Department of Surgery 2018 Annual Report

Department of Surgery 2018 ANNUAL REPORT

DEPARTMENT OF SURGERYby the numbers41 176 5 fellows faculty ACGME-accredited surgical fellowships 4 30,314 operations performed ACGME-accreditedsurgical residency programs435 11 111 research funds clinical divisions interns and residents47 121,227 office visitsresearch fellows$33,005,959 research spending

A Letter from the Chair 2 For over a century, Brigham and Women’s Hospital and its predecessors 0 have made incredible contributions to advance the field of surgery, 1 in large part due to the people who have been drawn to come to our 8 campus to work. Everyday our surgeons and teams deliver world- class collaborative patient care while advancing scientific research and A training the surgical innovators of tomorrow. N That has led to many things having been done for the first time N at Brigham and Women’s Hospital, such as kidney transplantation, Unumerous heart valve procedures and many initiatives that are unique to our Department Ain terms of implementation of standard practices – from improving the health care in areas Lbeyond our borders, to providing transplantation services that can restore function not just ofinternal organs but of the face, hands and arms, to clinical trials in cancer that are among the Rmost advanced in the world. While these firsts are certainly noteworthy, I am most proud to be Epart of a Department of Surgery with a lengthy tradition of perfecting care by making it safer Pand more effective – not just doing it first, but doing it best. O R Over the past year, the Department of Surgery has continued to build on our proud Thistory of clinical and academic achievement. We saw our faculty continue to grow as wewelcomed the following new members to our group: Elodi J. Dielubanza, MD, Urology;Chris Gibbons, PhD, Patient-Reported Outcomes, Value & Experience Center; Lydia A.Helliwell, MD, Plastic Surgery; Lindsey M. Korepta, MD, Vascular and Endovascular Surgery;Elizabeth A. Mittendorf, MD, PhD, Surgical Oncology; Andrea L. Pusic, MD, MHS, Plasticand Reconstructive Surgery; and Anna C. Weiss, MD, Surgical Oncology. We also named twonew divisional leaders this academic year. Andrea L. Pusic, MD, MHS, was named chief ofPlastic and Reconstructive Surgery and Ravindra Uppaluri, MD, PhD, was named chief ofOtolaryngology – Head and Neck Surgery. Our Department continues to be on the cutting edge of surgical research with new grantfunding to study cultural dexterity curriculum for surgeons, disparities-sensitive surgicalquality metrics and to develop fundamentally new surgical approaches to extremityamputation. Our recently launched Breast Cancer Personalized Risk Assessment, Educationand Prevention (B-PREP) Program is an excellent model of effective multidisciplinaryclinical care and the newly formed Patient-Reported Outcomes, Value & Experience (PROVE)Center will focus on patient-reported outcomes, patient experience and value-based surgerythroughout all surgical disciplines at our institution and beyond. This annual report highlights just some of the many examples of our ongoing commitmentto excellence in clinical care, research and surgical education. Thank you for taking the time toread our report, we look forward to connecting with you again soon.GERARD M. DOHERTY, MDMoseley Professor of Surgery, Harvard Medical SchoolSurgeon-in-Chief, Brigham Health & Dana-Farber Cancer InstituteCrowley Family Distinguished Chair, Department of Surgery, Brigham and Women’s Hospital BWH DOS 3

FacultyDEPARTMENT OF SURGERYBrigham and Women’s Hospital attracts internationally renowned surgeons whocreate pioneering breakthroughs that make a difference for patients today as well asfor generations to come. We are committed to delivering world-class, collaborativepatient care with a profoundly human touch, while advancing scientific research andtraining the surgical innovators of tomorrow.Division of DIVISION OF GENERAL AND GASTROINTESTINAL SURGERYCardiac Surgery FRANCIS D. MOORE, JR., MD Chief • Division of General and Gastrointestinal Surgery Vice Chair • Department of Surgery Francis D. Moore Professor of SurgeryPREM S. SHEKAR, MD Endocrine Colon andChief • Division of Cardiac Surgery Rectal SurgerySurgeryAssistant Professor of Surgery FRANCIS D. MOORE, JR., MD RONALD BLEDAY, MD Section Chief • Endocrine Surgery Section Chief • ColonSary F. Aranki, MD Francis D. Moore Professor of Surgery and Rectal SurgeryAssociate Professor of Surgery Associate Professor of Surgery Nancy L. Cho, MDTsuyoshi Kaneko, MD Assistant Professor of Surgery Christian H. Corwin, MDAssistant Professor of Surgery Instructor in Surgery Gerard M. Doherty, MDDan Loberman, MD Crowley Family Distinguished Chair Joel E. Goldberg, MDInstructor in Surgery Moseley Professor of Surgery Assistant Professor of SurgeryMarc C. Pelletier, MD, MSc Atul A. Gawande, MD, MPH Jennifer L. Irani, MDMember of the Faculty of Surgery Cynthia and John F. Fish Assistant Professor of Surgery Distinguished Chair in SurgeryPaul Pirundini, MD Samuel O. Thier Professor Nelya Melnitchouk, MDInstructor in Surgery of Surgery Instructor in SurgeryJames D. Rawn, MD Matthew A. Nehs, MD Melissa M. Murphy, MD, MPHInstructor in Surgery Assistant Professor of Surgery Instructor in SurgerySteve K. Singh, MDMember of the Faculty of Surgery4 BWH DOS

MINIMALLY INVASIVE SURGERY (MIS) & GENERAL SURGEONS 2 0 Minimally Invasive Surgery (MIS) General Surgeons 1 8 Stanley W. Ashley, MD John J. Froio, MD Frank Sawyer Professor of Surgery Instructor in Surgery A N David C. Brooks, MD Pardon R. Kenney, MD, MMSc N Associate Professor of Surgery Senior Lecturer on Surgery U A Douglas S. Smink, MD, MPH Brent T. Shoji, MD L Associate Professor of Surgery Assistant Professor of Surgery R Edward E. Whang, MD E Associate Professor of Surgery P O R TMetabolic andBariotric Surgery SCOTT A. SHIKORA, MD Section Chief • Metabolic and Bariatric Surgery Professor of Surgery Neil D. Ghushe, MD Instructor in Surgery Malcolm K. Robinson, MD Assistant Professor of Surgery Eric G. Sheu, MD, PhD Assistant Professor of Surgery David Spector, MD Instructor in Surgery Ali Tavakkoli, MD Associate Professor of Surgery Ashley H. Vernon, MD Instructor in Surgery Paul B. Davidson, PhD Instructor in Psychiatry Mark Gorman, PhD Instructor in Psychiatry BWH DOS 5

Division of Division of Otolaryngology– Division of Plastic andOral Medicine Head and Neck Surgery Reconstructive SurgeryNATHANIEL S. TREISTER, DMD, DMSc RAVINDRA UPPALURI, MD, PHD ANDREA L. PUSIC, MD, MHSChief • Division of Oral Surgery Chief • Division of Division of Chief • Division of Plastic andAssociate Professor of Oral Otolaryngology–Head and Neck Reconstructive SurgeryMedicine, Infection, and Immunity Surgery Joseph E. Murray Professor BWH Distinguished Chair in of SurgeryVidya Snakar, DMD, MHS Otolaryngology Associate Professor of Otolaryngology Matthew J. Carty, MDStephen T. Sonis, DMD, DMSc Associate Professor of SurgeryProfessor of Oral Medicine, Donald J. Annino, DMD, MDInfection, and Immunity Assistant Professor of Otolaryngology E.J. Caterson, MD, PhD Assistant Professor of SurgeryHerve Y. Sroussi, DMD, PhD Neil Bhattacharyya, MDAssociate Professor of Oral Professor of Otolaryngology Stephanie Caterson, MD, MScMedicine, Infection, and Immunity Assistant Professor of Surgery Thomas L. Carroll, MDAlessandro Villa, DMD, MPH, PhD Assistant Professor of Otolaryngology Benjamin P. Christian, MDAssistant Professor of Oral Instructor in SurgeryMedicine, Infection, and Immunity Carleton Eduardo Corrales, MD Instructor in Otolaryngology Yoon S. Chun, MDSook-Bin Woo, DMD, MMSc Associate Professor of SurgeryAssociate Professor of Oral Medicine, Laura A. Goguen, MDInfection, and Immunity Associate Professor of Otolaryngology Jessica Erdmann-Sager, MD Instructor in Surgery Jason I. Kass, MD, PhD Instructor in Otolaryngology Lydia A. Helliwell, MD Instructor in Surgery Alice Z. Maxfield, MD Instructor in Otolaryngology Douglas L. Helm, MD Instructor in Surgery Anthony A. Prince, MD Instructor in Otolaryngology Charles A. Hergrueter, MD Assistant Professor of Surgery Rachel E. Roditi, MD Instructor in Otolaryngology Dennis P. Orgill, MD, PhD Professor of Surgery Jo Shapiro, MD Associate Professor of Otolaryngology Bohdan Pomahac, MD Roberta and Stephen R. Weiner Jennifer J. Shin, MD Distinguished Chair in Surgery Associate Professor of Otolaryngology Professor of Surgery Christian E. Sampson, MD Assistant Professor of Surgery Indranil Sinha, MD Assistant Professor of Surgery Simon G. Talbot, MD Associate Professor of Surgery

Division of Section ofSurgical Oncology Breast SurgeryMONICA M. BERTAGNOLLI, MD TARI A. KING, MD Mehra Golshan, MDChief • Division of Surgical Section Chief • Breast Surgery Dr. Abdul Mohsen and SultanaOncology Anne E. Dyson Associate Professor of Al-Tuwaijri Distinguished Chair inRichard E. Wilson Professor of Surgery Surgery in the Field of Women’s Cancers Surgical Oncologyin the Field of Surgical Oncology Associate Professor of Surgery Thanh U. Barbie, MDThomas E. Clancy, MD Instructor in Surgery Elizabeth Mittendorf, MD, PhDAssistant Professor of Surgery Robert and Karen Hale DistinguishedChandrajit P. Raut, MD, MSc Katherina Zabicki Calvillo, MD Chair in Surgical OncologyAssociate Professor of Surgery Instructor in Surgery Associate Professor of SurgeryJiping Wang, MD, PhDAssistant Professor of Surgery Laura S. Dominici, MD Faina Nakhlis, MDCharles H. Yoon, MD, PhD Assistant Professor of Surgery Assistant Professor of SurgeryAssistant Professor of Surgery Margaret M. Duggan, MD Suniti Nimbkar, MD Assistant Professor of Surgery Instructor in Surgery Esther Rhei, MD Assistant Professor of Surgery Anna Weiss, MD Member of the Faculty of SurgeryDivision of Christopher T. Ducko, MD Namrata Patil, MD, MPHThoracic Surgery Assistant Professor of Surgery Instructor in SurgeryRAPHAEL BUENO, MD Michael T. Jaklitsch, MD Scott J. Swanson, MDChief • Division of Thoracic Professor of Surgery Professor of SurgerySurgeryFredric G. Levin Distinguished Chair in Abraham Lebenthal, MD, MHA Hisashi Tsukada, MD, PhDThoracic Surgery and Lung Cancer Instructor in Surgery Instructor in SurgeryResearchProfessor of Surgery Hari R. Mallidi, MD Jon O. Wee, MD Associate Professor of Surgery Assistant Professor of SurgeryYolonda L. Colson, MD, PhDMichael A. Bell Family Distinguished Ciaran McNamee, MD, MSc Brian Whang, MDChair in Healthcare Innovation Instructor in Surgery Instructor in SurgeryProfessor of Surgery Steven J. Mentzer, MD Abby A White, DOMarcelo C. DaSilva, MD Professor of Surgery Instructor in SurgeryLecturer on Surgery Daniel C. Wiener, MD Instructor in Surgery BWH DOS 7

Division of Division of Trauma, Burn, Division of UrologyTransplant Surgery Surgical and Critical CareSTEFAN G. TULLIUS, MD, PHD ALI SALIM, MD ADAM S. KIBEL, MDChief • Division of Transplant Chief • Division of of Trauma, Burn, Chief • Division of UrologySurgery Surgical and Critical Care Elliott Carr Cutler Professor ofProfessor of Surgery Professor of Surgery SurgerySanjay Kumar, MD Reza Askari, MD Steven L. Chang, MD, MSAssociate Professor of Surgery Instructor in Surgery Assistant Professor of SurgerySayeed K. Malek, MD Christopher J. Burns, MD Elodi J. Dielubanza, MDAssistant Professor of Surgery Instructor in Surgery Member of the Faculty of Surgery Cristina Carpio, MD Jairam R. Eswara, MD Instructor in Surgery Assistant Professor of Surgery Jason E. Cohen, DO George Haleblian, MD Member of the Faculty of Surgery Zara R. Cooper, MD, MSc Associate Professor of Surgery Martin Kathrins, MD Instructor in Surgery David W. Fink, MD Instructor in Surgery Michael J. Malone, MD Instructor in Surgery Adil H. Haider, MD, MPH Member of the Faculty of Surgery Michael W. McDonald, MD Assistant Professor of Surgery Joaquim M. Havens, MD Assistant Professor of Surgery Michael P. O’Leary, MD, MPH Professor of Surgery Edward Kelly, MD Assistant Professor of Surgery Mark A. Preston, MD, MPH Assistant Professor of Surgery Deepika Nehra, MD Assistant Professor of Surgery Graeme S. Steele, MD Assistant Professor of Surgery Stephanie L. Nitzschke, MD, MS Instructor in Surgery Quoc-Dien Trinh, MD Assistant Professor of Surgery Erika L. Rangel, MD, MS Assistant Professor of Surgery Robert Riviello, MD, MPH Assistant Professor of Surgery Naomi Shimizu, MD Instructor in Surgery

