Medical College of Georgia, Exercises of Surgical Pathology

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Medical College of Georgia

Graduate Medical Education Programs

Graduate Medical Education Office

School of MEdicinE

The Medical College of Georgia is the state’s health sciences univer- sity with a tripartite mission of education, research and patient care. The university has a long, often glorious history that began when it was founded in 1828 as the Medical Academy of Georgia with seven students and a one- year course of lecture. It continues today with nearly 2,000 students in five schools, including medicine, dentistry, graduate studies, allied health sciences and nursing, as well as about 450 residents and fel- lows in medicine and dentistry and nearly 90 postdoctoral fellows. The 110-acre campus is a micro- cosm of teaching and learning. The

School of Medicine, with a class size of 180 students, is one of the larg- est schools in the southeast; the School of Dentistry, with a class size of 56, is the only dental school in Georgia. Ninety-two percent of all MCG stu- dents are Georgia residents, many of whom will remain in Georgia and so help meet the health care needs

of the expansive state. However there are graduates from MCG liv- ing and practicing in literally every state in the country and more than 20 foreign countries as well.

The Medical College of Georgia Hospital and Clinics and the Children’s Medical Center are the primary teaching hospitals for MCG. The Department of Veterans Affairs has a medical and a psy- chiatric facility in Augusta where many of the faculty have joint appointments and where a great deal of education and research also

occur. University Hospital, a large community hospital just down the block, is a key component of the strong network of hospitals, physi- cians and other health care profes- sionals across the state that support the clinical aspects of teaching. Teaching is the number one prior- ity of the university which is always finessing its curriculum to best meet the educational needs of the dynamic health sciences profession. Recent innovations include exten- sive incorporation of clinical experi- ence and small-group discussions into a medical student’s first year and sending residents to Blue Cross and Blue Shield of Georgia offices to learn firsthand about managed care. Virtual simulation is helping nurs- ing anesthetists and dental students learn their chosen profession. A Web- based training program is helping students, as well as faculty and staff, hone their skills in the legal and ethi- cal aspects of clinical research.

The Medical college of Georgia

The Medical College of Georgia Hospital and Clinics and

the Children’s Medical Center are the primary teaching

hospitals for MCG.

Augusta, the second-largest city in Georgia, is located on the south bank of the Savannah River mid- way between the Great Smokey Mountains and the Atlantic Ocean. It is a growing and thriving city with a metropolitan-area population of around 400,000, and recently ranked the second most favorable place to live in Georgia. The area is known for its balmy climate, with an annual mean temperature of 64 degrees.

Founded in 1836 by General James E. Oglethorpe, Augusta is Georgia’s second-oldest city. Oglethorpe named the city for Princess Augusta, wife of the Prince of Wales. Augusta was Georgia’s capital in 1778 and from 1785 to 1795.

The city offers a wide array of cul- tural and recreational activities. Augusta has a world-class riverwalk, the site of many activities including the Augusta Invitation Regatta (a national collegiate rowing event) and the Augusta Southern Nationals, dubbed the World’s Richest Drag Boat Race. The city also is a short drive from the huge Lake Thurmond Reservoir. Outdoor activities such as water-skiing, swimming, boating and camping abound.

Kid-friendly sites include the Funsville Amusement Park, and Augusta Ice Forum, an ice-skating rink. Attractions that promise both fun and enlightenment include the National Science Center’s Fort Discovery, the Morris Museum of Art, the Georgia Golf Hall of Fame, the Lucy Craft Laney Museum of Black History, and Museum and the Augusta Museum of History. Augusta has many associations dedicated to the performing and visual arts, including the Fort Gordon Dinner Theater; Augusta Opera Association, the only resi- dent opera company in Georgia; the Augusta Ballet, an Honor Company nationally known for its high-qual- ity performances; the Augusta Players, bringing first-rate plays to Augusta; The Augusta Children’s Theatre; The Augusta Symphony; and the Augusta Art Association. The Medical College of Georgia, Augusta State University and Paine College often bring prestigious films, speakers and special events to the city. The Augusta-Richmond County Civic Center seats 8,658 in the grand arena for concerts, sporting events and a wide variety of other enter- tainment and convention activities. Bell Auditorium seats 2,690 and features smaller concerts, plays and stage shows. Augusta offers exceptional shop- ping and features a downtown art and antiques district. The area’s hundreds of restaurants range from fine to casual dining, featur- ing everything from ethnic special- ties to burgers.

