Urogynecology Fellowship
| Overview | Program Faculty | Details | Contact Information |
Overview
The fellowship in Female Pelvic Medicine and Reconstructive Surgery is accredited by the American Board of Obstetrics and Gynecology.
Goals
The goal of our fellowship is to produce academic practitioners in female pelvic medicine and reconstructive surgery, and to encourage fellows to enter academic medicine by providing them with the breadth and depth of clinical and scientific knowledge.
The strengths of this program include:
- Clinical exposure to the complete battery of diagnostic and therapeutic options for women with pelvic floor disorders
- Multidisciplinary environment with faculty in urology, colon and rectal surgery, neurology, gastroenterology, radiology, and physical therapy
- Opportunity for involvement in NIH-funded pelvic floor research. Requirement to participate in Human Investigations Program (a 2-year, NIH-sponsored, clinical research curriculum, with the opportunity to obtain a Master's degree in clinical research)
Clinical
Our clinical practice offers a full spectrum of female pelvic medicine services at OHSU's Center for Women's Health practice site. Fellows interact with all three attending physicians at OHSU, both in the outpatient clinical setting and in the operating room. Additionally, there are operative experiences at Providence Portland Hospital with our 2 adjunct faculty members. Fellows perform the majority of urodynamic studies in conjunction with the Urogynecology nurse, Polly Moyer. We have a pelvic floor dysfunction program that is coordinated through the Urogynecology division but involves additional consultants in urology, colorectal surgery, gastroenterology, physical therapy, radiology (for dynamic pelvic floor MRI), and women¡?s counseling services. Finally, we perform our own translabial/transperineal pelvic floor ultrasound (including 3D/4D) , endoanal ultrasonography (3D/4D), anorectal manometry, and complete pelvic floor neurophysiologic testing.
During the second year of fellowship, fellows are given the opportunity to have their own clinic session under the supervision of a faculty member. In addition, a resident urogynecology clinic is held as part of the third year Ob/Gyn residency rotation. The urogynecology division staffs this clinic and the fellow(s) is included in this rotating responsibility as appropriate to their level of training.
Educational
Fellowship is expected to be a combination of guided and self-taught education. Fellows are expected to read appropriate texts pertaining to the field of female pelvic medicine and remain current with the published literature.
These include: journal club, grand rounds, research meetings and didactic seminars. Surgical cases for the following week are presented in conjunction with the rotating third year Ob/Gyn resident.
The residency at OHSU has a 2 month third year rotation in urogynecology and reconstructive pelvic surgery. This rotation includes both clinical and operative time with the division. Additionally, each Friday afternoon a resident urogynecology clinic is held as part of the rotation. The urogynecology division staffs this clinic and the fellow(s) is included in this rotating responsibility as appropriate to their level of training. Involvement in resident education is expected as part of the fellowship experience.
Research
It is our expectation that a fellow in our program will have fully developed and reported on at least one major research project during their fellowship. The width and breadth of both clinical and basic science projects that are currently underway in our division gives our fellows the opportunity to become involved in many areas. Areas of special interest include the hormonal effects on pelvic floor connective tissue, epidemiology of pelvic floor dysfunction, and pelvic floor injury. Fellows will also be expected to complete a 2 year course in Human Investigations (NIH K-30 sponsored course) to aid in their understanding of research and literature review.
OHSU currently is one of 12 nation-wide sites with a NIH K-12 (Women's Reproductive Health Research Early Career Development) grant. As long as this grant continues to be funded at our institution, our fellows will have the opportunity to compete for its funding at the conclusion of their fellowship.
Program Faculty
Program Director
W. Thomas Gregory, M.D.
Dr. Gregory completed his obstetrics and gynecology residency training at OHSU. He then entered a private practice in Ob/Gyn for one year prior to returning to OHSU for fellowship training in Urogynecology and Reconstructive Pelvic Surgery, which he completed in June 2001. He completed a Women's Reproductive Health Research Career Development grant. He is now the Principal Investigator on a five -year NIH (NICHD) grant investigating pelvic floor nerve and muscle injury associated with pregnancy and childbirth. Dr. Gregory spends 50% time in research and 50% in clinical practice.
Additional Program Faculty
S. Renee Edwards, M.D.
Dr. Edwards completed her obstetrics and gynecology residency training at Rush-Presbyterian-St. Luke's Medical Center in Chicago where she remained for her fellowship in urogynecology under the direction of Drs. Linda Brubaker and Dee Fenner. She was in practice with them for four years prior to moving to Oregon in August, 1999. She is currently an assistant professor in obstetrics and gynecology. Her responsibilities include, Division Chief of Urogynecology for Clinical and Educational Affairs and Medical Staff Director of the Center for Women's Health. She maintains a busy clinical practice in urogynecology and reconstructive pelvic surgery and coordinates the Pelvic Floor Program in the Center for Women's Health.