Division of Vascular and Research Steven Piantadosi, MD, PhDEndovascular Surgery Senior Investigator Ann Marie Egloff, PhD, MPHMICHAEL BELKIN, MD Lead Investigator William G. Richards, PhDChief • Division Vascular and Member of the Faculty of Surgery Lead InvestigatorEndovascular Surgery Assistant Professor of SurgeryProfessor of Surgery Chris Gibbons, PhD Lead Investigator Joel S. Weissman, PhDGarima Dosi, MD Member of the Faculty of Surgery Senior InvestigatorEdwin C. Gravereaux, MD Professor of SurgeryInstructor in Surgery Li Jia, PhD Lead Investigator Jeremy M. Wolfe, PhDLindsey Korepta, MD, RPVI Assistant Professor of Surgery Senior InvestigatorEdward M. Kwasnik, MD Professor of OphthalmologyAssistant Professor of Surgery Raouf A. Khalil, MD, PhD Lead Investigator Feng Yao, PhDEdward J. Marcaccio, Jr., MD Associate Professor of Surgery Lead InvestigatorAssistant Professor of Surgery Associate Professor of Surgery James A. Lederer, PhDMatthew T. Menard, MD Lead InvestigatorAssociate Professor of Surgery Associate Professor of SurgeryLouis L. Nguyen, MD, MBA, MPH Emeritus Cardiac SurgeryAssociate Professor of Surgery John A. Mannick, MD Miguel Haime, MDC. Keith Ozaki, MD Moseley Professor of Surgery, Emeritus Jacquelyn A. Quin, MDProfessor of Surgery Marco Zenati, MD Anthony D. Whittemore, MDMarcus E. Semel, MD, MPH Professor of Surgery, Emeritus Plastic SurgeryInstructor in Surgery Michael J. Zinner, MD Shahe Fereshetian, MDSamir K. Shah, MD Moseley Professor of Surgery, EmeritusInstructor in Surgery AFFILIATED FACULTY Urology South Shore Hospital B. Price Kerfoot, MD Frederick Millham, MD Vascular Surgery Chair of Surgery, South Shore Hospital Michelle C. Martin, MD Veteran’s Affairs (VA) Boston Joseph Raffetto, MD Healthcare System Research General Surgery Vivian Cristofaro, PhD Kamal Itani, MD Aldebaran Hofer, MD, PhD Chief of Surgery, VA Boston Health Jialan Shi, MD, PhD Care System Maryrose P. Sullivan, PhD P. Marco Fisichella, MD, MBA Jason S. Gold, MD Gentian Kristo, MD BWH DOS 9

FacultyNEW DIVISION CHIEFSANDREA L. PUSIC, MD, MHS measures in surgery. member for 16 years before moving toChief • Division of Plastic and Throughout her career, Dr. Pusic has Boston with his wife, Chitra Uppaluri, MD,Reconstructive Surgery and three children in 2016.Joseph E. Murray Professor of Surgery been involved in research studies that seek to better understand the patient Dr. Uppaluri, a leader in his field, has Andrea L. Pusic, MD, perspective on surgical outcomes and a deep understanding of head and neck MHS, was named the experiences. She is principal investigator tumor biology as well as integration of new chief of Plastic and of a study funded by the Patient-Centered radiation, chemotherapy and surgical Reconstructive Surgery Outcomes Research Institute (PCORI) that treatment modalities, including minimally at Brigham Health in examines how electronic patient-reporting invasive transoral laser microsurgery March of 2018. Prior of symptoms may improve surgical care. and endoscopic and open approachesto joining the Brigham, she was an Altogether, she has been a principal to anterior skull base pathologies. Heattending plastic surgeon at Memorial investigator or co-principal investigator on has been the primary investigator ofSloan-Kettering Cancer Center (MSKCC) over $10 million in federal research grants. clinical trials integrating small moleculeand a professor of surgery at Weill Medical and immunotherapeutics in the surgicalCollege of Cornell University in New Dr. Pusic has authored over 200 scientific management of head and neck cancers. HeYork, NY. articles and book chapters and has also leads a National Institutes of Health Dr. Pusic completed her medical degree mentored more than 24 surgeons during (NIH) funded laboratory, focused on basicat the Cumming School of Medicine various stages of their academic careers. and translational approaches to head and(University of Calgary) in Canada and In 2017, she was awarded the Research neck cancers. ªmaster of public health at Johns Hopkins Achievement Award from the AmericanUniversity. She completed a general Society of Plastic Surgeons/Plastic Surgery NEW FACULT Ysurgery residency at Dalhousie University in Foundation. Dr. Pusic is vice-presidentNova Scotia, and a plastic surgery residency of WomenforWomen Reconstructive ELODI J. DIELUBANZA, MDat McGill University in Montreal, followed Surgery and regularly leads surgical camps Urologyby a plastic and reconstructive surgery to provide reconstructive surgery forfellowship at MSKCC. injured women and girls in the developing Elodi J. Dielubanza, Dr. Pusic is an internationally-renowned world. She is a past board member of the MD, is a graduate ofinnovator and leader in the area of International Society of Quality of Life Columbia Universitypatient-reported outcomes and surgical (ISOQOL) and is currently the president of in New York, NY andexperience. This is increasingly important the Plastic Surgery Foundation. ª received her medicalin the current health care environment degree from the Davidof measuring quality, assessing value and RAVINDRA UPPALURI, MD, PHD Geffen School of Medicine at UCLA in Losultimately, influencing how health care Chief • Division of Otolaryngology Angeles, CA. She completed a Urologyis funded. Dr. Pusic leads the Patient- –Head and Neck Surgery Residency at Northwestern University inReported Outcomes, Value & Experience BWH Distinguished Chair in Otolaryngology Chicago, IL and a Female Pelvic Medicine(PROVE) Center at Brigham Health. The Associate Professor of Otolaryngology and Reconstructive Surgery Fellowship atscope of the PROVE Center is focused Cleveland Clinic in Cleveland, OH.on patient-reported outcomes, patient Ravindra Uppaluri, MD, Her clinical and research interestsexperience and value-based surgery in PhD, was named the new include a focus on female urology including:surgical patients throughout Brigham chief of Otolaryngology- vaginal surgery, urinary incontinence,Health. Head and Neck Surgery pelvic organ prolapse, overactive bladder, Dr. Pusic’s research focuses on the at Brigham Health in voiding dysfunction and pelvic floormeasurement of quality of life and patient September of 2017. dysfunction. ªsatisfaction in surgery. Dual training in He had served as an associate surgeonepidemiology and surgery has enabled her and director of Head and Neck Surgicalto lead a team of experts in psychometrics, Oncology at the Dana-Farber/Brigham andquality of life and social science methods to Women’s Cancer Center since 2016.develop, validate and use new quantitativemeasures to assess patient outcomes. The Dr. Uppaluri completed his medicalpatient-reported outcomes instrument degree and doctorate in genetics at theshe developed for breast surgery, the University of Minnesota in Minneapolis,BREAST-Q, has been widely adopted for MN. He trained in Otolaryngology atresearch and clinical care and serves as the Barnes-Jewish Hospital and the Washingtonbasis for development of other outcome University School of Medicine in St. Louis, MO. He remained there as a faculty10 BWH DOS

LYDIA A. HELLIWELL, MD completed a residency in General Surgery. initiated studies evaluating immune 2Plastic Surgery After completing her residency, she served checkpoint blockade administered in 0 on active duty in the United States military the presurgical setting to breast cancer 1 Lydia A. Helliwell, before completing a fellowship in Surgical patients. 8 MD, is a graduate of Oncology at the University of Texas MD Massachusetts Institute Anderson Cancer Center in Houston, TX. Dr. Her laboratory work is focused on A of Technology in Boston, Mittendorf also holds a PhD in Immunology identifying novel tumor antigens and N MA and received her from the University of Texas Graduate investigating aspects of the tumor N medical degree from the School of Biomedical Sciences at Houston. microenvironment that impact the UUniversity of Massachusetts Medical School response to immunotherapy. Specifically, Ain Worcester, MA. She completed a Plastic Dr. Mittendorf is the inaugural Rob she is investigating mutations in the ESR1 LSurgery Residency in the Harvard Plastic and Karen Hale Distinguished Chair in gene as targets for vaccination as wellSurgery Combined Residency Program and Surgical Oncology at Brigham and Women’s as the impact of standard therapies on Ra fellowship in Orthopedic Hand Surgery at Hospital; the director of Surgical Research the immune microenvironment with the EMassachusetts General Hospital. at Dana-Farber/Brigham and Women’s goal of informing rational clinical trials P Her clinical and research interests Cancer Center (DF/BWCC) Breast Program; evaluating the addition of immunotherapy Oinclude: hand surgery, peripheral nerve director of the Breast Immuno-Oncology to treatment regimens for breast cancer Rsurgery, microsurgery, lower extremity Program at Dana-Farber Cancer Institute patients. This work is supported by Treconstruction, brachial plexus injuries and and co-­director of the Breast Cancer the Komen for the Cure Foundationmedical education. ª Clinical Research Program in the Breast and the Parker Institute for Cancer Oncology Program at Dana-Farber. Immunotherapy. ªLINDSEY M. KOREPTA, MD, RPVIVascular and Endovascular Surgery Prior to joining Brigham and Women’s ANNA C. WEISS, MD Hospital and Dana-Farber Cancer Institute, Surgical Oncology Lindsey M. Korepta, MD, Dr. Mittendorf was a professor in the RPVI, is a graduate of the Department of Breast Surgical Oncology Anna C. Weiss, MD, University of Michigan at the University of Texas MD Anderson is a graduate of Case in Ann Arbor, MI and Cancer Center in Houston, TX. She joined Western Reserve completed her medical the faculty at MD Anderson in 2008. University School of degree at Michigan State Medicine in Cleveland,University College of Human Medicine Dr. Mittendorf is board certified by the OH. She completed ain East Lansing, MI. She completed her America Board of Surgery. She maintains General Surgery Residency at the Universitypostgraduate training in the Spectrum a busy clinical practice and oversees a of California, San Diego School of MedicineHealth/Michigan State University Integrated portfolio of clinical trials as well as a basic in San Diego, CA and a fellowship in BreastVascular Residency Program in Grand laboratory effort. Surgical Oncology at the University ofRapids, MI. Texas MD Anderson Cancer Center in Her clinical and research interests She is principal investigator on a number Houston, TX.include: aortic aneurysm repair, of clinical protocols including the phase Her clinical interests include the surgicalperipheral vascular disease and limb care III PRESENT (Prevention of Recurrence in treatment of breast cancer, axillary surgerypreservation, arteriovenous fistula creation, Early-Stage, Node-Positive Breast Cancer and inflammatory breast cancer. Hervenous insufficiency treatment and quality with Low to Intermediate HER2 Expression clinical research is focused on surgicalimprovement. ª with NeuVax Treatment) study, and a management of the axilla, inflammatory multicenter phase II trial investigating the breast cancer, large population databaseELIZABETH A. MITTENDORF, MD, PHD efficacy of a CD8+ T cell eliciting vaccine research and the application andSurgical Oncology in combination with trastuzumab which is integration of collaborative clinical trial based on preclinical data generated in her results with real world data. Dr. Weiss is an Elizabeth A. Mittendorf, laboratory and follows a phase I trial she executive officer in the Alliance for Clinical MD, PhD, is a graduate conducted demonstrating the combination Trials in Oncology, including the PCORI of Case Western Reserve to be safe. This trial is supported by a portfolio. ª University School of Breakthrough Award from the Department Medicine in Cleveland, of Defense (DoD). BWH DOS 11 OH, where she also Dr. Mittendorf is also the principal investigator on a multi-center trial supported by the National Cancer Institute (NCI) evaluating the impact of vaccination in patients with ductal carcinoma in situ, a trial evaluating the impact of preoperative radiation therapy on the immune response in breast tumors, as well as two investigator

