Curriculum

Fellowship Overview

The Clinica Medicos OB Fellowship is designed to give physicians an opportunity to practice Family Medicine Obstetrics in a relatively protected environment. Family Physicians are rarely employed as laborists–instead, they are busy primary care physicians trying to maintain a robust office practice while also providing obstetrical care. Learning the surgical skills to perform cesarean sections is crucial to providing comprehensive obstetrical care, but balancing the demands of the hospital and the office is the real challenge. The Clinica Medicos Fellowship seeks to prepare ambitious, altruistic family physicians for the rigors and rewards of traditional Family Medicine practice.

Sounds fascinating–but what does it mean?

Think of the fellowship as boot camp for real world family medicine with obstetrics office practice.

  • After morning rounds and any scheduled morning c-sections–provided there are no imminent deliveries–the fellows go to the clinic and see patients. We have a very busy office practice with approximately 40,000 patient visits per year.
  • Approximately 60-percent of office visits are Medicaid patients, 35-percent are uninsured, and 5-percent are privately insured. We do schedule appointments, but the vast majority of visits (>95%) are walk-ins.
  • Our office practice is a dynamic combination of primary care and urgent care, and we provide a level of care analogous to a mission hospital. Office surgery and procedures is a focus of the fellowship curriculum and fellows will have regular opportunities to hone office-based procedure-skills.
  • Fellows will learn routine obstetric and gynecologic ultrasound including biometry. Fellows typically perform more than 300 ultrasounds during the fellowship.

Obstetrics

  • Our fellows function as completely independent, licensed physicians with full Staff Physician privileges at both Baptist Memorial Hospital for Women and Saint Francis Hospital (Park Ave). Our fellows are able to admit, treat, and discharge patients at both hospitals without any cosigning of notes or orders.
  • Our fellows are credentialed to do vaginal deliveries independently. When a patient needs a cesarean delivery they call the faculty physician on cesarean backup–then the fellow and the faculty physician will perform the cesarean section. Fellows perform at least 100 cesarean sections.
  • Fellowship faculty have cesarean section, bilateral tubal ligation, and dilation and curettage privileges at both hospitals. Fellows will work together to coordinate the daily hospital postpartum, antepartum, and labor and delivery rounds as well as rounding on any pediatric or adult patients admitted to our services.

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Continuity Clinic

  • After morning rounds and any scheduled morning c-sections–provided there are no imminent deliveries–the fellows go to the clinic and see patients. We have a very busy office practice with approximately 40,000 patient visits per year.
  • Approximately 60-percent of office visits are Medicaid patients, 35-percent are uninsured, and 5-percent are privately insured. We do schedule appointments, but the vast majority of visits (>95%) are walk-ins.
  • Our office practice is a dynamic combination of primary care and urgent care, and we provide a level of care analogous to a mission hospital. Office surgery and procedures is a focus of the fellowship curriculum and fellows will have regular opportunities to hone office-based procedure-skills.

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