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The Massachusetts General Hospital firm system was created to enhance the quality of clinical teaching and build a mentoring relationship within the Internal Medicine Residency Program. Chief Residents act in a leadership role and are graduates of the program, acting as guides and mentors for current residents.
Our chief residents are graduates of the Massachusetts General Hospital Internal Medicine Residency Program and are selected from the ranks of our program graduates to return to the residency program to serve in a leadership capacity. Four chief residents serve the program simultaneously and typically postpone a year of postgraduate or fellowship training or clinical practice to complete their year-long tenure. Three chief residents primarily serve to support the categorical component of the program. An ambulatory chief resident focuses on outpatient training and the Primary Care Program.
The Massachusetts General Hospital firm system was established almost 25 years ago to enhance the quality of clinical teaching and build mentoring relationships between medical students, house officers and senior faculty. Now one of the major mentoring systems, the system is named for former Mass General Chiefs of Medicine: James Howard Means, Walter Bauer and James Jackson. Firm activities include teaching rounds, conferences and one-on-one career guidance. The firm system provides continuity in teaching by clinician-educators committed to bedside teaching.
The firm system allows senior faculty members to maintain a mentoring relationship with residents over the entire time that they are at Mass General and beyond. They help advise on career development, write letters of recommendation and are part of the support structure in of the program, attending all social events and retreats.
Nesli Basgoz, MDInfectious Disease UnitJames Jackson Firm
William Kormos, MDPrimary CareJames Howard Means Firm
Thomas Spitzer, MDHematology-OncologyWalter Bauer Firm
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