Augusta is within an easy three-hour drive of Atlanta, the University of Georgia, the Atlantic Ocean and the mountains. The sporting life is ubiquitous throughout Augusta, whether you consider yourself an athlete or spectator. The city is home to pro- fessional baseball and ice hockey teams. The city annually hosts the Augusta Futurity, the largest cut- ting-horse futurity in the eastern United States. Nearby communi- ties’ host polo tournaments and other equestrian events. Did we mention golf? Augusta is world-renowned as the home of the Masters Golf Tournament. The tournament coincides with the full bloom of thousands of brightly col- ored azaleas, dogwoods and other beautiful foliage. And if your invita- tion to play in the Masters gets lost in the mail, Augusta has 11 other golf courses nearby. Augusta is a leading health care cen- ter of the Southeast and has a rapidly developing and diversified industrial base. The area’s nine hospitals serve the Southeast and beyond.

auGuSTa and ViciniTy

The Augusta VA Medical Center (VAMC) proudly offers quality health care to our nation’s veter- ans. The Augusta VAMC primary service area includes 17 counties in Georgia and seven counties in South Carolina; but as a member of the VA Southeast Network (VISN7), veterans who live as far away as Alabama may be cared for in the Augusta VAMC. Eight VA medical centers in the Southeast comprise the VA Southeast Network (VISN7): Georgia–Atlanta, Augusta, Dublin; South Carolina–Charleston and Columbia; Alabama–Birmingham, Tuscaloosa, and the Central Alabama Veterans Health Care System (CAVHCS), with campuses in Montgomery (West Campus) and Tuskegee (East Campus).

The Augusta VAMC is a two-division medical center which provides ter- tiary care in medicine, surgery, neu- rology, psychiatry, rehabilitation medicine, and spinal cord injury. The Downtown Division adjacent to the Medical College of Georgia has 155 beds (58 medicine, 37 sur- gery, and 60 spinal cord injury). The Uptown Division, approxi- mately three miles from MCG on Wrightsboro Road, has 93 beds ( psychiatry, 15 blind rehabilitation, and 10 rehabilitation medicine). In addition, a 132 bed Restorative/ Nursing Home Care Unit and a 60- bed Domiciliary are located at the Uptown Division. The Augusta VAMC serves as a network resource for the treatment of spinal cord injury, post traumatic stress disor- der, and psychiatry patients.

The Augusta VAMC prides itself on continually improving and expand- ing its health care knowledge. The VAMC fully supports, as part of its mission, graduate medical educa- tion. The use of the Augusta VAMC as a training site for Medical College of Georgia residents has a long his- tory, and the affiliation between the Augusta VAMC and MCG may be one of the older ones in the entire VA system. The Augusta VAMC’s par- ticipation in this affiliation not only helps fulfill an education mission but also contributes to a high level of care provided to veteran patients. Medical residents are involved in nearly every aspect and phase of the care of medical and dental patients offered at the Augusta VAMC.

WalTon REhabiliTaTion

hoSPiTal

1355 Independence Drive Augusta, GA 30901 (706) 724- www.wrh.org

Walton Rehabilitation Hospital, a cornerstone of the Walton Rehabilitation Health System, is a 58 bed, not-for-profit rehabilita- tion hospital located in downtown Augusta, Georgia. The hospital offers adult and pediatric inpatient and outpatient programs for per- sons recovering from stroke, head injuries, spinal injuries, orthopedic injuries, chronic pain and other dis- abling illnesses and injuries. Walton Rehabilitation Health System includes Walton Community Services, Walton Pain and Headache Centers, Wellness programs, Behavioral Services, Walton Options for Independent Living, Walton Foundation for Independence, and Walton Technologies.

dEPaRTMEnT of VETERanS affaiRS MEdical cEnTER

1 Freedom Way Augusta, GA 30904- (706) 733-

anESThESioloGy

Thomas Fuhrman, M.D. Professor Residency Program Director

Phone: (706) 721- Length: 3 or 4 years Accepted: 9/year NRMP Match : Yes

Two plans are available for post- graduate study.

PLAN 1: A four-year continuum to which the candidate is admit- ted directly after receiving the M.D. degree. During the four years of study, the first 12 months are devoted to broad clinical training to provide a clinical base. The clini- cal base year includes two months of intensive care unit (ICU), four months of medicine, four months of medicine or surgical electives, one month of, otolaryngology and anesthesia. Three years are then spent in clinical anesthesia train- ing. The clinical anesthesia curricu- lum consists of basic subspecialty and advanced anesthesia training.