New ProgramOffersPersonalizedRiskAssessment,Screening,and PreventionStrategies forPatients atIncreased Riskcancerof Breast 12 BWH DOS

specialists from Dana-Farber/Brigham and Women’s Cancer Center, Dana-Farber Cancer Institute, and Brigham and Women’s Hospital recently introduced the Breast Cancer Personalized Risk Assessment, Education and Prevention (B-PREP) Program for patients at increased risk for breast cancer and for patients who want to better understand their risk. The B-PREP Program is supported by a Scholars Grant from Susan G. Komen for the Cure®.“ By gaining a better “Our Program is comprised of a multidisciplinary team of breast specialists, understanding of including breast surgeons, medical oncologists, breast imagers, physician their individual breast assistants and nurse practitioners as well as a social worker and patient cancer risk, patients navigator, who collaborate to deliver expert individualized evaluation and will be able to make care,” says Tari A. King, MD, director of the B-PREP Program and chief of more informed Breast Surgery at Dana-Farber/Brigham and Women’s Cancer Center. choices about their options and take Key services in B-PREP include: preventative action with the risk.” Comprehensive Risk Assessment The B-PREP team’s risk assessment evaluates: TARI A. KING, MD • Personal and family history; • Prior findings of atypical hyperplasia (ADH/ALH) or lobular studies include carcinoma in situ (LCIS) or other atypical lesions on breast biopsy; • Breast density; The use of • Lifestyle factors including diet and exercise; 4-hydroxytamoxifen • Hormone use and other exposures contributing to breast cancer risk. topical gel in women with mammographically dense Personalized Risk-Tailored Care and Education breasts Depending on a patient’s level of risk, the B-PREP team offers expanded testing and recommendations, such as: Evaluation of the impact • Enhanced breast imaging, with whole breast ultrasound or magnetic of medical weight loss reduction programs in resonance imaging (MRI), and more frequent clinical breast exams; women at high risk for • Guidelines for lifestyle changes including diet and exercise as well breast cancer as direct referrals to colleagues in the Brigham and Women’s Weight Evaluation of the impact of Management Program; physical activity on markers • Expedited access for genetic counseling and testing through the of breast proliferation as a Cancer Genetics and Prevention Program at Dana-Farber/Brigham surrogate for risk reduction and Women’s Cancer Center; • Options for risk reduction with proven medications as well as access Evaluation of novel agents to clinical trials evaluating novel medications to prevent breast cancer in patients with BRCA development and opportunities to discuss surgical risk reduction germline mutations with prophylactic surgery. Innovative Research With colleagues at Dana-Farber Cancer Institute, the B-PREP team is engaged in a wide range of research studies, including lifestyle interventions and clinical trials of innovative therapies to prevent breast cancer. The B-PREP team is also taking a patient-centered approach to understanding risk by engaging patients to report their own data and experiences over time in the B-PREP program. BWH DOS 13

Weeks after an experimental amputation, Jim Ewing returned to climbing using a standard prosthesis. tomorrow’stodaymedicine14 BWH DOS

1i9n82 redesign amputation surgery and ankle developed by Herr’s teamat 17 years old, Hugh Herr was a develop a prosthesis that could be in collaboration with Carty. Thefearless and well-known rock climber controlled by the brain. After several prosthetic limb was designed towhen a blizzard trapped him for years of significant pre-clinical connect to Ewing’s muscles so hefour days on Mount Washington research at MIT and the New England could control its movements with hisin New Hampshire. Hypothermic Organ Bank, the team was ready to brain and feel sensations similar to aand hours from death, he was pilot a new amputation procedure. natural limb.rescued and helicoptered to a nearby If successful, the surgery wouldhospital where doctors tried to save preserve essential nerve endings Ewing says, “Within minuteshis severely frostbitten legs—but in the amputated limb that could of being connected to the roboticultimately, needed to amputate both improve the amputee’s mobility, prosthesis, I felt like it was part of mylegs below the knee. reduce pain, and open the door to body, what Dr. Herr and Dr. Carty testing a new robotic prosthesis. call neurological embodiment. The Eager to return to climbing, Herr sensation of a robotic foot respondingtried the prosthetic limbs available at Herr had the perfect patient in to what I am thinking and doing isthe time, but was unimpressed. He mind: his longtime friend Jim Ewing, incredible.”focused his attention, and eventually who suffered devastating injuries inhis career, on engineering and testing a rock climbing accident. Ewing had While more testing is needed, Cartybetter-performing prosthetic devices, spent two years seeking medical help and Herr expect a version of thewith the goal of developing models to ease the agony of his shattered leftthat would behave like natural limbs. ankle—with little success. Matthew J. Carty, MD, of BWH (left), confers with Hugh Herr, PhD (center), and Tyler Clites of MIT, as While Herr explored the “I felt like I was trapped in a broken, Jim Ewing (foreground) tests their newly developedpossibilities of prosthetic devices disabled body,” Ewing says. “I was in prosthetic device.as director of the Biomechatronics such constant pain I was willing to doGroup at the Massachusetts Institute almost anything to make it stop.” prosthesis will be publicly availableof Technology (MIT) Media Lab, within a few years. They are alreadyanother expert, plastic surgeon Ewing met with Carty for an conducting early-phase research forMatthew J. Carty, MD, was exploring assessment and decided to take a similar amputation procedure andpossibilities for limb transplants a chance with the experimental robotic parosthetic for arms.at Brigham and Women’s Hospital amputation procedure, which was(BWH). Carty envisioned a leg funded through The Gillian Reny Carty explains, “We’re beginningtransplant surgery that maintains Stepping Strong Center for Trauma to say with more confidence thatessential nerve connections between Innovation at BWH. Within six weeks both the procedure and prosthesisthe new leg and the brain. He of surgery, Ewing was walking could work for a large population.wondered how a transplanted leg with a standard prosthesis and rock It’s an incredible feeling knowingwould perform compared with the climbing again. our work could help redefine thebest prosthetic devices. care of amputees and improve “It takes a special kind of person to quality of life for the nearly 1 million “During a standard amputation commit to an experimental medical people worldwide who have limbprocedure, the nerve signals that procedure,” Carty says. “We had amputations each year.” ªcoordinate between the brain and done a lot of research, but we didn’tlimb are cut off, making it nearly know with certainty this was going toimpossible for an amputee using a work. In gratitude to Jim’s courageousprosthesis to walk on uneven ground decision to be the first, we named thisor balance on one leg,” explains Carty, procedure the Ewing amputation.”director of the Lower ExtremityTransplant Program at BWH and Ewing has no regrets. “It’s toughBrigham and Women’s Faulkner being an amputee, but it’s led meHospital. down this new path and given me a chance to experience groundbreaking When Herr and Carty learned technology,” he says.of each other’s efforts, theirbrainstorming led to a new idea: to Following the surgery, Ewing began testing a prototype foot/ BWH DOS 15

Education CURRENT RESIDENTS Venkat Ramakrishnan, MD University of Louisville School of Medicine The Department of General Surgery Surgery combines top- PGY 2 notch clinical care with Program Director: world-class research and Douglas S. Smink, MD, MPH Rachel Atkinson, MD cutting-edge education to Geisel School of Medicine at Dartmouth provide comprehensive PGY 1 surgical training programs. CATEGORICAL Sourav Bose, MD Teaching tomorrows Perelman School of Medicine at the leaders today… James Etheridge, MD University of Pennsylvania Eastern Virginia Medical School111 Frances Hu, MD interns and residents Katherine He, MD Emory University School of Medicine University of Michigan Medical School41 Lenka Ilcisin, MD fellows Patrick Heindel, MD Harvard Medical School Keck School of Medicine of the University 5 of Southern California James Luo, MD University of Chicago Pritzker School of ACGME-accredited Paige Newell, MD Medicine surgical Lewis Katz School of Medicine at Temple University Pooja Neiman, MD fellowships David Geffen School of Medicine at UCLA Mehida Rojas-Alexandre, MD 4 Yale School of Medicine Paul Salem, MD Mayo Clinic School of Medicine ACGME-accredited Eva Rouanet Hendrix, MD surgical residency University of Massachusetts Medical School Elizabeth Yates, MD University of Michigan Medical School programs Matthew Vivero, MD Columbia University Vagelos College Bixiao Zhao, MD, PhD 16 BWH DOS of Physicians and Surgeons Yale School of Medicine Vanessa Welten, MD PGY 3 Northwestern University Feinberg School of Medicine Samuel Enumah, MD Johns Hopkins University School of Medicine Christine Wu, MD University of Michigan Medical School Anthony Haddad, MD American University of Beirut Medical School PRELIMINARY Joshua Jolissaint, MD Toby Emanuel, MD University of Virginia School of Medicine The Warren Alpert Medical School of Brown University Abby Larson, MD Johns Hopkins University School of Medicine Jessica Feliz, MD University of Virginia School of Medicine George Li, MD Duke University School of Medicine Ines Lains, MD Universidade de Coimbra, Portugal Alessandra Moore, MD University of Massachusetts Medical School Prashin Unadkat, MD K. J. Somaiya Medical College, India Linda Pak, MD University of Michigan Medical School PRELIMINARY IR Lily Saadat, MD Sukjin Koh, MD Northwestern University Feinberg School Oregon Health & Science University of Medicine Philip Panic, MD Nidhi Udyavar, MD Tufts University School of Medicine George Washington University School of Medicine and Health Sciences PRELIMINARY UROLOGY PGY 4 Tracy Han, MD Duke University School of Medicine Alexandra Columbus, MD Sidney Kimmel Medical College at Thomas Kevin Melnick, MD Jefferson University Emory University School of Medicine

Gillian Fell, MD Joseph Mets, MD Sophie Hofferberth, MD, PGY 2 2Harvard Medical School Harvard Medical School University of Melbourne Medical School 0 1David Harris, MD Peter Najjar, MD, MBA Jamie Knell, MD, PGY 3 8University of Virginia School of Medicine University of Chicago Pritzker School University of California San Diego School of Medicine of Medicine AElizabeth Lilley, MD NRutgers Robert Wood Johnson Medical Anupamaa Seshadri, MD Pamela Lu, MD, PGY 3 NSchool University of Maryland School of Medicine University of Massachusetts Medical School U ARebecca Scully, MD Bethany Strong, MD Heather Lyu, MD, PGY 3 LGeisel School of Medicine at Dartmouth Harvard Medical School Johns Hopkins University School of Medicine RJames Senturk, MD, PhD Lindsey Wolf, MD Arin Madenci, MD, PGY 3 EIcahn School of Medicine at Mount Sinai University of California San Francisco School University of Michigan Medical School P of Medicine OKristin Sonderman, MD, MPH David Mahvi, MD, PGY 2 RUniversity of Wisconsin School of Medicine RESEARCH University of Wisconsin School of Medicine Tand Public Health and Public Health Karan Chhabra, MD, PGY 2Russell Witt, MD University of Michigan Medical School Danny Mou, MD, PGY 3University of California Davis School Emory University School of Medicineof Medicine Bryan Dieffenbach, MD, PGY 3 University of California San Diego School Laura Piechura, MD, PGY 3PGY 5 of Medicine Stanford University School of MedicineMarko Boskovski, MD Jonathan Dunlap, MD, PGY 3 Jason Pradarelli, MD, PGY 2Yale School of Medicine Stanford University School of Medicine University of Michigan Medical SchoolJulius Ejiofor, MD Adam Fields, MD, PGY 2 Rowza Rumma, MD, PGY 2University of Texas Southwestern Medical Icahn School of Medicine at Mount Sinai Stanford University School of MedicineSchool Sameer Hirji, MD, PGY 2 From L-R, Jason Pradarelli, MD, PGY 2, JonathanMelissa Mallory, MD Johns Hopkins University School of Medicine Dunlap, MD, PGY 3, Sameer Hirji, MD, PGY 2, DouglasUniversity of Virginia School of Medicine S. Smink, MD, MPH (General Surgery Residency Program Director), and Heather Lyu, MD, PGY 3, participate in a surgical simulation training. BWH DOS 17

