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Albert Einstein College of Medicine
Overview of Program
The Family Planning Fellowship at the Albert Einstein College of Medicine/Montefiore Medical Center is housed within the Department of Family and Social Medicine (DFSM). Our department has a 30 year history of providing comprehensive primary care to underserved communities. This fellowship emphasizes the integration of abortion care into the routine practice of family medicine. Fellows will develop competence in providing first trimester abortion care, both medication and aspiration. We have a train-the-trainer program, so fellows can develop skills for training family medicine residents, and other primary care providers, in early abortion care.
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Clinical Training
Fellows learn to be competent first-trimester abortion providers, training both at PPNYC and at our community health centers. We have a “dedicated” abortion session at our primary family medicine teaching clinic, where we provide both MVA and medication abortion. Fellows also provide early abortion care to their continuity patients in the community health center where they work. Fellows rotate through PPNYC to have a high-volume experience in aspiration procedures.
The fellows have extensive experience with the integration of abortion care into the family medicine community health center, including systems changes and quality assurance. They teach residents and medical students, as well as faculty, about abortion care, contraception, and EC. They demonstrate the importance of including abortion as an important component of ambulatory family medicine. We also focus on the psychosocial component of abortion care, both for the patients (and their families) as well as for the fellows and their families, as they transition to become abortion providers. We also focus on their teaching skills. They develop and provide many interactive teaching sessions at the medical school, the residency program, and at professional meetings. They mentor medical students during the family medicine rotation on several EC projects. Fellows learn to be competent abortion trainers, both at PPNYC and at the community health centers.
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Masters Degree Options Fellows are expected to complete an MPH at the Mailman School of Public Health of Columbia University. Most fellows elect to work in the Division of Population and Family Health Fellows are usually in many classes together, and also have fellows from the Columbia family planning fellowship in the same classes.
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Research Opportunities DFSM at AECOM has a research division with expertise in health systems research, educational evaluation, and qualitative methodology. Fellows can develop their own project and/or collaborate with AECOM faculty or outside faculty on existing projects. Current DFSM research projects include investigations into cross-cultural issues and teenage sexuality. We also have educational expertise in developing and evaluating innovative teaching programs.
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Collaboration DFSM fellows collaborate with other faculty in our department, as well as with other primary care and Ob-Gyn faculty within the institution. We have also begun to collaborate with other fellowship and non-fellowship family medicine sites on projects.
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Mentorship Overall mentoring in the program is provided by Dr. Marji Gold, the fellowship director. Each fellow meets one-on-one with her each month, to review clinical and research progress, as well as to address general personal and professional development toward becoming a leader in the field of family planning, with an emphasis on leadership in family medicine. Additional mentoring, tailored to the fellow’s research interests, is available through other faculty both within and outside the department.
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International Opportunities
While not a main focus of the fellowship, most fellows have taken time for international travel for experiences in family planning and abortion. We encourage fellows to participate in an international rotation and the director, with support from the Fellowship National Office, gives guidance and assistance in arranging such experiences.
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Additional Program Highlights
- Fellows support each other and collaborate frequently including weekly group fellowship meetings where we discuss clinical and/or training dilemmas, prepare proposals for presentations, practice presentations and share feedback, review posters, share progress on individual project and collaborative writing (articles, book chapters)
- Continue to work as a family physician in a full-spectrum continuity practice in an underserved community
- Integrate abortion care into family medicine continuity practice
- Opportunity for pre-abortion options counseling and follow-up care of women post-abortion
- Opportunity for continuity contraceptive counseling with women and men (as well as teens)
- Opportunities for fellows to train family medicine residents in abortion skills, and to teach family planning in the family medicine clinical setting
- Very pro-choice family medicine environment, both at AECOM and in NYC in general – lots of family physicians involved with abortion care who serve as models
- Research unit at AECOM is very pro-choice and able/available to help fellows design projects and analyze data
- Advocacy for the integration of abortion care into family medicine
- Excellent connections with STFM and national family medicine residency programs – opportunities for collaboration with other family physicians on presentations and projects
- High-volume first trimester experience at PP/NYC
- Well developed train-the trainer program at PP/NYC and at the dedicated abortion session at the family medicine community health center
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About the Directors
Marji Gold , MD is Professor of Family and Social Medicine at AECOM, and has been faculty in the department since 1976.
- She practices family medicine at a community health center in the Bronx, where she has been working for 25 years .
- She has been providing and teaching first-trimester abortions in the community health center setting since 1982.
- As part of the AECOM family medicine residency program and third year clerkship, she supervises medical students and residents in the health center.
- She has been training in the CTI program at Planned Parenthood/NYC since the program started in 1995 .
- She wrote the first curriculum for training non-OB-GYN clinicians in early abortion practice, published by PPNYC.
- She participated in the US mifepristone trials as part of the ARM study from 1996-2000, and has extensive experience with medication abortion in continuity primary care practice.
- She is committed to increasing access to comprehensive health care for underserved populations, and expanding the role of abortion care within family medicine. She is currently the director of RHEDI, the Center for Reproductive Health Education in Family Medicine, which provides technical and financial support to US family medicine residency programs to help them develop early abortion training and service that is fully integrated into the residency curriculum.
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Research and Clinical Interests of the Directors
- Patient and provider attitudes towards integrating abortion care in family medicine
- Evaluation of increased abortion training in family medicine
- Cross-cultural issues in family planning and abortion care
- Teaching woman-centered care
- Impact of language on patient comfort with pelvic exams and abortion care
- Use of complementary/alternative therapies for pain control during abortion and IUD insertion
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Current Faculty Research Projects
- Barriers to EC prescribing and education
- Acceptability of early abortion care in primary care settings
- Barriers to abortion provision for family physicians with early abortion training
- Evaluation of educational experience of abortion training
- Impact on student attitudes of including EC projects in the medical school family medicine clerkship
- Impact on family medicine residents of an EC project during orientation
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Clinical Training Sites
- DFSM community health centers
- PPNYC
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