PLAN 2: Three years of clinical anesthesia for a candidate who has already completed a minimum of 12 months of postgraduate study. This may be a transitional year internship or straight internship accepted by the American Board of Anesthesiology. Clinical anesthesia training is devoted to the actual

practice of anesthesiology, which includes the management of anes- thesia for all types of surgical, gyne- cological and obstetrical patients. Further training includes pre-anes- thetic evaluation of the patient, post-anesthetic follow-up, care of patients in PACU and intensive-care units under direction of anesthesia faculty. Diagnostic and therapeu- tic regional blocks, management of cardiorespiratory and respira- tory resuscitation and respiratory therapy are also an intergral part of the residency. Residency training is conducted in MCG Hospital with the Children’s Medical Center. Weekly conferences consist of Grand Rounds, with many inter- nationally recognized speakers, morning conferences with mock orals, key words and test questions and afternoon conferences covering basic sciences and special anesthesi- ology topics. There are also monthly Continuing Quality Improvement conferences and journal club con- ferences. Residents must participate in the annual ABA/ASA in-training examination each year and in the Anesthesia Knowledge Tests (AKT). The program is approved by the Council on Medical Education of the American Medical Association. Graduate teaching is limited to the residency program, but residents from other services may affiliate by appointment. Undergraduate teaching for second- and fourth- year students is integrated with the MCG School of Medicine curricu- lum and conducted by the anesthe- siology staff. Residents at all levels are involved in medical student edu- cation. The fourth year, in concert with recommendations from the American Board of Anesthesiology,

provides advanced anesthesiology experience. It is designed to encour- age the postgraduate resident to further develop independent learn- ing skills and offers the opportu- nity to plan and initiate anesthesia care of the complex patient. Subspecialty training should be deferred to the fellowship year beyond this fourth year. The fourth-year resident will also com- plete an academic assignment. This assignment may be a presentation, publication, or special training assignment. The program also has the resources to support a research track in the fourth year for six months of basic science research. All residents spend six months in complex clinical anesthesia. All CA- 3 resident schedules are subject to approval by the program director. Call frequency averages 6 per month during clinical anesthesia training. Facilities for the fourth year include: (1) An active pediatric practice which includes anesthesia care of the premature and new- born, as well as children undergo- ing orthopedic, ENT, cardiac and neurosurgical procedures in MCG’s Children’s Medical Center. (2) Care of obstetrical patients in a facil- ity involved in high-risk care and in vitro fertilization. (3) A cardio- vascular service offering pediatric and adult cardiopulmonary bypass and vascular procedures at MCG Hospital and the Children’s Medical Center. (4) Neurosurgical anesthe- sia, includes involvement in care of patients for spinal procedures with evoked potential monitoring and in all types of craniotomies both asleep and awake. Endovascular procedures are also performed.

(5) Ambulatory anesthesia care emphasizing regional anesthesia techniques and fast-track anes- thesia. (6) Critical care of patients admitted to the Surgical ICU and the Cardiac ICU both under the direction of Anesthesia Faculty. (7) Comprehensive acute and chronic pain center performing nerve blocks, spinal cord stimulator place- ments and infusion pump implants and Radiofrequency ablations.

All residents participate in the call schedule. This consists of general OR call and some specialty call from home. While on call, the resi- dent takes major responsibility for anesthesia care throughout MCG Hospital.

Further information concerning individual subspecialty rotations is available upon request or by visiting our Web site: www.mcg. edu/som/anes/

Pain MEdicinE

fElloWShiP

William Hammonds, M.D. Professor Program Director Phone: (706) 721- Length: 1 year Accepted: 3/year Match: No The pain medicine fellowship is a one-year program including rota- tions on the acute and chronic pain services. The Pain Medicine program includes experience or exposure to non-pharmacologic, pharma- cologic and invasive modalities for pain control. Off-service rota- tions in Neurology, Neurosurgery, Oncology, and Neuro-radiology can be arranged with faculty approval. The patient population includes adult and pediatric patients with acute pain, cancer and non-malig- nant chronic pain problems.

dEnTiSTRy

James T. Barenie, D.D.S., M.S. Associate Dean for Academic Affairs and Advanced Education General Information The School of Dentistry offers eight advanced education programs:

• Advanced Education in General Dentistry
• General Practice
• Endodontics
• Oral and Maxillofacial Surgery
• Orthodontics
• Pediatric Dentistry
• Periodontics
• Prosthodontics The Medical College of Georgia does not offer a two-year Advanced Standing program for dentists with a dental degree from outside the United States.

ogy, Mohs micrographic surgery and laser surgery. Outpatients are seen in the Dermatology Practice Site in the Ambulatory Care Center as well as the Veterans Affairs Medical Center. Inpatients are seen at MCG Hospital and Clinics and the VAMC.

The training program is graduated with increased responsibility in the care of patients throughout the pro- gram. Regular weekly conferences include morphology, book review, basic science lectures, journal clubs, dermatopathology, and a monthly Grand Rounds conference. To develop the critical capacity neces- sary to evaluate advances in derma- tology, residents must complete a manuscript suitable for publication each year during their three-year training period and prepare presen- tations for regional and national meetings. Residents also play an active role in teaching students and residents from other sections.

