WELCOME TO OUR PROGRAM!!!
Tufts-NEMC/Brown Radiation Oncology
What we have to offer you:What we have to offer you:
Good collegial relationships between
faculty and residents
Non-mali...
What we have to offer you:What we have to offer you:
Highly supportive chairman & faculty
dedicated to resident education...
Typical Friday Schedule (inTypical Friday Schedule (in
Boston)Boston)
8:00 cancer grand rounds
9-10:00 journal club
10:...
The Residents, 2007
Where our residents go:Where our residents go:
Class of 2007: 1 private practice
Class of 2006: 1 academic
Class of 200...
Where our residents haveWhere our residents have
published in the recent pastpublished in the recent past
 Cancer
 Inter...
National Meetings where ourNational Meetings where our
residents have presented theirresidents have presented their
work, ...
PubMed Faculty CitationsPubMed Faculty Citations
(and counting…)(and counting…)
 Dr. David Wazer 113
 Dr. Mark Rivard 85...
Resident PublicationsResident Publications
1st
year- 1
2nd
year- 2
3rd
year- 4,4
4th
year- 5,6,4
Our Board ScoresOur Board Scores
 NEMC/ Brown residents consistently score in the
upper quartile in comparison to their p...
Our Hospitals:Our Hospitals:
 Tufts-NEMC Hospital and the Floating Hospital
for Children
 Rhode Island Hospital with Wom...
About Tufts-NEMCAbout Tufts-NEMC
 The oldest permanent medical facility in New
England, founded 1796 as Boston Dispensary...
Tufts-NEMC: Leader in CancerTufts-NEMC: Leader in Cancer
CareCare
 1968. Established as the first independent Department ...
Tufts-NEMC: Leader in CancerTufts-NEMC: Leader in Cancer
CareCare
 1999. Installed the only Gamma Knife in Massachusetts
...
Tufts-NEMC RadiotherapyTufts-NEMC Radiotherapy
Capabilities & EquipmentCapabilities & Equipment
 Leksell Gamma Knife
 2 ...
Tufts NEMC Radiation StaffTufts NEMC Radiation Staff
 4 full time physicists
 1 full time dosimetrist
 1 Chief Therapis...
Tufts-NEMCTufts-NEMC
Dedicated tumor boards for breast,
cutaneous, head and neck, CNS, lymphoma,
thoracic, GI, GYN
Multi...
Tufts Floating Hospital forTufts Floating Hospital for
ChildrenChildren
5 dedicated pediatric hematologist-
oncologists
...
Case loads at Tufts-Case loads at Tufts-
NEMC/BrownNEMC/Brown
80% of training programs have to send their
residents on aw...
About Rhode Island HospitalAbout Rhode Island Hospital
 719 bed acute care not for profit hospital founded
in 1863, affil...
RIH- A Leader in Cancer CareRIH- A Leader in Cancer Care 1992- Rhode Island Hospital is one of the first centers in the U...
Rhode Island Hospital RadiationRhode Island Hospital Radiation
Capabilities & EquipmentCapabilities & Equipment
 Leksell ...
RIH Radiation StaffRIH Radiation Staff
8 full time physicists (1 in gamma knife)
3 full time dosimetrists
2 Chief Thera...
RIHRIH
Specific multidisciplinary weekly tumor
boards for adult CNS, head and neck, GYN,
general peds, peds CNS, breast (...
Women and Infant’s HospitalWomen and Infant’s Hospital
Women & Infants Hospital of Rhode
Island is one of the nation’s le...
Women and Infant’s HospitalWomen and Infant’s Hospital
 Women & Infants houses:
137 Adult beds
60 Neonatal Intensive Care...
WIHWIH
 The Program in Women’s Oncology at Women & Infants
Hospital is the state’s largest focused cancer
program dedicat...
