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University of North Carolina The UNC Chapel Hill Fellowship in Family Planning will train fellows to become experts in managing normal and complex topics and clinical scenarios in contraception, abortion, and sterilization. Upon graduation they will be qualified to serve as leaders either nationally or internationally in clinical service provision, research, or public policy, in the field of contraception and abortion. Fellows will be mentored and will also be expected to assume responsibility for their training to ensure they meet their individual professional goals. The Fellows will be members of the Division of Women’s Primary Healthcare in the Department of Ob/Gyn at UNC-CH, which is truly one single integrated university. The Academic Affairs Campus and the Health Affairs Campus are immediately adjacent. This proximity fosters collaboration between faculty investigators from a wide variety of disciplines
Clinical Services in abortion and family planning Planned Parenthood of Central North Carolina (PPCNC) and the UNC-CH Department of Ob/Gyn have enjoyed a collaborative relationship for the past six years. Dr. Monteith, Medical Director, will preceptor the fellow in no-scalpel technique of vasectomy in an outpatient setting. PPCNC will be the sole location for the fellow to meet the learning objectives for medical abortions, and to become familiar with Essure sterilization in an outpatient setting. During 2009 PPCNC will open an additional clinical facility in Fayetteville, NC. This facility will support a rapidly growing city with a large and expanding military population with limited access to abortion services. This facility is expected to be providing full abortion services by the Fall of 2009 and will serve as an additional site for abortion training and research. The Family Planning Service The three components are:
Other Clinical training and expectations UNC School of Public Health offers numerous master’s degree programs with either the MPH in Epidemiology or the Masters of Science in Clinical Research being most suitable to Fellows in Family Planning at UNC-Chapel Hill. Given the availability and stature of programs at UNC including Health Policy and Maternal Child Health there may be alternate degree programs which are best suited to individual fellows. In the event an applicant to the Fellowship program already has an MPH they can still qualify for the Fellowship. He/she would be required to participate in a minimum set of core courses that would include clinical epidemiology, quantitative methods, research design, and grant writing. Fellows will be expected to complete at least one research project to be presented at ACOG or ARHP annual meeting. The research project can include a secondary data analysis using data from ongoing projects at FHI. This opportunity allows fellows to address important research questions while practicing newly acquired research skills under the guidance of faculty mentors and personnel at FHI. Concurrently, fellows may start planning an independent project involving their own primary data collection, to be completed during Year 2. Since data collection can be a time consuming and costly endeavor, this project may consist of pilot data for a proposed future larger study. In addition to these two projects, as time allows, fellows may also be encouraged to become knowledgeable in a substantive area, as might be demonstrated by completing a systematic review paper. This opportunity will be enhanced by Dr. Grimes’ mentorship as a frequent contributor of reviews for the Cochrane Collaboration, and by UNC-CH’s designation from AHRQ as an Evidence-Based Practice Center, which regularly conducts systematic reviews on a variety of topics. Both content and methodological expertise will be available to help fellows systematically summarize the state of the evidence on a clinical or policy topic. By the end of the second year, fellows will have submitted at least one manuscript to a peer reviewed journal, and will make an abstract presentation at the ARHP/SFP annual meeting. The process of developing and completing and ultimately publishing a research project will allow the fellow to be acquainted with all aspects involved to undertake, complete, and disseminate the information from a successful research project. UNC-CH is one of only four public universities that has all five schools of the health-related disciplines - Medicine, Dentistry, Pharmacy, Nursing, and Public Health - all located on a single, contiguous campus. This arrangement encourages the formal and informal exchanges that enhance the concepts and resources of individual researchers, often resulting in new, cross-disciplinary collaborations. Each of these schools has attained a position of national leadership in its respective field. Fellows will primarily be mentored Dr. Stuart and/or Dr. Grimes, Co-Directors of the Fellowship. In the event a Fellow has identified another faculty member from any of the health affairs schools on the UNC Campus, or at FHI, who better serves their professional and training needs then a mentorship relationship with that person will be encouraged. Fellows will be required to have an international experience in family planning for four to eight weeks during the second year of their fellowship. The fellow will be expected to take a leadership role in designing an international experience to meet their needs. Collaborative opportunities are possible with the following organizations: Family Health International (FHI), Ipas, and IntraHealth International Training in Public Policy
Vasectomy Training
Gretchen S. Stuart, MD, MPHTM, Co-Director of the Fellowship. Dr. Stuart is Assistant Professor in the Department of Ob/Gyn, in the Women’s Primary Health Care Division. Her primary role will be to insure the fellows receive the appropriate clinical instruction and training. There will be opportunity for fellows to become involved with Dr. Stuart’s research is in the area of family planning in a global health setting with particular focus on HIV-infected women. David Grimes, MD, Professor of Ob/Gyn at UNC-CH and Vice-President of Biomedical Affairs at FHI, Co-Director of the Family Planning Fellowship. Dr. Grimes will provide professional mentorship and research support since he has access to FHI and the wealth of projects and professionals in that organization. He is one of a small number of obstetrician-gynecologists trained in clinical medicine and preventive medicine as well as a leading methodologist in obstetrics and gynecology. Charles Monteith, MD is the Medical Director, Planned Parenthood of Central North Carolina and is a clinical assistant professor at Wake Medical Hospital in Raleigh. Dr. Monteith will be clinical faculty for the fellowship at Planned Parenthood of Central North Carolina (PPCNC). He completed his obstetrics and gynecology residency at UNC-CH in 2001 and had extensive training in abortion under Dr. Grimes. Dr. Monteith will provide supervision of resident teaching and oversight of Fellow activities at PPCNC. Other Faculty: Herbert Peterson, MD is currently Professor and Chair, Department of Maternal and Child Health and Professor, Department of Ob/Gyn at the UNC-CH Schools of Public Health and Medicine, respectively.
Research and Clinical Interests of the Directors Dr. Stuart recently received funding to further her research interests in the area of family planning in the HIV population in Lilongwe, Malawi, as well as launching other family planning research endeavors. Her clinical interests include general obstetrics and gynecology, contraception and family planning, and STIs including HIV. Dr. Grimes’ research interests have focused on fertility regulation, technology assessment, sexually transmitted diseases, and clinical epidemiology. He has published over 300 peer-reviewed articles, forty textbook chapters, and several books. His clinical interests include contraception and reproductive epidemiology.
Current Faculty Research Projects
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