EMERGEncy MEdicinE

Richard Schwartz, M.D., F.A.C.E.P., F.A.A.E.M Associate Professor and Chair Larry B. Mellick, M.S., M.D., F.A.A.P., F.A.C.E.P. Professor of Emergency Medicine and Pediatrics Residency Program Director Bradford Reynolds, M.D., F.A.C.E.P. Assistant Professor Assistant Residency Program Director Stephen Shiver, M.D. Assistant Professor Assistant Residency Program Director Rebecca Lambert, M.S. Residency Program Coordinator Phone: (706) 721- Length: 3 years (P GY 1-3) Accepted: 9/year NRMP Match: Yes The Emergency Medicine residency began in 1989. In 1996 the section of

Emergency Medicine assumed full departmental status and now has 21 full-time faculty. The program has full accreditation and currently accepts nine residents per year. It is a three-year program starting at the PGY-I level. The department offers experiences in Emergency Ultrasound, EMS, International Medicine, Disaster Medicine, Event Medicine, Tactical Medicine, ED Administration, Observation Medicine and Wilderness Medicine. Both faculty and residents have significantly participated in each of these areas. Research in the department reflects this focus. There are eleven hours per week of protected didactic instruction. Lectures are provided primarily from EM faculty with significant interdepartmental instruction, including combined journal clubs. The general ED and pediatric ED are contiguous with a combined patient volume of over 75, annual visits. In addition to the EMS experience gained in the ED, our department has a LifeNet air ambulance for resident staffing of aeromedical transports and scene response. The department of Emergency Medicine also offers fellowships in Pediatric Emergency Medicine, Emergency Ultrasound and International Medicine. For further information about the Emergency Medicine Residency or fellowships, please visit our website at www.mcg.edu/ems/residency/ or contact the Medical College of Georgia Emergency Medicine Program at EMresidency@mcg.edu.

faMily MEdicinE

Joseph Hobbs, M.D. Professor and Chairman

Paul D. Forney, M.D. Associate Professor Vice-Chairman Program Director

Phone: (706) 721- Length: 36 months Accepted: 8/year NRMP Match: Yes D.O. Match: Yes

The Family Medicine Residency Program was established in 1973 and is fully accredited by the Accreditation Council for Graduate Medical Education and the American Osteopathic Association. The three-year program includes various clinical rotations, provid- ing the broad base of knowledge needed to practice family medicine.

In addition to the fully equipped Family Medicine Center where residents treat patients in conti- nuity, residents rotate through MCG Hospital and our affiliate, University Hospital. Three rural sat- ellite clinics are staffed entirely by our residents and faculty and pro- vide insight into the unique prob- lems encountered in rural health care. These patient resources, the Family Medicine Consult Services and the resources offered by MCG provide excellent resident training.

The program has 22 full-time faculty.

Electives include practice manage- ment, laboratory, procedures, as well as curriculum including sports medi- cine, women’s health, and geriatrics.

Procedural skills cover flexible sig- moidoscopy, colposcopy/LEEP, endometrial biopsy, flexible naso- laryngoscopy, pulmonary function studies, minor surgery/dermato- logical surgery, no-scalpel vasec- tomy, and EGDs. Opportunities for political involve- ment in Family Medicine are avail- able at local, state, and national levels. Opportunities for academic development and research are also available. Residents are involved in policy development and imple- mentation of programs regarding curriculum, recruiting, practice management, graduate medical education, and teaching. The program’s primary goal is to develop well-rounded physicians. The educational opportunities allow residents to reach their full poten- tial as clinicians, and extracurricu- lar activities encourage continued development as individuals--as par- ents, spouses, artists, athletes, etc. Each July is dedicated to helping

familiarize interns with their col- leagues and with basic knowledge and procedural skills they will need throughout their residency. The schedule encompasses electronic medical record training; clinics; simple skin biopsy and suture tech- niques; lectures in pharmacology, preventive health management, introduction to practice manage- ment, flexible sigmoidoscopy, video otoscopy and colposcopy, and a vari- ety of other topics. ACLS, BLS, and PALS certification is also offered during the first month (as well as before PGY-3), so interns enter the hospital in July feeling well-pre- pared to face the year ahead. Morning Report is held weekdays before center hours. The confer- ence includes discussion of patients admitted during the previous day and those seen after hours. Interesting clinical cases are often topics of conversation and learn- ing. All residents and faculty are encouraged to participate.

Sub-specialty Track The subspecialty track allows par- ticipation in desired subspecialty inpatient, outpatient, and consul- tative subspecialty experiences in the first two (2) years of residency to prepare the resident for appli- cation to competitive fellowship programs such as cardiology, gas- troenterology, nephrology, pul- monary/critical care, infectious disease, Rheumatology, endocri- nology, allergy-immunology, and hematology/oncology. Residents will initiate and participate in sub- specialty related scholastic and research activities in their desired subspecialty.

