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Obstetrician with patient and her partner

Obstetrics Fellowship Program

The Spartanburg Regional Family Medicine Obstetrics Fellowship was designed to provide family physicians with advanced training in gynecology and high risk and operative obstetrics. The single fellowship position is funded by the Edward Via College of Osteopathic Medicine, and thus that Fellow must be a D.O.

The Spartanburg Regional Family Medicine program does not currently offer a M.D. OB Fellowship position.

Goals of the Fellowship

1. Gain competence in operative obstetrics including cesarean sections and vacuum/forceps deliveries
2. Learn management of high risk pregnancies
3. Become proficient at limited obstetric ultrasound
4. Develop skills necessary for initial assessment and resuscitation of the newborn
5. Demonstrate capability to perform minor and office gynecologic procedures
6. Develop competency in teaching obstetric skills and knowledge to family medicine residents
7. Maintain family medicine skills

Rotations

The majority of the fellows time will be spent on Labor and Delivery, in the Academic Ob/Gyn outpatient office, or performing duties at the Osteopathic Medical School. Additional month long rotations will be spent in the Maternal Fetal Medicine office and in the Neonatal Intensive Care Unit.

Labor & Delivery

The fellow will gain experience in induction and augmentation of labor, operative vaginal deliveries and cesarean sections. Most fellows graduate with between 150 and 200 cesarean sections as primary surgeon. Most also finish with greater than 250 vaginal deliveries in which they have acted as proctor for the Family Medicine Residents. Fellows are encouraged to perform dilation and curettages and post-partum tubal ligations. Supervision is provided by board certified Obstetrician/Gynecologist Attendings and Maternal Fetal Medicine Specialists. The fellow is expected to teach basic obstetric skills, including triage evaluations, cervical exams and IUPC and FSE placement, to the Family Medicine Residents on their OB rotation.

Academic Outpatient Obstetrics/Gynecology Office:

The fellow will learn management of common gynecologic complaints such as dysfunctional uterine bleeding, infertility and chronic pelvic pain. He or she will also gain experience in the management of high risk pregnancies, including those complicated by diabetes, hypertensive disorders, and thyroid disease. They will become proficient in office procedures such as Nexplanon, IUD and pessary insertion and removal, endometrial biopsies and basic obstetric ultrasound.

Maternal Fetal Medicine

The fellow will gain more experience with advanced obstetric ultrasound and take part in perinatal consultations for high risk pregnancies, under the supervision of Maternal Fetal Medicine specialists.

NICU

The fellow will become proficient at neonatal resuscitation and stabilization including oxygen supplementation, positive pressure ventilations, endotracheal intubation, umbilical artery/vein catheterization and antibiotic administration. Spartanburg Regional has a Level III NICU (accepting neonatal gestational age to the threshold of viability) which is staffed 24 hours per day by board-certified Neonatologists.

Family Medicine Clinic

The fellow will spend one half day to one day in Family Medicine clinic every other week to maintain family medicine competencies. They will see patients at a rural clinic in Chesnee, SC.

Call Schedule

The fellow will be expected to take eight (8) nights of home call per month. He or she may be called in for any cesarean sections. He/she must take call one weekend per month, which involves leading rounds each morning with the obstetric team, performing any scheduled post-partum tubals, D&C's or cesareans and coming in for any called cesarean sections.

Osteopathic Medical School Duties

In addition to the requirements above, the fellow will have additional obligations at the Edward Via College of Osteopathic Medicine-Carolinas Campus in Spartanburg. These will include lectures, proctoring procedural skills and OMM labs and assisting with development of the Ob/Gyn curriculum. The fellow will be expected to spend up to eight (8) hours per week at the medical school. This is typically performed over two (2) half days per week.

Required Courses

The fellow will be required to obtain NRP certification and ALSO certification if they have not already. He or she will be expected to obtain Nexplanon training. Additionally, the fellow will be required to attend a one-week course on obstetric ultrasound offered twice yearly at Wake Forest Baptist Medical Center. The cost of this course is covered outside the CME funds.

Compensation

The fellowship is treated as a PGY-4 year for Family Medicine Residency graduates. As of 2015, annual salary is $64,088. A CME stipend of $2000 is provided. Paid time off is allowed up to 20 days per year (15 vacation days/5 sick days).

Please review the current OB Fellowship Handbook link below for the curriculum, goals, objectives, rotation schedule, and competencies. The Handbook is currently written for the 2014-2015 academic year, in which there is an M.D and a D.O. fellow. Future years will reflect a single D.O. fellow.

Qualified applicants may apply for the Spartanburg Obstetrical Fellowship by submitting:

1. A personal statement expressing your interest in Obstetrics in Family Medicine
2. A current Curriculum Vitae (CV)
3. Three (3) letters of recommendation. One of your letters should come from the Program Director of your Family Medicine Residency.

Robinson

Ty Robinson, DO
MUSC AHEC Assistant Professor
Director, OB Fellowship
Division Chair, Department of OB/Gyn, VCOM

Please copy all correspondence to:

Jeannie Lenberg
Program Manager
Spartanburg Family Medicine Residency Program
Phone: 864-560-1551
Fax: 864-560-1565
E-mail: jlenberg@srhs.com

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