Morgan Harloff, MD, PGY 3 Jenny Chen, MD Kaohsiung Medical University, Taiwan Harvard Medical SchoolFrom L-R: Mario A. Aycart, MD; Ann DeBord Smith, RESEARCH Shekhar Gadkaree, MDMD, MPH; Gaurav Sharma, MD; John W. Scott, MD, Johns Hopkins University School of MedicineMPH; Monica Valero Camacho, MD; Thomas C. Tsai, Farhang Yazdchi, MD, PGY 3MD, MPH; and Gerard M. Doherty, MD Shahid Beheshti University of Medical Vivek Kanumuri, MD Sciences, Iran Rutgers Robert Wood Johnson Medical School Yifan Zheng, MD, PGY 3 Boston University School of Medicine Ashley Miller, MD University of Michigan Medical School2018 GRADUATES PGY 4Ashley E. Aaron, MD Otolaryngology Alessandra Colaianni, MDSurgical Critical Care Fellowship, Brigham Johns Hopkins University School of Medicineand Women’s Hospital, Boston, MA Program Director: Harvard Otolaryngology Residency Allen Feng, MDMario A. Aycart, MD Program: Stacey T. Gray, MD Johns Hopkins University School of MedicineHarvard Plastic Surgery Residency Program, Assistant Program Director: Kevin S.Boston, MA Emerick, MD Natalie Justicz, MD BWH Site Director: Alice Z. Maxfield, Emory University School of MedicineMonica Valero Camacho, MD MDBreast Surgery Fellowship, Memorial Sloan Anuraag Parikh, MDKettering Cancer Center, New York, NY PGY 1 Columbia University Vagelos College of Physicians and SurgeonsJohn W. Scott, MD, MPH Ciersten Burks, MDTrauma and Critical Care Fellowship, Indiana University School of Medicine Alisa Yamasaki, MDHarborview Medical Center, University of Harvard Medical SchoolWashington, Seattle, WA Lauren Miller, MD Perelman School of Medicine at the CHIEF RESIDENTSGaurav Sharma, MD University of PennsylvaniaHoman’s Vascular and Endovascular Surgery Ashton Lehmann, MDFellowship, Brigham and Women’s Hospital, Christopher McHugh, MD, PhD Harvard Medical SchoolBoston, MA Wayne State University School of Medicine Brian Lin, MDAnn DeBord Smith, MD, MPH Tara Mokhtari, MD Johns Hopkins University School of MedicineMinimally Invasive Surgery Fellowship, Stanford University School of MedicineUniversity of Massachusetts Medical School, Katie Phillips, MDWorcester, MA Alan Workman, MD The Ohio State University College of Medicine Perelman School of Medicine at theThomas C. Tsai, MD, MPH University of Pennsylvania Yin Ren MD, PhDMinimally Invasive Bariatric and Advanced Harvard Medical SchoolGI Surgery Fellowship, Massachusetts PGY 2General Hospital, Boston, MA Rosh Sethi, MD, MPH Harvard Medical SchoolCardiothoracic Surgery Eric Barbarite, MD 2018 GRADUATES University of Miami Miller School of MedicineProgram Director: Jennifer C. Fuller, MDMichael T. Jaklitsch, MD Adeep Derakhshan, MD Facial Plastic and Reconstructive Surgery Cleveland Clinic Lerner College of Medicine Fellowship, University of Minnesota MedicalINTEGRATED (I-6) PROGRAM of Case Western Reserve University School, Minneapolis, MNSue Wang, MD, PGY 1 Krupa Patel, MD Deepa J. Galaiya, MDUniversity of California San Francisco School Weill Cornell Graduate School of Medical Neurotology Fellowship, Johns Hopkinsof Medicine Sciences University School of Medicine, Baltimore, MDHoda Javadikasgari, MD, PGY 1 Tiffany Wang, MD Elliott D. Kozin, MDTehran University of Medical Sciences, Iran Keck School of Medicine of the University Neurotology Fellowship, Massachusetts Eye of Southern California and Ear, Boston, MAKathleen Weiss, MD, PGY 2University of Miami Miller School of Medicine Phoebe Kuo Yu, MD Sidharth V. Puram, MD, PhD Yale School of Medicine Head and Neck Oncologic SurgeryAriana Bratt, MD, PGY 3 Fellowship, The Ohio State University CollegeUniversity of California San Francisco School PGY 3 of Medicine, Columbus, OHof Medicine Nicholas Abt, MD Johns Hopkins University School of Medicine18 BWH DOS

Plastic Surgery CHIEF RESIDENTS UrologyProgram Director: Brian Freniere, MD Program Director:Harvard Plastic Surgery Residency University of Massachusetts Medical School George Haleblian, MDProgram: Michael Yaremchuk, MDAssociate Program Director/BWH Site Johanna Riesel, MD PGY 2Director: Stephanie Caterson, MD, MSc Vanderbilt University School of Medicine Erica Ditkoff, MDINTEGRATED PROGRAM Danny Roh, MD, PhD Columbia University Vagelos College University of Pittsburgh School of Medicine of Physicians and SurgeonsPGY 1 Gricelda Gomez, MD Harvard Medical SchoolOlivia Abbate, MD INDEPENDENT PROGRAM Stephen Reese, MDGeorgetown University School of Medicine Boston University School of Medicine SENIOR RESIDENTSSarah Karinja, MD PGY 3Columbia University Vagelos College of KC Collins, MD, MBAPhysicians and Surgeons Tufts University School of Medicine Alexandra J Berger, MD The Warren Alpert Medical School of BrownEric Wenzinger, MD Ashleigh Francis, MD UniversityMedical University of South Carolina McGovern Medical School at the University Manuel Ozambela, MD of Texas – Houston Harvard Medical SchoolPGY 2 Julie Szymaniak, MD Mark Greyson, MD Rutgers Robert Wood Johnson MedicalJason Clain, MD University of Virginia School of Medicine SchoolTufts University School of Medicine CHIEF RESIDENTS PGY 4Brittany Vieira, MDNorthwestern University Feinberg School of Avery Capone, MD Hyo Sang Chiang, MDMedicine Georgetown University School of Medicine Harvard Medical School Jeffrey Howard, MDFrankie Wong, MD Ryan Cauley, MD Baylor College of MedicineDavid Geffen School of Medicine at UCLA Weill Cornell Graduate School of Medical Valary Raup, MD Sciences Washington University of School of MedicinePGY 3 Shawn Diamond, MD PGY 5Timothy Irwin, MD Weill Cornell Graduate School of MedicalPennsylvania State University College of Sciences Tyler McClintock, MDMedicine New York University School of Medicine 2018 GRADUATES Jacqueline Speed, MDDylan Perry, MD Columbia University Vagelos College ofUniversity of Massachusetts Medical School Ramon Arscott, MD, PhD Physicians and Surgeons Private Practice, Jamaica & BermudaArman Serebrakian, MD, MS 2018 GRADUATESLewis Katz School of Medicine at Erez Dayan, MDTemple University Aesthetic Surgery Fellowship, Dallas Plastic David Friedlander, MD, MPH Surgery Institute, Dallas, TX NIH Research Fellowship, Brigham andPGY 4 Women’s Hospital, Boston, MA Christopher Hughes, MD, MPH Endourology/Laparoscopic Fellowship, UCLisa Gfrerer, MD, PhD Pediatric Craniofacial Fellowship, Boston San Diego and Kaiser Permanente, SanMedical University of Vienna, Austria Children's Hospital, Boston, MA Diego, CA Philip Cheng, MDBrent Pickrell, MD Edward Kobraei, MD Male Reconstruction and Male InfertilityBaylor College of Medicine Hand Surgery Fellowship, University Fellowship, University of Utah, Salt Lake City, of Southern California, San Diego, CA UTJacob Rinkinen, MD Michael Zavaski, MDUniversity of Michigan Medical School Nikki Phillips, MD Private Practice, Springfield, MA Aesthetic Surgery Fellowship, Gold Coast,SENIOR RESIDENTS Australia BWH DOS 19Joani Christensen, MD Brady Sieber, MDJohns Hopkins University School of Medicine Microsurgery Fellowship, Beth Israel Deaconess Hospital, Boston, MADavid Mattos, MD, MBAHarvard Medical SchoolErin Taylor, MDColumbia University Vagelos College ofPhysicians and Surgeons

CURRENT FELLOWSAcute Care Caroline Jones McGuin, MD CardiothoracicSurgery Fellowship University of Texas Southwestern Medical Surgery Transplant School FellowshipProgram Director: Program Director:Reza Askari, MD Steve K. Singh, MDSean Hickey, MD Cardiothoracic Mohamed Keshk, MDUniversity of California San Diego School Surgery Fellowship Cairo University, Kasr El-Aini Schoolof Medicine of Medicine, Egypt Program Director:2018 GRADUATES Michael T. Jaklitsch, MD 2018 GRADUATE Anthony Coppolino, MDMatthew Giangola, MD Kareem Bedeir, MD, PGY 7 Attending Surgeon, Brigham and Women’sAttending Surgeon, Northwell Health, NY Alexandria University School of Medicine, Hospital, Boston, MAJeffrey Skubic, DO EgyptAttending Surgeon, University of Texas Rio Colorectal SurgeryGrande Valley School of Medicine, Hassan Khalil, MD, PGY 6 FellowshipEdinburg, TX McGovern Medical School at the University of Texas – Houston Program Director:Adult Cardiac Ronald Bleday, MDSurgery Fellowship Andrew Papoy, MD, PGY 6 University of Kentucky College of Medicine Anne Fabrizio, MDProgram Director: Rutgers Robert Wood Johnson MedicalTsuyoshi Kaneko, MD Sunu Philip, MD, PGY 6 School University of Cape Town Medical School,Yuji Kawano, MD South Africa 2018 GRADUATEOsaka University, Japan Isidore Dinga Madou, MD, PGY 7 Michael Morton, MDAdvanced Laparoscopic Jacobs School of Medicine and Biomedical Attending Surgeon, Portsmouth RegionalFellowship Sciences at the University of Buffalo Hospital, Portsmouth, NHProgram Director: Alexi Matousek, MD, PGY 7 Endocrine SurgeryAli Tavakkoli, MD University of Rochester School of Medicine Fellowship and Dentistry Program Director: Taufiek Konrad Rajab, MBBS, PGY 7 Matthew A. Nehs, MD University of Cambridge, School of Clinical Medicine, England T.K. Pandian, MD Mayo Clinic School of Medicine Paul Toste, MD, PGY 7 University of Cincinnati College of Medicine 2018 GRADUATEPeter Szasz, MD 2018 GRADUATES Lindsay Kuo, MDUniversity of Toronto Medical School, Attending Surgeon, Lewis Katz SchoolCanada Matthew Rochefort, MD of Medicine at Temple University, Attending Surgeon, Brigham and Women’s Philadelphia, PA2018 GRADUATE Hospital, Boston, MAReuben Shin, MD Ashraf Sabe, MDAttending Surgeon, Lahey Hospital & Medical Aortic Fellowship, Duke University SchoolCenter, Burlington, MA of Medicine, Durham, NC Rona Spector, MD Cardiothoracic Surgery Transplant FellowshipBreast Surgery FellowshipProgram Director:Mehra Golshan, MDStephanie Wong, MDMcGill University Medical School, Canada20 BWH DOS

General Thoracic Surgical Critical Daniel Pucheril, MD 2Surgery Fellowship Care Fellowship Sidney Kimmel Medical College at Thomas 0 Jefferson University 1Program Director: Program Director: Dimitar Zlatev, MD 8Michael T. Jaklitsch, MD Reza Askari, MD Stanford University School of Medicine ACarolyn Moore, MD Ashley Aaron, MD 2018 GRADUATES NThe Medical College of Georgia University of Minnesota Medical School N Mehreen Kisat, MD Matthew Mossanen, MD UJillian Sinopoli, DO Aga Khan University Medical College, Pakistan Attending Surgeon, Brigham and Women’s ARocky Vista University College of Kathryn Van Orden, MD Hospital, Boston, MA LOsteopathic Medicine Rutgers Robert Wood Johnson Medical School Matthew Ingham, MD Attending Surgeon, Brigham and Women’s RDesiree Steimer, MD 2018 GRADUATES Hospital, Boston, MA EUniversity of Kentucky College of Medicine P Ian Driscoll, MD Vascular Surgery Fellowship ODanielle Thesier, MD Attending Surgeon, University of Florida Health, RJacobs School of Medicine and Biomedical Gainesville, FL Program Director: TSciences at the University of Buffalo Tovy Kamine, MD Matthew Menard, MD Melanie Sion, MD2018 GRADUATES Attending Surgeon, Yale School of Medicine, Gaurav Sharma, MD New Haven, CT Keck School of Medicine of the UniversityHassan Khalil, MD Sharven Taghavi, MD, MPH of Southern CaliforniaCardiothoracic Surgery Residency, Brigham Attending Surgeon, Tulane University School Jillian Walsh, MDand Women’s Hospital, Boston, MA of Medicine, New Orleans, LA Schulich School of Medicine & Dentistry at Western University, CanadaMaria Rodriguez Perez, MD Surgical Oncology Fellowship Christine Lotto, MDAttending Surgeon, Salamanca University Sidney Kimmel Medical College at ThomasHospital, Spain Program Director: Jefferson University Chandrajit P. Raut, MD, MScLowell Su, MD 2018 GRADUATECardiothoracic Surgery Residency, Tufts George Molina, MDUniversity School of Medicine, Boston, MA Harvard Medical School Stuart Blackwood, MD Akhil Chawla, MD Private Practice, Syracuse, NYMinimally Invasive Thoracic University of Cincinnati College of MedicineSurgery Fellowship 2018 GRADUATEProgram Director:Jon O. Wee, MD Mark Fairweather, MD Attending Surgeon, Brigham and Women’sZeynep Bilgi, MD Hospital, Boston, MAMarmara University School of Medicine, Turkey Urological Oncology FellowshipApostolos Kandalis, MDUniversity of Athens Medical School, Greece Program Director: Steven L. Chang, MD, MS2018 GRADUATES Melissa Huynh, MDFlavio Brito Filho, MD Schulich School of Medicine & DentistryAttending Surgeon, Hospital de Base do Distrito at Western University, CanadaFederal, Brazil Alice Yu, MDRafael Garza Castillon, Jr., MD McGill University Medical School, CanadaGeneral Thoracic Surgery Fellow, Brigham andWomen’s Hospital, Boston, MA BWH DOS 21

