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The fellowship in Female Pelvic Medicine & Reconstructive Surgery (FPMRS) at the Massachusetts General Hospital will train physicians to become leaders and experts in this sub-specialty clinical discipline while pursuing a rigorous academic career. The program also emphasizes the development of clinician scientists who will develop and implement relevant and important basic science, translational, and clinical research in the field of FPMRS.
The primary location of the fellowship is the main campus, Massachusetts General Hospital, Boston, MA. The MGH is a tertiary care center with approximately 1,000 beds and over 1,000 physicians. Fellows will evaluate and manage patients in the outpatient setting on the main campus as well as 2 other satellite offices, Waltham and Danvers. Major surgical cases and same day surgical cases are performed on the main campus. Same day surgical cases can also be performed at MG Danvers and MG Waltham.
May Wakamatsu, MD, Gynecology, Chief of FPMRS division
Samantha J. Pulliam, MD, Fellowship Program DirectorMilena M. Weinstein, MD, Research Director
Joseph A. Grocela, MD, Urology
Contact: Ashley Cambridge, Female Pelvic Medicine & Reconstructive Surgery fellowship coordinator
Applicants must have satisfactorily completed either an:
Fellows will learn how to evaluate, manage and treat patients with primary pelvic organ prolapse and bladder control problems as well as complex pelvic floor disorders, including, urethral diverticuli, vesicovaginal or rectovaginal fistula, pelvic floor myofascial pain, etc.
Fellows will be trained to perform the full scope of surgical procedures, i.e., laparoscopic sacrocolpopexy, robotic sacrocolpopexy, vaginal hysterectomy, vaginal apical suspension procedures, slings, bulking injection procedures, sacral neuromodulation, peripheral nerve stimulation, vaginal electrical stimulation, etc. In addition, we perform concomitant surgical procedures, i.e., laparoscopic sacrocolpopexy with rectopexy, with our colorectal colleagues.
We have an active Pelvic Floor Disorder Service which is a multidiscipinary service comprised of FPMRS, colorectal, urology, and gastroenterology faculty and physical therapists. We work closely with our colleagues to manage patients who have complex pelvic floor disorders. We meet quarterly to discuss the evaluation and management of patients with complex pelvic floor disorders.
During the third year of fellowship, fellows will rotate through colorectal, urolology, geriatric, neurology and physiatry electives. Fellows will also have the opportunity to spend time with pelvic floor physical therapists.
Clinical support is available via the electronic “Partners Handbook” from every computer terminal within the hospital, and includes immediate access to evidence-based clinical tools such as DynaMed, Up to date and MD consult as well as micromedex and patient education resources. Hospital policies and guidelines for are available for a complete range of concerns including topics such as pain management, urinary catheter protocols, patient safety policies, intensive care admissions and many others.
Fellows attend the annual Partners Health System Clinical fellows Retreat. Topics are presented based on the educational needs of fellows, and include topics such as “Giving and receiving competency based feedback and evaluation”, Quality Improvement Projects, Medicolegal issues, Health Policy, Improving healthcare through communication, work-life balance, and mentorship.
Each year the first year fellow will attend the IAPS course, designed specifically for fellows. The course includes a cadaver lab exploring the anatomy of the pelvis as it relates to specific pelvic surgeries, as well as lecture and expert discussion regarding a variety of topics unique to FPMRS including neovagina formation and use of mesh in vaginal surgery.
Each year, fellows will attend the annual meeting of the American Urogynecology Association. They will be asked to participate in a post-graduate course each year on the topic of their choice. Fellows may attend other scientific meetings if their abstract has been accepted.
Fellows are on pager call every weekday and weeknight for FPMRS patients. Fellows take weekend call with FPMRS faculty for benign gyn patients approximately every four weeks. Fellows do not have any in-house call. MGH complies with the Accreditation Council for Graduate Medical Education (ACGME) duty-hour requirements.
