Obstetrics & Women’s Health Fellowship
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, LEEP, IUD/Nexplanon insertions and removals as needed to practice independently
Program Location
Cahaba Medical Care Clinics
RURAL: Bibb/Perry County (Centreville, Woodstock, Marion locations)
URBAN: Jefferson County (Bessemer, West End, Ensley, Fairfield locations)
Hospitals
BIBB COUNTY: Bibb Medical Center
JEFFERSON COUNTY: UAB Medical West, Princeton Baptist Medical Center
Experience
Participate in, and eventually run, prenatal clinics at various locations
Become proficient in obstetrical US, including transvaginal studies, by working with experienced ultrasonographers in busy practice at various locations
Manage obstetrical triage including labor rule out, decreased fetal movement, possible rupture of membranes, and pregnancy loss
Manage inductions of labor, spontaneous labor, preterm labor, PPROM, shoulder dystocia
Perform operative vaginal deliveries and cesarean sections assisted by boarded FM-OB or ObGyn.
Manage complications of pregnancy including gestational DM, preeclampsia, cholestasis
Manage high risk obstetrical patients including those with pregestational DM, chronic HTN, multiple gestation, thyroid disease, autoimmune disorders.
Maintain a private panel of family medicine patients throughout fellowship. If fellowship lasts longer than a year, as proficiency develops, can decrease US days and increase personal clinic days.
Participate in weekly book club that incorporates ACOG practice bulletins and chapters in Gabbe’s “Obstetrics: Normal and Problem Pregnancies”
Procedures:
Women’s Health procedures: Colposcopy, LEEP, IUD insertion and removal, Nexplanon insertion and removal, endometrial biopsy
Obstetrical Procedures: Operative vaginal deliveries, Cesarean section deliveries (with or without tubal ligations), Ultrasounds
Other: Circumcision
Fellow B has the opposite schedule (so when Fellow A is Week 1, Fellow B is Week 2 and then they switch). Week A is classically considered the “Jefferson County Week” so call Monday-Thursday is for deliveries in Jefferson County. Week B is “Bibb County Week” and call is Monday-Thursday for deliveries at Bibb Medical Center. Weekend call (Friday-Sunday) is for the entire organization and is every other weekend.