VISITING PROFESSORS Nancy L. Cho, MD and Erika L. Rangel, MD Appointed BWH Surgery Associate ClerkshipDavid J. Sugarbaker, MD Lectureship Directorsin Thoracic SurgeryThomas A. D’Amico, MD Nancy L. Cho, MD and Erika L. Rangel, MD, have been appointed associateDuke University School of Medicine clerkship directors in the Department of Surgery. In this important role, they will help to oversee the Core Surgery rotation during the HMS PrimaryGerald and Elaine Schuster Clinical Experience in collaboration with clerkship director Reza Askari, MD.Distinguished Lecturer in ThoracicSurgery NANCY L. CHO, MD • Assistant Professor of SurgeryMark S. Allen, MDMayo Clinic School of Medicine Dr. Cho is an associate NY and completed both her General surgeon in the Division Surgery Residency and Endocrine SurgeryJoseph E. Murray Visiting Professor of General and Fellowship at BWH.in Transplant Surgery Gastrointestinal Surgery,Peter J. Friend, MD, FRCS Section of Endocrine Dr. Cho is board certified in GeneralUniversity of Oxford Surgery at Brigham and Surgery. Her clinical interests include Women’s Hospital (BWH) and assistant endocrine diseases of the thyroid/Gordon C. Vineyard Lecturer professor of surgery at Harvard Medical parathyroid glands and melanoma. Herin Surgery School. She received her medical degree primary research focus involves studyingRobert H. Bartlett, MD from Columbia University, College of tumor-stroma biology with the goal ofUniversity of Michigan Medical School Physicians and Surgeons in New York, developing more effective, patient-specific treatment strategies. ªHechtman Trauma Lecturerin Surgery ERIKA L. RANGEL, MD, MS, FACS • Assistant Professor of SurgeryEileen M. Bulger, MD, FACSUniversity of Washington School of Medicine Dr. Rangel is an BWH. associate surgeon in Dr. Rangel is board certified in bothJohn A. Mannick Visiting Professor the Division of Trauma, General Surgery and Surgical Criticalin Vascular Surgery Burn, Surgical & Critical Care. Her clinical interests include:Andres Schanzer, MD Care at Brigham and acute care surgery, biliary tract disease,University of Massachusetts Medical School Women’s Hospital minimally invasive hernia surgery, (BWH) and assistant professor of surgery abdominal wall reconstruction andLawrence and Judith Schlager Family at Harvard Medical School. She received diverticular disease. Her academicLecturer in Surgical Oncology her medical degree from the University research focuses on surgical education,Andrew M. Lowy, MD, FACS of California San Francisco (USCF) School parenting and work-life integration duringUniversity of California San Diego School of Medicine in San Francisco, CA and residency and improving outcomesof Medicine completed both her General Surgery for geriatric patients after emergency Residency and Critical Care Fellowship at surgery. ªLawrence H. Cohn, MD VisitingProfessor in Cardiac SurgeryGebrine El Khoury, MDCliniques Universitaires Saint-LucNina S. Braunwald Visiting Lecturerin SurgeryJoanna Chikwe, MDStony Brook School of MedicineGelman-Zinner Visiting Professorin Surgery, Anesthesiology,Perioperative and Pain MedicineTaylor S. Riall, MD, PhD, FACSUniversity of Arizona College of MedicinePro Tempore Visiting ProfessorFrancis D. Moore, MD Lecturerin SurgeryMary Hawn, MD, MPH, FACSStanford University School of Medicine22 BWH DOS

Research 202 379 2 active contracts active protocols 0 435 1 total research funds 8 A N N U A L R E P O R T47research fellows$33,005,959 total research spending BWH DOS 23

SELECTED GRANTS T Cells and Rejection in Vascularized An Open Label Window of Composite Allotransplants Opportunity Phase II Study of the FAKAging-associated dysregulation of PI • Bohdan Pomahac, MD Inhibitor VS-6063 in Participants withthe hypoxia pathway limits skeletal Co-PI • Rachael Clark, MD (BWH Surgical Resectable Malignant Pleuralmuscle regeneration Dermatology) MesotheliomaPI • Indranil Sinha, MD Sponsor • U.S. Army Medical Research PI • Raphael Bueno, MDSponsor • NIH-NIA Acquisition Activity Co-PI(s) • Carol B. Benson, MD (Radiology),Grant Number • 1K76AG05996-01 Grant Number • W81XWH-18-1-0784 Marcelo C. DaSilva, MD, Mary C. Frates, MDGrant Amount • $1,209,880 Grant Amount • $1,236,771 (Radiology), Ritu R. Gill, MD, MPH (Radiology), David M. Jackman, MD (Oncology), David J.Evaluation of a Cultural Dexterity From L-R, Brigham Surgery Resident David Harris, Kwiatkowski, MD,PhD (Oncology), AbrahamTraining Program for Surgeons MD, PGY 4, discusses a research project with Eric Lebenthal, MD, Eric J. Schmidlin, MD• The PACTS Trial G. Sheu, MD, PhD, and Ali Tavakkoli, MD, in the (Radiology), Scott J. Swanson, MDPI • Adil H. Haider, MD, MPH Laboratory for Surgical and Metabolic Research. Sponsor • Verastem, Inc.BWH Co-Investigators • Douglas S. Smink,MD,MPM SELECTED A Phase II, Open-Label, Multicenter,External Co-Investigators • Alexander CLINICAL TRIALS Single-Arm Study to Investigate theGreen, MD (MGH), John Mullen, MD efficacy and safety of Atezolizumab(MGH), Emil Petrusa, PhD (MGH), L.D. Britt, Phase II Randomized, Double-Blind, as Neoadjuvant and AdjuvantMD, MPH (EVMS), David Harrington, MD Placebo-Controlled, Parallel-Group Therpay in Patients with stage IB, II,(LifeSpan), Tara Kent, MD (BIDMC), Anne Study to Evaluate the Safety and IIIA or Selected IIIB Resectable andLarkin, MD (Umass), Pamela Lipsett, MD Efficacy of Reltecimod as compared untreated non-small cell lung cancer(JHU), Lori Wilson, MD (Howard) to placebo in addition to standard PI • Ciaran McNamee, MDSponsor • NIH-NIMHD of care in patients with sepsis- Co-PI(s) • Gainor (Site-PI @ MGH), Johnson,Grant Number • 1R01MD011685-01 associated acute kidney injury (Site-PI @ DFCI), all Division of ThoracicGrant Amount • $3,432,688 (SA-AKI) Surgery at BWH and MGH, all Thoracic PI • Reza Askari, MD Oncology at DFCI and MGHTherapy of acute radiation Sponsor • Atox Bio, Ltd. Sponsor • Genentech, Inc.syndrome and its complicationsby mensenchymal stromal cells Uterine Transplantation for Image guided VATS resection vs. VATSconditioned with absoluteuterine factor infertility resection of lung lesionsToll-like receptor 9 agonists (AUFI) PI • Raphael Bueno, MDPI • James A. Lederer, PhD PI • Stefan Tullius, MD, PhD Co-PI(s) • Schmidlin (Radiology), all DivisionCo-PI(s) • Mark A. Perrella, MD Co-PI(s) • Marc R. Laufer, MD, of Thoracic Surgery attendingsSponsor • NIH-NIAID Antonio Rosario Gargiulo, MD Sponsor • Siemens, Inc.Grant Number • 1U01AI38318-01 Sponsor • N/AGrant Amount • $2,911,300 Focal MR-Guided Focused Ultrasound Bronchial NIR Image-guided Treatment of Localized IntermediateDeveloping Disparities-Sensitive Resection, Mapping and Targeted Risk Prostate LesionsSurgical Quality Metrics Across the Lymphadenectomy for Lung Lesions PI • Clare Mary C. Tempany, MD (Radiology)Continuum of Care PI • Yolonda Colson, MD, PhD Co-PIs • Adam Kibel, MD;PI • Adil H. Haider, MD, MPH Co-PI(s) • Raphael Bueno, MD, Christopher Quoc-Dien Trinh, MDCo-PI(s) • Awarded to L.D. Britt, MD, MPH T. Ducko, MD, Ritu R. Gill, MD, MPH Sponsor • Insightec(ACS) (Radiology), Michael T. Jaklitsch, MD, CiaranSponsor • NIH-NIMHD via The American McNamee, MD, Robert F. Padera, Jr., MD, A Phase II Clinical Trial to Study theCollege of Surgeons PhD, Eric J. Schmidlin, MD (Radiology), Scott Efficacy and Safety of PembrolizumabGrant Number • 1R01MD011695-01 J. Swanson, MD, Hisashi Tsukada, MD, PhD, (MK-3475) in Subjects with High RiskGrant Amount • $1,136,944 Jon O. Wee, MD, Abby White, DO, Daniel C. Non-muscle Invasive Bladder Cancer Wiener, MD (NMIBC) Unresponsive to BacillusA Novel Approach to Upper Sponsor • Society of University Surgeons Calmette-Guerin (BCG) TherapyExtremity Amputation to Augment PI • Mark A. Preston, MD, MPHVolitional Motor Control and Restore Sponsor • MerckProprioceptionPI • Matthew J. Carty, MD Development and Validation of aBWH Co-Investigators • Simon Talbot, MD Patient Reported outcome Measure(Plastic Surgery), Stuart Lipsitz, ScD (General for Underactive Bladder (UAB)Medicine), Anthony Amato, MD (Neurology), PI • Michael O'Leary, MD, MPHGeorge Dyer, MD (Orthopedics), M. Stephen Sponsor • NE Research InstituteLedbetter, MD (Radiology)External Co-Investigators • Hugh Herr A Randomized, Double-blind, Single-(MIT), Jason Souza, MD (USU), Jonathan Center Trial of Alvimopan (Entereg)Forsberg, MD (USU), Scott Tintle, MD (USU), versus Placebo in Patients undergoingPaul Pasquina, MD (USU) Radical Cystectomy and UrinarySponsor • Department of the Army - Diversion on an Enhanced RecoveryUSAMR A A after Surgery (ERAS) ProtocolContract Number • W81XWH-18-2-0058 PI • Mark A. Preston, MD, MPHContract Amount • $3,000,000 Sponsor • PI initiated (funding from Merck)24 BWH DOS

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PATIENT-REPORTED OUTCOMES, VALUE AND EXPERIENCE (PROVE) CENTERproveCenter Aims to Transform Care Using Patient-Reported OutcomesPictured L-R, PROVE Center director Andrea Pusic, MD, and co-director Christopher Gibbons, PhD, bring more than 25 years of experience inPROM research and development. In March 2018, Brigham and intervention is to make a patient in ways that help drive routine careWomen’s Hospital (BWH) took our feel or function better. Collecting and decision-making to improvelongstanding commitment to patient- patient-reported outcomes engages patient outcomes. With access tocentered care to a new level with patients in their own care, provides robust and easily usable tools tothe launch of the Patient-Reported data about outcomes that matter to collect PROMs, health care teamsOutcomes, Value & Experience patients, offers new insights into will be able to use that information(PROVE) Center. Over the last five patient behavior, and helps tailor care to improve an individual patient’syears, BWH has been a leader in the to individual patients and specific care, as well as to improve the care ofcollection of patient-reported outcome patient groups. specific patient populations.measures, or PROMs. Many health care systems are “Analysis of aggregate patient- “PROMs are outcomes that only grappling with how to efficiently reported outcome data will enablepatients can tell us about,” says collect and integrate PROMs into health care researchers to identifyPROVE Center director, Andrea routine care. By establishing the areas to improve care and determinePusic, MD. “They include things like PROVE Center, BWH has made the value of specific procedurespain, quality of life, body image, a huge investment in collecting or treatments in terms of howphysical function, and the experience patient-reported outcomes data on a they improve a patient’s self-of care.” PROMs data are essential large scale and making it possible to reported health or quality of life,”whenever the goal of a health care communicate feedback from PROMs explains PROVE Center co-director,26 BWH DOS