Moonlighting is allowed with permission of the program director and must comply with ACGME duty-hour requirements. Moonlighting must not interfere with any fellowship responsibilities.
To ensure that fellows progressively acquire requisite knowledge and technical skills, performance is monitored on a regular basis according to ACGME guidelines. Fellows are evaluated formally by the program director biannually. Additionally, fellows evaluate faculty and the program regularly to provide feedback to allow us to continually improve our training program.
Each fellow will be given an opportunity to pursue basic science research with the MGH Vincent Center for Reproductive Biology (VCRB). Bo Rueda, Ph.D., and Mark Phillippe, MD, supervise the fellows' research. Dr. Rueda has designed a program specifically intended to train fellows in basic science research techniques. Samantha Pulliam, MD, FPMRS faculty, is an investigator on tissue banking protocol which is ready to have a FPMRS fellow initiate basic projects under guidance from clinical and basic science faculty. The VCRB provides highly trained research technologists to train and assist the MGH fellows in their research endeavors. The strong bonds formed between the technologists, post‐docs and clinical fellows have allowed the clinical fellows to become involved in more projects and successfully complete their own.
Fellows will meet bimonthly with FPMRS research director, Dr. Milena Weinstein, to discuss fellows’ on-going research projects.
Fellows will attend a comprehensive schedule of didactic lectures and conferences:
Each fellow will be provided tuition reimbursement to attend two graduate courses at the school of public health. One course will address biostatistics, and an additional course will cover research design or another topic pertinent to the specific research interests of the fellow.
Harvard Catalyst/The Harvard Clinical and Translational Science Center is dedicated to improving human health by enabling collaboration and providing tools, training and technologies to clinical and translational investigators. Founded in May 2008, Harvard Catalyst is a shared enterprise of Harvard University, its ten schools and its seventeen Academic Healthcare Centers (AHC), as well as the Boston College School of Nursing, MIT, Harvard Pilgrim Health Care, and numerous community partners. Harvard Catalyst offers more than a dozen courses and training programs, ranging from short courses on translational and clinical research to degree-granting multiyear advanced education and training programs.
The MGH Clinical Research Program (CRP) provides support for investigators and study teams, and education for all involved in clinical research to ensure best clinical research practices. Courses ranging from an hour long seminar to a semester long commitment are available on a wide range of topics such as IRB submission, obtaining informed consent, basic biostatistics, human genetics, clinical trial design, grant writing and research budget management. Most of these courses are free of charge, but for those with fees, the fellowship will provide tuition on a case by case basis.
The Treadwell Library, health sciences library for the Mass General community, easily accessible for fellows on the main Mass General campus as well as through its vast electronic resource center, includes 1600 academic journals and 35,000 bound volumes. In addition fellows will have access to Harvard Medical School’s Countway Library, including 3500 journal subscriptions, 630,000 volumes, an immense on-line library and other resources, which will allow them to retrieve abstracts and full text manuscripts from their research offices and from home. This includes major journals from all medical specialties, and also specialty-specific journals including the international urogynecology journal, Urology, the Journal of Urology, Neurourology and Urodynamics and many others. For fellows interested in retrospective reviews electronic medical records with access from office and home have ample opportunity to perform this type of research as well as the available staff at the Medical Records offices. In addition, each fellow will be given a stipend of $3,000 per year to fund purchase of books, software programs, personal laptops, society memberships, and to support travel to meetings.
Candidates may apply through ERAS Fellowships, an online application service. For 2017 applicants, the deadline for our program is Sunday, March 20, 2016. Interview dates will be May 20 and May 23, 2016, and the fellowship position begins in July 2017.
All applications through ERAS Fellowships must include:
Ashley Cambridge, Female Pelvic Medicine & Reconstructive Surgery fellowship coordinator
Milena Weinstein, MD, Female Pelvic Medicine & Reconstructive Surgery fellowship program director
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