Teaching Staff -
Clinical and Research Components - The Gynecologic Oncology Fellowship Training Program is divided into three distinct years; year one is devoted to investigation in the Gynecologic Oncology Laboratory under the direction and supervision of Dr. Ross Berkowitz and Associate Director Dr. Alex Ng. This is an exceptionally productive experience in which the fellow has an opportunity to substantially advance our understanding of the molecular biology of ovarian cancer. During this first year of investigation, the fellow has limited clinical responsibilities including only one weekend per month of clinical coverage of the gynecologic oncology inpatient service. The second and third years are devoted to clinical care. The gynecologic oncology fellow spends eight months on the Gynecologic Oncology service and one month on Pain and Palliative Care in year two of the fellowship. During the second year there are two months in which the fellow has no direct in-patient responsibilities. These two months may be used for continued pursuit of research. During the third year the fellow has primary inpatient responsibilities for four months, the fellow also spends one month in Radiation Oncology, one month on Pain and Palliative Care, one month on Medical Oncology, and one month on Urology. In addition to this, the third year fellow devotes three months to ambulatory care, operating room coverage and the continued pursuit of research. Four weeks of vacation are guaranteed in each of the years of training. Fellows providing clinical care are supervised at all times by the faculty of Gynecologic Oncology, Medical Gynecologic Oncology or Radiation Oncology.
Participant’s Supervisory and Patient Care Responsibilities - The fellow directly participates in the pre- and post-operative evaluation of patients with gynecologic malignancy. Full supervision on the clinical service is provided by the gynecologic oncology attending of the week with continuous supervision by faculty multiple times daily to provide necessary supervision to enrich the educational experience. In addition, the fellow has supervisory responsibility for one senior resident in Obstetrics and Gynecology, an intern in Obstetrics and Gynecology, and a physician assistant centered on inpatient service.
Procedural Requirements - The gynecologic oncology fellow is required to demonstrate proficiency in a broad range of surgical procedures including radical hysterectomy, total laparoscopic hysterectomy with lymphadenectomy, cytoreductive surgery, radical vulvectomy for carcinoma of the vulva, and evaluation and management of patients with trophoblastic disease. These general and special requirements are outlined in the American Board of Obstetrics and Gynecology Special Requirements documents.
Didactic Components - The first year fellow must complete two post-graduate level courses; Introduction to Biostatistics and The Molecular Epidemiology of Cancer. In addition, there is a weekly didactic lecture series structured to broadly cover the field of Gynecologic Oncology. These lectures occur at a protected time where there are no other clinical duties.
Progression of Responsibilities by PGY Level - Both the second and third year fellows actively manage patients on the Gynecologic Oncology service, the third year fellow has progressive growth in their responsibilities for in-patient and operative care while the management of all patients is supervised by full-time faculty members on a daily basis, the third year fellow functions more like a junior faculty member, the third year fellow is expected to perform the more complicated operative procedures with less intense supervision and scrutiny than the second year fellow. It is to be emphasized that at all operative procedures a full-time faculty member is present at the operating room table. The third year fellow is also expected to have greater responsibilities for teaching the residents and medical students and in organizing the weekly didactic teaching conference, tumor board, and journal club.
The Gynecologic Oncology faculty meets formally on a quarterly basis to review the performance of the Gynecologic Oncology fellows. In the first year the formal evaluation centers on progressing the molecular biology laboratory. In the second and third years, the evaluations focus on the development of clinical skills and assessment of surgical skills, both in the operating and in simulation. An assessment of medical knowledge, interpersonal, and communication skills, professionalism, practice based learning and teaching skills. These evaluations are completed by the faculty and on a quarterly basis the Program Director meets with each of the three fellows to review these evaluations. At the completion of these meetings, the fellows are given a copy of the review; these then become a permanent component of the fellow’s record. At the completion of the academic year, there is a summary meeting with the Program Director in which areas requiring attention are again reviewed and improvements noted.
In addition to a formal evaluation of the fellows, each fellow evaluates each faculty member on an annual basis.
If you are interested in applying to the Gynecologic Oncology Fellowship Training Program at Brigham and Women’s Hospital, please complete your application via ERAS at www.aamc.org/eras. The ERAS program number to apply to our program is 2252422001. The deadline for all application materials including the completed application, curriculum vitae, personal statement, official medical school transcript, USMLE scores, (CREOG scores will be accepted if you do not have USMLE scores), and three letters of recommendation is April 1, 2019. Invitations will go out on April 22, 2019 and our interview date is TBD.
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