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