Brigham and Women's Hospital Department of Surgery Harvard Medical School External Review 2017-2021

I. MASS GENERAL BRIGHAM/DANA-FARBER COMPLEX GENERAL SURGICAL ONCOLOGY FELLOWSHIP PROGRAM AT HARVARD MEDICAL SCHOOL The Mass General Brigham/Dana-Farber Complex General Surgical Oncology Fellowship seeks to train surgical oncologists who will become national leaders in cancer treatment and research. The program employs an apprenticeship-style approach, combined with an intensive multidisciplinary experience in the management of gastrointestinal, hepatobiliary, pancreas, breast, endocrine, cutaneous (melanoma) and soft tissue sarcoma malignancies. Core clinical rotations for the first-year fellow take place at Brigham and Women’s Hospital (three months) and Massachusetts General Hospital (six months). Six months of research begin during the first year and extends into the second year. The fellow will complete three additional months of core clinical rotations at the Brigham during the second year. ACGME-required one-month elective rotations in medical oncology, radiation oncology and pathology are completed during the second year. The remaining three months of the fellowship include a dedicated month in palliative care and electives in the disease specialty of choice at the Brigham and/or MGH. During the clinical rotations at the Brigham and during the medical oncology rotations, the fellow attends clinics at Dana-Farber Cancer Institute. The fellowship began in 2002. ACGME accreditation for the new American Board of Medical Specialties certificate in Complex General Surgical Oncology began in 2012. The program has graduated 16 fellows, all of whom have entered academic surgical oncology faculty positions. The program continues to evolve based on fellow and faculty feedback, as well as interactions with the respective general surgery residency programs at the Brigham and MGH. We have redesigned the rotation schedule to address the need for fellows to backload more clinical rotations to the second year in order to facilitate the transition into independent practice. These challenges have also allowed for improved flexibility in case of a major life event (e.g., childbirth, illness). We have also improved the surgical oncology curriculum with integration of the newly released SCORE curriculum for surgical oncology. Length of Program: 2 years Number of Trainees per Year: 1 ACGME Accreditation: Continued accreditation - ACGME Changes Over the Past Five Years: Over the past five years, the surgical oncology fellowship continues to evolve to optimize the fellows’ experience. The clinical rotation breadth has expanded to include time on the newly formed hepatobiliary surgery service at MGH. Additionally, based on feedback from the fellows, we have reimagined the structure of the fellowship in order to backload more clinical time and help ease the transition into independent practice. Additionally, with the new MGB rebranding, we have renamed the fellowship to be the MGB/DFCI Complex General Surgical Oncology Fellowship at Harvard Medical School. Lastly, Dr. Mark Fairweather has taken over for Dr. Chan Raut as program director of the fellowship. 14

Program Leadership: • Mark Fairweather, MD – Program Director • Motaz Qadan, MD – Site Director • Genevieve Boland, MD – Director of Professional Development Current Status of Graduates: Name of Former Fellow Graduation Year Current Position/Organization/City/State Akhil Chawla, MD 2019 Attending Physician, Northwestern Regional George Molina, MD, MPH Medical Group, Chicago, IL Winta Mehtsun, MD, MPH 2020 Attending Surgeon, Brigham and Women’s Hospital, Boston, MA 2021 Attending Physician, UCSD, San Diego, CA 15

J. HARVARD COMBINED ENDOCRINE SURGERY FELLOWSHIP The Brigham and Women’s Hospital/Mass General Hospital Harvard Combined Endocrine Surgery Fellowship provides experience for trainees to become experts in comprehensive endocrine surgery of the thyroid, parathyroid and adrenal glands. The fellowship is split into six months of clinical time at MGH and six months at the Brigham, in alternating three-month intervals. We have 12 attending surgeons between the two sites, which provides trainees with exposure to a breadth of styles and techniques. Attendings are responsible for educating the residents and medical students, including running the weekly endocrine surgery case conference. Fellows are advised to seek out clinical and research mentors to set them up for future faculty jobs and research careers where applicable. Fellows are encouraged to perform research during their fellowship and to submit their work for the Annual Meeting of the American Association of Endocrine Surgeons (AAES). Fellows are also encouraged to rotate through services that collaborate with endocrine surgeons, such as ultrasound radiology, endocrine pathology, laryngology and interventional radiology. The fellowships at MGH and the Brigham were started in 2009 as independent fellowships and merged as an integrated fellowship in 2019. Our fellows have gone on to be program directors and fellowship directors around the country, and we continue to train the future leaders of our field. Length of Program: 1 year Number of Trainees per Year: 1 ACGME Accreditation: Non-ACGME accredited fellowship Program Leadership: • Dr. Matthew Nehs, BWH Program Director (2019-2021) • Dr. Antonia Stephen, MGH Program Director (2022 – 2024) Changes Over the Past Five Years: We completely changed the fellowship in the past five years. It is now a “Harvard Combined” integrated program where we match one fellow whose time is divided between BWH and MGH. Since this change was made in 2018, three fellows have graduated from the new combined program. The goal was to leverage the high volume at both institutions to maximize the fellow’s experience. All of our recent fellows were actively recruited to academic endocrine surgery jobs. Current Status of Graduates: Name of Former Fellow Graduation Year Current Position/Organization/City/State Rajshri Gartland, MD, MPH Sean Wrenn, MD 2021 Attending Surgeon, Mass General Hospital TK Pandian, MD, MPH 2020 Attending Surgeon, Rush Medical Center 2019 Attending Surgeon, Washington University Medical Center 16

K. ENDOVASCULAR FELLOWSHIP PROGRAM The Endovascular Fellowship is a non-ACGME program designed to train residents who desire to obtain high-level expertise in a growing field and wish to prepare for leadership of catheter-based structural cardiac programs. The fellow is involved in a diverse and busy clinical caseload under direct supervision of Cardiology and Cardiac Surgery attendings, as well as structural cardiac research. The goal of the fellowship is to train fellows pursuing academic careers, with a clinical and research emphasis. The fellowship provides highly specialized training in diagnostic and interventional catheter-based cardiac procedures in structural heart disease. This includes: • transcatheter aortic valve replacement (TAVR) • pulmonary and other valve replacements • transcatheter valve repair • transseptal puncture • septal closure procedures (ASD, PFO and VSD closures) • other complex congenital cardiac intervention procedures Additionally, hybrid procedures performed in the hybrid OR, such as alternative access TAVR, transapical transcatheter valve replacement and paravalvular leak closures, are included. The fellowship provides the opportunity to gain knowledge of the latest technology and to experience new transcatheter devices that are used in clinical trials. Fellows must attend the weekly Structural Heart Meeting to present cases, and are also recommended to attend the Clinical Outcomes Research meeting. Length of Program: 6 to 12 months Number of Trainees per Year: 1 ACGME Accreditation: Non-ACGME fellowship Program Leadership: • Tsuyoshi Kaneko, MD, associate program director for ACGME cardiothoracic surgery residencies and fellowship director • Raphael Bueno, MD, division chief for Thoracic and Cardiac Surgery • Hari Mallidi, MD, clinical director of Cardiac Surgery • Michael Jaklitsch, MD, director of Residency and Education for the division Changes Over the Past Five Years: There have been no significant changes in the program over the past five years. Current Status of Graduates: Name of Former Fellow Graduation Year Current Position/Organization/City/State Morgan Harloff, MD Hunbo Shim, MD 2021 Brigham and Women’s Hospital Brian Plunkett, MD 2020 Ewha Women’s University, Mokdong Hospital, Seoul, South Korea 2019 Surgical Lead, Structural Heart Program, Royal Prince Alfred Hospital, Australia 17

L. GENERAL THORACIC SURGERY FELLOWSHIP The Division of Thoracic and Cardiac Surgery at Brigham and Women's Hospital and Harvard Medical School offers an advanced fellowship in general thoracic surgery for individuals who have completed their American Board of Thoracic Surgery requirements or their equivalence. Fellowships are also available for board-certified cardiothoracic surgeons wishing to retool in general thoracic surgery and in minimally invasive thoracic surgery, with emphasis on esophageal and lung surgery. Outpatient, operative and postoperative management of the entire spectrum of minimally invasive general thoracic surgical cases is provided, including endoscopic surgery, laparoscopic surgery, minimally invasive thoracoscopic surgery and robotic surgery. In addition, there is expected access to both simulation and animal work, as well as research.  The fellows work alongside residents enrolled in the accredited thoracic surgery program at the Brigham and actively participate in all educational conferences and activities. There is also an opportunity for clinical research. We use an apprenticeship model whereby each general thoracic surgery fellow is assigned to surgeons for two months at a time, to gain exposure to the breadth and depth of thoracic surgery practice, or is assigned to lead one of three teams that include one senior and up to two junior residents. The focus changes from lung surgery to esophageal surgery based on the surgeon. The fellow is the primary trainee with the assigned surgeon, so that there is no competition with the accredited residents. The 3,700 cases per year are more than sufficient to accommodate all residents and fellows. Length of Program: 1 year Number of Trainees per Year: 2-3 ACGME Accreditation: Non-ACGME fellowship Program Leadership: • Michael Jaklitsch, MD, director of Residency and Education • Jon Wee, MD, fellowship director • Raphael Bueno, MD, division chief • Scott Swanson, MD, clinical director of Thoracic Surgery • Division Education Committee o Matthew M. Rochefort, MD o Antonio Coppolino, III, MD o George Tolis, Jr, MD o Matthew J Pommerening, MD, MS o Margaret Blair Marshall, MD o Ben Daly, MD, technical coach Changes Over the Past Five Years: Major changes have included the creation of four apprentice rotations and three team rotations as noted above. Fellows participate in the CT debate club, an innovative way to learn journal club material by using publications to debate a clinical scenario without a clear best approach. 18

Current Status of Graduates: Graduation Year Current Position/Organization/City/State Name of Former Fellow Jessica Della Valle, MD 2021 Attending Thoracic Surgeon, Pardee UNC Health, Melani Lighter, MD Matthew Pommerening, MD Hendersonville, NC Mayrim Rios Perez, MD 2021 Attending Thoracic Surgeon, University of Rafael Garza Castillon, MD Carolyn Moore, MD Illinois, Chicago Desiree Steimer, MD 2020 Associate Surgeon, Brigham and Women’s Danielle Thesier, MD Hospital, Division of Thoracic and Cardiac Surgery 2020 Attending Thoracic Surgeon and APD General Surgery, University of Houston, Kingwood 2019 Attending Thoracic Surgeon, Northwestern, Chicago, IL 2019 Cardiothoracic Surgery Fellow, Kansas University Medical Center 2019 Associate Surgeon, Brigham and Women’s Hospital, Division of Thoracic and Cardiac Surgery 2019 Vascular Surgery Fellowship, University of Buffalo 19

M. MINIMALLY INVASIVE THORACIC SURGERY FELLOWSHIP Minimally invasive surgical approaches have been applied to both chest and abdominal procedures in thoracic surgery and require specialized training, such as techniques including open VATS/laparoscopy, robotic surgery and uniportal surgery. Fellows in this program are intricately involved in the day-to-day management of patients who will require minimally invasive surgery. They participate in daily rounds, cover the operating room, take call, participate in patient care at the inpatient and outpatient levels and participate in the weekly teaching conferences. At the conclusion of a year, they perform, under supervision, nearly 325 procedures and are well trained in all aspects of minimally invasive general thoracic surgery, including laparoscopy, thoracoscopy, robotic surgery, bronchoscopy and endoscopy of chest and foregut structures. The goal is to provide the fellows minimally invasive surgical skills as they ultimately pursue an academic job in thoracic surgery. The entire year is spent on the thoracic surgery service at the Brigham and the Boston VA Medical Center; optional electives at other centers allow exposure of the fellow to new and novel techniques. The fellow spends one day each week in the outpatient clinic, three days in the operating room and one day immersed in clinical research. They will not usually take resident-level call but will take fellow-level call about once per week. The objectives are to become experts in minimally invasive abdominal (esophageal and gastric) procedures and in thoracoscopic lung and chest procedures, as well as endoscopic and bronchoscopic procedures, and to engage in clinical research. The fellow gains competency in practice-based learning, including the investigation and evaluation of care for thoracic patients, the appraisal and assimilation of scientific evidence and the methodology for improving patient care. The fellow also gains competency in the interpersonal and communication skills necessary for discussions with patients, their families and other health professionals. Finally, the fellow develops competence in systems-based practice, learning the context in which health care systems operate and learn how to effectively access resources for the delivery of optimal health care. The fellows develop an understanding of the normal post-discharge course following surgery in general thoracic patients. They learn how to skillfully evaluate patients preoperatively so as to anticipate the appropriateness of surgical management postoperatively and in an outpatient setting. The fellows also participate in nonclinical scholarly activities, including weekly seminars to further refine these skills. Length of Program: 1 year Number of Trainees per Year: 2 ACGME Accreditation: Non-ACGME fellowship Program Leadership: • Jon Wee, MD, fellowship director and associate program director for the division • Raphael Bueno, MD, chief of the division • Michael Jaklitsch, MD, director of Residency and Education for the division • Education Committee includes Drs. Marshall, Rochefort, Pommerening, Weiner and Coppolino. Other divisional teaching staff include the following attendings: Christopher T. Ducko, MD; Hassan Khalil, MD; Hari Mallidi, MD; Ciaran McNamee, MD; Steven Mentzer, MD; Scott Swanson, MD; Brian Whang, MD; Abby White, DO; John Young, MD; Paula Ugalde, MD; and Desiree Steimer, MD. 20

Changes Over the Past Five Years: Changes in the past five years include the creation of thoracic surgical teams with the fellows serving on four team rotations. Fellows serve as a single senior team leader, while up to two junior residents are part of the team. This allows the fellows to develop academic interests and the ability to mentor junior residents. All fellows are now required to participate in a quality improvement project each year. Current Status of Graduates: Name of Former Fellow Graduation Year Current Position/Organization/City/State Kostantinos Poulikidis, MD John Young, MD 2021 Attending Physician, Danbury Hospital, Danbury, CT (as of 8/1/2021) Ealaf Shemmeri, MD Zeynep Bilgi, MD 2020 Associate Surgeon, Brigham and Women’s Apostolos Kandilis, MD Hospital, Division of Thoracic and Cardiac Surgery 2020 Cardiothoracic Surgery Fellow, Albany Medical Center, Albany, NY 2019 Attending Physician, Marmara University, Istanbul 2019 PGY-4 Categorical General Surgery, Einstein Medical Center, Philadelphia, PA 21

