Resident and Faculty Research

Med-Peds residents and faculty at MGH work on a diverse range of projects across the departments of Medicine, Pediatrics, and an array of other inpatient and ambulatory settings. 

Below is a sampling of past and current projects going on among our residents and faculty. This isn’t a comprehensive list, but should help paint a picture of some of the exciting work our people are working on at MGH, Harvard, and around the world! 

Resident work

Current

Vinayak Venkataraman (Class of 2021):

  • Collaborating with adult oncology on a clinical outcomes study to better characterize remission in AML. 
  • Published a case report with pediatric oncology on secondary histiocytic sarcoma with BRAF V600E mutation after T-cell acute lymphoblastic leukemia in a very young child with dramatic response to dabrafenib and trametinib n on a pediatrics patient with complex oncologic disease

Seth Tobolsky (Class of 2021):

  • Wrote two de-novo textbook chapters for a new pediatric endocrine textbook for primary care physicians, working with the director of our pediatric endocrinology fellowship.
  • Studying LGBTQ+ recruitment for Medicine and Med-Peds
  • Worked at Hospital Doce de Octubre in Madrid, Spain for a month on inpatient endocrinology and pediatrics and obtained a Qualified Bilingual Staff designation at MGH for Spanish.

Nora Abo-Sido (Class of 2022): 

  • Was the Hematology section editor for the MGH Dept. of Medicine House Staff Manual (the White Book)

Mike Kelly (Class of 2022):

  • Planning committee member for Massachusetts Residents and Fellows Day at the Statehouse. Presented noon conference on structural racism in medical education. 
  • QI project to reduce the number of clotted CBCs in the NICU.
  • Working on numerous Med Ed research projects including looking at attending versus resident understanding of teaching and feedback, narrative evaluation quality, evaluations for bias in the evaluation of medical students, and using interprofessional education to improve management of the social determinants of health.
  • Presented work at the MGHfC Pediatric Medical Education Summit on improving the efficacy of written feedback.

Miranda Ravicz (Class of 2023): 

  • Traveled to Beirut to attend conference on palliative care in the Middle East and assisted with writing WHO brief on the meeting.
  • Drafted manuscript describing intervention in a refugee settlement in Uganda for improving linkage to HIV care.

Audrey Carr (Class of 2023): 

  • Wrote a case report of concurrent dermatomyositis and myocarditis

Sagar Raju (Class of 2023): 

  • Ongoing collaboration with the Commonwealth Care Alliance working on intensive primary care design for a dual-eligible complex care patient population. Presented at the Harvard Medical School Primary Care Conference.

Graduates

Rachel Erdil (Class of 2020):

  • Worked with the MGH Asylum Clinic to both complete medical asylum evaluations. 
  • Researched asylum seeker demographics and completed assessment regarding social determinants of health.
  • Presented a NEJM Cases From Mass General Hospital case of family separation at Pediatric Grand Rounds.

Margaret Threadgill (Class of 2020):

  • Led an internal medicine boot camp for COVID surge team providers, building a curriculum for non-internal medicine providers for both COVID and general adult medical topics. Presented across the hospital to multiple services and health professions. 

Yamini Krishnamurthy (Class of 2020):

  • Reviewed utilization of virtual visits for the adult congenital heart disease program to be presented at the national American College of Cardiology Conference.
  • Studied hypertension in adult congenital heart patients with Coarctation of the Aorta with the director of the MGH Adult Congenital Heart Disease Program.

Chris Valle (Class of 2020): 

  • Published a retrospective observational study to assess the utility of understanding factors associated with impaired right ventricular function in adult patients with repaired tetralogy of Fallot. 
  • Served as the resident representative on the hospital wide quality improvement initiative to improve the inpatient STEMI care pathway.  
  • Performed a systematic review of care coordination practices for the inpatient management of asthma.
  • Presented a poster at the American Heart Association Meeting looking at cardiopulmonary exercise testing to predict long-term outcomes in adults with repaired Tetralogy of Fallot. 

Aisha James (Class of 2018): 

  • led a population health management project with Seth Berkowitz assessing the impact population health management interventions have on racial and language health disparities.
  • participated in a multidisciplinary group Gun Violence Prevention and Research Task Force, creating educational documents for clinicians to educate themselves and their patients on gun safety.
  • participated in the Pediatrics Diversity & Equity group, working specifically on growing the number of URM residents in the MGHfC Pediatric Residency program.

Vimal Jhaveri (Class of 2018)

  • continued his work from medical school on C-STAHR: Community and Students Together Against Healthcare Racism. This project was started by 7 medical students and 6 community members to look at perceived discrimination by patients.
  • led and published an initiative promoting increased feedback in the Department of Medicine
  • led and published a study on procedural teaching and an additional study on feedback reminders in Med-Peds Clinic.

Rachel Harris Alinsky (Class of 2017):

  • Helped write and edit several chapters in the next edition of The Mass General Hospital for Children Adolescent Medicine Handbook (regarding transitions, bullying, and pregnancy).

Scott Nabity (Class of 2017)

  • evaluated novel rapid diagnostic technology for leptospirosis in Brazil and studied the incidence of leptospirosis presenting as aseptic meningitis.
  • studied public health surveillance for and control of communicable diseases, and looked at improving adherence to treatment for Latent TB infection in primary care. 

