History and Current Standing
Institutional Graduate Medical Education
Greater Baltimore Medical Center
- Mission, Vision, Values and History
- Directorships and Personnel
- Academic Affiliations
- Current status of the programs
- GBMC Internal Medicine Residency
- Wilmer/Sinai/GBMC Training Program in Ophthalmology
- Hopkins/GBMC Otolaryngology Head and Neck Surgery Residency (OHNS)
- Hopkins/Bayview/GBMC Gynecology and Obstetrics Residency
- GBMC Colon/Rectal Surgery Residency
Mission:The mission of GBMC Graduate Medical Education is to provide superb patient care by training exceptional physicians and leaders in the Internal Medicine, Obstetrics and Gynecology, Ophthalmology, Otolaryngology and Colorectal Surgery Residency Programs.
Our vision is to be recognized as the best community teaching hospital in Maryland and one of the best community teaching hospitals in the nation. We endeavor to give the physicians of our community a valuable resource and partner in caring for their patients, while providing an important source of future leadership in our respective fields.
Our mission and vision are supported by values of integrity, compassion, altruism and a dedication to life-long learning.
Timeline history of Graduate Medical Education at GBMC
An Ophthalmology Residency Program is founded at the Presbyterian Eye, Ear, Nose and Throat Charity Hospital in downtown Baltimore, under the leadership of then Chairman of the Department of Ophthalmology, Richard E. Hoover, M.D.
In 1960, the Presbyterian Eye, Ear, Nose and Throat Hospital and the Hospital for the Women of Maryland merge to form GBMC, eventually to be located at its present location in Towson.
The Ophthalmology Residency at Presbyterian becomes fully ACGME-accredited and an affiliation with The Wilmer Ophthalmological Institute is established.
The Presbyterian Eye, Ear, Nose and Throat Hospital and the Hospital for the Women of Maryland moves from their downtown Baltimore location to the newly formed GBMC campus
The GBMC Otolaryngology Head and Neck Surgery and Internal medicine Residency programs are founded. Both programs have been fully accredited by the ACGME since Greater Baltimore Medical Center was founded.
Obstetrics and Gynecology has been at GBMC since 1965. Prior to this, it was at Women's Hospital.
The size of the Ophthalmology Residency program is expanded to nine residents, with three in each of the 3-year curriculum.
A generous endowment from one of Dr. Wenger's patients makes it possible for The Milton J. Dance Head and Neck Rehabilitation Center to open its doors. The center offers a unique learning experienced for the Otolaryngology Head and Neck Surgery (OHNS) Residents in the comprehensive treatment of Head and Neck Cancer Patients.
GBMC's OHNS Residency Program combines with The Johns Hopkins Medical Institutions.
C.P. Wilkinson, M.D. becomes the first full-time Chairman of Ophthalmology. He subsequently recruits a full-time pediatric ophthalmologist, Mary Lou Collins, M.D., and a neuro-ophthalmologist, Vivian Rismondo, M.D., to join his department. Lectures continue to be provided on campus by both full-time and part-time GBMC faculty, and specific conferences and selected rotations continue to take place at Wilmer.
A formal integration of the GBMC Ophthalmology Residency Program with The Wilmer/Sinai Residency Training Program is completed, and the Wilmer/Sinai/GBMC Training Program in Ophthalmology is officially established and certified by the Residency Review Commission of the ACGME. Joint interviews for residency applicants are conducted later in the year, and first-year residents in the newly integrated program begin rotating through GBMC on July 1, 1999.
The GBMC Residency Training Program in Obstetrics and Gynecology officially affiliates its residency-training program with the Gynecology and Obstetrics Training Program of The Johns Hopkins Medical Institutions.
The GBMC Residency Training Program in Obstetrics and Gynecology officially integrates its residency-training program with the Gynecology and Obstetrics Training Program of The Johns Hopkins Medical Institutions.