Hospitalist Track The Hospitalist track allows enhanced participation in inpa- tient care on general medicine. This is coupled with training in man- aged care administration, quality improvement, hospital epidemiol-

ogy, drug utilization review, medi- cal error prevention, and medical outcomes research. General Medicine Track The general medicine track prepares residents for a career as a general internist working primarily in an outpatient primary care of multi- specialty setting. Residents receive special training in practice organi- zation, psychosocial aspects of pri- mary care, communication skills, and small group leadership. Preliminary Medicine Internship This track is for medical graduates desiring strong internal medicine training prior to assuming a resi- dency in specialties such as neu- rology, dermatology, radiology, emergency medicine, psychiatry, otolaryngology, and others. This one-year internship is rich in inpa- tient general medicine, cardiology, nephrology, and critical care experi-

ence, establishing key competencies in care of very ill patients that will be of great value during a future career in other specialties. Internal Medicine Fellowships Two- or three-year fellowships are available and sponsored by the Department of Medicine in all sub- specialties of Internal Medicine. Each program is designed to pre- pare the graduate of an American or Canadian Categorical Internal Medicine Program for a career in a medicine subspecialty. Graduates practice the subspecialty in aca- demic, corporate, and private practice in a spectacularly wide range of locations and circum- stances. Fellowships are available in Allergy/Immunology, Cardiology, E n d o c r i n o l o g y / N u t r i t i o n , Gastroenterology, Hematology and Oncology, Pulmonary and Critical Care, Infectious Diseases, Nephrology, and Rheumatology. Fellows play a key role in the devel- opment and teaching of residents and students, as well as participate in section and cross- disciplinary research endeavors.

allergy-immunology

(Pediatrics and Medicine)

William K. Dolen, M.D. Professor of Pediatrics and Medicine Program Director Phone: (706) 721- Length: 2 years Accepted: Program Year 1: 2 Program Year 2: 2 NRMP Match: Yes, if internal funding is available

Mission The mission of the allergy-immunol- ogy fellowship program at MCG is to prepare specialists in allergy-immu- nology to provide excellent, expert medical care for patients of all ages with allergic and immunologic dis- eases, to be allergy-immunology con- sultants, clinician-educators, and to be lifelong learners staying abreast of developments in the field.

Prerequisites for application for fellowship training

• The applicant should have suc- cessfully completed a program in internal medicine or pediatrics (or medicine-pediatrics) accred- ited by the ACGME by the time of beginning fellowship training.
• The applicant must also meet MCG institutional requirements for resident eligibility.

The program

• This is a totally integrated Pediatric and Internal Medicine program, providing experience with patients of all ages through- out the entire fellowship.
• Fellows are expected to partici- pate in clinical and/or bench research projects, to make pre- sentations at state, regional and national meetings, and to prepare articles for publication in peer- reviewed journals and books.
• Within the section there has been major research emphasis on development of asthma in chil- dren, allergic fungal sinusitis, and allergen characterization. Fellows are also encouraged to develop their own interests and projects.

Duration and scope of education

• The length of the educational pro-

gram is 24 months of full-time edu- cation. This may be 24 consecutive months of education (which is the local norm), or (by special arrange- ment) time spread out over 36 months that includes a total of 24 months devoted to satisfying the program requirements. This latter option is for individuals interested in a career as a physician-scientist (generally, an extramurally funded medical school faculty member). It requires the securing of a fund- ing source for the extra 12 months of training, as well as specific approval by the MCG Graduate Medical Education (GME) com- mittee and the allergy-immunol- ogy Residency Review Committee (RRC).

• The program provides complete “cross-training” in the care of patients of all ages with specific competencies required in asthma, other allergic disorders, immuno- logic disorders, and immunodefi- ciency diseases in the care of both children and adults. In a given week, the fellow will see patients of all ages.
• In order to graduate from the program, fellows must demon- strate competencies in both chil- dren and adults with asthma, other allergic disorders, immu- nologic disorders, and immuno- deficiency diseases.
• Over the 24 months of training, the fellow will spend about 50% of time in direct patient care activi- ties (outpatient and inpatient care, clinical case conferences, record reviews), 25% of time in scholarly activities (including research), and 25% of time in other educational activities. The

program has a substantial indi- vidual educational commitment, in preparation for life-long post- graduate learning.

• Electives are available in labora- tory immunology, dermatology, rhinology (ENT), infectious dis- ease (adult, pediatric or a com- bination), pulmonary medicine (adult, pediatric or a combina- tion), and rheumatology (adult, pediatric or a combination). Other electives can be developed as the need arises.

