OB

Two fellows will be selected each year. Applicants must have completed a 3-year ACGME accredited Family Medicine Residency and be board certified in Family Medicine. At this time, we are not able to sponsor visas for the fellowship. The fellowship year starts approximately the last week of July.  This varies by academic year. Please submit the following to apply:

• A copy of your CV
• Concise personal statement detailing the following:
  • Reasons for pursuing additional training in obstetrics, specifically surgical obstetrics.
  • Any previous experience with obstetrical care (both in residency and outside residency).
  • Future career goals.
• Letter of support from your Program Director.
• Two additional letters of reference, preferably from Family Medicine faculty.
• Current list of OB & GYN procedural numbers (a summary table of your specific procedures is preferable instead of your entire excel spreadsheet).
• Picture

We accept applications starting 7/1, with deadline for submssions by 8/30.  Interviews will be offered from the end of September through the beginning of October.  All interviews will be held virtually on Mondays between 8:30am – 12pm MST. In an effort to allow for interview completion, and provide the best match between applicant and program, we will not expect an answer to any offer made prior to October 15th.  This is the universal date determined by a majority of the OB Fellowships across the country. Fellows will be finalized by the end of October.

Email applications to:

Amy Atondo, Fellowship Program Coordinator.
Subject Line: OB Fellowship Application

Direct Inquiries:

Amy Atondo
Fellowship Coordinator
P: (208) 514-2500 x1074
AmyAtondo@fullcircleidaho.org
777 N Raymond Street Boise, ID 83704

General Overview:

• Fellowship is divided into 13 four week blocks matching the residency schedule.
• Fellows start in Block 2 (approximately the end of July) and finishes at end of Block 1 of the following academic year.
• Eleven of the 13 blocks are focused on surgical and high-risk OB (see template below).
• There are 8 weeks total of elective time split into 4 two-week experiences throughout the year.
  • This allows fellows to develop additional skills of their choosing.
  • Examples could include: NICU, gynecologic surgery, urology, general surgery, adult inpatient attending
    • Fellow can still participate in the morning 0730 c/section during these blocks as available.
    • Call can be continued throughout this block depending on the elective.
    • Clinics, both MFM Continuity and FM Continuity, would continue with slightly more FM Continuity clinic, averaging 3 sessions/wk.

Goals for the Fellowship:

• Learn the surgical skills of cesarean delivery and post-operative management.
• Gain further knowledge in assisted vaginal delivery.
• Gain knowledge in high risk pregnancy management: antepartum, intrapartum, post-partum.
• Assist with labor management, both normal and abnormal, in order to know when to go to c-section.
• Obtain techniques to perform OB Ultrasound through all stages of pregnancy.
• Increase obstetrical knowledge through a reading schedule.
• Maintain Family Medicine skills through participation in continuity clinic.

Objectives for the Fellowship:

• Perform 100-150 c/s as the primary surgeon, and over 200 c/s total.
• Participate in as many vaginal deliveries as allowable throughout the year.
• Follow high risk patients daily, either on antepartum or from admission through delivery and then postpartum.
• Follow laboring patients while on call.
• Participate in MFM US clinic twice/block and take a qualified US course, preferably at the beginning of the year.
• Follow a structured reading plan during the year, which includes up to date articles from OB/GYN Journals, textbooks including Gabbe and Williams, and review of ACOG Compendium.
• Assist with teaching the annual Full Circle Health ALSO course in April and June.
• Follow a continuity panel of FM patients on a weekly basis.
• Give a Grand Rounds type lecture to a large medical audience toward the end of the year
• Participate and assist in quarterly OB Journal Club.
• Participate in morning OB lecture series and afternoon teaching sessions for the residents when able.

 Typical OB Fellow 4-Week Block Schedule:

One fellow starts on week 1 of the schedule while the other fellow starts on week 3 and each works sequentially through the 4-week schedule.

Week 1:

Week 2:

Week 3:

Week 4:

Typical Call Shift:

0530 (approximately): round on postpartum, prep for daily c-sections.

•  Check main OR schedule for potential hysterectomies, D&Cs, etc. to participate in if downtime from L&D and c-sections.

0700: multidisciplinary signout near L&D.

•  Includes laborists, MFM, resident OB team, L&D Charge Nurse, and anesthesia.
• Goal to obtain updates on overnight events and general schedule for the day.

0730: participate in first c-section of the morning.

• During the day: monitor L&D board, check in on MFM antepartum patients likely to go to C-section, finish rounding if needed, assist laborist as “senior” on call would if the senior is busy.

0800: participate in Huddle on L&D if available.

During the day: monitor L&D board, check in on MFM antepartum patients likely to go to C-section, finish rounding if needed, assist

• laborist as “senior” on call would if the senior is busy

Evening/night: manage labor, participate in c-sections when able, assist laborist on call (admitting MFM pts, triage pts, etc), catch up on reading.

• If Day Call, wrap up any final work and leave by 10:00 PM

0530 second morning: start rounding, check main OR schedule for possible, D&Cs, etc.

•  Note: this is not a requirement, but if able and interested, fellow may participate in these surgeries.

0700: multidisciplinary sign-out near L&D. 0730: post call c-section. Go home when done with operating, rounding, completing residual tasks from call night.

0730: post call c-section

Go home when done with operating, rounding, completing residual tasks from call night.