The GBMC Internal Medicine Residency officially affiliates with The Johns Hopkins University School of Medicine, offering clinical rotations for 2nd, 3rd and 4th-year Hopkins medical students. Although the residency agrees to teach Hopkins medical students, it continues to be a stand-alone residency, with local independent administration and control.
Directorships and Personnel:
There have been seven Internal Medicine Program Directors since 1965: Thaddeus Prout, M.D., James Quinlan, M.D., William Spicer, M.D., Mack Mitchell, M.D., Thomas Lansdale, M.D., Norman Dy, M.D., and Paul Foster, M.D. Dr. Foster is the current Program Director. There are 44 residents in the current residency class.
In the 36 years that the Otolaryngology program has been in place, there have only been three department chairmen, Brian Kaplan, M.D.; James H. Kelly, M.D., and Alvin Wenger, M.D. There are four residents in the current residency class.
C. P. Wilkinson, M.D. has been the only full-time Chairman of Ophthalmology at GBMC, although Richard E. Hoover, M.D. served as Chairman from 1965 - 1985, Robert B. Welch, M.D. filled this role from 1985 - 1991, and Gregory J. Sophocleus, M.D. served as Acting Chairman during portions of 1991 and 1992. There are 5-7 residents most times at GBMC, with a total of 24 residents in the entire program.
There are seven GYN/OB residents at GBMC at any one time, and a total of 33 residents in the entire program.
George Apostolides, M.D., Chief of Colo-Rectal Surgery, is the Director of the Colo-Rectal Surgery Residency Program. The Division of Colo-Rectal surgery has one resident (fellow) per year.
All told, Greater Baltimore Medical Center has 52 physicians in training in the hospital at any one time.
Academic Medical Center Affiliations:
All residencies at GBMC hold affiliations with The Johns Hopkins Medical Institutions. The OHNS, Ophthalmology, and GYN/OB residencies are formal affiliates with The Johns Hopkins Hospital, sharing resources and resident physicians with that hospital. The Medicine Residency is an affiliate with The Johns Hopkins University School of Medicine.
CURRENT STATUS OF THE PROGRAMS
Internal Medicine Residency Program (click here for details)
The Program's core faculty includes 5 full-time members (Paul Foster, M.D.; Eugene Obah, M.D.; Marie Chatham, M.D.; Suri Marur , M.D.; and Hmu Minn, M.D.) and 6 part-time faculty (Michelle DeMusis, M.D.; Laura Donegan, M.D.; Helen Gordon, M.D.; Suzanne Caccamese, M.D.; Renu Thomas, M.D.; and Clair Francomano, M.D. The residency director is Dr. Paul Foster and the associate residency directors are Drs. Minn and Marur.
There are approximately 60 volunteer teaching faculty on the current medical staff. Teaching activities from the volunteer faculty include selected morning reports, didactic noon conferences, presentations at the Medical Grand Rounds, selected tumor board conferences, direct supervision of elective rotations, supervision of selected curricula and instruction/supervision of house staff at the bedside.
The residency program includes 20 PGY-1 interns, 12 of whom are categorical, and eight of whom are preliminary; 12 PGY-2 residents and 12 PGY-3 residents, including two chief residents, and a 4th year chief.
The residents of the GBMC Internal Medicine Program spend ninety percent of their time in GBMC related activities. They represent 44 of the 52 residents that are on the grounds of GBMC at any given time.
Residents' continuity practice takes place in an innovative block clinic once every three months supplemented by as-needed appointments in between. One core faculty member precepts an average of four-five interns and residents per continuity practice.
Urgent Care/Walk-In Clinic takes place every morning from 9 a.m. to noon. One core faculty member precepts one to two interns and residents during this time.
The core faculty maintain a private practice with patient volumes reflecting 2 physician FTE's. Residents participate in the care of selected faculty patients under direct supervision. The faculty/resident practice is supported by ten secretaries/clerical personnel.
