Fellowship in Advanced Laparoscopy & Pelvic Pain

Application Process
History
Training Objectives
Curriculum
Research

Fellowship History

Over the past 20 years, the Division has gained regional and national recognition for its efforts to provide the best of advanced laparoscopic surgery for women and pelvic pain management. As part of a major academic medical center, the Division excels in training, research and clinical programs. Our dual purpose is to train those who will provide top quality patient care and be the academic leaders in gynecologic laparoscopy and pelvic pain management, who in turn will train many physicians for practice in communities across the country. This emphasis makes our fellowship one of the most unique programs in the United States .

The Division offers a two-year Fellowship in Advanced Laparoscopic Surgery and Pelvic Pain, designed to begin after completion of the standard four-year United States residency in obstetrics and gynecology. As of 2007, our program participates in the fellowship matching program administered by the American Association of Gynecologic Laparoscopists (AAGL). Our fellowship began in 1998, and is one of of the few two-year fellowship programs in gynecologic laparoscopy in the United States. Our purpose is to train academic physicians who will become leaders in the teaching, research, and practice of operative gynecologic laparoscopy and the management of chronic pelvic pain problems.fellowship

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Application Process

Applicants should contact the AAGL, at:

Fellowship in Gynecologic Endoscopy
6757 Katella Avenue
Cypress, CA 90630-5105

800-554-2245 or 714-503-6200
FAX 714-503-6201 or 714-503-6202
Email:
Website

In addition we would like to receive a one page essay including:
1. A description of the applicant’s clinical experience, interest, and comfort in dealing with pelvic pain.
2. A statement of future career goals.

This should be forwarded to:

Matt Siedhoff, MD
University of North Carolina
Dept. of Obstetrics and Gynecology
Division of Advanced Laparoscopy and Pelvic Pain
CB 7570
Chapel Hill, NC 27599-7570

Telephone:  919-966-7764
Fax:  919-966-5833

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Training Objectives


Clinical Training
As a division within the Department of Obstetrics and Gynecology, we perform over 500 surgeries per year. About 1,100 new patients are seen annually, along with over 3600 return visits. Patients are referred from gynecologists and primary care physicians in North Carolina and from throughout the southeast portion of the United States . A growing number of patients are self-referring after learning of our experience with laparoscopic surgery from physicians, friends, or the Internet. As a result, residents and fellows in training in obstetrics and gynecology at the University of North Carolina receive a level of laparoscopic training far above the average university medical center in the United States.  Approximately 60% of all hysterectomies done at UNC are performed laparoscopically.

Graduating fellows are proficient in all aspects of gynecologic laparoscopic surgery, including: complicated hysterectomies (both supra-cervical and complete), and both conservative and definitive surgery for advanced stages of endometriosis. The Fellow participates in his/ her own operative cases and also serves as attending physician for resident surgery cases.

Pain management is taught in closely mentored clinical settings, and is influenced by relationships with the pain management programs in other departments at the University of North Carolina, such as the Anesthesia Pain Clinic, the Neurology Pain Clinic, and the Dental Pain Clinic.

Research Training
The fellows also enroll in the Master of Science in Clinical Research (MSCR) program in the UNC School of Public Health. This program provides core courses in statistics and research design, and advanced topics in proposal development that are coordinated with our Division’s interests and goals. Fellows will complete the bulk of the class work in the first year. The schedule of the program will allow ample time for clinical training as well.

From 1998-2006, seven of the nine fellows completed an epidemiologically based Masters in Public Health degree. As that program evolved, course requirements increased to the point of placing unrealistic demands upon our fellows, who had substantially more clinical responsibilities than other MPH candidates. For that reason, we revised our program to have fellows participate in the MSCR program instead. Fellows finishing our program will have the option of continuing work toward an MPH if they wish.

The ultimate aims of the fellowship are to add to the group of physicians who play a major role in teaching advanced gynecologic laparoscopy in the United States, and to build a network of researchers who will advance both the practice of laparoscopy and our understanding of chronic pelvic pain.

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Year by Year Curriculum

As outlined here, the first year emphasizes course work for the Master of Science in Clinical Research (MSCR) and initiation of research project(s), and mentored training in the evaluation and treatment of pelvic pain. In the second year, research and clinical efforts are expanded while the final portion of the MSCR is completed.

Year One
Activity
Time*

Summer
(July-August)

Orientation
Clinics and related activities
Laparoscopy
Divisional/Departmental meetings
MSCR core classes

1
2
3
1
3

Fall
(September-December)

Clinics and related activities
Laparoscopy
Divisional/Departmental meetings
MSCR core classes

2
3
1
3

Spring
(January-May)

Clinics and related activities
Laparoscopy
Divisional/Departmental meetings
MSCR core classes

2
3
1
3

Year Two

Summer
(July-August)

Clinics and related activities
Laparoscopy
Divisional/Departmental meetings
Away clinic rotations

2
3
1
4

Fall
(September-December)

Clinics and related activities
Laparoscopy
Divisional/Departmental meetings
MSCR core classes

3
4
1
2

Spring
(January-May)

Clinics and related activities
Laparoscopy
Divisional/Departmental meetings
MSCR core classes

3
4
1
2

 

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Research

The following are research projects currently underway or recently completed: 

  • Laparoscopic treatment of endometriosis: predictors of outcomes. PI: Steege.
  • Characterizing and standardizing vaginal apex pain thresholds in women with and without post-hysterectomy pain. PI: Steege.
  • PTSD in women with chronic pelvic pain: impact on results from treating pelvic pain. PI: Steege
  • Experimental drug for treatment of endometriosis. PI: Steege

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