Surgical training at BWH and our affiliated teaching hospitals provides a potential daily inpatient population approximating 1,300. These combined hospital facilities allow each surgical trainee to obtain a large operative experience early in the training program and to develop independent responsibility in the pre- and post-operative care of a variety of surgical patients. Most residents upon completion of their chief resident year have performed between 1,000 and 1,200 major operations.
In our program, trainees are exposed to a wealth of neurosurgical pathology. Residents learn the fundamentals of surgical skills, the care of critically ill patients, and the principles of neurologic clinical evaluation, differential diagnosis and interpretation of neuro-imaging. These goals are facilitated by clinical rotations on ancillary services and in the various neurosurgery hospital and clinic services.
Med-Peds residents in the Harvard BWH/BCH Residency are fully integrated into each categorical residency and have access to all of the resources of both departments and all related institutions. Med-Peds residents are given the same supervision, responsibilities and opportunities as their colleagues in the categorical medicine and pediatric training programs. Though fully integrated into each of the departments, the residents also have a unique identity. The Med-Peds identity is supported with Med-Peds trained faculty, sponsored Med-Peds organized educational experiences for both categorical programs, an academic half day, social events, mentoring groups, combined clinical rotations, and continuity clinic experiences.
Current residents in the combined program rotate among five of Bostons finest teaching hospitals: the Beth Israel Deaconess Medical Center, Brigham and Womens Hospital, Childrens Hospital Boston, Massachusetts General Hospital, and the Shriners Burns Hospital, Boston. These teaching hospitals have over 2,400 cumulative inpatient beds. The diverse case mix covers the breadth of aesthetic surgery, breast, craniofacial reconstruction, cleft lip and palate, hand and upper extremity, lower extremity reconstruction, oncologic reconstruction of the head and neck, and the application of microsurgery in a number of these fields.
The BWH/HMS Psychiatry Residency Program provides extensive core clinical training at Brigham and Womens Hospital, with its leading medical psychiatry, neuropsychiatry and specialty psychiatry programs, and Brigham and Womens Faulkner Hospital, with its inpatient unit, partial hospital and full range of addiction programs.
Teaching in each clinical section occurs in one-on-one or small group sessions. We use the preview system in which the trainee interprets the images first and the findings are then reviewed with a staff radiologist. Our faculty is subspecialty trained, bringing out the fine points of image interpretation or procedural skills that will serve the trainee well in clinical practice.
Rotations during the clinical years provide exposure to all aspects of general urologic diagnosis and treatment and offer an unusually extensive experience in pediatric urology, endocrine and renovascular surgery, urologic oncology, endourology, ESWL, laparoscopy, impotence, infertility, and reconstructive urology.
The four-year training period is organized into ten or eleven rotations per year at our parent institutions, Brigham and Women's Hospital and Massachusetts General Hospital, and affiliated institutions including Newton Wellesley Hospital and Children's Hospital Boston. We also have the support of Harvard Medical School, and access to its many resources.
There is a different emphasis in each of the three years of training. During the first year (PGY-2 or NM1), the majority of the trainees time and energy is spent in managing patients who present to the emergency room or are admitted to the hospital with neurological disease. In the second (PGY-3 or NM2) year, residents obtain more exposure to outpatient subspecialty neurology, to neuropathology, child neurology, and have elective time to pursue their research or clinical interests. In the third (PGY-4 or NM3) year, there is even more elective time to help develop specific and clinical career interests (about 1/3 of the year). The remainder of the year is spent supervising the ward services, as well as participating in outpatient clinics, pediatric neurology (two months) and psychiatry (one month), and consultation rotations.
Our family medicine clinic (Cahaba Medical Care) is the sponsoring institution for the program. CMC is a Federally Qualified Health Center (FQHC) and the Alabama's only Teaching Health Center, which means it receives funding for providing care to uninsured patients while simultaneously housing a residency program. CMC has been a certified Patient Centered Medical Home since 2010. The program is located in a rural part of the state (Centreville, Alabama). Our primary teaching hospital is Bibb Medical Center, which is a 30 bed hospital located just a short walk from our family medicine clinic.