Faculty Work

There are over 25 med-peds trained faculty in various departments at MassGeneral, many of whom are doing research in their respective fields (subspecialty, global health, health services). The faculty projects listed below are only a sampling of those involving Med-Peds resident education.

Susan Hata

Increasing connection between physicians to enhance joy in practice and prevent burnout: A study of physician well-being groups

          With colleague Dr. Arabella Simpkin in the Department of Medicine, we studied the value of regular small group meetings with colleagues to reduce burnout and increase a sense of connection and community. We conducted the study in one population of faculty (2018) and one population of internal medicine fellows (2018-19). In addition to collecting validated survey data on burnout, uncertainty, and engagement, we also collected biomarkers of oxytocin and cortisol in urine, hair and saliva, to examine whether there is a physiologic correlation with increased bonding and reduced stress. In 2019-2020, collaborated with Dr. Simpkin on a study measuring hair cortisol longitudinally in internal medicine residents to observe physiologic markers of stress and correlate with self-perception of burnout via survey data. This research was funded by a grant from the Center for Education, Innovation and Scholarship, MGH Department of Medicine and by a grant from the Foundations of Human Behavior Initiative, Harvard University.  It has currently resulted in one publication accepted and two more in the submission process. 

A Video-Based Curriculum to Teach Direct Observation Skills to Faculty

With other internal medicine faculty (Kathleen Finn, Alaka Ray and Hasan Bazari), we videotaped residents documentary-style on Bigelow rounds and in clinic, for the purposes of teaching faculty to give feedback more consistently. This research was funded by an ECOTE Education and Teaching Pilot Project Award, and the workshops are used internally at MGH.               

Implementing a Personal and Professional Development Curriculum for Resident Well-being 

With two other colleagues, Dr. Robert Meyer and Dr. Avi Traum, we created a curriculum of monthly reflection sessions to support pediatric and med-peds residents in processing the experiences of residency. In the first three years of this curriculum, we collected survey data about resident burnout and other aspects of their training experience, and this resulted in one publication. 

Creating and Implementing a Preceptor Development Curriculum for Internal Medicine-Pediatrics Clinic Preceptors: A Multi-Site Study

With the Med-Peds programs at Ohio State, University of Rochester, and Medical College of Wisconsin, we developed and tested a curriculum of faculty development workshops for med-peds preceptors, to enhance their skills in outpatient teaching. 

 

Madeleine Matthiesen

 With Mike Kelly, Class of 2022

We conducted a focus group, qualitative study of feedback in clinical training, seeking to understand why learners have difficulty identifying feedback, particularly in the context of teaching. Our goal is to identify strategies that help learners identify and implement the feedback they receive on the wards.

OSTE project:

We first adapted Observed Structured Teaching Exercises (OSTEs) for the pediatric curriculum from existing medicine cases to help provide pediatric residents with defined opportunities for feedback on their teaching. We are now working to implement and study their utility for pediatric second-year residents as they transition from intern to supervisor.

With Seth Tobolsky, Class of 2021

Seth and one of his co-residents implemented a novel LGBTQ resident chat program during the MGH Department of Medicine residency recruitment to connect current LGBTQ-identifying residents with applicants for off-the-record, non-evaluative chat sessions incorporated into the residency interview day itself. We are studying the program to determine feasibility and impact on LGBTQ recruitment.

Ariel Frey-Vogel

Ariel is the Director of the Pediatric Education, Innovation, and Research Center, the medical education research center of MGHfC. Her research covers topics such as curriculum design and evaluation, collecting validity evidence for educational instruments, and conducting qualitative research on topics relevant to resident education.

Below is a sampling of research projects going on among our residents and faculty. It’s important to note that this s not a comprehensive list, particularly with regard to faculty research.

Resident work

Aisha James (PGY3)

leads on a population health management project with Seth Berkowitz assessing the impact population health management interventions have on racial and language health disparities.

 

participates in  a multidisciplinary group Gun Violence Prevention and Research Task Force, creating educational documents for clinicians to educate themselves and their patients on gun safety.

participates in the Pediatrics Diversity & Equity group, working specifically on growing the number of URM residents in the MGHfC Pediatric Residency program. Recently named inaugural Director of Racial Justice in Medicine.

Vimal Jhaveri (PGY3)

continues his work from medical school on C-STAHR: Community and Students Together Against Healthcare Racism.  This project was started by 7 medical students and 6 community members to look at perceived discrimination by patients.

led an initiative promoting increased feedback in the Department of Medicine, and currently writing up the study.

is leading a study of feedback reminders in Med-Peds Clinic

Madeleine Matthiesen (PGY3)

continues to work on some research from medical school related to vision among inpatients on the south side of Chicago.

is working on a project to increase use of mental health decision aids in primary care.

is helping to lead the Pediatric Residents Interested in Medical Education (PRIME) working group

Rachel Harris Alinsky (PGY4)

Helped write and edit several chapters in the next edition of The MassGeneral Hospital for Children Adolescent Medicine Handbook (regarding transitions, bullying, and pregnancy).

Scott Nabity (PGY4)

is involved in ongoing research in the fields of:

  1. Evaluation of novel rapid diagnostic technology for leptospirosis in Brazil.
  2. Leptospirosis presenting as aseptic meningitis.
  3. Public health surveillance for and control of communicable diseases.
  4. Improving Adherence to Treatment for Latent TB Infection in Primary Care.