Greater Baltimore Medical Associates (GBMA) Teaching Service:
The floor teaching service consists of two teams, each comprised of one core faculty attending, two residents, four interns, and two medical students. The Critical Care teaching service consists of one intensivist, three residents and five interns.
The teaching service admits an average of twelve patients per day to the medicine wards and intensive care units. Most patients are managed by the teaching attending. A small number of cases are managed in conjunction with private physicians who are credentialed for teaching.
Teaching rounds occur each weekday morning for a minimum of 1.5 hours, during which all new admissions are presented and reviewed, usually at the bedside. Private patients admitted to the teaching service are also discussed at morning rounds. Teaching rounds emphasize pathophysiology, but principles of diagnosis, medical management, epidemiology, medical statistics, cost-effectiveness, medical ethics, evidence-based practice, and patient/donor communication are regularly taught in detail.
Ophthalmology Residency Program
The Department of Ophthalmology at the Greater Baltimore Medical Center (GBMC) provides a training opportunity conforming to the requirements of the Accreditation Council of Graduate Medical Education (ACGME) and the Residency Review Committee (RRC) for Ophthalmology. The three-year training program is integrated with The Wilmer Institute at the Johns Hopkins Hospital and is termed "The Johns Hopkins/GBMC Residency Training Program in Ophthalmology." All residents in the program receive a portion of their training at both institutions as well as at Bayview and Wyman Park Hospitals in Baltimore.
The Residency Program Directors at all institutions are full-time faculty members at their respective institutions, and the Program Director at the Wilmer Eye Institute serves as the Program Director of the combined residency program. Most decisions regarding residency issues are made by the Resident Education Committee, which is composed of members from both institutions.
The faculty at GBMC consists of seven full-time practitioners and a large number of attending ophthalmologists. The former group consists of subspecialists in comprehensive ophthalmology, cornea/external disease, neuro-ophthalmology, pediatric ophthalmology, and vitreoretinal disorders, whereas the latter group includes both general ophthalmologists and additional subspecialists.
The Ophthalmology Clinic is composed of 12 fully equipped eye examination lanes and contains additional rooms devoted to minor surgery, visual fields, ultrasonography, electrophysiology, orthoptics, and contact lenses. A complete ophthalmic photography facility is available for the performance of fluorescein angiograms, OCT, and other photographic studies. A library and conference room are available in the Eye Clinic. Additional rooms house lasers for posterior segment photocoagulation, glaucoma therapy, and posterior capsultotomies. The Clinic also is the site for Hoover Low Vision Services, an internationally recognized low vision facility.
Eye surgery at GBMC is performed in the General Operating Room, which is managed as an outpatient facility for the vast majority of patients. Laser surgeries are performed in the Eye Clinic.
All questions regarding applications to the residency program, resident salaries, and resident benefits should be directed to the Program Director, Wilmer Eye Institute, The Johns Hopkins Hospital, 600 N. Wolfe St., Baltimore, MD, 21287-9278.
Questions specifically regarding the GBMC residency rotation should be directed to the Program Director, GBMC Dept of Ophthalmology, 6569 N. Charles St, Baltimore, MD, 21204.
Each of the residents in the first year of the 3-year training program has an identical rotation and spends approximately 3/8 (38%) of his or her time at GBMC. During these rotations, the residents work in the Eye Clinic under the supervision of senior residents and the faculty, and they serve in the Emergency Room 24 hours/day, 7 days/week. Second-year residents have a fragmented schedule at GBMC as they also rotate through a variety of subspecialty clinics at the Wilmer Institute. Third-year residents spend approximately 6 months at either Sinai or GBMC and the remaining time at the Wilmer site. During this year, the majority of the resident surgical patients are traditionally those who have been managed in the Eye Clinic or in the Emergency Room.