Christopher Gibbons, PhD. In “Drs. Pusic and Gibbons are based on the patient’s goals foraddition to being used to determine internationally recognized leaders the procedure, such as pain relief,the relative value of different in the areas of patient-reported improved joint function, or bettertreatments, these data can also be outcomes and surgical experience,” body image. Furthermore, patient-used to drive quality improvements says Gerard M. Doherty, surgeon- reported outcomes data can provideand identify and address disparities in-chief of Brigham Health. “This valuable information about patientin health care. is increasingly important in the satisfaction and quality of life that can current health care environment be incorporated into comprehensivePROVE CENTER LEADERSHIP of measuring quality, assessing cost-effectiveness analyses of surgical value and ultimately, influencing procedures (e.g., cost per quality- Collectively, PROVE Center director how health care is funded. The adjusted life-year).Andrea Pusic, MD, and co-director development of the PROVE CenterChristopher Gibbons, PhD, bring will create opportunities throughout “We envision the PROVE Centermore than 25 years of experience in the Brigham and Boston communities as a hub for innovation andPROM research and development. for both research and clinical patient advancement in the field of patient- care initiatives.” reported outcomes, both inside and Dr. Pusic is an internationally- outside of BWH,” says Dr. Pusic.renowned innovator and leader in AN AGILE INNOVATION LAB With that in mind, the PROVEpatient-reported outcomes and patient Center is already partnering with thesatisfaction in surgery, as well as By investing in the PROVE International Consortium for Healthchief of Plastic and Reconstructive Center, BWH is leading the field Outcomes Measurement (ICHOM)Surgery at Brigham Health and in reimagining care based on and Harvard Business SchoolJoseph E. Murray Professor of Surgery patient-reported outcomes. The (HBS) on a breast cancer PROMsat Harvard Medical School. With PROVE Center aims to make it easy project. ICHOM, whose mission isdual training in epidemiology and for clinicians to find and utilize to standardize the measurementsurgery, she leads a team of experts compelling, meaningful information and reporting of patient outcomes,in psychometrics, quality of life, and to help improve the lives of patients. organizes global teams of physiciansocial science methods to develop, leaders, outcomes researchers andvalidate and use new quantitative “We see ourselves as a small, agile patient advocates to define sets ofmeasures to assess patient outcomes. innovation lab,” says Dr. Pusic. “We’re outcome measures for each medicalThe patient-reported outcomes developing a scalable model within condition and enable health careinstrument she developed for breast the Department of Surgery that can be providers globally to compare, learn,surgery, the BREAST-Q, has been expanded over time to include other and improve.adopted globally for research and disciplines.” The Center’s uniqueclinical care and serves as a model for focus on both surgery and PROM data NOT YOUR TYPICALnew outcome measures in surgery. collection currently includes projects in breast and plastic surgery, urology, QUESTIONNAIRES Dr. Gibbons is a data scientist ENT, orthopedics, neurosurgery,and international expert in the and bariatric and thyroid surgery, as Today’s PROM technology hasdevelopment and application of novel well as overlapping disciplines, such computational capabilities that allowtechniques for collection, analysis as radiation oncology and medical for more flexible measurement ofand feedback of patient-reported oncology for breast cancer care. patient-reported outcomes that wasoutcomes, including computerized not possible with earlier quality-of-lifeadaptive testing, predictive analytics, Cutting-edge computational assessments. A few examples includemachine learning, and natural technologies and algorithms will be the aforementioned BREAST-Q forlanguage processing. Prior to joining used to provide immediate feedback breast surgery patients, the BODY-QBWH, Dr. Gibbons was director of of individual patient outcomes, as for bariatric surgery patients, andHealth Assessment and Innovation well as deliver insights from analysis the Patient-Reported Outcomesat the Psychometrics Centre at the of aggregate data at regular intervals. Measurement Information SystemUniversity of Cambridge where he led In the surgical arena, data-driven (PROMIS) that evaluates and monitorsprojects focused on psychometrics, analytics that can predict future physical, mental, and social healthbig data and machine learning, patient-reported outcomes, such in adults and children in the generaland developed an award-winning as pain or satisfaction, would be population.application that combined predictive enormously beneficial for comparingalgorithms with 2.5 billion publicly different surgical options that have “PROMs are more than just surveysavailable data points to create equivalent survival rates or risks of or questionnaires,” says Dr. Gibbons.interactive visualizations of health complications. The right operation for “They are precisely calibrated toolsand social outcomes. the right patient could be determined which minimize biases in assessment and can detect small-but-meaningful BWH DOS 27

changes in patient-reported outcomes adaptive testing, whereby an algorithm to glean meaning from open-textbetween treatments and over time.” iteratively matches participants with survey responses, providing an the most relevant items for them to additional layer of insight to the “Psychometrics allows us to measure answer based on their preceding quantitative PROM data. Datasubjective outcomes and reliably answers. Reducing the number of scientists train these algorithmsassess constructs that have long been questions each patient answers and using precoded data and validate theconsidered ‘soft’,” explains Dr. Gibbons. the time it takes to complete the algorithm’s performance on uncoded“It allows us to measure things that assessment increases the likelihood of data, in a process called “supervised”we couldn’t otherwise quantify, patients completing the assessment. machine learning. It is even possiblesuch as how a treatment affects a to deploy these trained algorithmspatient’s quality of life.” Psychometrics Modern PROMs also harness the to operate on data as they are beingis the science that underpins the power of machine learning to make collected, allowing real-time feedbacktesting of reliability, validity, and predictions based on large datasets and insight from open-text survey data.responsiveness of measurement and to glean meaning from open-tools. To be clinically meaningful, a text comments. Consider that more A VISION FOR THE FUTUREmeasurement tool must address issues than 30,000 patients have taken thethat are important to patients and their BREAST-Q. That is an extraordinary BWH is deeply committed to patient-doctors. To be scientifically sound, amount of data to analyze. With centered care and enhancing theit must demonstrate reliable, valid, predictive analytics, thousands of patient voice in health care decisions.and responsive measurement of the data points can be analyzed for more As a hub for PROMs innovation andoutcome. accurate prediction of outcomes for advancement, the PROVE Center aims the next patient and for outcomes to engage the BWH infrastructure in The new generation of PROMs are in specific populations. This allows routinely acquiring patient-reportedadaptive and attuned to patients. clinicians to provide more tailored outcomes and implementing a cultureThey were developed in collaboration care and set patient expectations for of clinical care that has patient-with patients and experts, rather than outcomes and possible side effects. reported outcomes embedded withinbased solely on expert consensus. With natural language processing the care process. ªThey are optimized for efficiency and algorithms, computers can be trainedbrevity by utilizing computerizedWelcoming Chris Gibbons as Co-Director of the Patient-ReportedOutcomes, Value & Experience (PROVE) CenterCHRIS GIBBONS, PhD Chris Gibbons, PhD, techniques have included computerized won multiple international design awards received his doctorate adaptive testing, tailored feedback, including the D&AD Graphite Pencil for from University of predictive analytics, machine learning and “stand-out work, beautifully executed with Liverpool and Walton natural language processing. Dr. Gibbons an original and inspiring idea at its core”. Centre for Neurology was awarded the Young Investigator Award and Neurosurgery. by the International Society for Quality of His research has been generouslyHe conducted postdoctoral research at Life Research for presentation of his work supported by grants from National InstituteUniversity of Manchester before developing developing a new method to assess the of Health Research (UK), the Economic andhis independent research career at validity of computerized adaptive tests Social Research Fund (UK), Marie CurieUniversity of Cambridge. At the University during live administration. Cancer Charity (UK), the Motor Neuroneof Cambridge, Dr. Gibbons was Director Disease Association (UK) and Deutscheof Health Assessment and Innovation at At the Psychometrics Centre, Dr. Gibbons Forschungsgemeinschaft (DE).the Psychometrics Centre ( Judge Business led projects focused on psychometrics, bigSchool) and NIHR Career Development data and machine learning. One industry- Dr. Gibbons is a sought-afterFellow at The Healthcare Improvement sponsored project called ‘Predictive World’ international speaker on patient-Studies (THIS) Institute (School of Clinical led to the development of an application reported data and has been invited toMedicine). which combined predictive algorithms with deliver keynotes, plenaries and technical His research is focused on the 2.5 billion publically available data points to workshops in ten countries. He currentlydevelopment and application of novel create interactive visualizations of health serves as an editorial board member fortechniques for collection, analysis and and social outcomes. The application was Journal of Medical Internet Research wasfeedback of patient-reported data. These viewed by over a million people in the first selected to be member of an international two weeks of release and subsequently cohort of Future Leaders in Health Data Science by the Farr Institute (UK). ª28 BWH DOS

CENTER FOR SURGERY AND PUBLIC HEALTH (CSPH)patient-Making surgery safer, more patient-centered, and more accessible in thecenteredU.S. and around the world. Founded in 2005 as a joint initiative of Brigham and Women’s Hospital, Harvard Medical School, and Harvard T.H. Chan School of Public Health, the Center for Surgery and Public Health (CSPH) has been at the forefront of public health research of surgical care delivery within and without our nation’s healthcare system. Utilizing innovative research methodologies grounded in clinical reality, we have developed surgical safety checklists, created a national agenda for surgical disparities research, and launched the pioneering work of rising stars in surgical health services research. We are advancing the science of surgical care delivery by studying effectiveness, quality, equity, and value at the population level and training the most gifted of a new generation of physician-scientists. Together our efforts are making surgery safer, more patient-centered and more accessible in the U.S. and around the world. 9 150 12 peer-reviewed active fellowsfellows graduated publications published$8,400,000 in new grant awardsNIH R01 • Evaluation of a TRICARE • Reauthorization of NIH-Fogarty InternationalCultural Dexterity Training EPIC/Military Project with USUHS Center • Evaluating the QualityProgram for Surgeons: The ($980K) of Prehospital Emergency Care inPACTS Trial ($3.4M) NIH R56 • Comparative Kigali, Rwanda ($36K)NIH R01 • Identifying barriers, Effectiveness of Trauma Center NIH R21 • Cesarean deliveries,facilitators and outcomes Care for Older Americans surgical site infections, andof Advanced Care Planning ($800K) antimicrobial resistance in ruralconversations with Medicare NASA • Simulation-based Africa ($117K)patients ($2.8M) countermeasure developmentNIH R01 • Developing Disparities to mitigate team and system BWH DOS 29– Sensitive Surgical Quality vulnerabilitiesMetrics across the Continuum of during medical eventCare ($1.1M) management on long duration space missions ($100K)

FACULT Y SPOTLIGHTAdil HaiderKessler Director of the Center for Surgery and Public Health Adil Haider, MD, MPH, leads the as a medical student at Aga Khan UNCOVERING DISPARITIESCenter for Surgery and Public Health University in Pakistan and a surgery(CSPH), which was founded as a joint resident at New York Medical College, IN TRAUMA CAREinitiative of Brigham and Women’s his aspirations grew to include notHospital, Harvard Medical School only fixing traumatic injuries with While he was not the first to identifyand the Harvard T.H. Chan School of surgical skill but also fixing trauma disparities in health outcomes—Public Health. The center is dedicated care systems around the world. As disparate outcomes based on race,to advancing the science of surgical he began to appreciate the impact of ethnicity, sex, insurance status,care delivery at the population level. public health, he took an unusual step and socioeconomic status are wellA trauma and critical care surgeon for an aspiring trauma surgeon right established—he was the first to showand prolific researcher, Dr. Haider after medical school—he pursued that such disparities exist in traumais perhaps best known for exposing a Master’s of Public Health degree care. The field of trauma surgerydisparities in trauma outcomes and at the Johns Hopkins University was thought to be exempt from suchestablishing the field of trauma Bloomberg School of Public Health. disparities due to its immediatedisparities research. He is among He would later go on to serve as nature and the perception of equalthe foremost experts on healthcare director of the Center for Surgical access to emergency care. In 2007,inequities in the United States, Trials and Outcomes Research at the his first paper on the subject showedleading research on uncovering Johns Hopkins University School of that minority children had worseand mitigating unequal surgical Medicine. outcomes in their ability to eat, talkhealth outcomes based on sex, race, and walk after having an injurysexual orientation, ethnicity, age and In interviews, Dr. Haider has called than white children. He followedsocioeconomic status. being director of the CSPH his dream that study with a larger study of job. “When I was a resident and a adult trauma patients revealing that, Dr. Haider’s desire to become junior faculty member, I could only compared with white patients, the riska trauma surgeon was sparked imagine how great it would be to of death after surgery was 20% higherby watching the television show be part of a collaborative group of for black patients and 50% higher for“Trapper John, MD” at age 6. “I surgical scientists that addressed Hispanic patients. Studies by otherwanted to be like Gonzo, a character issues of health care inequality and research groups went on to confirmon the show who could fix anything,” made health care better for everyone,” these findings. By 2013, he published asays Dr. Haider. During his years he explains. “I also loved being a meta-analysis of disparities in trauma surgeon and working with young care and outcomes demonstrating that trainees. They are energetic and race, ethnicity, and insurance status have new ideas that are not bound are clearly associated with disparate by the gravity of experience and outcomes following trauma. expectations. This job has all of those pieces and provides the opportunity The problem was evident, as were to have an impact on the health of the obvious next questions: “Why?” millions of people.” and “How do we fix this?” “It’s only recently that I’ve taken In 2015, Dr. Haider joined 60 a moment to think back and realize researchers, surgeons, and scientists that I’m actually doing what I always at the Symposium on Disparities wanted to do: fix things,” says Dr. in Surgical Care and Outcomes Haider. “Especially, I want to eradicate convened by the American health care disparities in America and College of Surgeons (ACS) and then hopefully around the world.” It the National Institute of Minority seems prescient that his parents gave Health and Disparities (NIMHD) to him the name, Adil, meaning “justice develop a research agenda for this or fairness” in Arabic. burgeoning field. He was the lead author on the resulting publication,30 BWH DOS

