Gynecology and Obstetrics

Three years with an emphasis on progressive responsibility:

The fellow will be given progressively more responsibility throughout the Fellowship within the limitations imposed by the fellow's own capacities. Fellows in the latter half of their second clinical year will be performing a greater part of the more complex surgeries and will, in many instances, be the principal surgeon. There is no formal progression in responsibility of the fellows as regards their pivotal role as Leader of the Inpatient Care Team: this responsibility is the same the first month as it will be the last month that the fellow is on service. However, the amount of micro-management that the Attending of the Day performs will become less as the fellow proves themselves skillful in inpatient care.

Opportunities to conduct bench research in basic science/translational sciences are possible in the research year. As an alternative, research fellows may consider obtaining a Masters in Public Health (MPH) at the prestigious Johns Hopkins Bloomberg School of Public Health or a Masters in Business Administration (MBA) at the Johns Hopkins Carey School of Business. Enrollment into a masters program is not guaranteed, and will require submission of a proposal that demonstrates how the degree will impact long term career plans.

Medical Oncology/Chemotherapy:

• Half-day clinic, each week (Mentors: Deb Armstrong and Stephanie Gaillard)

The research program is tailored depending on the interests and career goals of the fellow. Clinical research projects are facilitated throughout the fellowship experience by prospective and retrospective clinical databases, including institutional databases, larger national databases, as well as a robust tumor bank.

The fellow is expected to develop, complete, and present at least two research projects under the mentorship of an identified faculty member(s). With supervision, the fellow will be expected to develop both short-term and year-long research projects. Goals for these studies include at least:

• 2 posters or oral presentations at national meetings
• 2 manuscripts prepared for journal submission and accepted for publication in a peer review journal by graduation

The average number of manuscripts accepted for publication per fellow in our program is 6 (and select fellows have many more). Almost all fellows will have the opportunity to present their work orally at a regional or national meeting. Fellows will be funded for travel to attend at least 1 national meeting for presentation per year, and often have the opportunity to attend more conferences.

Gynecologic Pathology:

• 2 weeks (Mentors: Russell Vang and Deyin Xing)

Weinberg Intensive Care:

• 4 weeks (Mentor: Pamela Lipsett)

Palliative Care:

• 2 weeks (Mentors: Thomas Smith and Deborah Doberman)

Radiation Oncology:

• 2 weeks (Mentor: Akila Viswanathan)

Surgical Oncology (optional)

Fellows have the option of designing a customized rotation in concert with the program director.

Teaching of Residents and Students:

Though teaching obligations are predominantly the responsibility of the attending faculty members, serving as a resident and student educator is also expected of the fellow. As the inpatient team leader, it is anticipated and expected that the fellow will serve as a teacher of inpatient management skills for the residents and medical students on the service, and impart basic gynecologic oncology knowledge. The fellow will also be invited to present resident lectures at the resident school time two or three times a year.

Benign Gynecology:

The fellow will not be participating in the care of patients with benign gynecologic diseases except those that are admitted by the Kelly Gynecologic Oncology Service attendings or the gynecologic oncology service at Greater Baltimore Medical Center. Further, the fellows will not take obstetrics service attending calls—either in the hospital or out—and will not staff benign gynecology clinics or consultation suites.

Lectures:

Along with resident school time lectures, the fellows will occasionally lecture at the Departmental Grand Rounds. The fellows will also be invited to give lectures for student clerkships, institutional continuing medical education conferences and for select national continuing medical education courses.

Unique resources available at the Johns Hopkins Hospital and Medical Institutions:

• Johns Hopkins University Bloomberg School of Public Health
• Johns Hopkins Program in International Education in Gyn/Ob (JHPIEGO)
• Johns Hopkins University Carey Business School
• Proximity to the NCI
• Sheikh Zayed Critical Care Tower at Johns Hopkins Hospital has 355 private rooms, state of the art imaging, surgical technology and operating rooms and a beautiful new labor suite. The Zayed Tower offers the opportunity for enhanced educational opportunities for gynecologic oncology fellows and a modern healing environment for patients.
• The operating rooms are equipped with state of the art laparoscopic equipment, surgical beds and eight da Vinci surgical robotic platforms.
• NCI designated Comprehensive Cancer Center with all of the anticipated shared core-facilities, which is part of the National Comprehensive Cancer Network.
• Total integration of the Training Program into the Johns Hopkins Hospital and Medical Institutions (JHMI)-Greater Baltimore Medical Center (GBMC) Gynecology and Obstetrics universe. 
• Minimal distance (9.5 miles) and travel time (20 minutes during peak traffic volume) between facilities
• A relatively inexpensive community in which to live.
• The cultural and geographic advantages of the Greater Baltimore-Washington area.
• The high quality of JHMI residents.