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The fellowship in Female Pelvic Medicine & Reconstructive Surgery (FPMRS) at Massachusetts General Hospital trains 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, as well as translational and clinical research in the field of FPMRS.
The FPMRS fellowship is a three-year program:
Applicants considered for an appointment are invited to visit Mass General for a personal interview with the program director and selected faculty.
Applicants must have satisfactorily completed either an:
The primary location of the fellowship is Massachusetts General Hospital's main campus in Boston, MA. Mass General 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 two other satellite offices at Mass General/North Shore Center for Outpatient Care in Danvers and Newton-Wellesley Hospital. Major surgical cases and same-day surgical cases are performed on the main campus. Same-day surgical cases can also be performed at Mass General Danvers and Mass General Waltham.
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 diverticulum, vesicovaginal or rectovaginal fistula, and pelvic floor myofascial pain.
Fellows will be trained to perform the full scope of surgical procedures, including:
In addition, we perform concomitant surgical procedures with our colorectal colleagues, such as laparoscopic sacrocolpopexy with rectopexy.
We have an active Pelvic Floor Disorder Center which is a multidisciplinary 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 monthly to discuss the evaluation and management of patients with complex pelvic floor disorders.
During the third year of fellowship, fellows rotate through colorectal, urology, geriatric, neurology and physiatry electives. Fellows 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 are available for a complete range of concerns, including topics such as pain management, urinary catheter protocols, patient safety policies and intensive care admissions.
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 lectures and expert discussions 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 gynecology patients approximately every four weeks. Fellows do not have any in-house call.
Mass General 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 Mass General Vincent Center for Reproductive Biology (VCRB). Bo Rueda, PhD, and Caroline Mitchell, MD, supervise the fellows' research. Dr. Rueda has designed a program specifically intended to train fellows in basic science research techniques. The VCRB provides highly trained research technologists to train and assist the Mass General 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 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 multi-year advanced education and training programs.
The Mass General 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 hour-long seminars to semester-long commitments 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, is easily accessible on the Mass General main campus as well as through its vast electronic resource center. The library includes 1600 academic journals and 35,000 bound volumes. In addition fellows have access to Harvard Medical School’s Countway Library, which includes 3500 journal subscriptions, 630,000 volumes, as well as an immense online library and other resources that are available from anywhere. Countway Library offers major journals from all medical specialties, as well as specialty-specific journals including the International Urogynecology Journal, Urology, the Journal of Urology, and Neurourology and Urodynamics. For fellows interested in retrospective reviews, the electronic medical records, which are accessible from office and home, provide ample opportunity for this type of research, as well as the available staff at the Medical Records offices.
In addition, each fellow is given a stipend of $3,000 per year to fund the purchase of books, software programs, personal laptops, society memberships and travel to meetings.
For 2019 applicants, the deadline for our program is Saturday, March 17, 2018. Candidates should apply through the ERAS Fellowships online application service.
Interview dates will be May 4 and May 11, 2018, and the fellowship position begins in July 2019.
All applications through ERAS Fellowships must include:
The following items should be sent via email to Amy Ribak (firstname.lastname@example.org) to be added to your ERAS Fellowship Application locally, as they not accepted by ERAS for scanning:
Amy Ribak, Female Pelvic Medicine & Reconstructive Surgery fellowship coordinator
Phone: 617-643-4928 Fax: 617-726-4267
Milena Weinstein, MD, Female Pelvic Medicine & Reconstructive Surgery fellowship program director
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