N. SURGICAL CRITICAL CARE FELLOWSHIP The Brigham and Women’s Hospital Surgical Critical Care Fellowship is designed to allow fellows to develop advanced proficiency in the management of all aspects of the care of critically ill surgical patients, and to develop the qualifications necessary to supervise surgical critical care units. The program is a one-year fellowship for residents with at least three years of ACGME-accredited general surgery training in the United States. The program provides surgical education of the highest caliber, leading to American Board of Surgery certification in Surgical Critical Care. Surgical Critical Care training at the Brigham and our affiliated teaching hospitals offers a diverse experience encompassing all elements of surgical critical care. The hospital facilities allow each surgical critical care fellow to obtain significant experience to develop independent responsibility in the post- operative care of a variety of surgical patients. The fellows can also conduct clinical research protocols with the multidisciplinary Surgical ICU Translational Research (STAR) group. Each application is reviewed in its entirety with a focus toward a combination of overall academic excellence, leadership ability, career development potential and personal character. Fellows also have the opportunity to participate in the two-year fellowship, with the second year being the Acute Care Surgery (ACS) fellowship. Length of Program: 1 year Number of Trainees per Year: 4 ACGME Accreditation: ACGME accredited Program Leadership: Reza Askari, MD, Program Director Changes Over the Past Five Years: Extensive revamping of our didactic curriculum and ultrasound training has been completed, including a one-year ultrasound curriculum with hands-on training. Current Status of Graduates: Name of Former Fellow Graduation Current Position/Organization/City/State Year Ashley Aaron, MD 2019 Attending Physician, Eastern Carolina University Mehreen Kisat, MD 2019 Attending Physician, University of Wisconsin Kathryn Van Orden, MD 2019 Attending Physician, Boston Medical Center/BU School of Medicine Allison Brown, MD 2020 Attending Physician, NYU Brooklyn Choyin Chung, MD 2020 Vascular Fellow, Saint Louise University Alfredo Cordova, MD 2020 Attending Physician, Ohio State University Laura Hansen, MD 2020 Attending Physician, Zucker School of Medicine at Hofstra/Northwell Health Mohammad Afrasiabi, MD 2021 Acute Surgical Care Fellow, Brigham and Women’s Hospital, Boston, MA Laura Hyde, MD 2021 Attending Physician, Lincoln Hospital, Bronx, NY Renaldo Williams, MD 2021 Acute Care Surgery Fellow, Johns Hopkins Hospital, Baltimore, MD 22

O. MASS GENERAL BRIGHAM UROLOGIC ONCOLOGY FELLOWSHIP The Mass General Brigham Urology Oncology Fellowship at Harvard Medical School is a two-year program, drawing upon the aims of clinical care, research, education and mentorship within the rigorous and supportive environments of Brigham and Women’s Hospital and Massachusetts General Hospital (MGH). Since 2014, there have been two fellows each year, and the time spent during fellowship is split equally between the Brigham and MGH. The first year of the fellowship is focused on research and academic activities. Fellows begin their first year by enrolling in the seven-week Program in Clinical Effectiveness (PCE) at the Harvard T.H. Chan School of Public Health or a similar educational program. Subsequently, fellows engage in a wide array of research opportunities in genitourinary oncology. The second year of the program is dedicated to all clinical areas of urologic oncologic surgery. The program is heavily based on multidisciplinary care, bringing together urologic oncology, medical oncology, radiation oncology, radiology and pathology. Through a busy clinical service, fellows are assured a robust experience in open, laparoscopic, robotic and endoscopic procedures in urologic oncology. Clinical experience is optimized through the autonomy of conducting a clinic and taking patients to the operating room with the attending surgeon and under the supervision of attending urologic oncologists. Length of Program: 2 years Number of Trainees per Year: 2 ACGME Accreditation: Non-ACGME accredited; accredited by the Society of Urologic Oncology (SUO) Program Leadership: • Steven Chang, MD, MS – Co-Program Director (BWH) • Adam Feldman, MD, MPH – Co-Program Director (MGH) Changes Over the Past Five Years: We have formalized relationships with colleagues at the Harvard School of Public Health and Boston Children’s Hospital, for additional research opportunities for our fellows. To further advance a comprehensive clinical experience, a “preceptorship” model is used so that fellows rotate with urologic oncology attendings each month, as well as set up independent clinics for fellows at all sites, to evaluate new patients followed potentially thereafter with a mentored but autonomous surgical experience. Current Status of Graduates Name of Former Fellow Graduation Year Current Position/Organization/City/State Eugene Cone, MD Melissa Huynh, MD, MPH 2021 Attending Surgeon, University of Indiana, Indianapolis Alice Yu, MD, MPH 2020 Assistant Professor, Western University, London, Daniel Pucheril, MD Ontario, Canada Dimitar Zlatev, MD 2020 Assistant Professor, Moffitt Cancer Center, Tampa, FL 2019 Attending Surgeon, Kettering Medical Center, Dayton, OH 2019 Instructor of Surgery, Massachusetts General Hospital, Boston MA 23

P. VASCULAR AND ENDOVASCULAR SURGICAL FELLOWSHIP The Homans Vascular Fellowship at Brigham and Women’s Hospital is a two-year, ACGME-accredited fellowship of the highest caliber. Over the course of two years, fellows gain experience in open and advanced endovascular techniques, while also being exposed to advanced imaging techniques, vascular laboratory principles, vascular medicine training, interventional nephrology and research training. We offer the following: • A rigorous clinical experience with a balanced exposure to open and endovascular techniques • A unique professional development block, where fellows are free to design a tailored experience to further their training based on their individual professional goals • Training in our hybrid operating room, cardiac and peripheral catheterization lab, dedicated vascular lab and the multidisciplinary 136-bed Shapiro Cardiovascular Center • Affiliation with a busy community hospital, as well as Boston Children’s Hospital • Exposure to the full breadth of vascular surgery, including complex aortic disease, cerebrovascular disease, complex limb salvage, venous disease, thoracic outlet syndrome, compressive syndromes, hemodialysis access, vascular reconstruction for oncologic procedures and trauma, orthopedic and neurosurgical spine exposure and pediatric vascular surgery • Dedicated vascular lab training in advance of the Registered Physician in Vascular Interpretation (RPVI) certification The fellowship is structured to provide fellows with exposure to the breadth of vascular pathology, as well as develop a strong clinical foundation, with an emphasis on clinical independence and operative autonomy. We match one to two fellows per year, who each rotate between open and endovascular rotations. Fellows also have rotations at our affiliated community institution, South Shore Hospital, on the services of interventional cardiology, interventional nephrology, vascular medicine, interventional radiology and vascular radiology. Fellows also participate in spine exposures at the nearby and eminent orthopedic Baptist Hospital. Our first- and second-year fellows integrate through these rotations and share responsibility for patient care. Call is every third night and every third weekend and is split evenly between the fellows, who take calls from home. Fellows are provided with lead and leaded goggles. Length of Program: 2 years Number of Trainees per Year: 1-2 ACGME Accreditation: Continued Accreditation - ACGME Program Leadership: • Matthew Menard, MD – Program Director • Marcus Semel, MD – Associate Program Director Changes Over the Past Five Years: The most significant highlight of the Homan’s Vascular Surgery Fellowship over the last several years is our successful inclusion of a third fellow. We have transitioned from a traditional one fellow per year model, to a one fellow one year, alternating with two fellows the next year system. This change was initiated in response to a recognition that the quality of life and wellness of our fellows was becoming compromised by the burden of the clinical workload. While the work was regularly embraced by the fellows we accepted into the fellowship, the increasing pace and volume of operative and clinical work 24

was becoming overly burdensome and was beginning to negatively impact the overall educational experience. The addition of a third fellow, beginning in 2018, has been extraordinarily successful, both in improving the quality of life and comradery amongst the fellows and in restoring a much-improved educational balance within the program. It has further allowed us to modify our curriculum to include a number of additional rotations that have enhanced the quality of the fellowship program. These changes have allowed us to continue to attract the very best applicants, from within our own general surgery training program and across the country. Almost without exception, we have been fortunate to successfully recruit our top applicant choice each year into the Homan’s Fellowship. Current Status of Graduates: Name of Former Fellow Graduation Year Current Position/Organization/City/State Andrew Soo Hoo, MD 2021 Military obligations Gaurav Sharma, MD and 2020 Kaiser Permanente, Santa Clara, CA; Jillian Walsh, MD St. Joseph’s Hospital, Philadelphia, PA Christine Lotto, MD 2019 St. Joseph’s Hospital, Philadelphia, PA 25

2020-2021 ACGME Resident/Fellow Survey - page 1 Survey taken: February 2021 - April 2021 Residents Surveyed 10 Residents Responded 8 4602422043 Brigham and Women's Hospital/Children's Hospital Program - Thoracic surgery Response Rate 80% Residents' overall evaluation of the program Residents' overall opinion of the program Program Mean National Mean Program Mean National Mean Resources Education compromised by non-physician obligations % Program Program % Specialty Specialty % National National Impact of other learners on education Compliant Mean Compliant Mean Compliant Mean Professionalism Appropriate balance between education (e.g., clinical teaching, conferences, lectures) and patient care 4.5 4.8 4.4 Faculty members discuss cost awareness in patient care decisions 88% 3.8 98% 4.1 88% 3.7 Patient Safety and Time to interact with patients 75% 3.9 95% 4.4 89% 4.1 Teamwork Protected time to participate in structured learning activities 75% 2.8 89% 3.6 80% 3.5 Faculty Teaching Able to attend personal appointments 88% 4.5 92% 4.6 90% 4.3 and Supervision Able to access confidential mental health counseling or treatment 100% 4.3 97% 4.7 89% 4.3 Evaluation Satisfied with safety and health conditions 75% 5.0 95% 5.0 85% 4.7 100% 5.0 99% 5.0 92% 4.8 100% 4.6 99% 4.7 95% 4.5 88% 94% 88% Residents/fellows encouraged to feel comfortable calling supervisor with questions % Program Program % Specialty Specialty % National National Faculty members act professionally when teaching Compliant Mean Compliant Mean Compliant Mean Faculty members act professionally when providing care 4.5 4.7 4.5 Process in place for confidential reporting of unprofessional behavior 100% 4.6 95% 4.6 89% 4.6 Able to raise concerns without fear of intimidation or retaliation 100% 5.0 93% 4.8 92% 4.7 Satisfied with process for dealing confidentially with problems and concerns 100% 4.0 98% 4.7 96% 4.4 Personally experienced abuse, harassment, mistreatment, discrimination, or coercion 75% 3.6 92% 4.4 86% 4.2 Witnessed abuse, harassment, mistreatment, discrimination, or coercion 63% 4.3 85% 4.4 78% 4.1 75% 4.5 88% 4.7 76% 4.7 88% 4.1 95% 4.7 94% 4.6 63% 94% 93% Information not lost during shift changes, patient transfers, or the hand-over process % Program Program % Specialty Specialty % National National Culture reinforces personal responsibility for patient safety Compliant Mean Compliant Mean Compliant Mean Know how to report patient safety events 4.4 4.4 4.2 Interprofessional teamwork skills modeled or taught 88% 92% 85% Participate in adverse event investigation and analysis 4.6 4.7 4.4 Process to transition patient care and clinical duties when fatigued 88% 5.0 96% 5.0 90% 4.8 100% 4.1 99% 4.5 96% 4.2 75% 3.5 90% 4.5 78% 4.1 63% 4.5 88% 4.9 77% 4.6 88% 98% 90% Faculty members interested in education % Program Program % Specialty Specialty % National National Faculty effectively creates environment of inquiry Compliant Mean Compliant Mean Compliant Mean Appropriate level of supervision 4.1 4.6 4.4 Appropriate amount of teaching in all clinical and didactic activities 75% 3.9 92% 4.5 85% 4.3 Quality of teaching received in all clinical and didactic activities 75% 4.6 89% 4.7 83% 4.7 Extent to which increasing clinical responsibility granted, based on resident's/fellow's training and ability 100% 4.5 95% 4.6 92% 4.5 75% 4.3 85% 4.5 81% 4.3 88% 4.0 96% 4.3 97% 4.2 75% 88% 81% Access to performance evaluations % Program Program % Specialty Specialty % National National Opportunity to confidentially evaluate faculty members at least annually Compliant Mean Compliant Mean Compliant Mean Opportunity to confidentially evaluate program at least annually 4.5 5.0 4.9 Satisfied with faculty members' feedback 88% 99% 99% 4.0 4.9 4.9 75% 98% 98% 5.0 5.0 4.8 100% 100% 96% 3.9 4.4 4.1 63% 85% 76% Educational Content Instruction on minimizing effects of sleep deprivation % Program Program % Specialty Specialty % National National Instruction on maintaining physical and emotional well-being Compliant Mean Compliant Mean Compliant Mean Instruction on scientific inquiry principles 4.0 4.8 4.4 Education in assessing patient goals e.g. end of life care 75% 4.0 94% 4.9 85% 4.8 Opportunities to participate in scholarly activities 75% 4.5 96% 4.9 94% 4.7 Taught about health care disparities 88% 97% 94% 5.0 5.0 4.8 100% 5.0 99% 5.0 95% 4.8 100% 2.4 100% 3.8 94% 3.6 63% 85% 81% Program instruction in how to recognize the symptoms of and when to seek care regarding: 63% Substance abuse 63% Fatigue and sleep deprivation Depression 63% Burnout 75% Diversity and Preparation for interaction with diverse individuals % Program Program % Specialty Specialty % National National Inclusion Program fosters inclusive work environment Compliant Mean Compliant Mean Compliant Mean Engagement in program's diverse resident/fellow recruitment/retainment efforts 3.9 4.6 4.3 88% 98% 94% 4.4 4.7 4.5 88% 99% 97% 4.1 4.5 4.1 88% 96% 90% © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

2020-2021 ACGME Resident/Fellow Survey - page 2 Survey taken: February 2021 - April 2021 Residents Surveyed 10 Residents Responded 8 4602422043 Brigham and Women's Hospital/Children's Hospital Program - Thoracic surgery Response Rate 80% Clinical Experience 80-hour week (averaged over a four-week period) % Program Program % Specialty Specialty % National National and Education Four or more days free in 28 day period Compliant Mean Compliant Mean Compliant Mean Taken in-hospital call more than every third night 4.3 4.6 4.6 Less than 14 hours free after 24 hours of work 75% 4.8 92% 4.7 91% 4.4 More than 28 consecutive hours work 100% 4.4 94% 4.9 83% 4.9 Additional responsibilities after 24 consecutive hours of work 88% 4.8 98% 4.8 98% 4.8 Adequately manage patient care within 80 hours 88% 4.1 96% 4.6 95% 4.8 Pressured to work more than 80 hours 63% 4.4 94% 4.7 96% 4.8 75% 4.4 95% 4.7 97% 4.6 75% 4.9 95% 4.9 92% 4.9 100% 98% 98% Total Percentage of Compliance by Category Program Percentage at-a-glance © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

