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Overview of Program

The University of North Carolina at Chapel Hill Fellowship in Complex Family Planning started in July 2009. The UNC Family Complex Planning Fellowship provides individualized mentorship and exceptional clinical, educational, and research training. UNC-Chapel Hill is one of the top Universities in the country and thrives on interdisciplinary research and scholarship.

Clinical Training

Abortion

  1. Comprehensive academic abortion clinic that includes management of induced and spontaneous abortions for social indications, maternal health, fetal indications. This academic clinic serves as a referral center for physicians and abortion clinics throughout the state of North Carolina. We provide an integrated service with additional expert medical, social, psychological/psychiatric, genetic and Maternal-Fetal-Medicine collaboration when needed/wanted by the patient or the physicians.
  2. Outpatient abortion clinic training throughout both years of the fellowship.

Contraception and Sterilization

  1. Comprehensive academic family planning/contraception clinics that are fellow-run, under supervision/consult by the family planning attending. These are teaching clinics that include a medical student and resident. These clinics serve as a referral center for community and UNC physicians, and state health department clinics for management of complicated contraception such as difficult IUD insertions or removals, implant removals and insertions, other consults, and sterilization counseling and surgery scheduling.

General Gynecology

Complex Family Planning Fellows have the official position of “Instructor” and thus they are credentialed as independent practicing gynecologists. As such they have full admitting and surgical privileges as a general gynecologist. All Complex Family Planning Fellows participate in the general gynecology night and weekend call pool (2 to 3 nights a month). Fellows also are faculty for the benign gynecology service 3 to 4 weeks a year. During this time fellows have the opportunity to run their own gynecology service, teach and operate with residents and medical students.

Obstetrics

Obstetrics is not included in the Complex Family Planning Fellow activities. If a Fellow definitely wants to be able to include obstetrics in their clinical practice during fellowship then UNC is probably not the best choice.

Masters Degree Options

The University of North Carolina at Chapel Hill is consistently ranked in the top three public health schools in the country. Fellows who do not already have an MPH or related degree are encouraged to enroll in the Master’s of Science in Clinical Research, however other Master’s degree options are available through the School of Public Health including Maternal Child Health, Health Education and Health Policy.

Research Opportunities

There are multiple research opportunities available to the Fellow throughout the UNC-CH campus given the strength of collaboration and multidisciplinary approach to teaching, learning and research at UNC Chapel Hill. Faculty and fellows in family planning at UNC are currently, or have in the past, collaborated with the following entities at UNC:

Mentorship

Mentorship is provided by regular standing meetings with fellowship faculty, and in weekly and monthly group meetings. Additional mentorship is provided for fellows through the other courses they take as part of their didactic training.


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Recent Publications

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    • Heterogeneity of Tau Deposition and Microvascular Involvement in MCI and AD
      CONCLUSIONS: Although macrovascular perfusion generally correlated with tau deposition at the whole-cortex level, regional changes in microvascular perfusion were not uniformly associated with either tau pathology or cortical atrophy. This work highlights the heterogeneity of AD-related brain changes and the challenges of implementing therapeutic interventions to improve cerebrovas- cular function.
    • Comparing Website Identification for Crisis Pregnancy Centers and Abortion Clinics
      CONCLUSIONS: Websites of CPCs were more difficult for women to correctly identify than those of abortion clinics. Women with limited knowledge about abortion and low health literacy may be particularly susceptible to misidentification of CPC websites.
    • Pregnancy Medicaid Improvements in a Nonexpansion State After the Affordable Care Act
      One-half of women in the United States use Medicaid during pregnancy. Women living in states that did not expand Medicaid under the Patient Protection and Affordable Care Act (ACA) are at risk of losing coverage post partum. We analyzed Medicaid claims and vital statistics for the state of North Carolina for the period 2011 to […]
    • Cerebrovascular Senescence Is Associated With Tau Pathology in Alzheimer's Disease
      Alzheimer's Disease (AD) is associated with neuropathological changes, including aggregation of tau neurofibrillary tangles (NFTs) and amyloid-beta plaques. Mounting evidence indicates that vascular dysfunction also plays a key role in the pathogenesis and progression of AD, in part through endothelial dysfunction. Based on findings in animal models that tau pathology induces vascular abnormalities and cellular […]
    • Women's knowledge of their state's abortion regulations. A national survey
      CONCLUSIONS: Women had low levels of knowledge about state abortion laws and commonly endorse abortion myths. Women's knowledge of their state's abortion laws was associated with personal views about abortion and their state policy environment.
    • Provider Counseling and Women's Family Planning Decisions in the Postpartum Period
      Introduction: Provider counseling may influence women's postpartum family planning decisions. Materials and Methods: We conducted an anonymous Internet-based cross-sectional survey of postpartum women regarding multiple topics, including prenatal/postpartum care and family planning. We used multivariable logistic regression to determine associations between quantity of provider counseling (indexed as number of family planning topics discussed with a […]
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