Opportunities for clinical research studies are available in collaboration with the full and part-time faculty at GBMC, and each year the results of several projects are presented at the annual Association for Research in Vision and Ophthalmology meeting in Florida. A substantial percentage of these are ultimately published in peer-reviewed journals. Resident research in basic sciences is conducted at the Wilmer Institute. Surgical rotations to third-world eye centers or to other institutions are also available during the third year of residency training. In addition, residents are allowed to attend scientific meetings around the United States.
Otolaryngology Head and Neck Surgery Residency
Brian A. Kaplan, M.D., serves as the Department Chairman and is supported by a volunteer teaching faculty of approximately 30. Direct supervision of operative procedures, attending clinic coverage, grand rounds presentations, head and neck conference and in-patient rounds are among the activities in which the volunteer staff participates. The OHNS Residency Program accounts for 20 residents, 4 per year and is 5 years in length. PGY-2 through PGY-5 residents rotate through GBMC annually. Each PGY-4 and PGY-5 resident serves as Chief Resident while rotating at GBMC, both in the Otolaryngology Department and The Milton J. Dance Head and Neck Rehabilitation Center. Additionally, PGY-4 residents are given an opportunity to experience a Facial Plastics rotation.
OHNS Resident Clinic hours are Monday mornings and afternoons,as well as Wednesday and Thursday afternoons. Dr. Kaplan and the other faculty members serve as the attending physician for the Resident Clinc. The residents provide coverage for Otolaryngology and Head and Neck operative cases scheduled in the Sherwood Surgical Center and the General Operating Room. Four thousand forty nine (4,049) OHNS cases were performed between the areas. The Oral Surgery cases were covered as necessary. All teaching faculty are responsible for Operating Room supervision.
Twenty-four hour in-patient coverage is provided by the residents. The Chief Resident is second call. The teaching staff provides backup 2nd call coverage on a rotating basis. In addition, the residents are available for In-patient and Emergency Room Consultations.
The Milton J. Dance Head and Neck Rehabilitation Center provides a unique learning opportunity for the residents. The PGY-5 resident attends Dance Center In-patient Rounds, Patient Care Conferences and sees patients with Drs.Califano, Blanco, Saunders, Ha, and Fakhry . Additional learning opportunities are provided in the form of Head and Neck Conference, Video Strobe rounds, and Otolaryngology-Head and Neck Surgery Grand Rounds.
The Department of Otolaryngology Head and Neck Surgery faculty/resident practice is supported by an Office Manager, Surgical Coordinator, Medical Secretary, Registered Nurse, Clinic Technician, and an Audiologist.
Obstetrics & Gynecology Residency Program
The Chairman of the Department at Johns Hopkins appoints the residency program director. Jessica Bienstock, M.D., M.P.H., the current residency program director, is involved in the daily administration as well as the overall educational mission of the program. Dr. Bienstock devotes 40-70% of her time to the resident training program, depending upon what part of the academic year it is. She meets with the Chairman on a weekly basis regarding the program.
Associate Program Directors
Kristina Altman, M.D., is responsible for overseeing the residents' educational experience at The Johns Hopkins Bayview Campus.
In addition to the faculty at Johns Hopkins, there are currently five full-time faculty members at GBMC (Joan Blomquist, M.D., Harrold Elberfeld, M.D., Francis Grumbine, M.D.), 6 part-time faculty members (Thelma Asare, M.D., Samuel Akman, M.D., Michelle Germain, M.D., Harvey Kasner, M.D., Robert Pegues, M.D., and Allan Rubin, M.D.) and 1 volunteer faculty member (Ronald Peterson, M.D.). All faculty members at each institution are directly involved in the resident training program.
In addition to the faculty listed above, there are approximately 60 private Ob/Gyn attendings who routinely admit patients to GBMC and by doing so, play a direct or indirect role in resident education. Many of these private physicians are dedicated to resident teaching and actively involve the resident staff in the care of their respective patients. The Ob/Gyn residents routinely assist in all peri- and postoperative care of gynecological patients. Their involvement in surgical procedures is encouraged and often required. Resident assistance to faculty and non-faculty and private physicians admitting to GBMC is invaluable.
