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USC/California
Hospital
Family Medicine Residency
Fellowship in Maternity and
Child Health Development
USC/CHMC Family Medicine Residency program has offered a one-year,
full-time Maternity and Child Health Development Faculty Fellowship
since 1997 that provides training in:
- Low-risk obstetrics
- High-risk obstetrics
- Family-centered perinatal care
- Surgical experience as both first assist and primary surgeon
for Cesarean sections
- Obstetric ultrasound
- Colposcopy
- LEEP procedures
Following a one year hiatus in 2005, we are accepting 1-2
fellows per year. These fellows train on two hospital services
within CHMC: the Family Medicine Maternity Service and the
obstetric service. These patients comprise all levels of risk.
The fellows gain a wealth of experience in the management
of preeclampsia, pre-term labor, gestational diabetes, and
other medical complications of pregnancy.
There is also plentiful experience as first surgeon and first
assist for Cesarean sections and other operative cases. Our
fellowship graduates have been quite successful at obtaining
Cesarean privileges at outside hospitals and, for the first
time, at CHMC as well. There are also opportunities to learn
to perform post-partum tubal ligations and other gynecologic
surgeries.
Family-centered perinatal care is emphasized. Fellows maintain
a busy outpatient clinic where more complicated obstetric
patients are followed with emphasis on childbirth education
and comprehensive continuity care for mother, partner, family
and infant.
There is also an emphasis on faculty development with fellows
participating in:
- The precepting of resident and medical students in both
inpatient and outpatient setting.
- Presentations and other curriculum development for residents,
colleagues and faculty.
- Opportunities for clinical research.
Maintenance of full-spectrum family medicine is possible
through our partnerships with several community clinics and
within the residency's family practice clinic.
The USC/CHMC Family Medicine Residency Program has successfully
implemented the Maternity and Child Health Development Fellowship
for the enhanced training of family physicians in coordinated
maternity and family care, surgical preparation, faculty development
and managed care administration. Our graduates' careers include
faculty positions, C-section privileges, multicultural care,
care for the under-served, and both urban and rural work.
The Senior Maternity elective through the USC/California
Hospital Family Medicine Residency Program is a high-risk
OB experience open to all family medicine residents in their
third year of training. The elective is a one month rotation
on the OB team, which consists of family medicine and obstetric
residents. The service includes patients from family medicine,
OB, high-risk OB, and nurse midwife clinics, as well as patients
with gynecological problems. Residents are responsible for
the labor and delivery deck, antepartum, postpartum, surgical
assisting and GYN floor/post-op.
The service performs up to 100 deliveries per month, including
SVD's, vacuum assisted deliveries and C-sections. Residents
on the maternity elective may assist and possibly perform
C-sections by the end of the month, and work closely with
the Fellows on antepartum, as well as teaching interns and
proctoring deliveries.
The requirement for the elective is a minimum of 30 unassisted
SVD's, and the desire to become competent with the above functions.
Call is between 7-9 nights per 4 weeks, and post-call days
are off after morning rounds.
| Maternity
Fellows, 2004 - 2005
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