Gynecological Oncology Fellowship
The strengths of the fellowship training program in gynecologic oncology at the University of Michigan Medical Center (UMMC) begin with the faculty of the division.
The training program in gynecologic oncology was founded in 1971 by George W. Morley, MD, who established a tradition of clinical excellence that continues today.
Strengths of the Program
Other strengths of the Division and the Institution that contribute to the quality of the fellowship training program in gynecologic oncology include:
- A strong and stable patient referral base throughout the State of Michigan that is projected to expand as a consequence of outreach efforts,
- A diverse and sizable patient population,
- A financially stable, well-managed health care system,
- A comprehensive medical library, that receives over 3300 periodicals and offers librarian-mediated search services for more than 100 databases and unlimited access to MEDLINE, HEALTH, CANCERLIT, AIDSLINE, and CINAHL,
- Excellent medical support staff,
- A state-of-the-art facility in which to evaluate and treat patients, and
- A computerized medical records system with access from the clinic, the hospital, the office, and home.
American Board of Obstetrics and Gynecology resources for curriculum and ABOG program requirements. Available on-line at www.ABOG.org
- Guide to Learning in Gynecologic Oncology
- General and Special Requirements for Graduate Medical Education
Statement of Purpose
The gynecologic oncology fellowship is an American Board of Obstetrics and Gynecology (ABOG) accredited program of 3 years duration for obstetrician-gynecologists seeking supspecialty training leading to board certification for comprehensive treatment of women with gynecologic malignancies.
The comprehensive goal of the University of Michigan Gynecologic Oncology Fellowship Program is to train academic gynecologic oncologists who are outstanding clinicians, surgeons, teachers, and researchers. The clinical educational objective of the three-year training program is to provide trainees with the necessary knowledge, skills and experience to independently manage gynecologic cancer patients with complex treatment requirements and to seek consultation when appropriate. Specific educational goals for each fellow include development of the following:
Sufficient understanding, experience, and proficiency to perform radical pelvic surgery independently and to manage intestinal, urologic and vascular procedures necessary for the treatment of gynecologic cancer.
- Fellows will gain sufficient experience to capably plan the most appropriate, evidence-based treatment for a gynecologic cancer patient, while taking into consideration the co-morbidities that may alter the chosen approach.
- Fellows will demonstrate proficiency with open, conventional laparoscopic and robot-assisted laparoscopic surgical approaches.
- Fellows will demonstrate understanding of surgical anatomy, physiology, and pharmacology pertinent to the management of gynecologic cancers, including co-management of patients in the intensive care unit.
Procedures with which the fellow will become expert include, but are not limited to:
- Hysterectomy by all approaches, including adnexectomy and lymphadenectomy
- Radical hysterectomy by all approaches, including lymphadenectomy
- Ovarian cancer staging and radical debulking, including IP port placement
- Bowel resection and anastomosis; appendectomy; loop and end colostomy
- Urinary diversion
- Recognition and repair of urinary, intestinal, and vascular injury
- Pelvic exenteration
- Reconstruction techniques including omental J-flap, split thickness skin graft, and common myocutaneous flap procedures
- Radical vulvectomy, including lymphadenectomy and sentinel node mapping
- The fellow will develop understanding of less common myocutaneous flap procedures and will learn when consultation is appropriate
- Ability to plan and implement non-operative management plans for the care of associated pain and medical conditions that affect treatment of gynecologic cancer patients and to obtain appropriate consultation when necessary.
- Sufficient understanding and ability to participate as a member of the team that plans and applies all forms of gynecologic radiotherapy, including brachytherapy procedures.
- Ability to select patients, choose and administer drugs, and care for the toxic side effects of chemotherapy. This will include development and understanding of clinical trial design, enrollment, and data management for patients enrolled in clinical trials, in addition to knowledge of intravenous, intraperitoneal and oral regimens.
Each fellow will be provided resources and experience to develop academic skills. Specific objectives for the teaching and research curriculum include the following:
- The fellow will practice and master the ability to actively learn from patient care and academic endeavors, and will demonstrate a commitment to life-long learning.
- The fellow will develop the ability to use appropriate methods and educational aids to teach medical students, residents, and allied health care professionals in clinical or classroom environments.
The fellow will select a thesis and thesis advisor. The project must lead to completion of a thesis suitable for subspecialty board certification. The thesis will be approved by an appointed Thesis Committee, and a formal defense of the thesis project will be carried out prior to completion of training. This project may be laboratory-based basic or translational science, or non-laboratory-based epidemiology or outcomes-research.
- Lab research selection for thesis: The fellow will develop sufficient understanding in laboratory-based research projects in addition to development of collaborative skills with others that foster ongoing research activities.
- Epidemiology research selection for thesis: The fellow will develop sufficient understanding in clinical, epidemiology, or outcomes research projects in addition to development of collaborative skills with others that foster ongoing research activities.
- The fellow will learn to write scientific manuscripts, and will gain exposure to writing grant applications including research administration and Institutional Review Board applications.
- The fellow will gain experience in contributing in an academic setting and developing research collaborations.
Fellowship applications are accepted via Electronic Residency Application Service (ERAS). Specifically, we require:
- ERAS application
- Personal statement
- Letters of recommendation - minimum of 3 (ERAS can hold up to 4)
- USMLE/COMLEX scores
- Medical School Performance Evaluation (MSPE)
No supplemental documentation is required. The application deadline is Sunday, April 2nd, 2017. Interviews will be held on Wednesday, May 31st and Wednesday, June 14th for a July 1, 2018 start date.
Kevin Reynolds, M.D.
For further information regarding the application process, please contact:
University of Michigan Health System
Department of Obstetrics & Gynecology
L4001 Women’s Hospital
1500 East Medical Center Drive
Ann Arbor, MI 48109-5276
Phone: (734) 615-3773
Fax: (734) 764-7261