General Overview:
- Fellowship is divided into 13 four week blocks matching the residency schedule.
- Fellow starts in Block 2 (approximately the end of July) and finishes at end of Block 1 of the following academic year.
- Eleven of the 13 blocks are focused on surgical and high-risk OB (see template below).
- There are two non-call blocks out of the 13. This allows the fellow to develop additional skills of his/her choosing.
- Examples could include: NICU, gynecologic surgery, urology, general surgery, Planned Parenthood.
- Fellow can still participate in the morning 0730 c/section during these blocks as available.
- Call can be continued throughout this block depending on the elective.
- Clinics, both MFM Continuity and FM Continuity, would continue with slightly more FM Continuity clinic, averaging 3 sessions/week.
Goals for the Fellowship:
- Learn the surgical skills of cesarean delivery and post-operative management.
- Gain further knowledge in assisted vaginal delivery.
- Gain knowledge in high risk pregnancy management: antepartum, intrapartum, post-partum.
- Assist with labor management, both normal and abnormal, in order to know when to go to c-section.
- Obtain techniques to perform OB Ultrasound through all stages of pregnancy.
- Gain knowledge regarding opiate abuse in pregnancy
- Increase obstetrical knowledge through a reading schedule.
- Maintain Family Medicine skills through participation in continuity clinic.
Objectives for the Fellowship:
- Perform 100-150 c/s.
- Participate in as many vaginal deliveries as allowable throughout the year.
- Follow high risk patients daily, either on antepartum or from admission through delivery and then postpartum.
- Follow laboring patients while on call.
- Participate in MFM US clinic at least once/block and take a qualified US course, preferably at the beginning of the year.
- Attend, participate in, and eventually precept the Yellow Risk/Substance Abuse in Pregnancy Clinic held at FMRI
- Follow a structured reading plan during the year, which includes up to date articles from OB/GYN Journals, textbooks including Gabbe and Williams, and review of ACOG Compendium.
- Assist with teaching the annual FMRI ALSO course in March and/or June.
- Follow a continuity panel of FM patients on a weekly basis.
- Give a large audience Grand Rounds lecture toward the end of the year.
- Participate and assist in quarterly OB Journal Club.
- Participate in morning OB lecture series and afternoon teaching sessions for the residents when able.
Typical OB Fellow Four Week Block Schedule:
Week 1:
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
|
0730 c/s |
|
|
0730 c/s |
|
|
|
AM |
FMRI clinic (10am start) |
Day Call |
Off |
UltrasoundClinic* |
24hr call |
Post call round |
|
PM |
MFM Conti Clinic |
Day Call (off at 10pm) |
Yellow Risk Clinic |
FMRI clinic |
24hr call |
|
|
Week 2:
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
|
0730 c/s |
|
0730 c/s |
|
0730 c/s |
|
|
AM |
FMRI clinic (10am start) |
24hr call |
Off |
MFM/Genetics |
Round |
|
|
PM |
MFM Conti Clinic |
24hr call |
Off |
FMRI clinic |
FMRI clinic |
|
|
Week 3:
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
|
0730 c/s |
|
|
0730 c/s |
|
|
|
AM |
FMRI clinic (10am start) |
Day Call |
Off |
Admin/Research |
24hr call |
Post call round |
|
PM |
MFM Conti Clinic |
Day Call (off at 10pm) |
Yellow Risk Clinic |
FMRI clinic |
24hr call |
|
|
Week 4:
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
|
0730 c/s |
|
|
0730 c/s |
0730 c/s |
|
|
AM |
FMRI clinic (10am start) |
Day Call |
Off |
24hr Call |
Round, then off |
|
|
PM |
MFM Conti Clinic |
Day Call (off at 10pm) |
Yellow Risk Clinic |
24hr Call |
Off |
|
|
Ultrasound Clinic*During elective month or if US clinic not busy, then fellow could schedule themselves with Planned Parenthood to participate and learn LEEPs, colposcopy, or D&C.
Typical Call Shift:
0530 (approximately): round on postpartum, prep for daily c-sections.
- Check main OR schedule for potential hysterectomies, D&Cs, etc. to participate in if downtime from L&D and c-sections.
0700: multidisciplinary signout near L&D.
- Includes laborists, MFM, resident OB team, L&D Charge Nurse, and anesthesia.
- Goal to obtain updates on overnight events and general schedule for the day.
0730: participate in first c-section of the morning.
- During the day: monitor L&D board, check in on MFM antepartum patients likely to go to C-section, finish rounding if needed, assist laborist as “senior” on call would if the senior is busy.
Evening/night: manage labor, participate in c-sections when able, assist laborist on call (admitting MFM pts, triage pts, etc), catch up on reading.
- If Day Call, wrap up any final work and leave by 10:00 PM
0530 second morning: start rounding, check main OR schedule for possible, D&Cs, etc.
- Note: this is not a requirement, but if able and interested, fellow may participate in these surgeries.
0700: multidisciplinary sign-out near L&D. 0730: post call c-section. Go home when done with operating, rounding, completing residual tasks from call night.
CME/Conferences:
- $3500
- Required conferences:
- OB US course
- Idaho Perinatal Project in March or April.
- Three additional days for CME allowed to use at your discretion.
- Advance Life Support in Obstetrics as a teacher in March or June.
Vacation:
- 15 days plus birthday compensated as appropriate.
Compensation:
- Salary: $76,708.00
- Standard benefit package through FMRI