan Spencer SUNY Stony Brook

GOALS FOR AY 2008-2009  Add lecture series with postgraduate level programming and simulation curriculum at STRATUS.  Advance surgical skills curriculum with dry lab, simulation and observed skills credentialing.  Advance resident teaching skills with 1) surgical teaching didactics and observed surgical simulation experience and debriefing and 2) observed didactic teaching with incorporation of ABOG’s Lifelong Learning Program.  Creation of Boot Camp for early intensive skills training.  Development of Business of Medicine curriculum.