Curriculum Summary
Inpatient
Most of the fellow’s time will be spent on L&D at Lawrence General Hospital. Fellowship activities will be supervised by an advanced OB trained family physician or obstetrician/gynecologist. The fellow will also work closely with family medicine residents and non-OB fellowship trained family medicine faculty. Four weeks a year will be spent at Tufts Medical Center working with Maternal Fetal Medicine faculty and fellows. Two weeks a year will be spent in the Level 2 Nursery at Lawrence General Hospital.
Outpatient
- 1 - half day per week of High Risk OB clinic
- Longitudinal experiences in: Maternal Fetal Medicine and Gynecology Clinics
- 2 - half day sessions per week in family medicine continuity clinic
Call
- One overnight in-house call each week
- One Saturday 24 – hour in-house call every 6 weeks
Faculty Development
- 1-half day session per week with OB fellowship faculty member directed towards addressing fellow learning goals
- Attendance at ALSO instructor course
- Participation as ALSO instructor candidate at local ALSO course
- Attendance at one or two comprehensive OB educational conferences (time and expenses covered)
- Present weekly case and didactic conferences for family medicine residents and attending
Annual Conferences (budget permitting)
- ALSO instructor course
- ALSO Provider course – where you will be evaluated as an instructor candidate
- AAFP Family Centered Maternity Care Conference
- Limited OB Ultrasound Course
- Ante/Intra partum Management at UCSF
Procedure Training
With some minimal variation, you will get around 200-230 c-sections, of which roughly ½ will be as the primary surgeon, roughly 25 – 35 post-partum tubal ligations, 15 – 20 D&C’s, and a variable number of vacuums/ 3rd and 4th degree tear repairs/external cephalic versions. These depend on the number of patients needing them, but generally around 3-10. We also offer some colposcopy training as well as an opportunity to assist in gynecologic surgeries.
Goals of the Fellowship
- Become competent as a primary surgeon in performing C-sections, postpartum tuba ligation, and D&C’s
- Provide appropriate outpatient, peripartum and postpartum care for high risk OB patients in an underserved community
- Increase competency and neonatal resuscitation and newborn care
- Become more skilled at management of general gynecological problems and procedures
- Increase knowledge base of the evidence around obstetrics and participate in formal and informal teaching of residents and faculty
- Become competent at basic ultrasound and gain exposure to advanced OB ultrasound
- Effectively facilitate working relationships between nurses, attending and residents on labor and delivery.
- Continue development as a family physician in the outpatient setting
Fast Facts
Length of Fellowship: 12 Months
Number of Positions: 2
Setting: Urban Health Center
Prerequisite: Completion of an ACGME Family Medicine Residency
Salary: $70,000
How to apply: You will need to complete the fellowship application and submit it along with your USMLE scores I, II, & III, your CV and 3 letters of recommendation.
To request an application:
Email:obfellows@glfhc.org
Fax: 978-687-2106 – Attn: Johanne Nobile
Call: 978-689-6624 – Johanne Nobile