2020-2021 ACGME Resident/Fellow Survey - page 3 Survey taken: February 2021 - April 2021 4602422043 Brigham and Women's Hospital/Children's Hospital Program - Thoracic surgery Residents Responded 6 Specialty Specific Questions I feel well prepared to perform the following procedures without supervision: Strongly Disagree Neither Agree Strongly Coronary bypass Disagree 33.3% Agree nor 0.0% Agree Aortic valve replace Disagree 0.0% 50.0% Mitral valve replace 16.7% 0.0% Lobectomy 0.0% 66.7% 50.0% Esophagectomy 66.7% 16.7% 16.7% 16.7% 50.0% 16.7% 33.3% 0.0% 33.3% 0.0% 0.0% 0.0% 16.7% 0.0% 16.7% 0.0% I feel well prepared to perform the following patient care activities without supervision: Strongly Disagree Neither Agree Strongly Manage coronary artery disease Disagree 0.0% Agree nor 33.3% Agree Care for the post-operative patient Disagree 16.7% 66.7% Care for the pre-operative patient 0.0% 0.0% Manage lung cancer 0.0% 16.7% 83.3% Manage esophageal cancer 16.7% 0.0% 0.0% 0.0% 83.3% 0.0% 0.0% 16.7% 83.3% 0.0% 0.0% 0.0% 83.3% 0.0% 0.0% 0.0% My program provides appropriately graduated supervision in the operating room, progressing from direct Strongly Disagree Neutral Agree Strongly supervision of beginning residents to oversight of the activities of residents in the final years of education. Disagree 0.0% 0.0% 66.7% Agree 0.0% 0.0% My program mandates sufficient experience as an assistant in the operating room before allowing residents to 0.0% 0.0% 33.3% 33.3% act as surgeon. 0.0% 0.0% 0.0% 0.0% 16.7% 83.3% My program encourages more senior residents to act as teaching assistant to more junior residents in the 0.0% 0.0% operating room. 0.0% 16.7% 50.0% 0.0% 0.0% My program provides appropriately graduated supervision in non-operative patient care (wards, ICUs, 0.0% 50.0% 50.0% Emergency Department, outpatient facilities, etc.) progressing from direct supervision of beginning residents to oversight of the activities of residents in the final years of education. 0.0% 16.7% 83.3% The outpatient clinic/clinical office experience in my program regularly provides me with the opportunity to 33.3% 66.7% participate in all aspects of patient care, including but not limited to diagnosis, pre-operative planning, post- operative follow-up and continuity of care. My program provides sufficient breadth and depth of experience, and does so in such a way, that I am confident that I would be able to practice this specialty competently and independently without fellowship or other future training. The number of half-day sessions that I spend in the outpatient clinic per week (on average throughout the 0 > 0, but < 1 1 > 1, but <= >= 5 program) is: 0.0% 33.3% 33.3% 2 > 2, but < 5 16.7% 16.7% 0.0% Strongly Disagree Neither Agree Strongly Disagree Agree nor Agree Disagree Indicate the degree to which you agree or disagree with the following statement: 0.0% 0.0% 0.0% 50.0% 50.0% Overall, I am well prepared to competently practice Cardio-thoracic surgery. © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

2020-2021 ACGME Resident/Fellow Survey - page 1 Survey taken: February 2021 - April 2021 Residents Surveyed 8 4612400001 Brigham and Women's Hospital Program - Thoracic surgery - integrated Residents' overall opinion of the program Residents Responded 7 Residents' overall evaluation of the program Response Rate 88% Program Mean National Mean Program Mean National Mean Resources Education compromised by non-physician obligations % Program Program % Specialty Specialty % National National Impact of other learners on education Compliant Mean Compliant Mean Compliant Mean Professionalism Appropriate balance between education (e.g., clinical teaching, conferences, lectures) and patient care 4.6 4.9 4.4 Faculty members discuss cost awareness in patient care decisions 100% 2.9 99% 4.1 88% 3.7 Patient Safety and Time to interact with patients 71% 4.1 88% 4.6 89% 4.1 Teamwork Protected time to participate in structured learning activities 71% 3.1 93% 3.8 80% 3.5 Faculty Teaching Able to attend personal appointments 86% 4.4 92% 4.6 90% 4.3 and Supervision Able to access confidential mental health counseling or treatment 100% 3.7 95% 4.6 89% 4.3 Evaluation Satisfied with safety and health conditions 71% 4.4 92% 4.9 85% 4.7 86% 5.0 96% 4.9 92% 4.8 100% 4.3 98% 4.8 95% 4.5 86% 95% 88% Residents/fellows encouraged to feel comfortable calling supervisor with questions % Program Program % Specialty Specialty % National National Faculty members act professionally when teaching Compliant Mean Compliant Mean Compliant Mean Faculty members act professionally when providing care 4.0 4.6 4.5 Process in place for confidential reporting of unprofessional behavior 71% 4.0 94% 4.6 89% 4.6 Able to raise concerns without fear of intimidation or retaliation 71% 4.6 94% 4.8 92% 4.7 Satisfied with process for dealing confidentially with problems and concerns 86% 3.9 98% 4.7 96% 4.4 Personally experienced abuse, harassment, mistreatment, discrimination, or coercion 71% 4.0 93% 4.5 86% 4.2 Witnessed abuse, harassment, mistreatment, discrimination, or coercion 71% 4.1 89% 4.5 78% 4.1 71% 4.3 86% 4.8 76% 4.7 86% 4.3 95% 4.8 94% 4.6 86% 96% 93% Information not lost during shift changes, patient transfers, or the hand-over process % Program Program % Specialty Specialty % National National Culture reinforces personal responsibility for patient safety Compliant Mean Compliant Mean Compliant Mean Know how to report patient safety events 4.0 4.4 4.2 Interprofessional teamwork skills modeled or taught 86% 91% 85% Participate in adverse event investigation and analysis 4.9 4.8 4.4 Process to transition patient care and clinical duties when fatigued 100% 4.4 97% 4.9 90% 4.8 86% 3.6 98% 4.5 96% 4.2 57% 3.9 87% 4.6 78% 4.1 71% 3.9 90% 4.9 77% 4.6 71% 96% 90% Faculty members interested in education % Program Program % Specialty Specialty % National National Faculty effectively creates environment of inquiry Compliant Mean Compliant Mean Compliant Mean Appropriate level of supervision 4.3 4.6 4.4 Appropriate amount of teaching in all clinical and didactic activities 71% 3.6 93% 4.6 85% 4.3 Quality of teaching received in all clinical and didactic activities 43% 5.0 88% 4.7 83% 4.7 Extent to which increasing clinical responsibility granted, based on resident's/fellow's training and ability 100% 5.0 93% 4.6 92% 4.5 100% 4.3 87% 4.6 81% 4.3 100% 3.3 97% 4.4 97% 4.2 43% 88% 81% Access to performance evaluations % Program Program % Specialty Specialty % National National Opportunity to confidentially evaluate faculty members at least annually Compliant Mean Compliant Mean Compliant Mean Opportunity to confidentially evaluate program at least annually 5.0 4.9 4.9 Satisfied with faculty members' feedback 100% 98% 99% 5.0 5.0 4.9 100% 99% 98% 5.0 5.0 4.8 100% 99% 96% 3.9 4.3 4.1 71% 82% 76% Educational Content Instruction on minimizing effects of sleep deprivation % Program Program % Specialty Specialty % National National Instruction on maintaining physical and emotional well-being Compliant Mean Compliant Mean Compliant Mean Instruction on scientific inquiry principles 3.9 4.9 4.4 Education in assessing patient goals e.g. end of life care 71% 4.4 97% 4.9 85% 4.8 Opportunities to participate in scholarly activities 86% 5.0 97% 4.9 94% 4.7 Taught about health care disparities 100% 98% 94% 5.0 4.9 4.8 100% 3.9 98% 4.9 95% 4.8 71% 2.4 98% 4.0 94% 3.6 43% 87% 81% Program instruction in how to recognize the symptoms of and when to seek care regarding: 71% Substance abuse 71% Fatigue and sleep deprivation Depression 71% Burnout 71% Diversity and Preparation for interaction with diverse individuals % Program Program % Specialty Specialty % National National Inclusion Program fosters inclusive work environment Compliant Mean Compliant Mean Compliant Mean Engagement in program's diverse resident/fellow recruitment/retainment efforts 4.3 4.6 4.3 100% 96% 94% 4.1 4.7 4.5 100% 97% 97% 4.0 4.5 4.1 100% 95% 90% © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

2020-2021 ACGME Resident/Fellow Survey - page 2 Survey taken: February 2021 - April 2021 Residents Surveyed 8 4612400001 Brigham and Women's Hospital Program - Thoracic surgery - integrated Residents Responded 7 Response Rate 88% Clinical Experience 80-hour week (averaged over a four-week period) % Program Program % Specialty Specialty % National National and Education Four or more days free in 28 day period Compliant Mean Compliant Mean Compliant Mean Taken in-hospital call more than every third night 4.3 4.7 4.6 Less than 14 hours free after 24 hours of work 86% 4.3 93% 4.6 91% 4.4 More than 28 consecutive hours work 86% 4.9 91% 4.9 83% 4.9 Additional responsibilities after 24 consecutive hours of work 100% 4.7 97% 4.8 98% 4.8 Adequately manage patient care within 80 hours 100% 4.1 94% 4.7 95% 4.8 Pressured to work more than 80 hours 71% 4.7 93% 4.8 96% 4.8 100% 4.7 94% 4.7 97% 4.6 100% 5.0 94% 4.9 92% 4.9 100% 97% 98% Total Percentage of Compliance by Category Program Percentage at-a-glance © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

2020-2021 ACGME Resident/Fellow Survey - page 3 Survey taken: February 2021 - April 2021 4612400001 Brigham and Women's Hospital Program - Thoracic surgery - integrated Specialty Specific Questions Residents Responded 0 Aggregate reports are available only to programs with 4 or more residents in advanced level of training. © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

ACGME 2018 - 2021 Resident Survey Multi-Year Data Summary Surveys taken: Jan 2018 to Feb 2021 Residents Surveyed 4 0602413069 Brigham and Women's Hospital Program - Colon and rectal surgery Residents Responded 4 Response Rate 100% Total Percentage of Compliance by Category Program Means at-a-glance © 2021 Accreditation Council for Graduate Medical Education (ACGME)

2020-2021 ACGME Resident/Fellow Survey - page 1 Survey taken: February 2021 - April 2021 Residents Surveyed 50 4402421135 Brigham and Women's Hospital Program - Surgery Residents' overall opinion of the program Residents Responded 45 Residents' overall evaluation of the program Response Rate 90% Program Mean National Mean Program Mean National Mean Resources Education compromised by non-physician obligations % Program Program % Specialty Specialty % National National Impact of other learners on education Compliant Mean Compliant Mean Compliant Mean Professionalism Appropriate balance between education (e.g., clinical teaching, conferences, lectures) and patient care 4.0 4.5 4.4 Faculty members discuss cost awareness in patient care decisions 73% 4.0 89% 3.9 88% 3.7 Patient Safety and Time to interact with patients 84% 4.1 90% 4.2 89% 4.1 Teamwork Protected time to participate in structured learning activities 82% 3.1 82% 3.5 80% 3.5 Faculty Teaching Able to attend personal appointments 87% 4.1 88% 4.4 90% 4.3 and Supervision Able to access confidential mental health counseling or treatment 89% 4.4 91% 4.4 89% 4.3 Evaluation Satisfied with safety and health conditions 96% 4.6 87% 4.7 85% 4.7 91% 4.6 94% 4.8 92% 4.8 91% 4.4 96% 4.5 95% 4.5 87% 90% 88% Residents/fellows encouraged to feel comfortable calling supervisor with questions % Program Program % Specialty Specialty % National National Faculty members act professionally when teaching Compliant Mean Compliant Mean Compliant Mean Faculty members act professionally when providing care 4.4 4.5 4.5 Process in place for confidential reporting of unprofessional behavior 87% 4.7 90% 4.5 89% 4.6 Able to raise concerns without fear of intimidation or retaliation 98% 4.9 92% 4.7 92% 4.7 Satisfied with process for dealing confidentially with problems and concerns 98% 4.6 96% 4.6 96% 4.4 Personally experienced abuse, harassment, mistreatment, discrimination, or coercion 89% 4.0 91% 4.3 86% 4.2 Witnessed abuse, harassment, mistreatment, discrimination, or coercion 76% 3.9 81% 4.2 78% 4.1 71% 4.4 79% 4.6 76% 4.7 89% 4.3 92% 4.6 94% 4.6 87% 91% 93% Information not lost during shift changes, patient transfers, or the hand-over process % Program Program % Specialty Specialty % National National Culture reinforces personal responsibility for patient safety Compliant Mean Compliant Mean Compliant Mean Know how to report patient safety events 3.9 4.2 4.2 Interprofessional teamwork skills modeled or taught 84% 87% 85% Participate in adverse event investigation and analysis 4.4 4.5 4.4 Process to transition patient care and clinical duties when fatigued 89% 5.0 92% 4.9 90% 4.8 100% 4.1 97% 4.3 96% 4.2 76% 4.3 81% 4.1 78% 4.1 82% 4.4 78% 4.6 77% 4.6 84% 90% 90% Faculty members interested in education % Program Program % Specialty Specialty % National National Faculty effectively creates environment of inquiry Compliant Mean Compliant Mean Compliant Mean Appropriate level of supervision 4.5 4.4 4.4 Appropriate amount of teaching in all clinical and didactic activities 89% 4.4 85% 4.3 85% 4.3 Quality of teaching received in all clinical and didactic activities 91% 4.7 83% 4.7 83% 4.7 Extent to which increasing clinical responsibility granted, based on resident's/fellow's training and ability 93% 4.5 93% 4.5 92% 4.5 78% 4.2 81% 4.3 81% 4.3 98% 4.0 97% 4.2 97% 4.2 76% 81% 81% Access to performance evaluations % Program Program % Specialty Specialty % National National Opportunity to confidentially evaluate faculty members at least annually Compliant Mean Compliant Mean Compliant Mean Opportunity to confidentially evaluate program at least annually 4.9 5.0 4.9 Satisfied with faculty members' feedback 98% 99% 99% 5.0 5.0 4.9 100% 99% 98% 4.9 4.9 4.8 98% 97% 96% 3.8 4.1 4.1 67% 76% 76% Educational Content Instruction on minimizing effects of sleep deprivation % Program Program % Specialty Specialty % National National Instruction on maintaining physical and emotional well-being Compliant Mean Compliant Mean Compliant Mean Instruction on scientific inquiry principles 4.0 4.5 4.4 Education in assessing patient goals e.g. end of life care 76% 4.7 88% 4.8 85% 4.8 Opportunities to participate in scholarly activities 93% 4.6 95% 4.8 94% 4.7 Taught about health care disparities 89% 94% 94% 4.6 4.8 4.8 91% 4.5 96% 4.7 95% 4.8 87% 3.7 92% 3.7 94% 3.6 80% 81% 81% Program instruction in how to recognize the symptoms of and when to seek care regarding: 82% Substance abuse 71% Fatigue and sleep deprivation Depression 84% Burnout 84% Diversity and Preparation for interaction with diverse individuals % Program Program % Specialty Specialty % National National Inclusion Program fosters inclusive work environment Compliant Mean Compliant Mean Compliant Mean Engagement in program's diverse resident/fellow recruitment/retainment efforts 4.2 4.4 4.3 93% 95% 94% 4.4 4.5 4.5 96% 97% 97% 4.0 4.2 4.1 93% 91% 90% © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