Med-cardiology

Vincent J.B. Robinson, MBBS, FRCP(C), FACC Professor of Medicine Professor of Radiology Co-Director, Nuclear Cardiology Director, Cardiology Fellowship Training Program Phone: (706) 721- Length: 36 months Accepted: 4/year NRMP Match: Yes The Section of Cardiology provides primary cardiovascular care for patients with common cardiac and vascular disorders as well as second- ary and tertiary care for patients with more complex problems. Residents may rotate on the consultation ser- vices and cardiac care units at MCG and the VA Medical Center. Clinical laboratories support the evaluation and management of all cardiac patients: cardiac ultra- sound (including special echo procedures); long-term (Holter) monitor recording; ambulatory blood pressure recording; exercise stress testing; nuclear cardiology studies (thallium stress and dipyri-

tion of Gastroenterology ensures exposure to patients with a wide spectrum of gastroenterologic and liver problems and provides a broad experience in hepatology, gastro- intestinal endoscopy and nutri- tion. This training occurs at both the Medical College of Georgia and the adjacent Augusta Veterans Administration Medical Center.

The three year program includes rotations in ambulatory and inpa- tient gastroenterology and includes experience in nutrition and all aspects of gastrointestinal endos- copy, including ERCP and EUS in addition to optional rotations in pathology, radiology or pediatric GI services. Clinical research activ- ity includes outcomes centered investigation and drug therapy tri- als. Opportunities for laboratory investigation are provided through collaboration with the Institute of Molecular Medicine and Genetics.

Med-hematology/

oncology

Abdullah Kutlar, M.D. Professor and Program Director

Phone: (706) 721- Length: 2 Years Hematology or Oncology OR 3 Years Hematology/ Medical Oncology Accepted: 2/Year NRMP Match: Yes

The Section of Hematology/Oncology offers a three-year combined training program in hematology and medi- cal oncology. The section currently has 15 faculty members (10 full-time clinical, 3 part-time clinical, 2 full-

time research) and is approved for a total of six fellowship positions by the ACGME. The section of Hematology/ Oncology is dedicated to the care of patients with cancer and blood disor- ders. A multi-disciplinary approach to outpatient care is provided in the Comprehensive Cancer Center where medical, surgical, gynecological, and radiation oncologists are available. The section is participating in clini- cal protocols and is adding new tri- als for all major malignancies. A full service Sickle Cell Center and Adult Hemophilia Clinic are also available. Cooperation with the community physicians has resulted in MCG see- ing the majority of the patients with hemoglobinopathies, coagulation disorders, acute leukemia, and stem cell transplants. Special areas of fac- ulty member interest and expertise include stem cell transplants, hemo- globinopathies, coagulation, lung cancer, hematologic malignancies, breast cancer, and lymphomas.

The section provides a forum for the stimulation and exchange of ideas across all medical disciplines, thereby helping to create an aca- demic environment for teaching, research, and improved patient care. Twice a month journal clubs are held with the hematologists/ oncologists of the medical school, the army hospital, and the com- munity, as well as an every other week journal club in which fellows lead the discussion of selected ref- erences with participation of fac- ulty. A series of formal lectures by section faculty and guest faculty of relevant disciplines to cover basic science and clinical topics in both hematology and medical oncology are presented monthly. Fellows are encouraged to partici- pate in ongoing clinical research projects conducted by faculty of the section. In many cases, these activi- ties result in submission of abstracts to the annual meetings of the American Society of Hematology (ASH), American Society of Clinical

Oncology (ASCO), and National Sickle Cell Meeting. Basic research is also available in the institution with mentorship provided by faculty of the Cancer Center, the Institute of Molecular Medicine and Genetics (IMMAG), and Vascular Biology.

Fellows rotate through the hema- tology/oncology in-patient service, BMT/Leukemia unit, hematology/ oncology consult service, and the VA Medical Center. Fellows have two half-day clinics per week and follow patients under their own profile longitudinally throughout their training. Electives are offered in Hematopathology, Sickle Cell, Blood Bank, Cytogenetics, Radiation Oncology, Pediatric Hematology/ Oncology, Gynecologic Oncology, and Coagulation Services.

Programs of the Hematology/ Oncology Section: Bone Marrow Transplant

The BMT program is under the direction Dr. Anand Jillella. Both allogeneic and autologous stem cell transplants are offered for the treat- ment of hematologic malignancies (acute leukemias, chronic myelog- enous leukemia, lymphomas, mul- tiple myeloma). The program will be expanding to perform matched unrelated donor (MUD) and mis- matched stem cell transplants and to cover non-malignant hemato- logic disorders. Active research pro- grams include novel approaches to myeloma and AML.