Hasbro Children’s HospitalHasbro Children’s Hospital
7 pediatric hem oncs
4 pediatric surgeons
Our lab is focused on understanding the various aspects of
normal and carcinogenic breast development, with the
emphasis o...
•Department Laboratory Animal Maintenance
•Fluorescent, Confocal, and Dissecting Microscopes with Digital
Imaging in the L...
Lab FacilitiesLab Facilities
 We have an excellent animal facility that cares for our
laboratory animals. You must check ...
MORI, has 17 faculty members currently and occupies a space of more
than 31,000 square feet in the 75 Kneeland Street rese...
About Providence the cityAbout Providence the city
 Providence is New England’s second largest city, with a population of...
Boston the CityBoston the City
So you commute to Providence?So you commute to Providence?
 Residency program sponsors a furnished 3
bedroom 2nd
story re...
WELCOME TO OUR PROGRAM!!! Tufts-NEMC/Brown Radiation Oncology
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WELCOME TO OUR PROGRAM!!! Tufts-NEMC/Brown Radiation Oncology

  1. 1. WELCOME TO OUR PROGRAM!!! Tufts-NEMC/Brown Radiation Oncology
  2. 2. What we have to offer you:What we have to offer you: Good collegial relationships between faculty and residents Non-malignant, cooperative atmosphere Supportive group of co-residents Bountiful opportunities for research Extensive electronic resources for board preparation and learning
  3. 3. What we have to offer you:What we have to offer you: Highly supportive chairman & faculty dedicated to resident education Friday is a PROTECTED ACADEMIC DAY dedicated to all day lecture and without clinical responsibility Richard Miller (radbio) & Allan Caggiano (physics) give board prep class to just us on an alternating basis
  4. 4. Typical Friday Schedule (inTypical Friday Schedule (in Boston)Boston) 8:00 cancer grand rounds 9-10:00 journal club 10:00-11:45 clinical teaching 12:00 departmental noon lecture 1:00-2:00 physics 2:00-3:00 radiation biology 3:00-5:00 independent research/study
  5. 5. The Residents, 2007
  6. 6. Where our residents go:Where our residents go: Class of 2007: 1 private practice Class of 2006: 1 academic Class of 2005: 1 academic, 1 private practice Class of 2004: 1 academic, 2 private practice
  7. 7. Where our residents haveWhere our residents have published in the recent pastpublished in the recent past  Cancer  International Journal of Radiation Oncology Biology Physics  American Journal of Clinical Oncology  Brachytherapy  Urology  Technology in Cancer Research and Treatment  Urological Oncology  Nature  Immunology  Molecular Microbiology  Journal of Bacteriology
  8. 8. National Meetings where ourNational Meetings where our residents have presented theirresidents have presented their work, both oral and posterwork, both oral and poster  American Society of Therapeutic Radiation and Oncology (3/7 residents in program now have had orals, 7/7 have had posters)  American College of Radiation Oncology  American Medical Association  American Brachytherapy Society (2 orals in past 2 years, including 1 plenary session)  World Conference of Interventional Oncology  Society of Surgical Oncology  American Urological Association
  9. 9. PubMed Faculty CitationsPubMed Faculty Citations (and counting…)(and counting…)  Dr. David Wazer 113  Dr. Mark Rivard 85  Dr. Tom Dipetrillo 44  Dr. Brigid O’Connor 26  Dr. Gene Cardarelli 11  Jessica Hiatt, M.S. 3  Dr. Chris Melhus 5  Dr. John Mignano 3  Dr. Jody Morr 3  Dr. Stephanie MacAusland 1  Dr. Mohammed Puthawala 1
  10. 10. Resident PublicationsResident Publications 1st year- 1 2nd year- 2 3rd year- 4,4 4th year- 5,6,4
  11. 11. Our Board ScoresOur Board Scores  NEMC/ Brown residents consistently score in the upper quartile in comparison to their peers.  Our oral board pass rate on first try: one oral board failure in 10 years  Rank on RRC ranking report 10/74  We do take the in-service on a yearly basis, which is for our benefit, not for evaluation by faculty
