Fallon Clinic Inc Worcester Medical Center Observership Program OBSERVERS 2007 – 2008 - 2009 from GSMC / KEMH Mumbai
Jan 17, 2015
Fallon Clinic Inc
Worcester Medical Center
Observership Program
OBSERVERS 2007 – 2008 - 2009from
GSMC / KEMH Mumbai
__________________________________________________________
OBSERVERSHIP 2009
Dear GSMC / KEMH Interns and Residents,
We are in the process of setting up the 2009 "Observership" Program. There are several changes in the set up.
1. Because of limited number of available mentors only 6 - 8 candidates will be selected for the 2009 program.
Selection will be based on merit, strength of recommendation letters, scholastic and extra- curricular
activities.
2. To assure a spot, the sooner you submit all the required documents the better your chances of confirming a
position. Incomplete data will delay your registration and you could lose your priority.
3. Rotations will be assigned on an as available basis. We will try to meet your requests but no guarantees.
4. List of required documents will be sent to you separately.
5. Print out the "Confidentiality Agreement" and sign and print your name where indicated and return a scanned
copy with the rest of the documents.
6. Once we receive and review your completed application you will be informed about our decision and rotations.
19 July 2008
Worcester Medical Center
REQUIREMENTS FOR OBSERVERSHIP PROGRAM 2009
1. GRADUATION CERTIFICATION
Copy of M.B.B.S. / M.D. / M.S degree certification.
2. CONFIDENTIALITY AGREEMENTS by
Vanguard Health Care & Fallon Clinic. To be signed by the candidate and the mentor.
3. CURRICULUM VITAE
No more than a three page summary of your CV along with a recent photo
4. VACCINATION and DOCUMENTATION absolutely essential.
As per attached protocol.
5. RECOMMENDATION LETTERS FROM
Dr. Lopa Mehta, Dr. Nithya Gogtay and one other GSMC / KEMH faculty member.
6. WHITE LAB COATS
Bring two white lab coats with your name monogrammed above the left pocket.
7. SECURITY and ID BADGES:
Will be obtained from Human Recourses office at SVH before starting observership.
8. VISA’S
The Observership Program, Fallon Clinic or St. Vincent Hospital cannot sponsor or get involved in any kind of correspondence or
documentation regarding VISA application.
9. PASSPORTS and VISA DOCUMENTATION:
Scan and email the first two pages of your passport and the approved VISA.
10. HOUSING:
Housing is available quite easily around the UMMS / SVH campus.
11. HEALTH INSURANCE:
Applicants must provide their own health insurance coverage.
12. DOCUMENTATION:
Email electronic copies of all the documents. Updated 10/30/08
Worcester Medical Center
OBSERVERSHIP IMMUNIZATION RECORDS
Name: Dr.___________________________________________________________________
The Fallon Clinic, St. Vincent Hospital and UMMS require that all visiting students and interns show proof of immunity to
Measles, Mumps, Rubella, Tetanus/Diphtheria, and Hepatitis B. Proof of a TB skin test and a digital copy of a
Chest X-ray should be submitted. Applicants must be free from symptoms of Infectious disease at the start of an
elective. The following information must be completed approved and signed by a faculty member in the Department of
Microbiology and Radiology at GSMC / KEMH.
Tuberculin Skin Test: Type & date: _________________ mm induration ____________
Digital Copy of Chest X-Ray taken within 90 days of starting your elective.
Tetanus/Diphtheria: Date given: _______________ A TD booster within last 10 years. Date __________
Hepatitis B Immunization: Hepatitis B Surface Antibody Titer___________________
Measles, Mumps, and Rubella: A history of disease is not acceptable. Attach Laboratory Report.
Measles Titre___________Date_____________
Rubella Titer___________ Date_____________
Mumps Titer___________ Date_____________
Chicken Pox (Varicella) Titre________________Date____________
Polio: Students should have received the polio vaccine along with the D-P-T series as a child.
Influenza: Annual vaccination every October is recommended for all health care workers.
