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Country: USA
City: Worcester
IHTC:
New England Hemophilia Center
University of Massachusetts Memorial Hospital
119 Belmont Street
Worcester, MA 01605 USA
Tel.: 508 334 6276; 508 793 6074
Fax: 508 334 6920
Email: brettled@ummhc.org
Website: www.ummhc.org
Director: Doreen B. Brettler
Responsible for training: Doreen B. Brettler
Fellowship logistics coordinator:
Year of IHTC designation: 1972
Areas of specialty: General hemophilia care; orthopedic surgery; laboratory diagnosis (not genetics); social work.
DESCRIPTION OF TRAINING PROGRAM
Clinical activities: The New England Hemophilia Center is located in Central Massachusetts, and serves approximately 200 pediatric and adult patients with hemophilia A and B, von Willebrand disease and multiple other clotting and thrombotic abnormalities. The Hemophilia Center is housed in a modern clinic area adjacent to the hospital. This clinic serves not only persons with clotting disorders, but has an active hematology service as well.
Laboratory activities/research: There is a coagulation laboratory performing all relevant coagulation and hypercoaguability testing. At the University of Massachusetts, there is a large clinical molecular genetics laboratory where factor mutational analysis is performed. Rotations through this laboratory can be arranged.
Ongoing studies at the Hemophilia Center include a long-term study of persons with hemophilia/HIV who are non-progressors, interactions between hepatitis C and HIV care in this patient population and various pharmaceutical studies of new factor concentrates. Since we have had several laboratory collaborations, opportunities exist to spend time in labroatories doing baisc research in HIV and hepatitis C.
Multidisciplinary activities/research: There is an active outpatient and inpatient service staffed by one physician, two nurses, one orthopedic surgeon, a genetic counselor and a social worker.
Additional information: Expertise in setting up a database also exists.
Trainees in the past have also spent time at the Dartmouth and Vermont Hemophilia Centers, the American Red Cross and the New England Hemophilia Association (the lay organization for persons with clotting disorders).
DESCRIPTION OF IHTC FACILITIES
Location: Worcester in central Massachusetts, a city of approximately 175,000 people. The Hemophilia Center is housed at the Memorial Campus of the UMass Memorial Hospital, an affiliate of the University of Massachusetts Medical School.
Climate: Worcester's climate is characterized by four distinct seasons. Winters are cold and snowy
and summers tend to be warm and humid.
Accommodation (residence, meals, etc...): Fellows can be accommodated in an apartment three miles from the clinic. The hospital has two cafeterias that are open from 6:00 am to 8:00 pm.
Transportation: Transportation to the clinic is either by bus or taxi. Trains and buses are regularly available to Boston (approximately 60 km) and New York City (300 km).
Language: English
Financial assistance: Dependent on WFH funds. Center cannot provide any additional financial assistance, but can provide assistance related to travel to other clinics.
Cost of living (per week): 400-500 USD
Communications tools for trainees: Computer, Internet access
RELEVANT PUBLICATIONS BY IHTC STAFF
Green TC, Somasundaran M, Brettler DB, Hesselton RM, Almenti A, Kirchhoft F, Sullivan JL. Long-term immunodeficiency virus type 1 infection with normal immune function and inability to isolate virus in culture. AIDS Research and Human Retroviruses. 1994; 10: 395-403.
Brettler DB, Inhibitors in congenital hemophilia. Lee CA (ed) Balliere's Clinical Haematology. Balliere Tindall 1996; 9(2): 319-329.
Shopnick RI, Brettler DB. Hemostasis - A practical review of Conservative and Operative Care in Brighton CT (eds) Clinical Orthopaediccs and Related Research. Lippincott 1996; 328: 34-38. |
