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 8 weeks total of elective time split into 4 two-week experiences throughout the year.
- This allows the fellow to develop additional skills of his/her choosing.
- Examples could include: NICU, gynecologic surgery, urology, general surgery, Planned Parenthood, adult inpatient attending
- 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/wk.
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.
- 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 twice/block and take a qualified US course, preferably at the beginning of the year.
- 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 Full Circle Health ALSO course in April and June.
- Follow a continuity panel of FM patients on a weekly basis.
- Give a Grand Rounds type lecture to a large medical audience 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 4-Week Block Schedule:
One fellow starts on week 1 of the schedule while the other fellow starts on week 3 and each works sequentially through the 4-week schedule.
Week 1:
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
AM |
MFM Attg Service/Call |
MFM Attg Service |
MFM Attg Service |
MFM Service/Call |
MFM Attg Service |
MFM Attg Service |
|
PM |
Call (end at 10pm) |
Full Circle Health clinic |
Yellow Risk Clinic |
Call (end at 10pm) |
Full Circle Health clinic |
|
|
Week 2:
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
AM |
MFM Attg Service/Call (24hr) |
MFM Attg Service |
MFM Attg Service |
MFM Attg Service |
MFM Attg Service |
MFM Attg Service/Post-call round |
|
PM |
Call (24hr) |
Post-call |
Full Circle Health clinic |
Full Circle Health clinic |
Call (24hr) |
|
|
Week 3:
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
|
0730 c/s |
0730 c/s |
0730 c/s |
0730 c/s |
0730 c/s |
|
|
AM |
Full Circle Health clinic (1030am start) |
Call |
Off |
US/Genetics/ Admin/Research
|
Call (24hr) |
Post call round |
|
PM |
MFM Conti Clinic |
Call (off at 10pm) |
Full Circle Health clinic
|
Full Circle Health clinic |
Call (24hr) |
|
|
Week 4:
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
|
0730 c/s |
0730 c/s |
0730 c/s |
0730 c/s |
0730 c/s |
|
|
AM |
Full Circle Health clinic (1030am start) |
Call |
Off |
Call (24hr) |
Round, then off |
Off |
Off |
PM |
MFM Conti Clinic |
Call (off at 10pm) |
Yellow Risk Clinic |
Call (24hr) |
Off |
|
|
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.
0800: participate in Huddle on L&D if available.
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.
0730: post call c-section
Go home when done with operating, rounding, completing residual tasks from call night.
CME/Conferences:
- $3500
- Required conferences:
- Advanced OB US course
- Idaho Perinatal Project in January
- ALSO Instructor Course
- Three additional days for CME allowed to use at your discretion.
Vacation:
- 15 days plus birthday compensated as appropriate.
Compensation:
- Salary: $77,475.00
- Standard benefit package through Full Circle Health