“Setting a National Agenda for outcomes for the 96% of patients who none have focused on surgical care.Surgical Disparities Research,”which identified the underlying survive their injuries but may suffer Building on the national researchdeterminants of disparities insurgical outcomes and provided debilitating long-term impacts,” he agenda established by the NIMHD-recommendations for nationalpriorities in surgical disparities explains. After traumatic brain injury, ACS Symposium, Dr. Haiderresearch. This research agenda creatednew funding streams and identified spinal cord injuries, and lower limb partnered with Dr. L.D. Britt fromsurgical disparities research as oneof the top priorities for the National fractures, many patients suffer from Eastern Virginia Medical School andInstitutes of Health (NIH). As a directresult of these efforts, more than $50 significant disability and reduced the American College of Surgeonsmillion toward eradicating surgicaldisparities have been awarded to function. to win an NIMHD grant to identifyinvestigators around the country. “We found that only about 30% disparity-sensitive metrics across the Health outcome disparities arenot limited to race and ethnicity. of U.S. trauma registries collect five phases of surgical care. “We’reConversations with patients, friends,and on social media made Dr. post-discharge data within 30 days trying to identify metrics that predictHaider aware of the disparities incare experienced by members of the after discharge and none report whether a hospital has more or fewerLGBTQ community. As principalinvestigator of the EQUALITY on outcomes beyond 30 days,” he disparities in surgical outcomes.”study, Dr. Haider has led work ondeveloping and testing a patient- explains. “In our FORTE study, we Once identified, these metrics can becentered approach for routinelydocumenting sexual orientation looked at the long-term recovery used to evaluate the equity of surgicalin emergency departments to helpto identify and address health experience after traumatic injury, care delivery in hospitals.disparities among lesbian, gay, andbisexual populations. Having more including functional status, health- In almost every talk on the subject,open communication and access tothis information enables physicians related quality of life, symptoms, and Dr. Haider is known to start offto treat the whole patient, empowerspatients to discuss their needs with treatment adherence.” The FORTEtheir provider, and allows healthcare data confirmed the long-term burdenprofessionals to address healthdisparities. “I wanted tofor people after traumatic injury. be like Gonzo,TAKING THE LONG VIEW Among these, 42% of patients who a character on were previously working did not the show who “We’re also trying to change the return to work, 62% reported currentway we look at functional outcomes physical limitations, and 51% reportedafter trauma surgery,” Dr. Haider pain that limits their activities. Dr.says. Traditionally, trauma centershave been judged on their inpatient Haider has been awarded an NIH could fixmortality statistics. “Our research has grant to expand trauma surveillanceshown that trauma data registries inthe U.S. are not capturing long-term and quality measurement to include anything,” these long-term outcomes that have an undeniable impact on patients’ lives. DR. HAIDER ON HIS FAVORITE CREATING CHANGE TV SHOW, TRAPPER JOHN, MD Early on, Dr. Haider realized that with the statement, “Equality is the his goal of eliminating surgical cornerstone of medicine.” Being an outcome disparities could not come eternal optimist, he believes that an through his work alone. He has America without health inequities become a leading advocate for this is possible and points to the U.S. field among research and funding Military health system as an example. stakeholders, as well as developing Through a partnership between educational initiatives that will the CSPH and the Uniformed expand the understanding of and Services University of the Health engagement in surgical disparities Sciences (USU), he and his team have research among researchers and published numerous studies showing clinicians alike. that, in the equal-access military health care system, racial disparities National initiatives to improve disappear. Their research program quality of care for minority patients uses the TRICARE healthcare have been initiated across a variety database of active and retired military of medical specialties but, until now, BWH DOS 31

personnel and their dependents to team, comprised of Dr. Zara Cooper Dr. Haider often speaks about thestudy health care policy issues of (Deputy Director), Dr. Joel Weissman importance of the “caravan” and howimportance to the U.S. Military. The research—like life and like surgery—unique partnership brings together (Deputy Director and Chief Science takes a team to get to its destination.USU’s in-depth understanding of Officer), Dr. Stu Lipsitz (Director of “I’ve been very privileged to have hadmilitary culture and data and CSPH’s Biostatistics), Dr. Andrew Schoenfeld great mentors who have seen me forexperience in advanced analytic (Director, Fellowship Education) more than I could see myself,” saysmethods to guide the health policies and Dr. Robert Riviello (Director Dr. Haider, “and who encouraged meneeded to ensure a medically ready of Global Surgery), set out to create to do things I never thought I’d haveforce. an ambitious strategic plan for the the opportunity to do.” He pays thatThe reasons for health outcome CSPH. They created two methods forward in his work mentoring moredisparities are varied and complex. cores, Qualitative and Quantitative, than 120 young surgeon-scientistsOne deeply rooted factor is a cultural and set seven different programs that so far. He sees his mentoring role asdisconnect between provider and span the gamut from U.S. Military multifaceted: inspire them to showpatient that can lead to unconscious health outcomes to global surgery. what they can do, enable them to usebias. As principal investigator on These interdisciplinary cores are led the best possible methods in theirthe NIH-funded PACTS Trial, Dr. by surgeon-scientists, all of whom research, and provide a collaborativeHaider is exploring cultural dexterity sit on the CSPH Leadership Council. environment, because workingtraining to help surgeons do a better This structure has enabled the CSPH together with others is key to greatjob of providing cross-cultural care. to flourish, achieving nearly all of its success.One concern with traditional cultural five-year goals within two and halfcompetency training is that it can years, quadrupling its extramural Whether mentoring researchunintentionally enforce existing funding, and being regarded as one fellows just getting started in theircultural stereotypes. “With a cultural of the most prestigious places to work careers or supporting and refiningdexterity approach, the idea is to give and learn health services research in the research of faculty colleagues, Dr.providers the skills to adequately the country. Dr. Haider identifies the Haider is committed to growing therespond to cross-cultural differences keys to the CSPH’s success as support careers of the surgical health serviceswithout bias,” explains Dr. Haider. from the Department of Surgery, researchers at BWH and beyond.The three tenets of cross-cultural access to the best and brightest minds In his home division of Trauma,care are curiosity (e.g., why is the from around the globe, a culture Burn, Surgical and Critical Care,patient not following medical advice?), where all ideas are fostered, and a Dr. Joaquim Havens and colleaguesrespect for the patient’s culture, dedicated staff who come to work “not in the Trauma and Rehabilitationand empathy to understand their to pick up a paycheck but to make a Outcomes program have definedpredicament and try to provide the difference.” emergency general surgery andcross-cultural care they need. In the are working to develop specificPACTS trial at eight academic medical GIVING BACK operative checklists for emergencycenters, Dr. Haider and colleagues surgery to reduce excess morbidityare evaluating their newly developed For Dr. Haider, the joy of being and mortality in this surgical subset.cultural dexterity curriculum geared the CSPH director is in leading In Colon and Rectal Surgery, Dr.toward four areas for improvement: and working with a team of people Nelya Melnitchouk is uncoveringeffectively communicating with committed to making a positive outcome and access disparities inpatients who have limited English impact on the health of a nation. As treatment for colorectal cancers.proficiency, obtaining patient consent, the son of Pakistani immigrants in In Emergency Medicine, Dr. Ericmanaging pain, and managing the United States, Dr. Haider always Goralnick is combining bystanderunconscious bias. felt inspired to give back to the world, empowerment with evidence-based initially as a surgeon in Africa and research by conducting large-scaleFOSTERING A CULTURE OF now as a champion of equality in randomized control trials of “Stop health care in the United States and the Bleed” courses designed to teachEXCELLENCE abroad. At CSPH, he leads a center civilian bystanders and non-medical dedicated to developing surgeon- personnel how to stop life-threatening Dr. Haider has used his role as the scientists committed to excellence in bleeding.Kessler Director of the CSPH to create the science of surgical care quality,a platform for research excellence equity, and value. It is an ideal fit for a Through the CSPH researchacross numerous surgical fields. Soon person who relishes mentoring young fellowship program, Dr. Haiderafter his arrival, he and his leadership surgeon-scientists. continues to inspire the next generation of surgical researchers,32 BWH DOS

CSPH Research Cores global cancer •••••••• • • • • • • • • •••• ••QUALImilitarysurgery and comparative outcomes • • • QUANTIT research effectiveness ••••• program on TATIVE METHODS • • patient-oriented policy & practice FOCUS ON PATIENT-CENTERED (PPOPP) HEALTH CARE surgical THAT IS SAFE, culture EFFECTIVE, surgical health AND EQUITABLE scientists aligning ATIVE METHODS research with patient priorities trauma, emergency general (SHARPP) surgery, & long-term outcomesincluding recent fellow, Dr. Rhea reducing surgical disparities to the and communicates with the variousUdyavar. “Dr. Haider is a leader next generation of researchers.” She trainees and research personnel.”in every sense of the word,” says goes on to explain, “He also leadsDr. Udyavar. “He demonstrates by example, exhibiting compassion These sentiments expressed by oneleadership through mentorship, and respect for all members of the of his trainees are not surprising,providing individual guidance in research team and their unique given the hope he has in his trainees,health services research to dozens perspectives and contributions. For as he says, “Young people hold theof trainees while also passing on his mentees, it is educational to simply keys to a better future, one in whichhis passion for investigating and observe the way Dr. Haider advises disparities in health outcomes no longer exist.” ª BWH DOS 33

Faculty NEWS & NOTESMonica M. Bertagnolli, MD, Stanley W. Ashley, MD Kamal Itani, MDwas installed as President was named President of the Society completed his term as President ofof the American Society of for Surgery of the Alimentary Tract the Surgical Infection Society (SIS) andClinical Oncology (ASCO). (SSAT); was appointed Co-Chair of the Chair of the Research Committee of Accreditation Council for Graduate the American College of SurgeonsGerard M. Doherty, MD, Medical Education Phase 2 Common (ACS); he was elected to the Americanwas installed as President Program Requirements Task Force; and Hernia Society Council and the ACSof the International served as the Charles Eckert, MD, Visiting Massachusetts Chapter Council; andAssociation of Endocrine Professor at Albany Medical Center. served as Zack D. Owens Visiting ProfessorSurgeons (IAES). at the University of North Carolina at Reza Askari, MD Chapel Hill.Atul A. Gawande, MD, MPH, was the Honored Shorb Visiting Professorwas named CEO of the non- at George Washington School of Tsuyoshi Kaneko, MDprofit-seeking health care Medicine and Health Sciences. was appointed Fellow of the Americanventure formed by Amazon, College of Cardiology; was appointedBerkshire Hathaway Cristina Carpio, MD as a subcommittee member of theand JPMorgan Chase to was elected as a Fellow of the American Research and Publications Committeedeliver better outcomes, College of Surgeons (ACS). of the Society of Thoracic Surgery /satisfaction and cost American College of Cardiology (STS/ACC)efficiency in care. Matthew J. Carty, MD TVT RegistryTM; and became a founding was appointed Director of Strategy and steering committee member of the NewAdil H. Haider, MD, MPH, Innovation at The Gillian Reny Stepping England Structural Heart Consortium.was installed as President Strong Center for Trauma Innovation atof the Association for Brigham and Women’s Hospital. Tari A. King, MDAcademic Surgery (AAS). was elected to serve a three-year term Stephanie Caterson, MD, MSc on the Executive Council of the SocietyFaculty Promotions received the BWH Bernard Lown Award of Surgical Oncology (SSO); was installed for Excellence in Teaching. as a Fellow of the American SurgicalProfessor Association (ASA) and appointed toBohdan Pomahac, MD Nancy L. Cho, MD the Society of Clinical Surgery; and was was appointed to the Education the Jeanne Petrek Lecturer and VisitingAssociate Professor Committee of the American Association Professor at Memorial Sloan KetteringYoon Chun, MD of Endocrine Surgeons (AAES). Cancer Center.Simon Talbot, MDSteven Yule, PhD, MSc Yolonda L. Colson, MD, PhD Hari R. Mallidi, MD was appointed to the Brigham and served as Visiting Professor at HospitalAssistant Professor Women’s Physician Organization (BWPO) Clínic de Barcelona.Christopher T. Ducko, MD Board of Trustees; was appointedJairam Eswara, MD Examination Chair of American Board of Matthew T. Menard, MDJoel E. Goldberg, MD Thoracic Surgery (ABTS); served as the MD, was elected a Distinguished FellowJennifer Irani, MD Thomas W. Shields, MD, Visiting Professor of the Society of Vascular Surgery (SVS).Edward Marcaccio, MD at Northwestern University and deliveredMichael McDonald, MD the John and Joyce Benfield Lecture at the Elizabeth Mittendorf, MD, PhDDeepika Nehra, MD University of Chicago. was named Chair of the National CancerMatthew Nehs, MD Institute (NCI) Breast Immuno-OncologyErika L. Rangel, MD, MS Zara R. Cooper, MD, MSc (BIO) Task Force; started in her roleEric G. Sheu, MD, PhD was elected into the Promising Leaders as Chair of the American Society ofJon Wee, MD Program of Society of Surgeons (SUS) Clinical Oncology (ASCO) ConquerCharles H. Yoon, MD, PhD and the Society of Black Academic Cancer Foundation® Grants Selection Surgeons (SBAS). Committee; and was the William C. Wood 34 BWH DOS Research Symposium Lectureship Visiting Laura Dominici, MD Professor at Emory University. was the recipient of the 2018 Dana- Farber Cancer Institute (DFCI) Bridging Deepika Nehra, MD Boundaries Award. was awarded an American Association for the Surgery of Trauma (AAST) scholarship for her project, “Understanding the Psychosocial Impact of Traumatic Injury”.

