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

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

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

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

personnel and their dependents to team, comprised of Dr. Zara Cooper Dr. Haider often speaks about the study health care policy issues of (Deputy Director), Dr. Joel Weissman importance of the “caravan” and how importance to the U.S. Military. The research—like life and like surgery— unique partnership brings together (Deputy Director and Chief Science takes a team to get to its destination. USU’s in-depth understanding of Officer), Dr. Stu Lipsitz (Director of “I’ve been very privileged to have had military culture and data and CSPH’s Biostatistics), Dr. Andrew Schoenfeld great mentors who have seen me for experience in advanced analytic (Director, Fellowship Education) more than I could see myself,” says methods to guide the health policies and Dr. Robert Riviello (Director Dr. Haider, “and who encouraged me needed to ensure a medically ready of Global Surgery), set out to create to do things I never thought I’d have force. an ambitious strategic plan for the the opportunity to do.” He pays that The reasons for health outcome CSPH. They created two methods forward in his work mentoring more disparities are varied and complex. cores, Qualitative and Quantitative, than 120 young surgeon-scientists One deeply rooted factor is a cultural and set seven different programs that so far. He sees his mentoring role as disconnect between provider and span the gamut from U.S. Military multifaceted: inspire them to show patient that can lead to unconscious health outcomes to global surgery. what they can do, enable them to use bias. As principal investigator on These interdisciplinary cores are led the best possible methods in their the NIH-funded PACTS Trial, Dr. by surgeon-scientists, all of whom research, and provide a collaborative Haider is exploring cultural dexterity sit on the CSPH Leadership Council. environment, because working training to help surgeons do a better This structure has enabled the CSPH together with others is key to great job of providing cross-cultural care. to flourish, achieving nearly all of its success. One concern with traditional cultural five-year goals within two and half competency training is that it can years, quadrupling its extramural Whether mentoring research unintentionally enforce existing funding, and being regarded as one fellows just getting started in their cultural stereotypes. “With a cultural of the most prestigious places to work careers or supporting and refining dexterity approach, the idea is to give and learn health services research in the research of faculty colleagues, Dr. providers the skills to adequately the country. Dr. Haider identifies the Haider is committed to growing the respond to cross-cultural differences keys to the CSPH’s success as support careers of the surgical health services without bias,” explains Dr. Haider. from the Department of Surgery, researchers at BWH and beyond. The three tenets of cross-cultural access to the best and brightest minds In his home division of Trauma, care are curiosity (e.g., why is the from around the globe, a culture Burn, Surgical and Critical Care, patient not following medical advice?), where all ideas are fostered, and a Dr. Joaquim Havens and colleagues respect for the patient’s culture, dedicated staff who come to work “not in the Trauma and Rehabilitation and empathy to understand their to pick up a paycheck but to make a Outcomes program have defined predicament and try to provide the difference.” emergency general surgery and cross-cultural care they need. In the are working to develop specific PACTS trial at eight academic medical GIVING BACK operative checklists for emergency centers, Dr. Haider and colleagues surgery to reduce excess morbidity are evaluating their newly developed For Dr. Haider, the joy of being and mortality in this surgical subset. cultural dexterity curriculum geared the CSPH director is in leading In Colon and Rectal Surgery, Dr. toward four areas for improvement: and working with a team of people Nelya Melnitchouk is uncovering effectively communicating with committed to making a positive outcome and access disparities in patients who have limited English impact on the health of a nation. As treatment for colorectal cancers. proficiency, obtaining patient consent, the son of Pakistani immigrants in In Emergency Medicine, Dr. Eric managing pain, and managing the United States, Dr. Haider always Goralnick is combining bystander unconscious bias. felt inspired to give back to the world, empowerment with evidence-based initially as a surgeon in Africa and research by conducting large-scale FOSTERING A CULTURE OF now as a champion of equality in randomized control trials of “Stop health care in the United States and the Bleed” courses designed to teach EXCELLENCE abroad. At CSPH, he leads a center civilian bystanders and non-medical dedicated to developing surgeon- personnel how to stop life-threatening Dr. Haider has used his role as the scientists committed to excellence in bleeding. Kessler Director of the CSPH to create the science of surgical care quality, a platform for research excellence equity, and value. It is an ideal fit for a Through the CSPH research across numerous surgical fields. Soon person who relishes mentoring young fellowship program, Dr. Haider after his arrival, he and his leadership surgeon-scientists. continues to inspire the next generation of surgical researchers, 32 BWH DOS