2020-2021 ACGME Resident/Fellow Survey - page 2 Survey taken: February 2021 - April 2021 Residents Surveyed 50 4402421135 Brigham and Women's Hospital Program - Surgery Residents Responded 45 Response Rate 90% Clinical Experience 80-hour week (averaged over a four-week period) % Program Program % Specialty Specialty % National National and Education Four or more days free in 28 day period Compliant Mean Compliant Mean Compliant Mean Taken in-hospital call more than every third night 4.3 4.4 4.6 Less than 14 hours free after 24 hours of work 84% 4.5 87% 4.6 91% 4.4 More than 28 consecutive hours work 87% 4.9 89% 4.8 83% 4.9 Additional responsibilities after 24 consecutive hours of work 96% 4.6 95% 4.6 98% 4.8 Adequately manage patient care within 80 hours 91% 4.8 91% 4.6 95% 4.8 Pressured to work more than 80 hours 96% 4.7 91% 4.7 96% 4.8 93% 4.6 93% 4.5 97% 4.6 93% 4.9 90% 4.8 92% 4.9 96% 96% 98% Total Percentage of Compliance by Category Program Percentage at-a-glance © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

2020-2021 ACGME Resident/Fellow Survey - page 3 Survey taken: February 2021 - April 2021 4402421135 Brigham and Women's Hospital Program - Surgery Specialty Specific Questions Residents Responded 13 My program provides appropriately graduated supervision in the operating room, progressing from direct Strongly Disagree Neutral Agree Strongly supervision of beginning residents to oversight of the activities of residents in the final years of education. Disagree 0.0% 7.7% 30.8% Agree 0.0% 7.7% My program mandates sufficient experience as an assistant in the operating room before allowing residents to 0.0% 0.0% 7.7% 61.5% act as surgeon. 0.0% 0.0% 0.0% 0.0% 46.2% 46.2% My program encourages more senior residents to act as teaching assistant to more junior residents in the 0.0% 15.4% operating room. 0.0% 30.8% 61.5% 7.7% 0.0% My program provides appropriately graduated supervision in non-operative patient care (wards, ICUs, 0.0% 38.5% 61.5% Emergency Department, outpatient facilities, etc.) progressing from direct supervision of beginning residents to oversight of the activities of residents in the final years of education. 0.0% 46.2% 38.5% The outpatient clinic/clinical office experience in my program regularly provides me with the opportunity to 46.2% 46.2% participate in all aspects of patient care, including but not limited to diagnosis, pre-operative planning, post- operative follow-up and continuity of care. My program provides sufficient breadth and depth of experience, and does so in such a way, that I am confident that I would be able to practice this specialty competently and independently without fellowship or other future training. 0 > 0, but < 1 1 > 1, but <= >= 5 0.0% 38.5% 53.8% 2 > 2, but < 5 0.0% The number of half-day sessions that I spend in the outpatient clinic per week (on average throughout the 7.7% 0.0% program) is: © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

ACGME 2018 - 2021 Resident Survey Multi-Year Data Summary Surveys taken: Jan 2018 to Feb 2021 Residents Surveyed 14 4422412083 Brigham and Women's Hospital Program - Surgical critical care Residents Responded 14 Response Rate 100% Total Percentage of Compliance by Category Program Means at-a-glance © 2021 Accreditation Council for Graduate Medical Education (ACGME)

ACGME 2018 - 2021 Resident Survey Multi-Year Data Summary Surveys taken: Jan 2018 to Feb 2021 Residents Surveyed 8 4462444001 Residents Responded 8 Brigham and Women's Hospital Program - Complex general surgical oncology Response Rate 100% Total Percentage of Compliance by Category Program Means at-a-glance © 2021 Accreditation Council for Graduate Medical Education (ACGME)

2020-2021 ACGME Resident/Fellow Survey - page 1 Survey taken: February 2021 - April 2021 Residents Surveyed 15 4802421064 Brigham and Women's Hospital/Harvard Medical School Program - Urology Residents Responded 14 Response Rate 93% Residents' overall evaluation of the program Residents' overall opinion of the program Program Mean National Mean Program Mean National Mean Resources Education compromised by non-physician obligations % Program Program % Specialty Specialty % National National Impact of other learners on education Compliant Mean Compliant Mean Compliant Mean Professionalism Appropriate balance between education (e.g., clinical teaching, conferences, lectures) and patient care 4.6 4.5 4.4 Faculty members discuss cost awareness in patient care decisions 93% 4.2 91% 4.1 88% 3.7 Patient Safety and Time to interact with patients 100% 4.3 97% 4.4 89% 4.1 Teamwork Protected time to participate in structured learning activities 86% 3.4 90% 3.9 80% 3.5 Faculty Teaching Able to attend personal appointments 86% 4.2 95% 4.5 90% 4.3 and Supervision Able to access confidential mental health counseling or treatment 86% 4.1 95% 4.5 89% 4.3 Evaluation Satisfied with safety and health conditions 86% 5.0 90% 4.9 85% 4.7 100% 4.7 97% 4.9 92% 4.8 93% 4.6 98% 4.7 95% 4.5 93% 95% 88% Residents/fellows encouraged to feel comfortable calling supervisor with questions % Program Program % Specialty Specialty % National National Faculty members act professionally when teaching Compliant Mean Compliant Mean Compliant Mean Faculty members act professionally when providing care 4.6 4.7 4.5 Process in place for confidential reporting of unprofessional behavior 100% 4.7 95% 4.7 89% 4.6 Able to raise concerns without fear of intimidation or retaliation 100% 4.8 96% 4.9 92% 4.7 Satisfied with process for dealing confidentially with problems and concerns 100% 4.7 99% 4.7 96% 4.4 Personally experienced abuse, harassment, mistreatment, discrimination, or coercion 93% 4.6 93% 4.5 86% 4.2 Witnessed abuse, harassment, mistreatment, discrimination, or coercion 93% 4.6 89% 4.5 78% 4.1 93% 4.7 89% 4.8 76% 4.7 93% 4.6 97% 4.8 94% 4.6 93% 96% 93% Information not lost during shift changes, patient transfers, or the hand-over process % Program Program % Specialty Specialty % National National Culture reinforces personal responsibility for patient safety Compliant Mean Compliant Mean Compliant Mean Know how to report patient safety events 4.6 4.5 4.2 Interprofessional teamwork skills modeled or taught 100% 95% 85% Participate in adverse event investigation and analysis 4.8 4.7 4.4 Process to transition patient care and clinical duties when fatigued 100% 5.0 96% 4.9 90% 4.8 100% 4.4 98% 4.5 96% 4.2 86% 4.7 87% 4.4 78% 4.1 93% 4.4 86% 4.9 77% 4.6 86% 97% 90% Faculty members interested in education % Program Program % Specialty Specialty % National National Faculty effectively creates environment of inquiry Compliant Mean Compliant Mean Compliant Mean Appropriate level of supervision 4.6 4.6 4.4 Appropriate amount of teaching in all clinical and didactic activities 93% 4.4 93% 4.6 85% 4.3 Quality of teaching received in all clinical and didactic activities 86% 5.0 91% 4.8 83% 4.7 Extent to which increasing clinical responsibility granted, based on resident's/fellow's training and ability 100% 4.6 97% 4.7 92% 4.5 79% 4.5 89% 4.5 81% 4.3 100% 4.6 99% 4.4 97% 4.2 93% 90% 81% Access to performance evaluations % Program Program % Specialty Specialty % National National Opportunity to confidentially evaluate faculty members at least annually Compliant Mean Compliant Mean Compliant Mean Opportunity to confidentially evaluate program at least annually 5.0 4.9 4.9 Satisfied with faculty members' feedback 100% 99% 99% 5.0 4.9 4.9 100% 99% 98% 5.0 4.9 4.8 100% 99% 96% 4.4 4.4 4.1 93% 86% 76% Educational Content Instruction on minimizing effects of sleep deprivation % Program Program % Specialty Specialty % National National Instruction on maintaining physical and emotional well-being Compliant Mean Compliant Mean Compliant Mean Instruction on scientific inquiry principles 4.4 4.7 4.4 Education in assessing patient goals e.g. end of life care 86% 4.7 93% 4.9 85% 4.8 Opportunities to participate in scholarly activities 93% 5.0 97% 4.9 94% 4.7 Taught about health care disparities 100% 98% 94% 4.7 4.9 4.8 93% 5.0 98% 4.9 95% 4.8 100% 4.0 98% 4.0 94% 3.6 86% 89% 81% Program instruction in how to recognize the symptoms of and when to seek care regarding: 93% Substance abuse 86% Fatigue and sleep deprivation Depression 93% Burnout 100% Diversity and Preparation for interaction with diverse individuals % Program Program % Specialty Specialty % National National Inclusion Program fosters inclusive work environment Compliant Mean Compliant Mean Compliant Mean Engagement in program's diverse resident/fellow recruitment/retainment efforts 4.4 4.6 4.3 100% 97% 94% 4.7 4.7 4.5 100% 99% 97% 4.0 4.5 4.1 86% 96% 90% © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

2020-2021 ACGME Resident/Fellow Survey - page 2 Survey taken: February 2021 - April 2021 Residents Surveyed 15 4802421064 Brigham and Women's Hospital/Harvard Medical School Program - Urology Residents Responded 14 Response Rate 93% Clinical Experience 80-hour week (averaged over a four-week period) % Program Program % Specialty Specialty % National National and Education Four or more days free in 28 day period Compliant Mean Compliant Mean Compliant Mean Taken in-hospital call more than every third night 4.2 4.7 4.6 Less than 14 hours free after 24 hours of work 86% 3.9 93% 4.7 91% 4.4 More than 28 consecutive hours work 71% 4.8 91% 5.0 83% 4.9 Additional responsibilities after 24 consecutive hours of work 93% 4.8 99% 4.9 98% 4.8 Adequately manage patient care within 80 hours 100% 4.7 98% 4.7 95% 4.8 Pressured to work more than 80 hours 100% 4.6 96% 4.8 96% 4.8 93% 4.4 97% 4.7 97% 4.6 100% 4.9 94% 4.9 92% 4.9 100% 98% 98% Total Percentage of Compliance by Category Program Percentage at-a-glance © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

2020-2021 ACGME Resident/Fellow Survey - page 3 Survey taken: February 2021 - April 2021 4802421064 Brigham and Women's Hospital/Harvard Medical School Program - Urology Specialty Specific Questions Residents Responded 5 My program provides appropriately graduated supervision in the operating room, progressing from direct Strongly Disagree Neutral Agree Strongly supervision of beginning residents to oversight of the activities of residents in the final years of education. Disagree 0.0% 0.0% 0.0% Agree 0.0% 0.0% My program mandates sufficient experience as an assistant in the operating room before allowing residents to 0.0% 0.0% 0.0% 100.0% act as surgeon. 0.0% 0.0% 0.0% 0.0% 20.0% 80.0% My program encourages more senior residents to act as teaching assistant to more junior residents in the 0.0% 0.0% operating room. 0.0% 40.0% 60.0% 0.0% 0.0% My program provides appropriately graduated supervision in non-operative patient care (wards, ICUs, 0.0% 20.0% 80.0% Emergency Department, outpatient facilities, etc.) progressing from direct supervision of beginning residents to oversight of the activities of residents in the final years of education. 0.0% 20.0% 80.0% The outpatient clinic/clinical office experience in my program regularly provides me with the opportunity to 20.0% 80.0% participate in all aspects of patient care, including but not limited to diagnosis, pre-operative planning, post- operative follow-up and continuity of care. My program provides sufficient breadth and depth of experience, and does so in such a way, that I am confident that I would be able to practice this specialty competently and independently without fellowship or other future training. The number of half-day sessions that I spend in the outpatient clinic per week (on average throughout the 0 > 0, but < 1 1 > 1, but <= >= 5 program) is: 0.0% 0.0% 60.0% 2 > 2, but < 5 0.0% 20.0% 20.0% © 2021 Accreditation Council for Graduate Medical Education (ACGME) Percentages may not add to 100% due to rounding. This report is confidential and not for further distribution. Do not publish or share these results outside of your Sponsoring Institution.