  12. 12. Our Hospitals:Our Hospitals:  Tufts-NEMC Hospital and the Floating Hospital for Children  Rhode Island Hospital with Women and Infant’s hospital and Hasbro Children’s Hospital  Clinical rotations are in 3 months blocks between these 2 centers, time will be split anywhere from 70/30 to 50/50 to 30/70 depending on the schedule and what clinical areas need attention from your case logs
  13. 13. About Tufts-NEMCAbout Tufts-NEMC  The oldest permanent medical facility in New England, founded 1796 as Boston Dispensary  451 inpatient beds – 210 - medical/surgical – 46 - adult intensive care – 66 - pediatric (including 12 pediatric psychiatric beds) – 62 - pediatric and neonatal intensive care – 23 - post-partum – 20 - adult psychiatric – 24 - bassinets  Tufts-NEMC is adjacent to the city’s Theater District and Chinatown
  14. 14. Tufts-NEMC: Leader in CancerTufts-NEMC: Leader in Cancer CareCare  1968. Established as the first independent Department of Radiation Oncology in Boston and we were one of the earliest academic centers in the country.  1968. Installed the first Betatron Treatment machine in Boston - at that time the most powerful high-energy accelerator for treating cancer available in the city.  1992. One of the earliest hospitals in Boston to develop a linear accelerator incorporating a radiosurgery system for treating brain tumors.  1992. One of the earliest hospital in Boston to routinely use computerized three-dimensional treatment planning to more accurately deliver radiation to tumors.  1995. One of the first six centers in the world to install intensity modulated radiotherapy (IMRT) equipment and to develop many of the techniques for cancer treatment that are used today worldwide. IMRT is regarded as one of the most important treatment innovations in radiotherapy in the past 35 years.
  15. 15. Tufts-NEMC: Leader in CancerTufts-NEMC: Leader in Cancer CareCare  1999. Installed the only Gamma Knife in Massachusetts for brain tumor radiosurgery.  2002. Installed the first MammoSite device in Boston for accelerated breast conservation radiotherapy.  2007. Installed BSD 500 Hyperthermia Treatment unit  2007. Installed the first AccuBoost breast brachytherapy system in Massachusetts for minimally-invasive image- guided conformal radiation therapy.  2007. Installed the first Elekta Axesse linear accelerator in the world, for image-guided radiation therapy (IGRT). This system provides advanced tumor localization and targeting for sterotactic body radiation therapy (SBRT) for virtually any anatomic site.  2009. Plan for Proton Treatment Center to open. Install Still River System Monarch250
  16. 16. Tufts-NEMC RadiotherapyTufts-NEMC Radiotherapy Capabilities & EquipmentCapabilities & Equipment  Leksell Gamma Knife  2 Linac’s: Elekta Axesse (fully IGRT, SBRT capable) & Varian 2100  Orthovoltage unit  Accuboost  HDR Brachytherapy  Ocular plaques for Choroidal Melanoma, Cs-131 and I-125  Hyperthermia  Total Skin Electron Therapy, Total Body Irradiation  APBI via Mammosite or 3DCRT External Beam  Lung wedge resection with LDR brachytherapy
  17. 17. Tufts NEMC Radiation StaffTufts NEMC Radiation Staff  4 full time physicists  1 full time dosimetrist  1 Chief Therapist, 5 full time therapists, 1 part time therapist  2.5 full time nurses  3 part time attendings (DEW, TD, and JM), 1 full time attending, and 1 full time attending to be hired this season, start 7/08  We treat 40-45 patients per day on 2 linacs
  18. 18. Tufts-NEMCTufts-NEMC Dedicated tumor boards for breast, cutaneous, head and neck, CNS, lymphoma, thoracic, GI, GYN Multidiscliplinary clinics for breast and CNS Very active peds program in association with Floating Hospital for Children