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

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

Matthew A. Nehs, MD Scott A. Shikora, MD New Endowed Chairs 2 became the inaugural Program Director was the keynote lecturer at the 1st 0 for the Harvard Combined Endocrine Annual International Bariatric Club World Raphael Bueno, MD 1 Surgery Fellowship and was the recipient Congress; served a Visiting Professor at Fredrick C Levin Distinguished 8 of the BWH Department of Surgery the Bahrain Defence Force Royal Medical Professorship in Thoracic Surgery and Lung Robert T. Osteen Award for Medical Services, Military Hospital, Kingdom of Cancer Research, Brigham and Women’s A Student Education in Surgery. Bahrain; and received the Presidential Hospital N Award at the International Federation N Stephanie L. Nitzschke, MD, MS for the Surgery of Obesity and Metabolic Atul A. Gawande, MD, MPH U was appointed Medical Director of the Disorder 22nd World Congress. Cynthia and John F. Fish Distinguished Chair A BWH Burn Center. in Surgery, Brigham and Women’s Hospital L Douglas S. Smink, MD, MPH C. Keith Ozaki, MD was appointed Secretary of the Elizabeth Mittendorf, MD, PhD R was the Lester R. Dragstedt Visiting Association for Program Directors Rob and Karen Hale Distinguished Chair in E Professor at the University of Florida in Surgery (APDS) and delivered the Surgical Oncology, Brigham and Women’s P College of Medicine. keynote address at the Irish Association Hospital O for Simulation Symposium (IAS). R Bohdan Pomahac, MD Bohdan Pomahac, MD T was appointed The Sushruta Guha Scott J. Swanson, MD Roberta and Stephen R. Weiner Professorship in Plastic Surgery and was appointed Associate Chief of Surgery Distinguished Chair in Surgery, Brigham Wound Healing from the Royal College at Dana-Farber Cancer Institute and and Women’s Hospital of Surgeons of Edinburgh and was served as Visiting Professor at Swedish appointed to serve as a member of Cancer Institute in Seattle, WA. Existing Endowed Chairs the Advisory Board on Science and New Incumbents Innovation for the Czech Republic Ali Tavakkoli, MD government. was reappointed to the Board of Adam S. Kibel, MD Governors of the American College of Elliott Carr Cutler Professor of Mark A. Preston, MD, MPH Surgeons (ACS). Surgery in Urology, Harvard was awarded a 2017 Prostate Cancer Medical School Foundation (PCF) Young Investigator Quoc-Dien Trinh, MD Award. was the recipient of the BWH Tari A. King, MD Department of Surgery Joseph E. Murray, Anne E. Dyson Associate Professor of Ali Salim, MD MD and Simon J. Simonian, MD, ScD Surgery in the Field of Women’s Cancers, was installed as a Fellow of the American Research Award. Harvard Medical School Surgical Association (ASA) and was named Co-Director of The Gillian Reny Edward E. Whang, MD Stepping Strong Center for Trauma became a founding member of the ERAS Innovation at Brigham and Women’s Society USA, serving as Director, Officer Hospital. and Chair of its Program Committee. Jo Shapiro, MD was awarded an Honorary Fellowship from the Royal College of Surgeons in Ireland, the highest distinction the College bestows, recognizing her outstanding contribution to professionalism, leadership and surgery. Eric G. Sheu, MD, PhD was selected by the Society of Asian Academic Surgeons (SAAS) Scholarship Committee as the 2018 SAAS Junior Faculty Award Winner. BWH DOS 35

top docs Boston Magazine’s 2017 “Top Doctors” issue recognized 47 Department of Surgery faculty members for being recognized as “tops” in their respective fields: Donald J. Annino Jr., MD • Otolaryngology Sayeed K. Malek, MD • Surgery Stanley W. Ashley, MD • Surgery Hari R. Mallidi, MD • Thoracic & Cardiac Surgery Michael Belkin, MD • Vascular Surgery Michael J. Malone, MD • Urology Monica M. Bertagnolli, MD • Surgery Matthew T. Menard, MD • Vascular Surgery Neil Bhattacharyya, MD • Otolaryngology Steven J. Mentzer, MD • Thoracic & Cardiac Surgery Ronald Bleday, MD • Colon & Rectal Surgery Francis D. Moore Jr., MD • Surgery Raphael Bueno, MD • Thoracic & Cardiac Surgery Faina Nakhlis, MD • Surgery Katherina Zabicki Calvillo, MD • Surgery Michael P. O’Leary, MD • Urology Matthew J. Carty, MD • Plastic Surgery Dennis P. Orgill, MD • Plastic Surgery Stephanie A. Caterson, MD • Plastic Surgery Charles K. Ozaki, MD • Vascular Surgery Steven Lee Chang, MD • Urology Bohdan Pomahac, MD • Plastic Surgery Yoon Sun Chun, MD • Plastic Surgery Chandrajit P. Raut, MD • Surgery Yolonda L. Colson, MD • Thoracic & Cardiac Surgery Esther Rhei, MD • Surgery Christian H. Corwin, MD • Colon & Rectal Surgery Christian E. Sampson, MD • Hand Surgery Gerard M. Doherty, MD • Surgery Jo Shapiro, MD • Otolaryngology Christopher Ducko, MD • Thoracic & Cardiac Surgery Scott A. Shikora, MD • Surgery Margaret M. Duggan, MD • Surgery Douglas Smink, MD • Surgery Atul A. Gawande, MD • Surgery Graeme S. Steele, MD • Urology Joel E. Goldberg, MD • Colon & Rectal Surgery Scott J. Swanson, MD • Thoracic & Cardiac Surgery Mehra Golshan, MD • Surgery Simon G. Talbot, MD • Plastic Surgery Charles A. Hergrueter, MD • Plastic Surgery Ashley H. Vernon, MD • Surgery Pardon R. Kenney, MD • Surgery Jon O. Wee, MD • Thoracic & Cardiac Surgery Adam S. Kibel, MD • Urology Daniel C. Wiener, MD • Thoracic & Cardiac Surgery Tari A. King, MD • Surgery 36 BWH DOS