ACGME 2018 - 2021 Resident Survey Multi-Year Data Summary Surveys taken: Jan 2018 to Feb 2021 Residents Surveyed 11 4502421003 Brigham and Women's Hospital Program - Vascular surgery Residents Responded 11 Response Rate 100% Total Percentage of Compliance by Category Program Means at-a-glance © 2021 Accreditation Council for Graduate Medical Education (ACGME)

2021 Annual Report Department of Surgery 1

Department of Surgery by the numbers 11 187 26 clinical divisions faculty active clinical trials 5 12 5 ACGME-accredited non-ACGME-accredited ACGME-accredited surgical residency programs surgical fellowships surgical fellowships 28,088 192,251 operations performed 37 office visits 152 231 interns and residents fellows active grants $43,231,910 research spending 2

A Letter from the Chair Over the past year, the Department of Surgery has continued to build on our proud history of clinical and academic achievement. This year once again presented us with unique challenges as we navigated the COVID-19 pandemic and the continued complexities of providing care in this environment. I remain extremely proud of the varied ways that every member of the department has contributed to our mission to care for patients and support one another. This year we saw our faculty continue to grow as we welcomed a record 21 new faculty members. Raphael Bueno, MD, was named chief of our newly formed Division of Thoracic and Cardiac Surgery, and we also named three new endowed chairs: Zara Cooper, MD, MSc, as the Michele and Howard J. Kessler Distinguished Chair in Surgery and Public Health; Ali Salim, MD, as the BWH Distinguished Chair in Surgery; and Stefan G. Tullius, MD, PhD, as the Joseph E. Murray Distinguished Chair in Transplant Surgery. We had a number of exciting new clinical programs start this year. We opened our Center for Weight Management and Wellness, which strives to transform obesity medicine and is an excellent model of effective multidisciplinary clinical care. Also, our newly formed Mass General Brigham Liver Transplant Program was launched. This integrated and comprehensive program comprised of both Massachusetts General Hospital and Brigham and Women’s Hospital clinicians greatly expands options for patients with acute or chronic liver disease. Our department continues to be on the cutting edge of surgical research with new grant funding to study the role of palliative care in surgery for older seriously ill patients; to examine the multifaceted biology of PARP proteins and their evolving impact on cancer therapeutics for future development and clinical application, benefiting patients with incurable metastatic castrate-resistant prostate cancer; and to study and evaluate the CA7S metabolite as a novel therapy for type 2 diabetes. The Brigham also announced a new leader this year. We are very excited to welcome Robert S.D. Higgins, MD, MSHA, as our next Brigham and Women’s Hospital president and executive vice president at Mass General Brigham. Dr. Higgins joins the Brigham from Johns Hopkins, where he served as surgeon-in-chief at Johns Hopkins Hospital and as the William Stewart Halsted Professor of Surgery and the director of the Department of Surgery at Johns Hopkins University School of Medicine. Dr. Higgins is known to many of us in the department as an extraordinary leader. He has a deep understanding of the complexity of academic medicine and surgery, and we are lucky to have him join our organization. Our annual report highlights just some of the many examples of our ongoing commitment to excellence in clinical care, research and surgical education. Thank you for taking the time to read our report. We look forward to connecting with you again soon. Gerard M. Doherty, MD Moseley Professor of Surgery, Harvard Medical School Surgeon-in-Chief, Brigham and Women’s Hospital & Dana-Farber Cancer Institute Crowley Family Distinguished Chair, Department of Surgery, Brigham and Women’s Hospital 3

Faculty Department of Surgery The Brigham attracts internationally renowned surgeons who create pioneering breakthroughs that make a difference for patients today, as well as for generations to come. We are committed to delivering world-class, collaborative patient care with a profound human touch, while advancing scientific research and training the surgical innovators of tomorrow. Breast Surgery General and Gastrointestinal Surgery Metabolic and Bariatric Surgery Tari A. King, MD Chief, Division of Breast Surgery Ali Tavakkoli, MD Scott A. Shikora, MD Anne E. Dyson Professor of Surgery in the Chief, Division of General and Section Chief, Metabolic and Field of Women’s Cancers Gastrointestinal Surgery Bariatric Surgery Associate Professor of Surgery Professor of Surgery Thanh U. Barbie, MD Assistant Professor of Surgery Colon and Rectal Surgery Neil D. Ghushe, MD Instructor in Surgery Laura S. Dominici, MD Ronald Bleday, MD Assistant Professor of Surgery Section Chief, Colon and Rectal Surgery Malcolm K. Robinson, MD Associate Professor of Surgery Associate Professor of Surgery Olga Kantor, MD, MS Joel E. Goldberg, MD Member of the Faculty of Surgery Assistant Professor of Surgery Eric G. Sheu, MD, PhD Jennifer L. Irani, MD Assistant Professor of Surgery Alison Laws, MD Assistant Professor of Surgery Instructor in Surgery Nelya Melnitchouk, MD David Spector, MD Assistant Professor of Surgery Instructor in Surgery Christina A. Minami, MD, MFA, MS Melissa M. Murphy, MD, MPH Assistant Professor of Surgery Instructor in Surgery Thomas C. Tsai, MD, MPH James Yoo, MD Assistant Professor of Surgery Elizabeth Mittendorf, MD, PhD Associate Professor of Surgery Robert and Karen Hale Distinguished Ashley H. Vernon, MD Chair in Surgical Oncology Assistant Professor of Surgery Professor of Surgery Paul B. Davidson, PhD Faina Nakhlis, MD Instructor in Psychiatry Assistant Professor of Surgery Mark Gorman, PhD Suniti Nimbkar, MD Instructor in Psychology Assistant Professor of Surgery Esther Rhei, MD Assistant Professor of Surgery Anna Weiss, MD Assistant Professor of Surgery

Otolaryngology– Head and Neck Surgery Minimally invasive surgery Oral Medicine Ravindra Uppaluri, MD, PhD (MIS) and general surgeons Chief, Division of Otolaryngology—Head Nathaniel S. Treister, DMD, DMSc and Neck Surgery Stanley W. Ashley, MD Chief, Division of Oral Medicine BWH Distinguished Chair in Otolaryngology Frank Sawyer Professor of Surgery Associate Professor of Oral Medicine, Associate Professor of Otolaryngology Infection, and Immunity Head and Neck Surgery David C. Brooks, MD Associate Professor of Surgery Kentaro Ikeda, DDS, MPH, FDS RCSEd Donald J. Annino, MD, DMD Instructor in Oral Medicine, Infection, and Assistant Professor of Otolaryngology John J. Froio, MD Immunity Head and Neck Surgery Instructor in Surgery Herve Y. Sroussi, DMD, PhD Regan Bergmark, MD Pardon R. Kenney, MD, MMSc Assistant Professor of Oral Medicine, Instructor in Otolaryngology Head and Neck Senior Lecturer on Surgery Infection, and Immunity Surgery Erika L. Rangel, MD, MS Piamkamon Vacharotayangul, DDS, Thomas L. Carroll, MD Assistant Professor of Surgery PhD Assistant Professor of Otolaryngology Instructor in Oral Medicine, Infection, Head and Neck Surgery Andrew Resnick, MD and Immunity Member of the Faculty of Surgery Carleton E. Corrales, MD Sook-Bin Woo, DMD, MMSc Assistant Professor of Otolaryngology Brent T. Shoji, MD Associate Professor of Oral Medicine, Head and Neck Surgery Assistant Professor of Surgery Infection, and Immunity Christopher Dwyer, MD, FRCSC Douglas S. Smink, MD, MPH Instructor in Otolaryngology Head and Neck Associate Professor of Surgery Surgery Edward E. Whang, MD Laura A. Goguen, MD Associate Professor of Surgery Associate Professor of Otolaryngology Head and Neck Surgery Alice Z. Maxfield, MD Assistant Professor of Otolaryngology Head and Neck Surgery Anju K. Patel, MD Instructor in Otolaryngology Head and Neck Surgery Anthony A. Prince, MD Instructor in Otolaryngology Head and Neck Surgery Eleni Rettig, MD Instructor in Otolaryngology Head and Neck Surgery Rachel E. Roditi, MD Instructor in Otolaryngology Head and Neck Surgery Rosh Sethi, MD, MPH Assistant Professor of Otolaryngology Head and Neck Surgery Jennifer J. Shin, MD, SM Associate Professor of Otolaryngology Head and Neck Surgery 5

Plastic and Reconstructive Surgical Oncology Thoracic and Cardiac Surgery Surgery Chandrajit P. Raut, MD, MSc Raphael Bueno, MD Andrea Pusic, MD, MHS Chief, Division of Surgical Oncology Chief, Division of Thoracic and Chief, Division of Plastic and BWH Distinguished Chair in Surgical Cardiac Surgery Reconstructive Surgery Oncology Fredric G. Levin Distinguished Chair Joseph E. Murray Professor of Surgery in Thoracic Surgery and Lung Cancer Professor of Surgery Research Monica M. Bertagnolli, MD Professor of Surgery Shailesh Agarwal, MD Richard E. Wilson Professor of Surgery in Assistant Professor of Surgery the Field of Surgical Oncology Thoracic Surgery Justin Broyles, MD Thomas E. Clancy, MD Antonio Coppolino, III, MD, MSc Assistant Professor pf Surgery Distinguished Scholar in Surgical Oncology Instructor in Surgery Assistant Professor of Surgery Matthew J. Carty, MD Christopher T. Ducko, MD Associate Professor of Surgery Mark Fairweather, MD Assistant Professor of Surgery Assistant Professor of Surgery Benjamin P. Christian, MD Michael T. Jaklitsch, MD Instructor in Surgery George Molina, MD, MPH Professor of Surgery Assistant Professor of Surgery Yoon S. Chun, MD Hassan Khalil, MD Associate Professor of Surgery Jiping Wang, MD, PhD Member of the Faculty of Surgery Assistant Professor of Surgery Jessica Erdmann-Sager, MD Abraham Lebenthal, MD, MHA Assistant Professor of Surgery Charles H. Yoon, MD, PhD Assistant Professor of Surgery Assistant Professor of Surgery Lydia A. Helliwell, MD Hari R. Mallidi, MD Instructor in Surgery Endocrine Surgery Associate Professor of Surgery Dennis P. Orgill, MD, PhD Nancy L. Cho, MD M. Blair Marshall, MD, FACS Professor of Surgery Assistant Professor of Surgery Michael A. Bell Family Distinguished Chair in Healthcare Innovation Kavitha Ranganathan, MD Gerard M. Doherty, MD Associate Professor of Surgery Assistant Professor of Surgery Moseley Professor of Surgery Ciaran McNamee, MD, MSc Christian E. Sampson, MD Atul A. Gawande, MD, MPH Assistant Professor of Surgery Assistant Professor of Surgery Cynthia and John F. Fish Distinguished Chair in Surgery Steven J. Mentzer, MD Indranil Sinha, MD Samuel O. Thier Professor of Surgery Professor of Surgery Assistant Professor of Surgery Matthew A. Nehs, MD Namrata Patil, MD, MPH Simon G. Talbot, MD Assistant Professor of Surgery Assistant Professor of Surgery Associate Professor of Surgery 6

Transplant Surgery Trauma, Burn and Surgical Critical Care Matthew Pommerening, MD Member of the Faculty of Surgery Stefan G. Tullius, MD, PhD Ali Salim, MD Chief, Division of Transplant Surgery Chief, Division of Trauma, Burn Matthew M. Rochefort, MD Joseph E. Murray Distinguished Chair and Surgical Critical Care Instructor in Surgery in Transplant Surgery BWH Distinguished Chair in Surgery Professor of Surgery Professor of Surgery Scott J. Swanson, MD Professor of Surgery Sayeed K. Malek, MD Geoffrey Anderson, MD, MPH Assistant Professor of Surgery Member of the Faculty of Surgery Hisashi Tsukada, MD, PhD Assistant Professor of Surgery Reza Askari, MD Assistant Professor of Surgery Jon O. Wee, MD Assistant Professor of Surgery Gustavo J. Bauzá, MD Instructor in Surgery Brian Whang, MD Instructor in Surgery Christopher J. Burns, MD Instructor in Surgery Abby A. White, DO Assistant Professor of Surgery Cristina Carpio, MD Instructor in Surgery Daniel C. Wiener, MD Assistant Professor of Surgery Jason E. Cohen, DO John Young, MD Zara R. Cooper, MD, MSc Instructor in Surgery Michele and Howard J. Kessler Distinguished Chair in Surgery and Cardiac Surgery Public Health Associate Professor of Surgery Sary F. Aranki, MD Associate Professor of Surgery David W. Fink, MD Instructor in Surgery Tsuyoshi Kaneko, MD Assistant Professor of Surgery Joaquim M. Havens, MD Associate Professor of Surgery Anastasios Konstantakos, MD Anupama Mehta, MD Dan Loberman, MD Instructor in Surgery Instructor in Surgery Stephanie L. Nitzschke, MD, MS Daniel E. Rinewalt, MD Assistant Professor of Surgery Member of the Faculty of Surgery Nakul Raykar, MD, MPH Ashraf A. Sabe, MD Member of the Faculty of Surgery Member of the Faculty of Surgery Robert Riviello, MD, MPH Steven C. and Carmella R. Kletjian Foundation Distinguished Chair in Global Surgery Associate Professor of Surgery Naomi Shimizu, MD Instructor in Surgery 7

Urology Vascular and Endovascular Research Surgery Matthew Brian Couger, PhD Adam S. Kibel, MD Michael Belkin, MD Lead Investigator Chief, Division of Urology Chief, Division of Vascular Member of the Faculty of Surgery Elliott Carr Cutler Professor of Surgery and Endovascular Surgery Professor of Surgery Marie Billaud, PhD William Boysen, MD Lead Investigator Member of the Faculty of Surgery Garima Dosi, MD Zi Chen, PhD Elodi J. Dielubanza, MD Edwin C. Gravereaux, MD Lead Investigator Instructor in Surgery Instructor in Surgery Member of the Faculty of Surgery George Haleblian, MD Mohamad Hussain, MD, PhD, RPVI Assunta De Rienzo, PhD Assistant Professor of Surgery Member of the Faculty of Surgery Lead Investigator Assistant Professor of Surgery Martin Kathrins, MD Edward J. Marcaccio, Jr., MD Assistant Professor of Surgery Assistant Professor of Surgery Tanujit Dey, PhD Lead Investigator Arthur F. Little, MD Matthew T. Menard, MD Assistant Professor of Surgery Instructor in Surgery Associate Professor of Surgery Maria Edelen, PhD Michael J. Malone, MD Louis L. Nguyen, MD, MBA, MPH Lead Investigator Instructor in Surgery Associate Professor of Surgery Member of the Faculty of Surgery Michael W. McDonald, MD C. Keith Ozaki, MD Ann Marie Egloff, PhD, MPH Assistant Professor of Surgery John A. Mannick Professor of Surgery Lead Investigator Professor of Surgery Assistant Professor of Surgery Kathy Golbarg Niknejad, MD Member of the Faculty of Surgery Marcus E. Semel, MD, MPH Jennifer Guerriero, PhD Instructor in Surgery Lead Investigator Michael P. O’Leary, MD, MPH Assistant Professor of Surgery Professor of Surgery Molly Jarman, PhD, MPH Daniel A. Wollin, MD Lead Investigator Member of the Faculty of Surgery Assistant Professor of Surgery Urologic Oncology Li Jia, PhD Lead Investigator Assistant Professor of Surgery Steven L. Chang, MD, MS Section Chief, Urologic Oncology Assistant Professor of Surgery Matthew Mossanen, MD, MPH Assistant Professor of Surgery Mark A. Preston, MD, MPH Assistant Professor of Surgery Graeme S. Steele, MD Assistant Professor of Surgery Quoc-Dien Trinh, MD Associate Professor of Surgery 8

Raouf A. Khalil, MD, PhD Education Lead Investigator Associate Professor of Surgery Jamie Robertson, PhD, MPH Director of Innovation in Surgical Education James A. Lederer, PhD Instructor in Surgery Lead Investigator Associate Professor of Surgery Emeritus Farhad Rikhtegar Nezami, PhD Francis D. Moore Jr., MD Lead Investigator Francis D. Moore Professor of Surgery, Member of the Faculty of Surgery Emeritus Steven Piantadosi, MD, PhD Anthony D. Whittemore, MD Senior Investigator Professor of Surgery, Emeritus Professor in Residence of Surgery Michael J. Zinner, MD William G. Richards, PhD Moseley Professor of Surgery, Emeritus Lead Investigator Assistant Professor of Surgery Affiliated faculty Gilbert Welch, MD, MPH Senior Investigator South Shore Hospital Joel S. Weissman, PhD Frederick Millham, MD Senior Investigator Chair of Surgery, South Shore Hospital Professor of Surgery Veteran’s Affairs (VA) Boston Jeremy M. Wolfe, PhD Healthcare System Senior Investigator Professor of Ophthalmology General Surgery Feng Yao, PhD Kamal Itani, MD Lead Investigator Chief, Surgery, VA Boston Healthcare Associate Professor of Surgery System Jason S. Gold, MD Gentian Kristo, MD Ann Smith, MD, MPH Cardiac Surgery Miguel Haime, MD Jacquelyn A. Quin, MD Marco Zenati, MD Plastic Surgery Shahe Fereshetian, MD Urology B. Price Kerfoot, MD Juan Garisto, MD Vascular Surgery Michelle C. Martin, MD Joseph Raffetto, MD Research Vivian Cristofaro, PhD Aldebaran Hofer, MD, PhD Maryrose P. Sullivan, PhD 9

