Maternal Child and Reproductive Health Fellowship
Overview
The Southern New Mexico Family Medicine Residency Program in collaboration with Women’s Medical Associates OB/Gyn providers, and Memorial Medical Center Pediatrics Department offer a one-year training fellowship for family physicians who want advanced skills in maternity and newborn care. The purpose of this fellowship is to provide training and experience in advanced maternity and newborn care for the family physician who desires a broader base of knowledge, experience and skills than is provided in traditional Family Medicine residency training in this area.
RATIONALE AND BENEFIT FOR THE COMMUNITY
There is a shortage of physicians in rural America, including a severe shortage of physicians who provide maternity care. This care gap is significant and has led to the creation of the term obstetrical deserts. To address this problem, several obstetric fellowships have been created to provide training for family physicians that intend to practice obstetrical care in rural and underserved communities.
Care of the individual from birth to death is the responsibility of the family physician. Each family physician graduates from residency with a basic qualifying repertoire of skills then refines them based on interest, abilities and experience. The intent of the obstetric fellowship is to provide a high-quality educational experience that prepares the graduate to provide advanced maternity care, including C-sections and solidify the expertise of the physician providing this care in rural and underserved communities in New Mexico.
To apply please email snmfp.obfellowship@gmail.com with your CV, procedure log, three letters of recommendation including one from your program director and personal statement.
PROGRAM GOALS & INFORMATION
To equip FM trained physicians with women’s health experience to adequately care for women during their pregnancy and delivery.
To train FM physicians to perform operative vaginal delivery and cesarean section deliveries.
To train FM physicians to care for pregnant women during higher risk pregnancies.
To train FM physicians in colposcopy, IUD/Nexplanon insertions and removals as needed to practice independently.
To train FM physicians to perform outpatient reproductive health procedures including vasectomy (optional), colposcopy.
EDUCATIONAL PROGRAM
1-year longitudinal experience (July 1st - August 1st)
2 half days in FM clinic as preceptor
MFM clinic with U/S experience
ALSO instructor course
L&D with every other weekend coverage
Occasional Family Medicine Service (FMS) call coverage
2 days a month rounds on Family Medicine Service (FMS) with call which includes adult inpatient care (including ICU) and general pediatric care to maintain full spectrum family medicine experience
Additional funded courses include: ACLS, NRP, ALSO
Core Education: regularly assigned readings, lead biweekly c-section review series, lead monthly FM OB didactics series
Procedural competency will be achieved through direct proctoring and supervision by obstetric care providers in Family Medicine and WMA to gain skills and competency in:
Cesarean section
Bilateral tubal ligation postpartum
External cephalic version
Amniocentesis
OB Ultrasound
Postpartum dilation and curettage
Sample Schedule
| Week 1 | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
|---|---|---|---|---|---|---|---|
| AM | L&D | L&D | C-section backup | C-section backup | L&D | Call | Call |
| PM | L&D | L&D | C-section backup | C-section backup | L&D | Call | Call |
| Week 2 | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday & Sunday |
|---|---|---|---|---|---|---|
| AM | Post-call | Procedures with OB/GYN | FMS Hospital backup | Procedures with OB/GYN | Faculty Development/Admin | off |
| PM | FM clinic precept | FM clinic precept | FMS/night call | MFM/US | off | off |
The 2 fellows have opposite schedules. While fellow A is on L&D week 1, fellow B would be precepting, gyn procedures and MFM, then they switch. While on L&D, fellows are responsible for rounding with the resident for OB and peds, precepting vaginal deliveries and primary surgeon for c-sections with back up from faculty. While c-section back up, a midwife is the primary attending for the resident and the fellow can help run the floor and be available for complicated deliveries and c-sections. Friday-Sunday call is every other weekend. Every other Wednesday the fellow helps with the inpatient family medicine service (FMS) and take call from home for inpatient family medicine and pediatrics overnight.
Requirements
Current valid unrestricted medical license
ABFM certified or board eligible
Salary and benefits
$75,000 yearly salary
Educational Funding: $1,000 for CME
PTO: 15 days vacation, 5 days CME and 5 days illness
Insurance: Health, vision, dental, professional liability, life/ADD/disability
Training: BLS, NRP, ACLS, PALS, ALSO