FMIGS Training Objectives
As a division within the Department of Obstetrics and Gynecology, we perform over 600 major surgeries per year, the vast majority of which are laparoscopic, both conventional (“straight stick”) and robotic. More than 1,000 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 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 UNC receive a level of laparoscopic training far above the average university medical center in the United States. Eighty precent of all hysterectomies (including cancer cases) at UNC are performed with minimally invasive techniques. In our division, all hysterectomies are booked with laparoscopy, 99.5% completed in that manner. Laparoscopic surgery for large fibroids is commonplace in our practice, including those in the 1-3kg range. Our largest hysterectomy specimen weighed 4750 grams and our largest myomectomy 2200 grams (eight fibroids). We also perform laparoscopic conservative and extirpative surgery for advanced / deeply infiltrating / stage IV endometriosis. We routinely perform ureterolysis, extensive enterolysis, and removal of intestinal endometriosis. When bowel resection is needed, we coordinate surgery with our minimally invasive colorectal or gynecologic oncology colleagues.
The Fellowship in Minimally Invasive Gynecologic Surgery (FMIGS) is accredited by the AAGL, providing a robot clinical, research and surgical experience for the fellow.
Our fellows achieve competence in all of these procedures during their two years, gradually moving toward greater independence, including functioning as a junior faculty attending for their own cases and those from the resident service.
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.
Fellow graduates are expected to work as clinical or translational investigators who will assume leadership roles in research projects and research teams. In addition to protected research time, the division will support online course completion of a specially-designed curriculum. Fellows will learn how to analyze, interpret, and describe data. They will learn basic programming in SAS and statistical tests and graphics used in medical research.
The online certificate of achievement is comprised of 5 courses with each course expected to take 15-25 hours to complete. Fellows will have protected time during the fellowship to complete course work and upon completion will receive a certificate.
Fellows will apply the statistical concepts and techniques learned in research at UNC. Fellows will be expected to present work at regional and national meetings, and will be required to submit and publish at least one first author manuscript of original research work each year. The research support team at UNC is comprised of MIGS faculty as well as a research assistant and PhD Epidemiologist.