Fellowship in Complex Family Planning - UNC Department of Obstetrics & Gynecology

RECENT PUBLICATIONS

Women’s knowledge of their state’s abortion regulations. A national survey.
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Contents

1 Overview of Program
2 Clinical Training
3 Research Opportunities
4 Mentorship
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5 Recent Publications
6 Recent Publications
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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.The UNC Fellowship in Complex Family Planning received ACGME accreditation in 2021

Clinical Training

Abortion

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.
Outpatient abortion clinic training throughout both years of the fellowship.

Contraception and Sterilization

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 full admitting and surgical privileges as as gynecologist. All Complex Family Planning Fellows fellows take call on Labor and Delivery approximately one weekend per month. 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.

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

Recent Publications
- Single-visit insertion of long-acting reversible contraception in a single health system
  CONCLUSION: Most single-visit LARC placements were performed by clinicians in obstetrician-gynecologist specialty practices.
- Unfulfilled Requests for Postpartum Tubal Ligation at a Southern Tertiary Care Center
  BACKGROUND Nationally, multiple barriers lead only 50% of women who request postpartum tubal ligation to receive it prior to discharge. We aimed to identify characteristics associated with unfulfilled requests for postpartum tubal ligation at a tertiary medical center in the South.METHODS We conducted a retrospective chart review of all women delivering a live infant with […]
- Clinical Update on Uses for Mifepristone in Obstetrics and Gynecology
  CONCLUSIONS AND RELEVANCE: Mifepristone is a safe and effective medication both for its approved use in first-trimester medication abortion and other off-label uses. Because of its primary use as an abortifacient, mifepristone is underutilized by clinicians. Providers should consider mifepristone for other indications as clinically appropriate.
- Centering the Patient in Postpartum Contraceptive Counseling
  Birth control has long been considered an essential part of postpartum rounds. Many health care providers believe prevention of pregnancy is a priority in the postpartum period and that the inpatient postpartum stay is an ideal time to discuss contraception. This belief is not necessarily shared by birthing people. Many patients are unready to talk […]
- Heterogeneity of Tau Deposition and Microvascular Involvement in MCI and AD
  CONCLUSION: 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 cerebrovascular 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.