Oncology Clinical Trials The section is involved in numer- ous clinical trials and participates in both the cooperative studies (NSABP and ECOG) and pharma- ceutical sponsored trials. Dr. Kapil Bhalla, Director of the Cancer

Center leads the development of Phase I/II oncology clinical trials with Dr. Anand Jillella leading the NSABP and ECOG clinical trials. Fellows are encouraged to partici- pate in the development of these tri- als. A Minority based Community Clinical Oncology Program has been funded by the National Cancer Institute Sickle Cell Center The Sickle Cell Center has a large pediatric and adult clinical program and a hemoglobinopathy reference laboratory. The Center, under the direction of Dr. Abdullah Kutlar, is involved in many clinical studies. The laboratory provides reference testing for hemoglobinopathies for the State of Georgia as well as for many institutions in the country and serves as the core laboratory for several multicenter trials. The laboratory utilizes state-of-the art methods including genetic meth- ods in the diagnosis of hemoglobin- opathies and identification of new mutations. The center’s current research interests are on genetic modifiers of the clinical phenotype in sickle cell disease. An elective in the sickle cell program is offered to the fellows, and fellows are encour- aged to participate in the center’s ongoing research activities. Hemophilia Program The Hemophilia Program follows approximately 100 patients with inherited bleeding disorders (hemo- philia and von Willebrand disease) and is under the direction of Dr. Kavita Natarajan. It offers com- prehensive services to the patients including education and social work. An elective in the hemophilia program is offered to fellows, and fellows are encouraged to par-

ticipate in the program’s ongoing research activities.

Med-infectious disease

John Fisher, M.D. Professor Program Director Phone: (706) 721- Length: 24 months Accepted: 1/year NRMP Match: No The Infectious Disease (ID) Fellowship Program includes 12 months of primary consulting responsibility at two large teaching hospitals affiliated with the Medical College of Georgia, two or three ongoing half-day clinics weekly, assorted conferences, journal club, two months of training in Infection Control and one in Microbiology and an experience in research. It is expected that ID fellows develop and pursue a particular interest in some aspect of infectious disease and plan a project which can be accomplished within two years and leads to the completion of at least one of the following: (1)an abstract of their scholarly work suitable for submission to a national ID meet- ing; (2) a case report and review of the literature suitable for submis- sion to a medical periodical; (3) a systematic review of the available literature on an infectious disease topic suitable for admission to a medical periodical; (4) co-author- ship on a clinical or research proj- ect leading to submission for publication. Faculty include seven infectious disease/internal medicine double board-certified physicians. Faculty attend all clinics and consult services. Of paramount importance is the

currently has eight full time and four part-time clinical faculty mem- bers. Successful completion of Steps 1, 2 and 3 of the Medical Licensing Exams (MLE) and board eligibility for the American Board of Internal Medicine (ABIM) are required.

The fellowship program offers state of the art training in critical care medicine, pulmonary consultation, bronchoscopy and other diagnostic procedures, pulmonary function testing, chest image interpretation, clinical pulmonary physiology, sleep disorders, and tuberculosis control. The Pulmonary Division provides medical direction at both MCG and the VAMC for the Medical Intensive Care Unit, the Pulmonary Function and Exercise Laboratories and Bronchoscopy Suites.

Elective training options for addi- tional emphasis include treatment of pulmonary hypertension, inter- ventional bronchoscopy and sleep disorders at MCG. Board eligibil- ity in sleep disorders cannot be guaranteed. The MCG Pulmonary

Division also directs the Adult Cystic Fibrosis Center and the Georgia Sleep Center. Two full time PhD research asso- ciates at the Vascular Biology Institute use translational and other techniques to study a variety of topic areas including sepsis and pulmonary hypertension. Fellows are required to participate in inde- pendent research and to publish research results, review articles and case reports in peer review journals. Applications are accepted through ERAS exclusively. Fellows are selected through the National Resident Matching Program.

Med-Rheumatology

Bruce E. Goeckeritz, M.D., FACR Associate Professor of Medicine Program Director Phone: (706) 721- Length: 2 years Accepted: 1/year NRMP Match: Yes The Rheumatology Fellowship is a two-year fellowship. Fellowship training at the Medical College of Georgia is heavily clinical. During their two years each fellow will have sufficient exposure to the most common routine and complex rheumatologic problems to ensure comfort in the daily practice of Rheumatology. The first year of the fellowship is all clinical with respon- sibilities divided among clinical ser- vices and consults. The second year affords opportunity for research, basic science or clinical. At the com- pletion of this two year fellowship it is expected that the graduating fellow will sit for and successfully complete the ABIM certification

exam leading to board certification in Adult Rheumatology. In addi- tion to the usual adult experience the fellow attending fellowship at the Medical College of Georgia will have the opportunity to gain expe- rience in pediatric rheumatology under the supervision of our pedi- atric rheumatologist, an experience not available at all programs.