CERTIFIED BY DEPT OF MICROBIOLOGY and RADIOLOGY, GSMC / KEMH
Name and Title_____________________________Signature_________________________________Dept. of Microbiology:
Name and Title_____________________________Signature__________________________________Dept. of Radiology
Seal or Stamp of Medical School: _______________________________
__________________________________________________________
Worcester Medical Center
Worcester Medical Center
Observers
2007 – 2008 - 2009
Prerna Mewawalla Nishaki Mehta
Neha Dangayach Sourabh Dani
2007
Ratnesh Kumar Ankur Sharma
Tanmay Panchabhai Sumedh Hoskote
2008
Karishma Mehra Neha Kwatra
Gitanjali PaiSurendra Patel
2008
Amir Shaikh Yamin Manveen Kaur Bhussar
Neeti Kanodra Nikita Patil
2008
Kunal Gurav Aditi Naniwadekar
Sushruta Duara Pradnya Patil
2009
Dr. Hrishikesh Kulkarni Dr. Neha Rohra
2009
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Dr. Dhaval Shah Dr. Vivek Pargaonkar
OBSERVERSHIP FACULTY
Robert Honig Kala Seetharaman Harshad Chitre Manjul Shukla Smita Parulkar Idris Dahod
Asst. Prof. Medicine Prof. Heme / Onc Asst. Prof. Medicine Asst. Prof. Medicine Asst. Prof. Medicine Asst. Prof. Ped. G.I.
Rashmi Patwardhan Alwyn Rapose Joseph Bennotti Robert Bessette William Crooks Curuchi Anand Prof .Med and G. I Asst. Prof. I.D. Associate Prof. Card Associate Prof. I.D. Asst.Prof. Medicine Asst. Prof. G.I.
Stephen Desio Deborah Ford Saleem Khanani Laszlo Leb Thomas Mullins Paulomi Kanzaria
Associate Prof. Ortho Asst. Prof. Medicine Asst. Prof. Heme / Onc Prof. Heme / Onc Prof/ Neurology Associate Prof. Radiology
Dr. Manveeen Bhussar Dr. Surendra Patel Dr. Deborah Ford St. Vincent Hospital, Worcester, MA
Dr. Robert Honig and Dr. Aditi Naniwadekar
Dr. Pradnya Patil and Dr. Manjul Shukla
Sushruta Duara, Pradnya Patil, Aditi Naniwadekar, Kunal Gurav
Dr. Sourabh Dani and Dr. Neha Dangayach
Manveen Bhussar Prerna Mewawalla
Dr. Harshad Chitre Dr. Tanmay Panchabhai
Dr. Nikita Patil Dr. William Crooks Dr. Avi Patwardhan
Ratnesh Aasia Sushrut Ankur Sumedh
Avinash Patwardhan. Manveen Bhussar Neha Dangayach Nikita Patil
Fellowships and Residency placements following Observership Rotations:
1.Dr. Nishaki Mehta, Post-Doctoral Fellow in the Dept. of Molecular Biology and HIV Research at UMMS 2007.
2009 starting residency at UMMS
2. Dr. Sourabh Dani Intern in Medicine at St. Vincent Hospital, Worcester, 2008-2011
3. Dr. Neha Dangayach, Preliminary Internship in Internal medicine at St. Vincent Hospital 2008
2009 Fellowship in Neurology at Case Western Reserve Medical School, Cleveland OH,
4. Dr. Karishma Mehra GYN – Oncology Fellowship at Brigham Women’s Hospital 2008 - 2009
5. Dr. Neeti Kanodra Fellowship in Alternative Medicine / Research in Acupuncture, Harvard Medical School 2008
2009 starting residency at Washington Hospital Center, Georgetown University, DC
6. Dr. Prerna Mewawalla, Fellowship in Oncology at the Dana Farber Cancer Institute, Boston 2008 – 2009
2009 Starting Internship at UCONN
7. Dr. Manveen Bhussar, Research Assistant in Infectious Diseases at Beth Israel Hospital, Boston, 2008 -2009
8. Dr. Amir Shaikh, 2009 starting residency at UMMS
9. Dr. Sumedh Hoskote, 2009, starting residency at St. Luke’s Roosevelt Hospital, Columbia University, NYC
10. Dr. Tanmay Panchabhai, 2009, starting residency at University of Louisville School of Medicine, Louisville, KY
11. Dr. Surendra Patel, 2009, starting residency at Cook County Hospital, Chicago
12. Dr. Veena Iyer 2009 Post-doctoral Fellow in Radiology at MGH, Boston
13. Dr. Neha Kwatra, 2009, Radiology fellowship at George Washington University, DC
14. Dr. Nikita Patil, 2009 Research fellow, Pathology, University of Washington, Seattle
15. Dr. Ankur Sharma Awaiting Research Fellowship in Acupuncture, Harvard Medical School 2008
16. Dr. Ratnesh Kumar, Returned to India
17. Dr. Gitanjali Pai
18. Dr. Kunal Gurav, 2009 Post- Doctoral Fellow, Diabetes Research Laboratory, UMMS, Worcester
19. Dr. Hardik Thakkar, Returned to India
20. Dr. Shivkumar Narayanan