New Division Chief having been licensed by industry. New Faculty Dr. Bueno has also invented and Raphael Bueno, MD continues to develop several novel Geoffrey Anderson, MD, MPH Chief, Division of Thoracic surgical procedures and devices. Trauma, Burn and Surgical Critical Care and Cardiac Surgery Co-Director, Lung Center Dr. Bueno is a member of numerous Dr. Anderson graduated from Duke prestigious national and international University with a BS in biology and Dr. Bueno is chief of Thoracic and professional societies. He has been an religion. He obtained an MPH at the Cardiac Surgery at Brigham and invited lecturer at teaching hospitals Harvard T.H. Chan School of Public Women’s Hospital, the Fredric Levin and universities around the country Health and his medical degree from the Distinguished Chair in Thoracic and internationally. At the Brigham, he Emory University School of Medicine. Surgery and Lung Cancer Research has built the largest division of thoracic He completed a general surgery and professor of surgery at Harvard surgery in the U.S., with 20 faculty residency at Massachusetts General Medical School. He completed his members and five affiliated network Hospital and a trauma and critical care bachelor’s degree at Harvard College sites in New England and co-founded fellowship at the University of Southern and medical training at Harvard the Brigham Lung Center and the Lung California Medical Center. Medical School/Massachusetts Research Center. Institute of Technology. He Dr. Anderson is board certified in subsequently trained in general surgery New Leadership general surgery and surgical critical at the Brigham and thoracic surgery at care. He is a member of various Massachusetts General Hospital and Anupama Mehta, MD professional societies, including the joined the Brigham thoracic faculty Medical Director, Brigham Burn Center American College of Surgeons (ACS), in 1996. Over the past 21 years, Dr. the Excelsior Surgical Society and the Bueno has developed robust clinical Dr. Mehta graduated with honors American Association for the Surgery and research portfolios at the Brigham. from Rutgers College and obtained her of Trauma (AAST). He has also mentored many fellows medical degree from the University and staff and previously served as the of Vermont. She completed a general He previously served in the Air Force cardiothoracic residency director surgery residency at Loyola University as a flight surgeon and was deployed at the Brigham. Medical Center and a burns and critical to Iraq and Afghanistan, where his care fellowship at the University of main role was to evacuate casualties His clinical focus is management Southern California, Los Angeles. Dr. from the battlefield on rotary and fixed of thoracic malignancies, particularly Mehta is board certified in general wing aircraft. He also assisted in the mesothelioma, lung cancer and surgery and surgical critical care. She ER and OR during numerous mass esophageal cancer. His main research is also a member of the American Burn casualty events and assisted with the interests center on the molecular Association (ABA) and the American H1N1 outbreak in Afghanistan. events that lead to malignancy in College of Surgeons (ACS). mesothelioma and lung cancer. Dr. Anderson’s clinical and research Specifically, Dr. Bueno focuses on Dr. Mehta’s clinical interests include interests include global surgery, the developing biomarkers for diagnosis, burn surgery and reconstruction, social determinants of traumatic prognosis and predicting therapy in wound healing, scar tissue diseases, implementation science and malignant pleural mesothelioma and management and burn critical care. surgical education. lung cancer. His research also includes She also treats pediatric burns and tumor sequencing and identification patients with Stevens-Johnson Marie Billaud, PhD of targetable pathways. He runs a syndrome (SJS) and toxic epidermal Thoracic and Cardiac Surgery molecular biology lab at the George necrolysis (TEN). Additionally, she has W. Thorn Medical Research Building interests in faculty development and Dr. Billaud is a graduate of the and has been funded for almost resident wellness initiatives. University of Bordeaux in France, two decades by the National Cancer where she obtained a PhD in health Institute, Department of Defense, Dr. Mehta succeeds Stephanie and life sciences, specializing in cell and various foundations and industry Nitzschke, MD, MS, who has served biology and physiology. She conducted grants. He has invented, patented as medical director of the Burn Center and licensed several algorithms and since 2017. medical devices for patient care, some 10

her postgraduate research at the reconstruction, GU trauma, gender Maria Edelen, PhD Cardiovascular Research Center at affirmation surgery and prosthetic Patient-Reported Outcomes, Value & the University of Virginia and the urology. He is particularly interested Experience (PROVE) Center Department of Cardiothoracic Surgery in the care of cancer survivors and at the University of Pittsburgh. Before managing the long-term side effects of Before coming to the Brigham, Dr. coming to the Brigham, Dr. Billaud was their life saving treatments. Edelen worked as a senior behavioral a research assistant professor in the scientist at the RAND Corporation, departments of Cardiothoracic Surgery Christopher Dwyer, MD, FRCSC where her research focused on patient- and Bioengineering at the University Otolaryngology—Head and Neck reported outcome (PRO) development, of Pittsburgh. Surgery refinement and evaluation in health settings. Dr. Edelen’s recent work has Her research focuses on vascular Dr. Dwyer received his medical focused on the use of PROs for quality physiology, with a special interest in degree from the Memorial University measurement in a number of contexts, cell-to-cell communication, reactive of Newfoundland in Canada. He including primary, specialty, post-acute oxygen species, nitric oxide signaling, also completed his BSc degree at and hospice care. endothelial function and smooth Memorial University, majoring in muscle cell excitation-contraction both chemistry and biochemistry. He At the PROVE Center, Dr. Edelen coupling. She applies her vast thereafter completed his residency will be directly involved in all activities expertise in smooth muscle biology training in otolaryngology-head and related to the center to acquire PROs and physiology to better understand neck surgery at Western University’s for selected surgery patients at the molecular and cellular alterations Schulich School of Dentistry and Brigham Health and to implement that lead to ascending aortic Medicine in Ontario, Canada. He then a culture that embeds PROs as a aneurysms. pursued subspecialty fellowship standard. She will lead efforts to training in laryngology and care of expand the center as a resource Dr. Billaud’s work has been the professional voice at UC San for faculty members in all surgical published as original research articles, Francisco. He is a fellow of the Royal disciplines, establish collaborations review articles and cover art in College of Physicians and Surgeons inside and outside of Brigham Health journals such as Circulation Research; of Canada. and Mass General Brigham, and Arteriosclerosis, Thrombosis and advance PRO reporting for outcomes Vascular Biology; Science Signaling; Dr. Dwyer specializes in the research, clinical care, quality and the Journal of Thoracic and medical and surgical care of voice, improvement and value-based Cardiovascular Research. airway and swallowing pathologies. health care. He is a strong advocate for offering William Boysen, MD a multidisciplinary, collaborative Dr. Edelen graduated from Boston Urology approach to patient care, aiming to College with a BA in psychology. She optimize outcomes and likelihood holds a master’s degree and a PhD in Dr. Boysen graduated from Amherst of sustainable, long-term success. quantitative psychology from the L.L. College and obtained his medical His research interests include Thurstone Psychometric Laboratory degree from Columbia University management and prevention of airway at the University of North Carolina, Vagelos College of Physicians and stenosis, balancing functional and Chapel Hill. Surgeons. He completed a urology oncologic outcomes of early glottic residency at the University of Chicago carcinoma, and pursuing future Jennifer Guerriero, PhD Medical Center and a fellowship in endeavors in treatment of chronic Breast Surgery complex genitourinary reconstruction cough. He is passionate about medical and cancer survivorship at Duke and surgical education, with a special Dr. Guerriero graduated from University Medical Center. interest in teaching residents and Northeastern University with a BS in medical students. Working alongside biochemistry. She obtained a PhD He is board eligible in urology and medical trainees has been a significant in immunology and pathology and a member of the American Urological factor for his decision to pursue a Association and the Society of career in academic medicine. Genitourinary Reconstructive Surgeons. Dr. Boysen’s clinical and research interests include all aspects of reconstructive urology: urethral 11

molecular and cellular biology at Stony fellowship at the Brigham. Surgery of the Royal College of Brook University. She completed a Dr. Hussain has over 50 manuscript Surgeons of Edinburgh. postdoctoral fellowship in medical oncology at DDCI. publications in journals such as Before coming to the Brigham, Dr. Circulation, Journal of the American Ikeda was an assistant professor of Dr. Guerriero is an instructor of College of Cardiology, and JAMA diagnostic and biological sciences/oral medicine at Harvard Medical School. Surgery and over 70 research medicine and family medicine at the She is a member of the American presentations/published abstracts. He University of Colorado School of Dental Association for Cancer Research has received several research grants/ Medicine. At the Brigham, he will also (AACR); the Society for Immunotherapy awards from institutions such as the serve as clinical director of the Division of Cancer (SITC), and the American Canadian Institutes of Health Research of Oral Medicine. In this role, he will Society of Clinical Oncology (ASCO). (CIHR) and the European Society for lead clinical improvement projects, She is a working group member of Cardiology (ESC). He is also a dedicated advise regarding opportunities to the Immuno-Oncology interest group teacher committed to the learning of promote clinical service, work with and the TNBC breast group of the trainees. He has taught ATLS to over clinic managers to ensure adequate Translational Breast Cancer Research 400 physicians in 30 courses and was scheduling, develop clinic policies and Consortium (TBCRC), which conducts honored with an ATLS teaching award. practice guidelines, coordinate division innovative and high-impact clinical trials clinical rounds and monitor faculty and for breast cancer. Dr. Hussain’s research interests staff compliance. include the study of vascular diseases Dr. Guerriero is also the director using observational epidemiology, Dr. Ikeda’s clinical and research of the breast immunology laboratory health services research, prospective interests include diagnosis and for the Dana-Farber Susan F. Smith clinical trials and knowledge management of oral mucosal diseases, Women’s Cancer Program, and she translation. He also has a special orofacial pain and oral complications serves on the Executive Committee of clinical interest in thoracic outlet of systemic diseases and their the Harvard Program in Therapeutic syndrome surgery. management/treatment. Science (HiTS). Kentaro Ikeda, DDS, MPH, FDS RCSEd Olga Kantor, MD, MS Dr. Guerriero’s research interests Oral Medicine Breast Surgery include harnessing the anti-tumor potential of tumor-associated Dr. Ikeda received a Doctor of Dental Dr. Kantor graduated from Rice macrophages for breast cancer Surgery from the Tokyo Dental College University with a BS in biochemistry immunotherapy, understanding how in Japan. He completed an infectious and cell biology. She obtained an MS breast cancer cell intrinsic mutations diseases fellowship at the University of in public health sciences from the regulate the tumor microenvironment, Medicine and Dentistry of New Jersey, University of Chicago and her medical and elucidating the biology, diversity followed by a special needs pediatric degree from the University of Illinois and ontogeny of tumor macrophages in dentistry residency at the Kanagawa at Chicago. She completed a general breast tumors. Children’s Medical Center in Yokohama, surgery residency at the University of Japan. Dr. Ikeda then completed a Chicago, a surgical oncology research Mohamad Hussain, MD, PhD, RPVI general practice residency and an oral fellowship at the NorthShore University Vascular and Endovascular Surgery medicine residency at the Carolinas HealthSystem and a breast surgical Medical Center. He also holds an oncology fellowship at Massachusetts Dr. Hussain graduated from the MPH from the University of North General Hospital, Brigham and University of Western Ontario with a Carolina at Chapel Hill School of Global Women’s Hospital and Dana-Farber BSc in medical sciences. He obtained Public Health. Cancer Institute. his medical degree from the Michael G. DeGroote School of Medicine at Dr. Ikeda is a member of various She is board certified in general McMaster University. He completed a professional organizations, including surgery. She is a member of various vascular surgery residency and a PhD the American Academy of Oral professional societies, including the in clinical epidemiology and health Medicine, the American Academy of American College of Surgeons (ACS), services research through the Surgeon Pediatric Dentistry and the American the Society of Surgical Oncology (SSO) Scientist Training Program at the Dental Association. He is a diplomat of and the American Society of Breast University of Toronto. Dr. Hussain also the American Board of Oral Medicine Surgeons (ASBrS). completed a cardiovascular research and a fellow of the Faculty of Dental Dr. Kantor’s clinical and research 12

interests include clinical trials, surgical advanced adult cardiac surgery at the George Molina, MD, MPH management after neoadjuvant therapy Brigham. Surgical Oncology and tailoring treatments in patients with breast cancer. She also has a special He is board certified in general and Dr. Molina graduated from Johns interest in surgical education and thoracic surgery, and he is a member Hopkins University with a BS in cellular will be taking on the role of associate of the American College of Surgeons and molecular biology. He obtained his program director for the breast surgical (ACS). Before returning to the Brigham, medical degree from Harvard Medical oncology fellowship. he worked for the MercyHealth Hospital School, and he completed an MPH System as a cardiothoracic surgeon. in quantitative methods at Harvard Hassan Khalil, MD T.H. Chan School of Public Health. Thoracic and Cardiac Surgery Dr. Konstantakos’ clinical and He completed his general surgery research interests include minimally residency at Massachusetts General Dr. Khalil graduated from the invasive valve surgery, complex Hospital (MGH) and a fellowship in University of Houston and obtained mitral valve repair, complex coronary complex general surgical oncology his medical degree from the University revascularization, aortic surgery, at the Brigham/MGH/Dana-Farber of Texas, Houston. He completed a reoperative cardiac surgery, cardiac Cancer Institute. general surgery residency at UCLA oncology, surgery for cardiac and two fellowships at the Brigham, arrhythmias, and patient outcomes As part of his general surgery one in minimally invasive thoracic and satisfaction. training, Dr. Molina also completed and foregut surgery and another in a two-year postgraduate research cardiothoracic surgery. Alison Laws, MD fellowship at Ariadne Labs, where he Breast Surgery worked on projects in health systems He is board certified in general innovation and research, global surgery surgery, and he is a member of various Dr. Laws graduated from the modeling, clinical studies in surgical organizations, including the Society of University of British Columbia and oncology, surgical safety culture in Thoracic Surgeons (STS), the American obtained her medical degree from inpatient and ambulatory settings College of Surgeons (ACS) and the McMaster University. She completed and impact of a surgical safety American Heart Association (AHA). a general surgery residency at the checklist program. University of Calgary and a breast Dr. Khalil’s clinical interests include surgical oncology fellowship at He is board certified in general lung cancer, mesothelioma, esophageal Massachusetts General Hospital/ surgery, and he is a member of the disease and robotic surgery. His Brigham and Women’s Hospital. American College of Surgeons (ACS), research will focus on mesothelium the American Society of Clinical and application of biomaterials in She is currently pursuing a Master Oncology (ASCO) and the Society of thoracic surgery. of Public Health in epidemiology from Surgical Oncology (SSO). the Harvard T.H. Chan School of Public Anastasios Konstantakos, MD Health. She is a member of the Society Dr. Molina’s clinical and research Thoracic and Cardiac Surgery of Surgical Oncology (SSO) and the interests include improving the safety, American Society of Breast Surgeons. quality and equity of surgical care Dr. Konstantakos graduated from through health systems innovation. He the University of Miami, where he Dr. Laws’ clinical and research is also interested in understanding the also obtained his medical degree. interests include optimizing oncologic impact of fragmentation of cancer care He completed a general surgery outcomes after breast cancer surgery, on disparities in surgical outcomes in residency at the Case Western improving cancer care delivery through the United States. Dr. Molina will be Reserve University, a fellowship in implementation of evidence-based conducting his research at the Center cardiothoracic surgery at Beth Israel practices, as well as managing patients for Surgery and Public Health and at Deaconess Medical Center, and at high-risk for breast cancer. Ariadne Labs. a fellowship and staff position in 13