  19. 19. Tufts Floating Hospital forTufts Floating Hospital for ChildrenChildren 5 dedicated pediatric hematologist- oncologists 2 pediatric surgeons, 1 pediatric urologist, 3 pediatric orthopedists
  20. 20. Case loads at Tufts-Case loads at Tufts- NEMC/BrownNEMC/Brown 80% of training programs have to send their residents on away rotations to fulfill peds requirements (12 cases) We fulfill all peds case requirements easily without need to go anywhere else. Brachytherapy numbers consistently high
  21. 21. About Rhode Island HospitalAbout Rhode Island Hospital  719 bed acute care not for profit hospital founded in 1863, affiliated with Brown Medical school  Mission: The mission of Rhode Island Hospital is to be at the forefront of patient care by creating, applying and sharing the most advanced knowledge in health care.  The hospital admits more than 30,000 patients yearly and its surgeons perform approximately 10,500 inpatient operations and more than 14,400 outpatient procedures yearly
  22. 22. RIH- A Leader in Cancer CareRIH- A Leader in Cancer Care 1992- Rhode Island Hospital is one of the first centers in the United States and one of two in New England to offer Gamma Knife radiosurgery.  2000- Rhode Island Hospital becomes the third site in New England to offer intensity modulated radiation therapy (IMRT) for cancer treatment.  2002- Rhode island Hospital was first state in new england to offer Mammosite  2003- Rhode Island Hospital performs a first-of-its-kind combination of treatment for recurring lung cancer by combining High Dose Rate brachytherapy with radiofrequency ablation.  2004- Rhode Island Hospital is the first in the country to use new microwave ablation technology to treat cancer and led the national clinical trial of the new technology.  2005- Rhode Island Hospital becomes the first in New England to offer the newest image—guided radiation technology for cancer treatment, the Trilogy stereotactic system.  2007- Rhode Island Hospital is one of only nine sites in the country to begin offering Xoft electronic brachytherapy, a cutting edge technology that delivers localized, non—radioactive radiation treatment directly to cancer sites.
  23. 23. Rhode Island Hospital RadiationRhode Island Hospital Radiation Capabilities & EquipmentCapabilities & Equipment  Leksell Gamma Knife  Certificate of Need Under Review for Cyberknife  Varian Trilogy with full IGRT/SBRT capabilities  2 additional linacs, both Varian 2100CD. Non- MLC unit to be upgraded this year to Elekta Synergy versus Varian 2100 EX  New CT Sim early 2008, Phillips multi-slice large bore (16 slice) with bellows and gating capability to replace existing CT sim  Superficial Hyperthermia with BSD 500 unit  Xoft electronic brachytherapy  3D CRT APBI, MammoSite, and prone breast
  24. 24. RIH Radiation StaffRIH Radiation Staff 8 full time physicists (1 in gamma knife) 3 full time dosimetrists 2 Chief Therapists, 11 therapists 5 full time nurses 4 full time attendings, 1 part-time attending (DEW) We treat 90-110 patients per day on 3 linacs
  25. 25. RIHRIH Specific multidisciplinary weekly tumor boards for adult CNS, head and neck, GYN, general peds, peds CNS, breast (2 separate tumor boards- WIH, RIH), thoracic, GI. Multidisciplinary clinics for breast
  26. 26. Women and Infant’s HospitalWomen and Infant’s Hospital Women & Infants Hospital of Rhode Island is one of the nation’s leading specialty hospitals for women The primary teaching affiliate of Brown Medical School for obstetrics, gynecology and newborn pediatrics
  27. 27. Women and Infant’s HospitalWomen and Infant’s Hospital  Women & Infants houses: 137 Adult beds 60 Neonatal Intensive Care beds 60 Newborn bassinets 10 Operating rooms  In 2005, saw 90,000 patients  Women & Infants Hospital has dedicated gyn onc fellows, breast health fellows, dedicated breast surgeons  The site of an active general and gynecological surgical program with more than 8,800 procedures performed last year.