Mary Anna Denman, M.D.
After finishing her residency in obstetrics and gynecology at the University of Pennsylvania Hospital in Philadelphia, Dr. Denman completed the Fellowship in Female Pelvic Medicine and Reconstructive Surgery at OHSU in June, 2008. She then joined the urogynecology faculty at OHSU and provides urogynecology care in the Center for Women's Health. She is currently investigating the role of connective tissue and pelvic organ prolapse, and has an interest in translational research in pelvic floor disorders.
Amanda Clark, M.D.
Dr. Clark completed her residency training in Obstetrics and Gynecology at OHSU in 1985. She joined the faculty as a generalist for 4 years. In 1989, she completed her urogynecology fellowship in London with Mr. Stuart Stanton. In 1995, she founded the Division of Urogynecology at OHSU and started the fellowship program. She has completed an RO1 grant that focused on the biomechanics of the pelvic floor and she has participated in a number of clinical studies. Currently, her research interest is in the use of clinical registries to follow outcomes in pelvic floor treatments. She is currently enrolled in a master’s program and she will receive a Master’s Degree in Clinical Research in spring 2009. In 2007, she moved her clinical practice to a private practice setting and this is providing a second site for fellowship training in our program.
Current Fellows
Virginia G. King, M.D.
expected date of graduation: 06/10
Rahel Nardos, M.D.
expected date of graduation: 06/11
Prior Graduates
Mary Anna Denman, M.D.
date of graduation: 6/08
Current practice: academic faculty
Oregon Health & Science University
Sarah Hamilton Boyles, M.D.
date of graduation: 6/06
Current practice: clinical private practice
Chiara Ghetti, M.D.
date of graduation: 7/04
Current practice: academic faculty University of Pittsburgh, Magee-Women's Hospital
Thomas Gregory, M.D.
date of graduation: 6/01
Current practice: academic faculty
Oregon Health & Science University
Lesley Otto, M.D.
date of graduation: 6/99
Current practice: clinical private practice
Ambre Olsen, M.D.
date of graduation: 8/96
Current practice: clinical private practice
Details
Position Information
Trainees per year
1 – 2 (fellows currently accepted every other year)
Fellowship length
3 years
Salary
$55,100 (subject to change annually = OHSU GME PGY5 level salary) first year with annual increases based upon PGY6 & PGY7
Additional income for weekend and holiday in-hospital call coverage (amount subject to change)
Other covered expenses
OHSU benefits package including medical and dental insurance along with retirement funding, malpractice coverage, travel to the annual AUGS meeting, participation in AUGS fellow's research retreat and travel to other meetings when a presentation is made upon divisional approval. Tuition for required 2 year Human Investigation Program (HIP), expenses for AUGS membership, medical license and DEA, stipend for books and other miscellaneous items.
Benefits
4 weeks vacation per year
In-house call
No more than 96 hours per quarter.
Date program initiated
1995
Number of graduates
6
Activities of graduates
Academic medicine & private clinical practice
ABOG accredited
Area Information
City of Portland
http://www.portlandonline.com/
Oregon Live
http://www.oregonlive.com/
Portland City Search
http://portland.citysearch.com/
Portland Picks
http://www.portlandpicks.com/
Travel Oregon
http://www.travelportland.com/ & http://www.travelportland.com/visitors/
Important Links
American Urogynecologic Society
http://www.augs.org
Human Investigations Program at OHSU
http://www.ohsu.edu/xd/education/schools/school-of-medicine/academic-programs/hip/index.cfm
OHSU
http://www.ohsu.edu
OHSU Center for Women's Health
http://www.OHSUwomenshealth.com
OHSU Department of Obstetrics and Gynecology
http://www.ohsu.edu/obgyn
Oregon National Primate Research Center
http://onprc.ohsu.edu
CONTACT INFORMATION
Administrative Assistant
503 494-3107
Application Form and Instructions
Download Application, complete and send it to the address below by June 30, 2009.
In addition to the ERAS application, please ask three people (including your Department Head), who are familiar with your work to send confidential letters of recommendation to us. Include with your application, a personal statement, a CV and a head shot.
Address
Oregon Health & Science University
Division of Urogynecology and Reconstructive Pelvic Surgery
3181 SW Sam Jackson Park Road, Mailcode L466
Portland, Oregon 97239