Farhad Rikhtegar Nezami, PhD Kathy Golbarg Niknejad, MD by a thoracic surgery fellowship at Thoracic and Cardiac Surgery Urology the Brigham. He is board certified in general surgery, and he is a member Dr. Nezami graduated from the Dr. Niknejad graduated from San of the American College of Surgeons Amirkabir University of Technology in Diego State University with a BS in (ACS) and the Association for Tehran, Iran with a BSc in aerospace biology. She received her medical Academic Surgery (AAS). engineering, for which he also obtained degree from Harvard Medical School an MSc from the Sharif University of and completed the Harvard Urologic In residency, Dr. Pommerening Technology in Tehran. He holds a PhD Surgery Residency Program at the developed an interest in studying in mechanical engineering from ETH Brigham, where she was also a staff clinical outcomes and completed a Zurich in Switzerland. surgeon for five years. two-year clinical research fellowship and a master’s degree in clinical Before coming to the Brigham, Dr. Before returning to the Brigham, Dr. research established by the Center for Nezami worked at the Harvard-MIT Niknejad worked at Atrius Health as Clinical Research & Evidence-Based Biomedical Engineering Center as a the chief of Urology and was a member Medicine at McGovern Medical School. research scientist and project leader. of the board of trustees. She also At the Brigham, he will leverage worked at Harvard Vanguard Medical His clinical interests include the his expertise in bioinformatics, Associates, where she was the medical breadth of general thoracic surgery, computational modeling and vascular director of Surgical Specialties for including minimally invasive diagnostic biology from a pathophysiologic four years. and interventional procedures, lung perspective to achieve clinical impact cancer and advanced foregut surgery. by using multifaceted systems with Dr. Niknejad is board certified His research interests are focused on complex biological and mechanical in urology. She is a member of the designing and conducting clinical trials interactions. Dr. Nezami’s primary American Urological Association (AUA) to advance evidence-based practice in focus is on using computational and the Society of Women in Urology. thoracic surgery. methods to develop tractable and provably reliable test systems Dr. Niknejad’s clinical and research Kavitha Ranganathan, MD and novel data-driven design and interests include kidney stones, benign Plastic and Reconstructive Surgery optimization platforms to provide prostatic hypertrophy, bladder cancer, mechanistic understanding of prostate cancer, elevated PSA and Dr. Ranganathan is a plastic pathologies; asses the efficacy and active surveillance of prostate cancer, and reconstructive surgeon who optimize medical devices; and deliver urinary incontinence, hematuria, specializes in general reconstructive predictive means, diagnostic tools and recurrent urinary tract infections and and craniofacial surgery. She surgical guidelines to clinicians. overactive bladder. graduated from Northwestern University, where she also obtained Dr. Nezami’s research interests thus Matthew Pommerening, MD her medical degree at the Feinberg include computational pathophysiology Thoracic and Cardiac Surgery School of Medicine. She completed her (biofluid dynamics, biomechanics, residency at the University of Michigan. mathematical modeling); machine Dr. Pommerening is a graduate During her training, she also completed learning to analyze clinical data, of the University of Texas at Austin. a two-year research fellowship funded diagnostics/prognostics and clinical He received both his medical degree by the National Institutes of Health decision making; deep learning for and general surgery training from (NIH). She subsequently completed her medical image processing (fusion of the University of Texas McGovern fellowship in craniofacial surgery at modalities, plaque characterization, Medical School in Houston, where Johns Hopkins Medicine. etc.); data-driven design/optimization he also spent time studying clinical of medical devices and interventions; outcomes after traumatic injury. He Dr. Ranganathan’s clinical interests virtual surgery using Al and in silico went on to complete a cardiothoracic include craniofacial reconstruction, predictive/prognostic tools; as well surgery residency at the University of facial trauma care, secondary burn as drug delivery, solute transport, Pittsburgh Medical Center followed reconstruction, gender surgery and pharmacokinetics and optimization. general plastic surgery. Her research focuses on increasing access to care in resource-limited environments and addressing the burden of catastrophic expenditures in low- and middle- 14

income countries. At the Brigham, in head and neck oncology and research interests include improving Dr. Ranganathan will also be assuming microvascular reconstructive surgery the oral and general health in people the role of director of Craniofacial in the Department of Otolaryngology at living with HIV, as well as those Reconstruction. the University of Michigan. with chronic oral lesions and oral morbidities after head and neck Nakul Raykar, MD, MPH He is a member of the American cancer treatments. Trauma, Burn and Surgical Critical Care Head and Neck Society (AHNS) and the American Academy of Otolaryngology- John Young, MD Dr. Raykar graduated from Rutgers Head and Neck Surgery (AAO-HNS). Thoracic and Cardiac Surgery University with a BS in ceramic and materials engineering. He received Dr. Sethi’s clinical interests include Dr. Young graduated from Harvard his medical degree from Rutgers-New head and neck oncology and advanced University and obtained his medical Jersey Medical School and an MPH microvascular head and neck surgery, degree from Robert Wood Johnson from the Harvard T.H. Chan School with a strong emphasis on patient- Medical School. He completed a of Public Health. He completed his centered and multidisciplinary care general surgery residency at the general surgery residency at Beth of complex head and neck pathology. Warren Alpert Medical School of Brown Israel Deaconess Medical Center and a His research interests include health University and a cardiovascular and Paul Farmer Global Surgery Fellowship services research in otolaryngology. thoracic surgery fellowship at the from the Program in Global Surgery This broadly includes health market Zucker School of Medicine at Hofstra/ and Social Change at Harvard Medical research and adoption of medical Northwell. He most recently completed School. Most recently, he completed technology in otolaryngology, health a minimally invasive thoracic surgery a trauma/critical care medicine, outcomes around oncologic care, and fellowship at the Brigham. acute care surgery and global health cost-reduction measures for patients surgery fellowship at the University undergoing treatment for head and He is board certified in general of Pittsburgh Medical Center. He is neck cancer. surgery. In 2007, Dr. Young was board certified in general surgery and an American Gastroenterological surgical critical care. Piamkamon Vacharotayangul, Association student research fellow DDS, PhD at the Brigham in the lab of Stanley W. Dr. Raykar’s research interests Oral Medicine Ashley, MD, and Ali Tavakkoli, MD. include access safe blood transfusion, trauma systems development and Dr. Vacharotayangul received Dr. Young’s research interests surgical systems strengthening in low- her DDS from Mahidol University include immunology, lung trans- resource settings. and a graduate diploma in clinical plantation and thoracic oncology. sciences from Chulalongkorn His clinical areas of interest include Rosh Sethi, MD, MPH University in Bangkok, Thailand. She all aspects of adult general thoracic Otolaryngology—Head and Neck Surgery then completed a fellowship in oral surgery, end-stage lung disease, medicine at UC San Francisco, where lung transplantation, extracorporeal Dr. Sethi graduated from Yale she also completed a PhD in oral and membrane oxygenation (ECMO), College with a BS in biology. He craniofacial sciences. as well as utilization of the robotic obtained his medical degree from surgical platform. Harvard Medical School and an MPH She is board certified by the focused in quantitative methods from American Board of Oral Medicine. the Harvard T.H. Chan School of Public She is a member of the American Health. He completed a residency in Academy of Oral Medicine (AAOM), the otolaryngology-head and neck surgery Massachusetts Dental Society (MDS) at Massachusetts Eye and Ear/Harvard and the American Dental Association Medical School and a fellowship (ADA). Before coming to the Brigham, Dr. Vacharotayangul worked as head of the Division of Oral Medicine and instructor at Srinakharinwirot University. She was also a part-time oral medicine specialist in various private hospitals in Thailand. Dr. Vacharotayangul’s clinical and 15

New Center for Weight Management and Wellness Strives to Transform Obesity Medicine When Ali Tavakkoli, MD, a bariatric The Brigham has offered a variety offers endoscopic options designed for surgeon at the Brigham, describes the of weight management services for people who meet the qualifications for impact that weight loss treatment can many years, but they were scattered bariatric surgery but are not quite ready have for a patient, he doesn’t talk about across departments throughout the to undergo operations. percentages, body mass index (BMI) or hospital, making it difficult for patients numbers on a scale. Instead, he talks to understand their weight-loss options. Beyond procedures, patients can also about his patients’ day-to-day lives. In The CWMW brings all of these services seek medication, lifestyle coaching and a recent interview, Dr. Tavakkoli smiled under one umbrella, providing patients counseling services. The center offers as he fondly recalled a patient who had with easy access to experts across the group programs for patients to discuss undergone a weight loss procedure spectrum of obesity medicine. their weight loss journeys together, telling him how excited she was to have dieticians to help patients develop gone to a movie theater for the first “I truly believe the center will be the healthy eating habits and educational time in her life with her grandchildren — model for the rest of the academic services to teach patients about meal something she had been too afraid to do centers in the country,” Caroline planning and nutrition. Additionally, before losing weight. Apovian, MD, a leading expert in obesity on-site physical therapists help patients medicine and one of the center’s recover post-surgery and develop new “Obesity is a disease that has dramatic founding co-directors, said. “We are the exercise routines. impacts on patients’ health and quality first center in the country that combines of life,” Dr. Tavakkoli, chief of the Division all three modalities for obesity care in Patients typically sign up for an of General and Gastrointestinal Surgery, one place: Medical weight management, appointment online after their physician said. “Weight loss treatment can surgery and gastrointestinal (GI) refers them to the center. Once they transform people’s health and well-being procedures.” come in, medical professionals and open doors to new opportunities assess their needs and point them to their weight previously restricted them Focusing on what’s experts who can help them across all from pursuing.” best for the patient three disciplines. The clinicians then collaborate to meet each patient’s Dr. Tavakkoli, his co-directors and The center’s mission is to provide unique needs. their staff at the Center for Weight holistic and seamless care for all Management and Wellness (CWMW) patients. Clinicians at the center “I think this center is really unique aim to transform the way weight-related recognize that every patient comes with when you look regionally or nationally diseases, like obesity, are treated across a different story. Having a diverse array because it focuses on an unbiased the nation. The newly launched center at of services available enables clinicians assessment of people when they come the Brigham allows patients to access to provide every patient with the unique in and offers multiple ways to help the vast array of weight management combination of support they need. them,” Dr.Tavakkoli, who specializes services the hospital has to offer in one in minimally invasive gastrointestinal place. In addition to surgical procedures The center offers a wide range of procedures, said. He is an expert in like the ones Dr. Tavakkoli performs, surgical procedures such as gastric metabolic surgery and studies how the CWMW offers services such as bypass surgery, sleeve gastrectomy to improve surgical outcomes to not endoscopic procedures and counseling and revisional surgery performed both only help patients lose weight but focused on diet, medicine and lifestyle laparoscopically and robotically. It also also improve diabetes outcomes and modifications. increase overall health and well-being. 16

Reducing risks, education.” Expanding access improving outcomes Anyone seeking to lose weight can In the future, the center hopes Physicians recommend that patients visit the CWMW. While physicians to broaden access to services do not wait to get help with weight loss. typically do not recommend patients geographically, expand virtual care, Losing weight can help protect against with a BMI under 25 for surgery or recruit more clinicians and grow the and treat conditions such as diabetes medication, any patient, regardless research component of the center. and heart disease. Notably, it can also of their BMI, can come in for lifestyle help protect patients from some of the advice and counseling. “We have a very robust research severe risks associated with COVID-19. program looking at bariatric and According to the Centers for Disease “The center puts the patient first. We medical treatment outcomes. We are Control, having obesity may triple a do what’s best for them in the most finding that there is heterogeneity in person’s risk of hospitalization due to efficient way possible. The people that weight loss outcomes following our COVID-19. As body mass index (BMI) work here are incredibly accomplished procedures and medication. We’re increases, so does risk of death from and have deep expertise. Each discipline trying to get to the underpinning of COVID-19. has several experienced leading those differences. Why do some people physicians and researchers in the field,” lose a lot of weight after bariatric “Most patients wish that they had not Christopher Thompson, MD, director surgery and some people don’t? This is waited so long to get help with obesity,” of Endoscopy, and a co-director of the what we’re currently investigating,” Dr. Apovian said. “A lot of that has to CWMW, said. Dr. Thompson specializes Dr. Apovian said. do with stigma surrounding obesity, in gastrointestinal endoscopic and stigma can only be removed with techniques and has pioneered many of Dr. Thompson emphasized that a the endoscopic procedures existing in primary goal of the CWMW is to make the field today. weight loss treatment more accessible. 17