  28. 28. WIHWIH  The Program in Women’s Oncology at Women & Infants Hospital is the state’s largest focused cancer program dedicated to women. Program includes a prospective, multidisciplinary tumor board process.  The Program in Women’s Oncology offers a comprehensive Cancer Risk Assessment and Prevention program accredited by the American College of Surgeons.  Women & Infants’ Program in Women’s Oncology is a full member in the National Cancer Institute’s Gynecologic Oncology Group (GOG), The program is also a Teaching Hospital Cancer Program as approved by the American College of Surgeons Commission on Cancer.  2006, Women & Infants began offering intraperitoneal (IP) chemotherapy treatment for women with advanced ovarian cancer.
  29. 29. Hasbro Children’s HospitalHasbro Children’s Hospital 7 pediatric hem oncs 4 pediatric surgeons
  30. 30. Our lab is focused on understanding the various aspects of normal and carcinogenic breast development, with the emphasis on stromal-epithelial interactions involved during progression and metastasis. Mike Chan has been studying the role of estrogen in the mobilization of endothelial progenitor cells from the bone marrow. Katie Huber is investigating the effect of radiation on the tumorigenic subpopulation of breast cancer cells commonly referred to as breast cancer stem cells. Kuperwasser LabKuperwasser Lab
  31. 31. •Department Laboratory Animal Maintenance •Fluorescent, Confocal, and Dissecting Microscopes with Digital Imaging in the Lab and an Electron Microscopy Core Facility •Histology Core Facility •DNA/Protein Core Facility •Flow Cytometry Facility •PCR, RT-quantitative PCR, Fluorescence Luminometer, 2 fully equipped tissue culture rooms, and a well-funded lab with lots of friendly, knowledgeable lab-mates. Lab ResourcesLab Resources
  32. 32. Lab FacilitiesLab Facilities  We have an excellent animal facility that cares for our laboratory animals. You must check on them weekly at a minimum and they must be able to contact you in case of an emergency, but otherwise they are completely cared for.  In the lab we have three beautiful microscopes with digital imaging for data analysis and storage. There is also an electron microscopy core facility at Tufts.  Other time saving, high quality core facilities are available for histology, DNA sequencing, making PCR primers, performing proteomic and microarray analyses, and flow cytometry. The Cytometry center has machines for 4 and 16 color sorting and analysis. Mike also works with a home-made system that does in vivo cytometry.
  33. 33. MORI, has 17 faculty members currently and occupies a space of more than 31,000 square feet in the 75 Kneeland Street research building. Its mission is to explore the molecular mechanisms of neoplastic transformation and to promote the translation of basic research findings into the clinic.
  34. 34. About Providence the cityAbout Providence the city  Providence is New England’s second largest city, with a population of approximately 160,000. As the state capital, it is the hub of the state’s business, governmental and cultural activities.  The city is home of the Museum of Art at the Rhode Island School of Design, the Tony Award-winning Trinity Repertory Theater Company, the Rhode Island Philharmonic Orchestra, Roger Williams Park Zoo, and the many educational and social activities of Brown University.  Providence is located within easy driving distance of nearly every Rhode Island suburb.  Boston is a one-hour drive to the north and New York City is approximately three and a half hours to the south.  Cape Cod, Martha’s Vineyard, Nantucket and the major ski areas of New Hampshire and Vermont are all within a few hours of Providence.  Federal Hill restaurants rival Boston’s North End for quality Italian!!
  35. 35. Boston the CityBoston the City
  36. 36. So you commute to Providence?So you commute to Providence?  Residency program sponsors a furnished 3 bedroom 2nd story resident apartment with 3 miles of RIH to make commuting easier  Commute takes 50 minutes from downtown Boston  Option available to live in Providence as well  If you are couples matching, your other half could consider ranking Providence hospitals

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