Department of Family & Community Medicine

Maternal Child and Reproductive Health Fellowship

The two-year MCH fellowship was initiated in 2003 to train family medicine leaders for rural or academic practice settings. The fellowship is offered in collaboration with the UNM OB/Gyn and Pediatrics Departments and includes advanced clinical training in maternity and newborn care.

As a fellowship graduate, you will be skilled in:

Care of complicated obstetric patients
Cesarean delivery
First trimester obstetrical ultrasound
Medical and surgical abortion care (if desired)
Newborn resuscitation and stabilization
Operative vaginal delivery
Postpartum tubal ligation

All fellows will receive a certificate in public health based on coursework and can take courses towards a Master of Public Health certificate following the completion of MCH fellowship.

Research training is also available. You will participate in a core educational series that reviews current literature on important issues in maternal and newborn care.

For more information on the fellowship, see our informational brochure.

Please email us to inquire about the application process.

Learning Objectives

Maternal and child health: Become familiar with routine and complicated labor management, as well as mother and childcare. You will serve chief resident.
Maternal and fetal medicine: Function as a team member on the inpatient service and in the clinic, managing pregnancies complicated by preterm labor, abnormal placentation, twins, pre-gestational and gestational diabetes, epilepsy and other medical problems. Complete an outpatient rotation at the Center for Perinatal Development, a private perinatal practice.
Newborn nursery: Care for term neonates (>36 weeks) until they are discharged. This includes supervising family medicine interns, pediatric interns and midlevel practitioners.
Intermediate care nursery: Care for Level 2 newborns, including those affected by prematurity (34-35 weeks), growth restriction, hypoglycemia, jaundice and neonatal infections under the supervision of attending physicians in neonatology, general pediatrics and family medicine.
Neonatology: Work night shifts in the neonatal intensive care unit. Gain experience in routine and advanced neonatal resuscitation, initial fluid management, ventilator settings and neonatal intubation.

Longitudinal Experience

Labor and delivery management: Supervise obstetric, family medicine and other off-service residents and medical students in caring for patients on the general obstetrical service. You will work directly with MFM fellows and obstetrical attendings and gain operative delivery experience.
Gynecologic procedures: Acquire knowledge and technical skills of first trimester ultrasound, medical and surgical abortion (may opt out) and management of spontaneous abortion. Also includes colposcopy and urogynecology experience. Training in uterine aspiration or D&C occurs in inpatient and outpatient settings including the Center for Reproductive Health, a collaboration between family medicine and OB/Gyn.
Ultrasound: Develop a working knowledge, including basic biometry and anatomy, of ultrasound throughout pregnancy. Emphasis during this time is on second and third trimester exams.
Dysmorphology/Pediatric development: Receive outpatient and inpatient experience in diagnosis and treatment of genetic abnormalities and developmental delays, as well as in developmental assessment of the normal child.
Research: Participate in a research project, including application for approval through the Human Research Review Committee. The project may be implemented over the course of the fellowship, with the goal of publication.
Milagro: Provide prenatal care for women with a history of substance abuse including medication assisted treatment with buprenorphine. Care for newborns exposed to opioids in utero and provide treatment for neonatal abstinence syndrome.

Hospital Service Attending

Maternal and child health: Serve as the attending for all family medicine patients in OB Triage, L&D, our antepartum unit and the Mother-Baby Unit. Supervise family medicine residents.
Newborn nursery: Serve as the attending for all non-MCH infants in the Mother Baby Unit, supervising pediatric and family medicine interns.
Intermediate care nursery: Serve as the attending for Level 2 newborns, supervising family medicine and pediatric residents.

Sample Clinic Schedule

Fellowship Benefits

As a MCH fellow, you are entitled to the following benefits:

Salary of $62,000/year
Educational funding: of $3000/year
Three weeks/year vacation time
One week/year continuing medical education time
Sick leave
Liability insurance
Health insurance

Meet our Leadership

Milagro Director and Professor
Larry Leeman, MD, MPH

Fellowship Director & Assistant Professor
Francheska "Sevy" Gurule, MD

Mother Baby Unit Director and Associate Professor
Sandra Rosenfeld-O’Tool, MD

Clinical Director and Associate Professor
Jessica Goldstein, MD

Education Director and Assistant Professor
Miguel Gonzales

Program Specialist
Rebecca Raley

Contact

Program Specialist

Rebecca Raley

Department of Family and Community Medicine

MSC 09 5040

1 University of New Mexico

Albuquerque, NM 87131

Phone 505.272.8851

Email: fcm-mch@salud.unm.edu

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