Mass General Brigham Liver Transplant Program Launches Collaborative approach expands options for patients with acute or chronic liver disease Leigh Anne Anna referring providers across institutions institution. Leigh Anne Dageforde, MD, Dageforde, Rutherford, and outreach clinics. Additionally, the MPH, an MGH transplant surgeon, and MD, PhD MD, PhD Mass General Brigham Liver Transplant Anna Rutherford, MD, MPH, clinical Program provides patients access director of Hepatology at the Brigham, In March 2021, Mass General to existing partnerships with Mass serve as surgical and clinical directors Brigham announced the launch of General Brigham clinical experts on of the Brigham clinic. the Mass General Brigham Liver both campuses, such as pediatric Transplant Program—an integrated and liver transplantation, oncology care “The synergy gained by joining forces comprehensive program comprised of through Dana-Farber Cancer Institute fosters liver transplant waiting list both Massachusetts General Hospital and the MGH Cancer Center, congenital growth by developing parallel and joint (MGH) and Brigham and Women’s heart disease related liver condition referral lines and outreach efforts at Hospital clinicians. The Brigham and treatment, a substance use disorder affiliated locations. This program also MGH have a rich history in performing clinic and a weight center. promotes growth through improved and developing organ transplant interaction and effective communication procedures. In 1954, the world’s first “This new program is an outstanding with referring providers pre- and post- successful organ transplant was example of ‘systemness’ in action. transplantation, allowing Mass General performed at the Brigham, and for over Before the launch, we needed to refer Brigham to be the dominant clinical liver 30 years, MGH has been a leader in liver patients at the Brigham who needed transplant program in the region,” Dr. transplantation, performing more than a liver transplant to other institutions. Dageforde said. 1,000 liver transplants to date. But by combining the resources of our world-class clinicians and staff, we’re Through the formation of this This collaboration expands able to deliver improved access to care partnership and program, Mass General care options to patients, providing and a more streamlined experience Brigham hopes to expand the approach complete treatment, transplant and for our patients,” Gerard Doherty, MD, to the evaluation of the patient’s liver management options for patients with surgeon-in-chief at the Brigham, said. condition, as well as provide and acute or chronic liver disease, as well increase access to liver disease care as patients with liver cancer. Patients In support of the new Liver Transplant and innovative therapies across the benefit from the extensive knowledge Program, a multidisciplinary clinic Mass General Brigham system and of the transplant experts from two opened in early 2021 at the Brigham. New England. of the highest-rated hospitals in New Patients now receive care through all England, as well as a standardized and the clinical phases of transplantation, “Both Dr. Dageforde and I are very comprehensive experience, including all including evaluation, transplant-specific excited about this new combined testing, waitlist and post-transplant transplant program. The combining care, by both institutions. Surgical care of the program allows us all to draw is exclusively performed at MGH, but from the amazing clinical and surgical once a patient begins care at either expertise at the Brigham, MGH and hospital, their ongoing liver disease Dana-Farber, and this in turn allows us to management continues at that same take the best care of our hepatology and transplant patients,” Dr. Rutherford said. 18

Education Current Residents Minh-Thuy Nguyen, MD Boston University School of Medicine The Department of Surgery combines General Surgery top-notch clinical care with world- Solomon Seckler, MD class research and cutting-edge Program Director: Icahn School of Medicine at Mount Sinai education to provide comprehensive Stephanie Nitzschke, MD, MS surgical training programs. Teaching Associate Program Directors: John Wieser, MD tomorrow’s leaders today… Mark Fairweather, MD; Jennifer Irani, MD; University of Virginia School of Medicine Matthew Nehs, MD; and Naomi Shimizu, fellows MD PGY 2 Acgme-accredited PGY 1 Categorical surgical residency programs Categorical Isaac Alty, MD Acgme-accredited Harvard Medical School surgical fellowships Abena Appah-Sampong, MD University of Chicago Pritzker School of Jake Awtry, MD non-Acgme-accredited Medicine Johns Hopkins University School of Medicine surgical fellowships Orly Farber, MD Ilaria Caturegli, MD Stanford University School of Medicine University of Maryland School of Medicine Jamie Hillas, MD Eliza Hersh, MD Geisel School of Medicine at Dartmouth Icahn School of Medicine at Mount Sinai Daniel Hoffman, MD Annabelle Jones, MD Perelman School of Medicine at the Renaissance School of Medicine at Stony University of Pennsylvania Brook University Kara Kennedy, MD Yun Jee Kang, MD University of Massachusetts Medical School Harvard Medical School Joshua Roshal, MD Sangki Oak, MD Rutgers Robert Wood Johnson Medical University of Pittsburgh School of Medicine School Alexander Ordoobadi, MD Ashley Siegel, MD Harvard Medical School University of Central Florida College of Medicine Stefanie Soelling, MD, MPH Emory University School of Medicine Sarah Tsou, MD University of California San Francisco School PGY 2 of Medicine Preliminary George Zhang, MD Johns Hopkins University School of Medicine Christian Cerecedo Lopez, MD Facultad de Ciencias de la Salud Universidad PGY 1 Anahuac, Mexico Preliminary Martin Kauke-Navarro, MD Medizinische Fakultät der Universität zu Sarita Ballakur, MD Köln, Germany Weill Cornell Medical College PGY 3 Samuel Clarkson, MD David Geffen School of Medicine at UCLA Alexis Antunez, MD University of Michigan Medical School Brian Deutsch, MD Icahn School of Medicine at Mount Sinai Rachel Atkinson, MD Geisel School of Medicine at Dartmouth Bardia Nadim, MD Northwestern University Feinberg School of Sourav Bose, MD Medicine Perelman School of Medicine at the University of Pennsylvania 19

Samuel Enumah, MD William Phillips, MD Vanessa Welten, MD Northwestern University Feinberg School of Johns Hopkins University School of Medicine Rush University Medical College Medicine James Fitzgibbon, MD Rowza Rumma, MD Christine Wu, MD Lewis Katz School of Medicine at Temple Stanford University School of Medicine University of Michigan Medical School University Paul Salem, MD Elizabeth Yates, MD James Luo, MD Mayo Clinic Alix School of Medicine University of Michigan Medical School University of Chicago Pritzker School of Medicine Research 2021 Graduates Kerri McKie, MD James Etheridge, MD Bryan Dieffenbach, MD University of Massachusetts Medical School Eastern Virginia Medical School Vascular Surgery Fellowship, Brigham and Women’s Hospital Biqi Zhang, MD Jessica Feliz, MD Harvard Medical School University of Virginia School of Medicine Anthony Haddad, MD Plastic Surgery Residency, Beth Israel PGY 4 Katherine He, MD Deaconess Medical Center University of Michigan Medical School Karan Chhabra, MD Jonathan Hills-Dunlap, MD Rutgers Robert Wood Johnson Medical Patrick Heindel, MD Pediatric Surgery Fellowship, University of School Keck School of Medicine of the University of Colorado Southern California Adam Fields, MD George Li, MD Icahn School of Medicine at Mount Sinai Frances Hu, MD Surgical Oncology Fellowship, Memorial Emory University School of Medicine Sloan Kettering Cancer Center Sameer Hirji, MD Johns Hopkins University School of Medicine Lenka Ilcisin, MD Heather Lyu, MD Harvard Medical School Breast Surgery Fellowship, MD Anderson Joshua Jolissaint, MD Cancer Center University of Virginia School of Medicine Pooja Neiman, MD David Geffen School of Medicine at Alessandra Moore, MD Abby Larson, MD University of California Los Angeles Harvard Combined Endocrine Surgery Johns Hopkins University School of Medicine Fellowship, BWH/MGH Paige Newell, MD Laura Piechura, MD Lewis Katz School of Medicine at Temple Linda Pak, MD Stanford University School of Medicine University Breast Surgery Fellowship, Memorial Sloan Kettering Cancer Center Lily Saadat, MD Brittany Powell, MD Northwestern University Feinberg School of Stanford University School of Medicine Nidhi Udyavar, MD Medicine Endocrine Surgery Fellowship, Johns Cullen Roberts, MD Hopkins University School of Medicine Bixiao Zhao, MD Warren Alpert Medical School of Brown Yale School of Medicine University Cardiothoracic Surgery Integrated (I-6) Program PGY 5 Mehida Rojas-Alexandre, MD Yale School of Medicine Program Director: Jamie Knell, MD Michael T. Jaklitsch, MD University of California San Diego School of Max Riley, MD Associate Program Directors: Medicine Washington University School of Medicine Tsuyoshi Kaneko, MD; Daniel Weiner, MD; and Jon Wee, MD Pamela Lu, MD Eva Rouanet, MD University of Massachusetts Medical School University of Massachusetts Medical School PGY 1 Arin Madenci, MD Sarabeth Spitzer, MD Phillip Allen, MD University of Michigan Medical School Stanford University School of Medicine Harvard Medical School David Mahvi, MD Megan Sulciner, MD Vivian Wang, MD University of Wisconsin School of Medicine University of Minnesota Medical School Boston University School of Medicine and Public Health Matthew Vivero, MD Danny Mou, MD Columbia University Vagelos College of Emory University School of Medicine Physicians and Surgeons 20

PGY 2 Kathryn Marcus, MD Alan Workman, MD University of Iowa Carver College of Perelman School of Medicine at the Thais Faggion Vinholo, MD Medicine University of Pennsylvania Yale University Obinna Nwosu, MD Vinay Rathi, MD John Finnigan, Jr., MD Indiana University School of Medicine Yale School of Medicine Icahn School of Medicine at Mount Sinai Chloe Warinner, MD PGY 5 PGY 3 Harvard Medical School Eric Barbarite, MD Patrick Gedeon, MD PGY 2 University of Miami Miller School of Duke University School of Medicine Medicine Allen Zhou, MD Andreas Habertheuer, MD Harvard Medical School Adeeb Derakhshan, MD Medical University of Vienna, Austria Cleveland Clinic Lerner College of Medicine Riu Han Liu, MD of Case Western Reserve University PGY 4 Johns Hopkins University School of Medicine Suresh Mohan, MD Morgan Harloff, MD Margaret Mitchell, MD Warren Alpert Medical School of Brown Kaohsiung Medical University, Taiwan Vanderbilt University School of Medicine University Kathleen Weiss, MD Danielle Reny, MD Krupa Patel, MD University of Miami Miller School of Perelman School of Medicine at the Weill Cornell Graduate School of Medical Medicine University of Pennsylvania Sciences PGY 5 Isaac Wasserman, MD Tiffany Wang, MD Icahn School of Medicine at Mount Sinai Keck School of Medicine of the University of Farhang Yazdchi, MD Southern California Shahid Beheshti University of Medical Lucy Xu, MD Sciences, Iran University of Chicago Pritzker School of Research Medicine Yifan Zheng, MD Ryan Bartholomew, MD Boston University School of Medicine PGY 3 Harvard Medical School Research Elliana DeVore (Kirsh), MD Christopher McHugh, MD, PhD Harvard Medical School Wayne State University School of Medicine Sue Wang, MD University of California San Francisco Krish Suresh, MD 2021 Graduates School of Medicine Northwestern University Feinberg School of Medicine Nicholas B. Abt, MD Hoda Javadikasgari, MD Head and Neck Oncologic and Tehran University of Medical Sciences, Iran Michael Wu, MD Reconstructive Surgery Fellowship, Harvard Medical School University of Miami Ariana Jones, MD University of California San Francisco Roy Xiao, MD Jenny X. Chen, MD School of Medicine Case Western Reserve University School of Attending Physician, Division of Medicine Comprehensive Otolaryngology, Otolaryngology Massachusetts Eye and Ear Phoebe Kuo Yu, MD Program Director, Harvard Yale School of Medicine Shekhar K. Gadkaree, MD Otolaryngology Residency Program: Facial Plastic and Reconstructive Surgery Stacey T. Gray, MD PGY 4 Fellowship, University of Minnesota Assistant Program Directors: Kevin S. Emerick, MD, and Alice Z. Ciersten Burks, MD Vivek V. Kanumuri, MD Maxfield, MD Indiana University School of Medicine Neurotology Fellowship, University of Miami PGY 1 Lauren Miller, MD Ashley L. Miller, MD Perelman School of Medicine at the Pediatric Otolaryngology Fellowship, Renata Knoll, MD University of Pennsylvania Cincinnati Children’s Hospital Medical Center Universidade do Vale do Itajaí Escola de Ciências da Saúde, Brazil Tara Mokhtari, MD Stanford University School of Medicine 21

Oral Medicine Ogonna Nnamani Silva, MD Arman Serebrakian, MD, MS University of California San Francisco School Lewis Katz School of Medicine at Temple Program Director, of Medicine University Oral Medicine Residency Program: Piamkamon Vacharotayangul, DDS, PhD PGY 2 Independent Program PGY 1 Charles Hwang, MD Junior Residents University of Michigan Medical School Lama Alabdulaaly, BDS, DMSc Eric Emberton, MD Saudi Arabia (certificate program) Ian McCulloch, MD University of Louisville School of Medicine West Virginia University School of Medicine Petros Yoon, DDS Justin McCarty, MD University of Colorado Health and Science Ricardo Ortiz, MD Lake Erie College of Osteopathic Medicine Center (certificate program) Harvard Medical School Senior Residents PGY 2 PGY 3 Ashley Ehret, MD Brittany Klein, DDS Brittany Caruso, MD Rutgers Robert Wood Johnson Medical University of North Carolina Adams School Lewis Katz School of Medicine at Temple School of Dentistry University Vishwanath Chegireddy, MD Malak Al-Hadlaq, BDS Seth Fruge, MD Morehouse School of Medicine Saudi Arabia (certificate and DMSc program) Louisiana State University School of Medicine Chief Residents PGY 3 Kimberly Khouri, MD Jason Gardenier, MD Amal Bajonaid, BDS New York University Grossman School of University of Virginia School of Medicine Saudi Arabia (certificate and MMSc program) Medicine Silviu Diaconu, MD Prazwala Chirravur, BDS PGY 4 Northwestern University Feinberg School of India (certificate program) Medicine Olivia Abbate, MD Yuanming Xu, DDS Georgetown University School of Medicine 2021 Graduates China (certificate and MMSc program) Sarah Karinja, MD Mario Aycart, MD 2021 Graduates Columbia University Vagelos College of Craniofacial Fellowship, Hospital for Sick Physicians and Surgeons Children, Toronto, ON, Canada Rossella Intini, DDS Italy (certificate program) Eric Wenzinger, MD Lisa Gfrerer, MD, PhD Medical University of South Carolina Peripheral Nerve Fellowship, Massachusetts Shaiba Sandhu, DDS General Hospital Orofacial Pain Residency Program, Mass PGY 5 General Hospital Harvard Plastic Surgery Jason Clain, MD Brent Pickrell, MD Tufts University School of Medicine Hand Surgery Fellowship, Beth Israel Program Director, Harvard Plastic Surgery Deaconess Medical Center Residency Program: Brittany Vieira, MD Kyle Eberlin, MD Northwestern University Feinberg School of Jacob Rinkinen, MD Associate Program Director: Medicine Microsurgery Hand Fellowship, Beth Israel Lydia Helliwell, MD Deaconess Medical Center Frankie Wong, MD Integrated Program David Geffen School of Medicine at the Ravi Sood, MD, MS University of California Los Angeles Hand Surgery Fellowship, University of PGY 1 Washington Chiefs Ryoko Hamaguchi, MD Harvard Medical School Timothy Irwin, MD Urology Penn State College of Medicine Harriet Kiwanuka, MD Program Director: Stanford University School of Medicine Dylan Perry, MD George Haleblian, MD University of Massachusetts Medical School 22