Women and Infants Hospital of Rhode Island/Brown University Program

The Women and Infants Hospital of Rhode Island/Brown University program in Gynecologic Oncology offers a comprehensive fellowship training designed to provide an in-depth experience in the diagnosis and treatment of gynecologic cancers. This program is affiliated with the Warren Alpert Medical School of Brown University and benefits from its strong academic and clinical resources.

Training Environment

Women and Infants Hospital is renowned for its specialized healthcare services for women and newborns, providing exposure to a high volume of cases. The program handles numerous gynecologic malignancies and complex surgical procedures, fostering a robust educational environment. Annually, the hospital conducts around 8,500 deliveries and has a significant number of surgeries related to gynecologic oncology. This includes approximately 700 new cancer cases per year, presenting ample opportunities for fellows to gain hands-on experience in surgical oncology.

Curriculum and Rotations

The three-year fellowship consists of both clinical and research components, with approximately 12 months dedicated to research and the remaining 24 months focusing on clinical and surgical experiences. The program emphasizes a multidisciplinary approach, with the fellows participating in a weekly Tumor Board, where complex cases are discussed, allowing for collaborative care planning. Fellows also engage in various rotations:

- **Breast Surgery**: Extensive training in surgical techniques, managing patients in both inpatient and outpatient settings.

- **Medical Oncology**: Integrated experiences in administering chemotherapy and radiation therapy.

- **Radiation Oncology**: Rotation at affiliated facilities to understand radiation treatment protocols.

- **Pathology**: Fellows gain insights into the pathology of gynecologic cancers.

Clinical Exposure

During the fellowship, trainees will develop proficiency in managing patients with diverse gynecologic conditions. This includes:

- Performing complex surgeries like radical hysterectomies, debulking surgeries, and lymphadenectomies.

- Utilizing advanced techniques in minimally invasive surgeries.

- Engaging in outpatient clinics that focus on surveillance, follow-up care, and adjuvant treatments.

Research Opportunities

The research component of the fellowship is significant, with dedicated time for clinical investigation and opportunities for presenting findings at national conferences. Women and Infants Hospital has robust research resources, including access to clinical trials and a dedicated research staff to assist in project development. Areas of research may include innovative treatment protocols, patient outcomes, and survivorship issues for women with gynecologic cancers. Trainees are encouraged to engage in research projects that align with their interests and the needs of the program, with guidance from experienced faculty members.

Unique Aspects of the Program

The fellowship program is designed to not only develop surgical and clinical skills but also to foster leadership abilities among fellows. There are several elements that enhance the fellowship experience:

- **Multidisciplinary Team Approach**: Interaction with various specialties including medical oncology, radiology, and pathology to provide comprehensive cancer care.

- **Art and Wellness Integration**: The program encourages participation in wellness activities, including art, music, and performance opportunities for personal development and burnout prevention.

- **Fellow Wellness Programs**: Monthly psychosocial rounds and wellness activities are part of the curriculum to support the personal and professional development of fellows.

Application Process and Competitiveness

The program is competitive and seeks applicants who have completed an accredited residency in Obstetrics & Gynecology. International Medical Graduates (IMGs) may be considered, but they must qualify for sponsorship of a J-1 visa. Special application requirements include submitting three letters of recommendation, a completed ERAS application, and documentation verifying eligibility for ABOG. The selection process focuses on clinical prowess, potential for leadership, and commitment to women's health.

Visa Support

The fellowship program supports J-1 visa sponsorship for qualified applicants, ensuring a streamlined process for international trainees. Candidates must verify and submit the necessary documents to confirm eligibility.