Matthew A. Nehs, MD Scott A. Shikora, MD New Endowed Chairs 2became the inaugural Program Director was the keynote lecturer at the 1st 0for the Harvard Combined Endocrine Annual International Bariatric Club World Raphael Bueno, MD 1Surgery Fellowship and was the recipient Congress; served a Visiting Professor at Fredrick C Levin Distinguished 8of the BWH Department of Surgery the Bahrain Defence Force Royal Medical Professorship in Thoracic Surgery and LungRobert T. Osteen Award for Medical Services, Military Hospital, Kingdom of Cancer Research, Brigham and Women’s AStudent Education in Surgery. Bahrain; and received the Presidential Hospital N Award at the International Federation NStephanie L. Nitzschke, MD, MS for the Surgery of Obesity and Metabolic Atul A. Gawande, MD, MPH Uwas appointed Medical Director of the Disorder 22nd World Congress. Cynthia and John F. Fish Distinguished Chair ABWH Burn Center. in Surgery, Brigham and Women’s Hospital L Douglas S. Smink, MD, MPHC. Keith Ozaki, MD was appointed Secretary of the Elizabeth Mittendorf, MD, PhD Rwas the Lester R. Dragstedt Visiting Association for Program Directors Rob and Karen Hale Distinguished Chair in EProfessor at the University of Florida in Surgery (APDS) and delivered the Surgical Oncology, Brigham and Women’s PCollege of Medicine. keynote address at the Irish Association Hospital O for Simulation Symposium (IAS). RBohdan Pomahac, MD Bohdan Pomahac, MD Twas appointed The Sushruta Guha Scott J. Swanson, MD Roberta and Stephen R. WeinerProfessorship in Plastic Surgery and was appointed Associate Chief of Surgery Distinguished Chair in Surgery, BrighamWound Healing from the Royal College at Dana-Farber Cancer Institute and and Women’s Hospitalof Surgeons of Edinburgh and was served as Visiting Professor at Swedishappointed to serve as a member of Cancer Institute in Seattle, WA. Existing Endowed Chairsthe Advisory Board on Science and New IncumbentsInnovation for the Czech Republic Ali Tavakkoli, MDgovernment. was reappointed to the Board of Adam S. Kibel, MD Governors of the American College of Elliott Carr Cutler Professor ofMark A. Preston, MD, MPH Surgeons (ACS). Surgery in Urology, Harvardwas awarded a 2017 Prostate Cancer Medical SchoolFoundation (PCF) Young Investigator Quoc-Dien Trinh, MDAward. was the recipient of the BWH Tari A. King, MD Department of Surgery Joseph E. Murray, Anne E. Dyson Associate Professor ofAli Salim, MD MD and Simon J. Simonian, MD, ScD Surgery in the Field of Women’s Cancers,was installed as a Fellow of the American Research Award. Harvard Medical SchoolSurgical Association (ASA) and wasnamed Co-Director of The Gillian Reny Edward E. Whang, MDStepping Strong Center for Trauma became a founding member of the ERASInnovation at Brigham and Women’s Society USA, serving as Director, OfficerHospital. and Chair of its Program Committee.Jo Shapiro, MDwas awarded an Honorary Fellowshipfrom the Royal College of Surgeonsin Ireland, the highest distinctionthe College bestows, recognizingher outstanding contribution toprofessionalism, leadership and surgery.Eric G. Sheu, MD, PhDwas selected by the Society of AsianAcademic Surgeons (SAAS) ScholarshipCommittee as the 2018 SAAS JuniorFaculty Award Winner. BWH DOS 35

top docs Boston Magazine’s 2017 “Top Doctors” issue recognized 47 Department of Surgery faculty members for being recognized as “tops” in their respective fields:Donald J. Annino Jr., MD • Otolaryngology Sayeed K. Malek, MD • SurgeryStanley W. Ashley, MD • Surgery Hari R. Mallidi, MD • Thoracic & Cardiac SurgeryMichael Belkin, MD • Vascular Surgery Michael J. Malone, MD • UrologyMonica M. Bertagnolli, MD • Surgery Matthew T. Menard, MD • Vascular SurgeryNeil Bhattacharyya, MD • Otolaryngology Steven J. Mentzer, MD • Thoracic & Cardiac SurgeryRonald Bleday, MD • Colon & Rectal Surgery Francis D. Moore Jr., MD • SurgeryRaphael Bueno, MD • Thoracic & Cardiac Surgery Faina Nakhlis, MD • SurgeryKatherina Zabicki Calvillo, MD • Surgery Michael P. O’Leary, MD • UrologyMatthew J. Carty, MD • Plastic Surgery Dennis P. Orgill, MD • Plastic SurgeryStephanie A. Caterson, MD • Plastic Surgery Charles K. Ozaki, MD • Vascular SurgerySteven Lee Chang, MD • Urology Bohdan Pomahac, MD • Plastic SurgeryYoon Sun Chun, MD • Plastic Surgery Chandrajit P. Raut, MD • SurgeryYolonda L. Colson, MD • Thoracic & Cardiac Surgery Esther Rhei, MD • SurgeryChristian H. Corwin, MD • Colon & Rectal Surgery Christian E. Sampson, MD • Hand SurgeryGerard M. Doherty, MD • Surgery Jo Shapiro, MD • OtolaryngologyChristopher Ducko, MD • Thoracic & Cardiac Surgery Scott A. Shikora, MD • SurgeryMargaret M. Duggan, MD • Surgery Douglas Smink, MD • SurgeryAtul A. Gawande, MD • Surgery Graeme S. Steele, MD • UrologyJoel E. Goldberg, MD • Colon & Rectal Surgery Scott J. Swanson, MD • Thoracic & Cardiac SurgeryMehra Golshan, MD • Surgery Simon G. Talbot, MD • Plastic SurgeryCharles A. Hergrueter, MD • Plastic Surgery Ashley H. Vernon, MD • SurgeryPardon R. Kenney, MD • Surgery Jon O. Wee, MD • Thoracic & Cardiac SurgeryAdam S. Kibel, MD • Urology Daniel C. Wiener, MD • Thoracic & Cardiac SurgeryTari A. King, MD • Surgery36 BWH DOS

DevelopmentLevin honors life-saving care with $2M giftWhen doctors in Fredric G. Levin’s Bueno as the chair’s inaugural incumbent. Pictured L-R, Frederic G. Levin, Raphael Bueno,hometown of Pensacola, Florida, “Fred Levin is a true philanthropist,” MD, and Francis D. Moore, Jr., MDdiagnosed him with stage 4 lung cancerin 2015, they said he had eight or nine Bueno told the audience. “This chair “My father once toldmonths to live. But Levin, who has bucked will advance treatment for lung cancerconvention at every turn in his life, hadother plans. and chest diseases at the hospital in me, if you have perpetuity.” taken care of your He sought the help of one of thecountry’s top lung surgeons—Raphael Levin—who prides himself on makingBueno, MD, chief of the Division ofThoracic Surgery and co-director of the a lasting impact through his philanthropy family’s needs,Lung Center at Brigham and Women's and his career—is best known for you should give toHospital. After Bueno successfully rewriting part of a Medicaid law to allowremoved Levin’s tumor using minimallyinvasive surgery, Levin was eager to the state of Florida to sue the tobacco others during yourshow his thanks. To start, he gave his industry. After being upheld by the lifetime. Then youmedical hero a personalized Blue Angels U.S. Supreme Court, Levin’s law led to can enjoy seeing theNavy flight jacket. Then, he made a a $13 billion settlement for smoking-generous gift to the hospital, pledging $2 related illnesses. Levin’s widely knownmillion to establish the Fredric G. LevinDistinguished Chair in Thoracic Surgery accomplishments as a trailblazer and difference made byand Lung Cancer Research. At a special advocate have spurred multiple articles, your philanthropy.”event, three generations of Levin’s family as well as a biography of his life by Joshjoined with the hospital community tocelebrate his commitment and honor Young, author of five New York Times FREDRIC G. LEVIN bestsellers. In The Lancet medical journal, Kate Spencer wrote: “Fred Levin has Levin says, “My father once told me, if you enhanced the lives of many who needed have taken care of your family’s needs, help, and [has] lived a life that only could you should give to others during your be emulated in a Hollywood movie.” lifetime. Then you can enjoy seeing the Reflecting on his philosophy of giving, difference made by your philanthropy.” ª FREDERIC LEVIN BWH DOS 37

A Tribute to the Magnificent Seven – BWH Surgical Residency ClassEstablishing an endowed scholarship to benefit current surgical residentsCongratulations to GillianFell, MD, PhD, who is theinaugural Class of 1963Scholar, based upon theimpact of her research. TheClass of 1963 Scholar willbe chosen annually fromamong the general surgeryresidents in the year thatthey return from theirlaboratory experience toclinical training, based uponthe accumulated impact oftheir published researchover the previous fivecalendar years.At Brigham and Women’s Hospital (BWH), Pictured L-R, Steve Rosenberg, MD, Arnold Coran, MD, Robert Bartlett, MD, and Richard Hicks, MDwe attract some of the brightest surgicaltrainees in the country and strive to provide scholarship will enable residents to attend Women’s Hospital. Once the scholarshipthem with exceptional training and learning and present at national conferences, such is fully funded, it will be endowed inopportunities. Many of our residents have as the American College of Surgeons (ACS) perpetuity.gone on to hold leadership positions at annual meeting, and expose them tohospitals and medical institutions across additional opportunities for professional This year Robert Bartlett, MD, deliveredthe United States and abroad and a young development. The Brigham is honored the Vineyard Lecture (named for the lategroup of surgical residency graduates in to name the scholarship fund after the Gordon Vineyard, MD). Dr. Bartlett was1963 was no exception. The seven trainees, Surgical Residency Class of 1963 to joined for the inauguration of this honor byRobert Bartlett, MD; Arnold Coran, MD; recognize the generosity of its donors and some other members of the MagnificentRichard Hicks, MD; Stuart Howards, MD; celebrate the years the Magnificent Seven Seven intern class, including StevenArvin Philippart, MD; Steve Rosenberg, MD, spent training and learning at Brigham and Rosenberg, MD, PhD, Arnold Coran, MD andPhD; and Gordon Vineyard, MD, went on Richard Hicks, MD. ªto lead prominent academic medical andresearch programs, introduce new surgicaltechniques to save and improve the lives ofmany, and pass on their mastery of surgeryto countless medical students and surgicaltrainees. Medical education continues to beone of the Department of Surgery’s toppriorities and a critical part of our ongoingmission to advance standards in surgicalcare. Every year we develop the skills ofour residents by teaching them the latestsurgical techniques and incorporating newand proven technologies that result inimproved patient outcomes. This trainingis facilitated through time spent in theclassroom, at the hospital and attendingeducational conferences. The Class of 1963 Scholarship fund isin the process of being fully funded. The38 BWH DOS

Support the Work Leadershipof the Departmentof Surgery Gerard M. Doherty, MD Moseley Professor of Surgery, Harvard Medical SchoolEach year, thousands of people entrust Surgeon-in-Chief, Brigham Health & Dana-Farber Cancer Institutethe Department of Surgery at Brigham Crowley Family Distinguished Chair, Department of Surgery,and Women’s Hospital to provide them Brigham and Women’s Hospitalwith excellent medical care. Many turn tous because of our long history of medical Francis D. Moore, Jr., MDfirsts and reputation for attracting the Vice Chair, Department of Surgery, Brigham and Women’s Hospitalfinest surgical trainees and surgeons in the Francis D. Moore Professor of Surgery, Harvard Medical Schoolcountry. One of the reasons we have beenable to build such a strong program—and Ronald Bleday, MDto establish new standards of surgical Associate Chair for Quality and Patient Safetycare—is because of philanthropiccontributions from people like you. Zara Cooper, MD, MSc Associate Chair for Faculty Development Gifts from our alumni, patients andfriends help us to train our staff in the Adil H. Haider, MD, MPHlatest surgical techniques, to make Associate Chair of Researchadvances in surgery through research, andto achieve the best possible outcomes Tari A. King, MDfor patients. When you make a gift to Associate Chair for Multidisciplinary Oncologythe Department of Surgery, you enableour medical team to provide the most Malcolm K. Robinson, MDadvanced care and make a difference for Associate Chair of Clinical Operationsevery patient and family member we see. Douglas S. Smink, MD, MPH For more information if you are Associate Chair of Educationinterested in making a gift to theDepartment of Surgery at Brigham Contact Usand Women's Hospital, or to a specificphysician or scientist within the Department of SurgeryDepartment, please contact Susan 75 Francis StreetAndrews, Assistant Vice President, Tower 1 – Room 110Development Office, at 617.424.4349 or Boston, MA [email protected]. ª [email protected] 617.732.8181Brigham SurgeryAlumni Follow Us twitter.com/bwhsurgeryThe BWH Surgery Alumni Group consists brighamandwomens.org/surgeryof graduates of Brigham and Women’sHospital surgery residency and fellowshipprograms and former Department ofSurgery faculty members.If you would like to join the BWH SurgeryAlumni Group and receive news andupdates from the Department of Surgery,please visit:bwhsurgerynews.partners.org/alumni oremail us at: [email protected]. ªstay in touch! BWH DOS 39

Brigham Surgery is committed to delivering world-class, collaborative patient care with a profoundly human touch, while advancing scientific research and training the surgical innovators of tomorrow.brighamandwomens.org/surgery