The 4th Trimester Initiative

Study Team

Erika Rangel, MD, MS (Massachusetts General Hospital)

Principal Investigator

Dr. Rangel is an acute care surgeon and surgical intensivist at MGH, where she is the Associate Program Director for Resident Wellbeing for the general surgery program and co-leads the Faculty Wellbeing Committee. Her academic interest centers on defining the challenges facing surgeons starting a family, demonstrating how these impact burnout and career dissatisfaction, and using evidence to inform policy change to better support alignment of personal and professional priorities.   Her work and advocacy on parental leave, organizational culture surrounding parenthood, and maternal-fetal health risks related to professional duties have been featured in the JAMA Network and Annals of Surgery as well as in the laypress in New York Times, USA Today, and the Behind the Knife podcast

Thinzar Lwin, MD, MS (City of Hope)

Co-Investigator

Dr. Lwin is Assistant Clinical Professor of surgical oncology at the City of Hope. She completed her complex surgical oncology fellowship at the Mass General Brigham/Dana Farber Cancer Center.

Her lab studies the use of fluorescence technology to highlight cancers. She is the mother of two young children, both born during training, and is passionate about using her experience and skills to improve wellbeing of physicians starting a family during training.

Christopher Landrigan, MD, MPH (Boston Children’s Hospital)

Co-Investigator

Dr. Landrigan is the Chief of General Pediatrics at Boston Children’s Hospital, Director of the Sleep and Patient Safety Program at Brigham and Women’s Hospital, and the William Berenberg Professor of Pediatrics and Professor of Medicine at Harvard Medical School. He was a founding member of the Harvard Work Hours, Health, and Safety Group, and the founding chair of the Pediatric Research in Inpatient Settings (PRIS) Network, a collaboration of over 100 pediatric hospitals that conducts multi-center research and improvement projects.  Dr. Landrigan has led a series of major studies on the epidemiology of medical errors, and interventions designed to reduce their incidence. His work on the relationship between resident work hours, sleep and patient safety contributed to national changes in resident work hour standards. He was also the Principal Investigator of I-PASS, a multifaceted program designed to improve the quality of handoffs and communications in hospitals that has been adopted by hospitals across the U.S.

Tait Shanafelt, MD (Stanford)

Co-Investigator

Dr. Shanafelt is the Jeanie and Stewart Ritchie Professor of Medicine, Chief Wellness Officer of Stanford Medicine, and Associate Dean at the Stanford School of Medicine. He is an internationally recognized thought leader and researcher in the field of physician well-being and its implications for quality of care. Dr. Shanafelt has published over 500 scientific manuscripts and his studies on health care professional well-being have been cited on CNN and in USA Today, U.S. News and The New York Times. His pioneering studies in this area over 20 years ago are credited with helping launch the entire field of organizational efforts to promote physician well-being. In 2018, he was named by TIME Magazine as one of the 50 most influential people in health care. Dr. Shanafelt has served as a keynote speaker for the ACGME, the Association of American Medical Colleges, the AMA and the American Board of Internal Medicine and serves on the  National Academy of Medicine Clinician Well-being Steering Committee.  

Faculty

Douglas Smink,
MD (BWH/BWFH)

MD (BWH/BWFH): Vice Chair of Education, Department of Surgery BWH; Chief, Brigham and Women’s Faulkner Hospital; Professor of Surgery, Harvard Medical School

Lori Berkowitz,
MD (MGH)

Associate Director of Graduate Medical Education at MGB; Chair of GME Wellness Task Force; Associate Professor of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School

Laura Barger,
MD (BWH)

Associate Physiologist, Division of Sleep and Circadian Disorders, BWH; Assistant Professor of Medicine, Harvard Medical School,

Matthew Weaver,
MPH, PhD (BWH)

Associate Epidemiologist, Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, BWH; Instructor in Medicine, Harvard Medical School

Ariel Winn,
MD (BCH)

Associate Designated Institutional Official, GME at BCH; Assistant Professor of Pediatrics, Harvard Medical School

Katharyn Meredith Atkins,
MD (BIDMC)

Associate Dean for Undergraduate Medical Education, Associate Director of the Shapiro Institute for Education and Research, Assistant Professor of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School

Huma Farid,
MD (BIDMC)

Assistant Professor of Obstetrics, Gynecology, & Reproductive Biology, Harvard Medical School

Staff

Angele Renne

Project Coordinator

Tiannan Zhan, MS

Statistical Analyst

Stuart Lipsitz, PhD

Statistical Analyst

Sarah Halix, MD (MGH)

Resident

Ekaterina Koelliker

Research Coordinator

Atziri Rubio Chavez

Postdoctoral Research Fellow