nEuRoloGy

David C. Hess, M.D. Professor and Chairman J. Ned Pruitt, II, M.D. Associate Professor Program Director Phone: (706) 721- Length: 36 months Accepted: 3/year ERAS/NRMP: Yes This fully approved residency lead- ing to board eligibility combines the facilities at MCG Hospitals and Clinics and the Veterans Affairs Medical Center. The first two years are spent on patient-care units, in the clinics, and on electives includ- ing pediatric neurology, EEG-epi- lepsy and EMG-neuromuscular rotations. The final year as a senior resident includes neuropathology and electives including neurosonol- ogy, cerebrovascular disease and various research projects. An addi- tional year of fellowship is available in a number of specialized areas including neuromuscular disease- EMG, epilepsy-EEG, movement dis- orders and cerebrovascular disease. The program trains neurologists equipped to make original contribu- tions to the knowledge of the ner- vous system, either in an academic setting or in clinical practice.

child neurology

James Carroll, M.D. Professor and Chief Program Director

Phone: (706) 721- Length: 3 years Accepted: 1/year Match participant: Yes

The Child Neurology Residency satisfies the American Board of Neurology’s requirements for cer- tification in neurology with special competence in child neurology. The program consists of one year of adult neurology, one year of child neurology and one year of electives, research, and basic science train- ing in child neurology. The usual requirement prior to entry is two years of pediatrics.

clinical neurophysiology

fellowship

Michael H. Rivner, M.D. Professor Program Director

Phone: (706) 721- Length: 1 year (6 month split between EEG/ EMG) Accepted: 2/year NRMP Match: NA

We offer a one year Clinical Neurophysiology Fellowship, avail- able July 1 of each year. Training will prepare the fellow for certification by the American Board of Psychiatry and Neurology in Neurology with added qualifications in Clinical Neurophysiology. Training will include electromyography, single fiber electromyography, movement disorder monitoring, botulinum toxin injection, nerve conductions,

routine and ambulatory EEG, EEG video monitoring, intracranial EEG recordings, electrocorticography, polysomnography, evoked poten- tials, intraoperative monitoring and autonomic function testing. Research opportunities exist in neu- romuscular disease, electrodiagno- sis of nerve and muscle disorders, medical informatics, behavioral neurology, epilepsy and movement disorders. Applicants must complete a Residency in Neurology prior to starting this fellowship.

nEuRoSuRGERy

Cargill H. Alleyne, Jr., M.D. Associate Professor Chairman and Program Director Phone: (706) 721-9089, or 721- Length: 1 general surgery, 6 in neurosurgery Accepted: 1/year NRMP Match: Yes The neurosurgical residency-train- ing program consists of six years of progressive assignments in basic neurological sciences and clinical neurosurgery designed to prepare the resident for the private or aca- demic practice of neurosurgery. Three hospitals participate in the training program: MCG Hospital, the Children’s Medical Center, and the VA Medical Center. The pro- gram may be entered only after the candidate has satisfied the medical school and basic surgery require- ments of the American Board of Neurological Surgery. Individuals are appointed to the program at the PGY1 level to allow

the entire seven years of training to unfold in an organized sequence. The three-month neurology requirement is completed during the general sur- gery internship year. The first year of residency training (PGY2) is spent on the MCG adult neurosurgery service. Skills in patient management and basic surgical techniques are devel- oped under supervision. During the second residency year (PGY3), the resident completes rotations in neu- ropathology and neuroradiology and spends 3 months on the neurosurgery service at MCG and three months on the pediatric neurosurgery service at the Children’s Medical Center. During the neuroradiology rotation, the resident may also obtain experi- ence in Gamma Knife radiosurgery procedures. The third residency year (PGY4) is comprised of 3 months on the pediatric neurosurgery service at the Children’s Medical Center, 6 months on the neurosurgery ser- vice at the VA Medical Center, and a proposed new 3-month rotation on the neurointerventional service. The fourth year of residency (PGY-5) year is dedicated to clinical or basic sci- ence research. Residents can select projects of interest and can work with mentors outside of the neuro- surgery section as desired. The fifth year consists of 3 months on research or an elective, 3 months on an outpa- tient clinic rotation, and 3 months as the chief resident at MCG. The chief resident rotation continues into the PGY-7 year for nine months (total of 1 year). The chief resident has charge of all patients assigned to the adult, pediatric, and functional neurosur- gery services, and organizes many neurosurgical training conferences. The last 3 months in the PGY-7 year are spent on the functional and ste- reotactic neurosurgery service where