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

A Tribute to the Magnificent Seven – BWH Surgical Residency Class Establishing an endowed scholarship to benefit current surgical residents Congratulations to Gillian Fell, MD, PhD, who is the inaugural Class of 1963 Scholar, based upon the impact of her research. The Class of 1963 Scholar will be chosen annually from among the general surgery residents in the year that they return from their laboratory experience to clinical training, based upon the accumulated impact of their published research over the previous five calendar years. At Brigham and Women’s Hospital (BWH), Pictured L-R, Steve Rosenberg, MD, Arnold Coran, MD, Robert Bartlett, MD, and Richard Hicks, MD we attract some of the brightest surgical trainees in the country and strive to provide scholarship will enable residents to attend Women’s Hospital. Once the scholarship them with exceptional training and learning and present at national conferences, such is fully funded, it will be endowed in opportunities. Many of our residents have as the American College of Surgeons (ACS) perpetuity. gone on to hold leadership positions at annual meeting, and expose them to hospitals and medical institutions across additional opportunities for professional This year Robert Bartlett, MD, delivered the United States and abroad and a young development. The Brigham is honored the Vineyard Lecture (named for the late group of surgical residency graduates in to name the scholarship fund after the Gordon Vineyard, MD). Dr. Bartlett was 1963 was no exception. The seven trainees, Surgical Residency Class of 1963 to joined for the inauguration of this honor by Robert Bartlett, MD; Arnold Coran, MD; recognize the generosity of its donors and some other members of the Magnificent Richard Hicks, MD; Stuart Howards, MD; celebrate the years the Magnificent Seven Seven intern class, including Steven Arvin Philippart, MD; Steve Rosenberg, MD, spent training and learning at Brigham and Rosenberg, MD, PhD, Arnold Coran, MD and PhD; and Gordon Vineyard, MD, went on Richard Hicks, MD. ª to lead prominent academic medical and research programs, introduce new surgical techniques to save and improve the lives of many, and pass on their mastery of surgery to countless medical students and surgical trainees. Medical education continues to be one of the Department of Surgery’s top priorities and a critical part of our ongoing mission to advance standards in surgical care. Every year we develop the skills of our residents by teaching them the latest surgical techniques and incorporating new and proven technologies that result in improved patient outcomes. This training is facilitated through time spent in the classroom, at the hospital and attending educational conferences. The Class of 1963 Scholarship fund is in the process of being fully funded. The 38 BWH DOS

Support the Work Leadership of the Department of Surgery Gerard M. Doherty, MD Moseley Professor of Surgery, Harvard Medical School Each year, thousands of people entrust Surgeon-in-Chief, Brigham Health & Dana-Farber Cancer Institute the Department of Surgery at Brigham Crowley Family Distinguished Chair, Department of Surgery, and Women’s Hospital to provide them Brigham and Women’s Hospital with excellent medical care. Many turn to us because of our long history of medical Francis D. Moore, Jr., MD firsts and reputation for attracting the Vice Chair, Department of Surgery, Brigham and Women’s Hospital finest surgical trainees and surgeons in the Francis D. Moore Professor of Surgery, Harvard Medical School country. One of the reasons we have been able to build such a strong program—and Ronald Bleday, MD to establish new standards of surgical Associate Chair for Quality and Patient Safety care—is because of philanthropic contributions from people like you. Zara Cooper, MD, MSc Associate Chair for Faculty Development Gifts from our alumni, patients and friends help us to train our staff in the Adil H. Haider, MD, MPH latest surgical techniques, to make Associate Chair of Research advances in surgery through research, and to achieve the best possible outcomes Tari A. King, MD for patients. When you make a gift to Associate Chair for Multidisciplinary Oncology the Department of Surgery, you enable our medical team to provide the most Malcolm K. Robinson, MD advanced care and make a difference for Associate Chair of Clinical Operations every patient and family member we see. Douglas S. Smink, MD, MPH For more information if you are Associate Chair of Education interested in making a gift to the Department of Surgery at Brigham Contact Us and Women's Hospital, or to a specific physician or scientist within the Department of Surgery Department, please contact Susan 75 Francis Street Andrews, Assistant Vice President, Tower 1 – Room 110 Development Office, at 617.424.4349 or Boston, MA 02115 [email protected]. ª [email protected] 617.732.8181 Brigham Surgery Alumni Follow Us twitter.com/bwhsurgery The BWH Surgery Alumni Group consists brighamandwomens.org/surgery of graduates of Brigham and Women’s Hospital surgery residency and fellowship programs and former Department of Surgery faculty members. If you would like to join the BWH Surgery Alumni Group and receive news and updates from the Department of Surgery, please visit: bwhsurgerynews.partners.org/alumni or email us at: [email protected]. ª stay in touch! BWH DOS 39

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