Senior Clinical Fellows
The Johns Hopkins program currently offers post-residency fellowship training opportunities in Maternal Fetal Medicine (4 positions total), Reproductive Endocrinology (3 positions total) and Urogynecology and Pelvic Reconstructive Surgery (1-2 positions total). The Greater Baltimore Medical Center currently offers post-residency fellowship training opportunities in Urogynecology and Pelvic Reconstructive Surgery (a total of 3 positions). Each of these fellowships is 3 years in length. Fellows function as Junior Faculty members and hold the rank of Instructor.
Rounds are conducted at least once daily on each service at JHH, Bayview and GBMC. A faculty member is present at rounds both to teach and provide clinical expertise.
The residency-training program in Obstetrics and Gynecology is four years in duration. All rotations within the program are required. Residents are free to spend their elective times as they so desire but must submit a written proposal with learning objectives to the Program Director for approval prior to commencing the Elective block.
At any given time throughout the year, residents at each level of postgraduate training rotate through GBMC. At the present time, the year is divided into eight 6-week blocks.
As of 2002, a night float position has been instituted to allow compliance with the mandated 80-hour workweek.
On the Gyn service at GBMC, there are a total of seven residents, two from PGY-4, one PGY-3, one PGY-2, and one PGY-1, as well as an additional PGY-3 resident assigned to the Gyn/Oncology Service and an additional PGY-4 resident assigned to the Urogynecology and Pelvic Reconstructive Surgery service.
In-House Call consists of a one-person call schedule consisting of a Senior resident (PGY-3 or PGY-4) Mondays-Thursdays. Weekend call is from home.
Resident Continuity Ob/Gyn is held through the week at JHH and Bayview. Depending on the day, 1-2 residents will attend this half-day clinic supervised by assigned faculty members.
During most 6-week blocks, 3 medical students from Johns Hopkins University rotate through GBMC during their core clerkship in Gynecology.
Colorectal Surgery Residency
George Apostolides, M.D., is the current Program Director. He replaced Alan Abrams, M.D., who retired from the position of program director. The training program is one-year duration. It is limited to one resident (fellow) per year. The voluntary faculty, Lisa Savoie, M.D., Associate Director of Colon and Rectal Surgery (board-certified in Colon and Rectal Surgery), Robin Ulanow, M.D. (board-certified in Colon and Rectal Surgery), along with a number of GBMC general surgeons, work with the resident on selected patients.
All patients on GBMC's colon and rectal surgery service are the private patients of a GBMC colon and rectal or general surgeon. Under the direct supervision of one of those surgeons, the resident (1) evaluates outpatients in the private office setting, (2) operates on outpatients and inpatients and makes postoperative rounds on inpatients, and (3) performs Endoscopy, including proctosigmoidoscopy and colonoscopy.
The resident also has a two-week rotation at the Cleveland Clinic Foundation to acquire additional experience with patients suffering from ulcerative colitis and Crohn's disease.
In addition, the resident attends regularly scheduled didactic conferences, including Journal Club, pathology and radiology conferences and textbook review sessions.
Working as a team, the attending surgeon and colon and rectal resident provide a high level of care to GBMC's patients in the following ways:
1) Two fully trained surgeons, both of whom have additional expertise and interest in colon and rectal surgery, are providing their surgical and postoperative care.
2) By virtue of the resident's on-campus presence, patients have access to the resident's immediate attention for general and emergency care on weekdays and on many evenings and weekends.
3) The patient, who has frequently met the resident preoperatively in the office setting, finds reassurance in the continuity provided by that same resident's participation in his or her operative and postoperative care.
In addition to providing a high level of care to its patients, GBMC benefits from the existence of the residency program in the following ways:
1) Many surgeons prefer to bring their patients with colon and rectal disease to GBMC because they know that they will have the assistance of a resident in the patient's care.
2) The residency program provides a stream of well-trained young surgical specialists to the hospital's attending staff.