Integration of Medical Genetics Residency Training And Maternal and Fetal Medicine Fellowship Training

Integration of Medical Genetics Residency Training And Maternal and Fetal Medicine Fellowship Training Physicians who have completed an accredited res...
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Integration of Medical Genetics Residency Training And Maternal and Fetal Medicine Fellowship Training Physicians who have completed an accredited residency in Obstetrics and Gynecology and who wish to participate in an accredited Maternal and Fetal Medicine (MFM) fellowship, may, with the approval of both programs, integrate the MFM fellowship training with a residency in an accredited Medical Genetics residency program. • •





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The MFM training program and the medical genetics residency must be within the same institution, or be participants in a well-integrated multi-institutional program. Both the American Board of Medical Genetics and the American Board of Obstetrics and Gynecology must approve the written plan for the integrated program. The proposal must indicate timing of rotations and required educational activities for the trainee. Letters of support from the directors of the MFM program and the Medical Genetics programs must accompany the written proposal. The fellow/resident must have met all requirements for participation as a MFM trainee and a medical genetics resident. Medical Genetics Requirements The trainee must meet all requirements of a full 24-month residency program in Medical Genetics. 1) 24 months in an ACGME accredited residency in an appropriate specialty other than genetics; 2) 24 months of training in an ACGME accredited medical genetics residency In this proposed program the successful completion of an ACGME recognized OBGYN residency would qualify the trainee for participation in the medical genetics residency program. Rotations in areas not directly related to OB/GYN and MFM must be part of the genetics training. These areas of training include but are not limited to the genetic disorders of children, adults, cancer, metabolic disease and other basic genetic areas. Rotations covering the academic and clinical training for the MFM fellowship and the genetics residency may be alternated in units of not less than 4 weeks. However the first 6 months of genetic residency must not be interrupted with MFM training assignments. However, one-half to one day per week of continuity clinics for the alternate service may be maintained within each rotation. Genetic residency clinical and academic responsibilities must take priority over MFM clinical responsibilities during medical genetic residency training periods. However, continuity clinics for patients seen in the MFM training may continue during medical genetics training. Efforts must be made to integrate the MFM/genetics resident(s) with the standard medical genetics residents Rotations appropriate for credit for both MFM and medical genetics may occur, but no more than 6 months of rotations within the genetics residency may be



deemed “shared” with the MFM fellowship. Shared rotations may not occur until after the first 6 months of genetic residency are completed and must have supervision by instructors from both specialties. The research component of the medical genetics residency may be subsumed into the MFM research program as long as the research topic relates to genetic issues.

Maternal and Fetal Medicine Requirements •





A minimum of 12 months of clinical training in core Maternal-Fetal Medicine is required for each fellow. This experience need not be continuous but the fellow must become proficient in ultrasound and the treatment of complicated obstetric patients. Within the structure of the integrated program, a minimum of 18 months of protected time for research and graduate level course work is required for the MFM fellow, during which no more than 10% time may be devoted to clinical activities. Didactic conferences specifically designed for fellows must be incorporated into the fellowship so that the fellow has an appropriate understanding of physiology and pathophysiology of the mother and newborn.

COMBINED TRAINING IN MATERNAL AND FETAL MEDICINE AND MEDICAL GENETICS PROGRAM DESCRIPTION FORM

American Board of Obstetrics and Gynecology 2915 Vine Street Dallas, Texas 75204 Telephone: (214) 871-1619 Facsimile: (214) 871-1943 Website: www.abog.org

American Board of Medical Genetics 9650 Rockville Pike Bethesda, Maryland 20814-3998 Telephone: (301) 634-7315 Facsimile: (301) 634-7320 Website: www.abmg.org

Contact: Norman Gant, M.D. Executive Director

Contact:

Karla Matteson, Ph.D. Executive Director

COMBINED MATERNAL AND FETAL MEDICINE/MEDICAL GENETICS PROGRAM DESCRIPTION FORM

Please complete all sections of this Program Description Form and send it to both the American Board of Obstetrics and Gynecology and the American Board of Medical Genetics at the addresses listed on the front cover (you may send one Board a photocopy of the form).

GENERAL PROGRAM INFORMATION

PROGRAM NAME: CONTACT NAME: ADDRESS: TELEPHONE: FAX: E-MAIL:

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MATERNAL AND FETAL MEDICINE FELLOWSHIP/MEDICAL GENETICS RESIDENCY COMBINED TRAINING PROGRAM DESCRIPTION

SPONSORING INSTITUTION: Indicate the sponsoring institution of the combined training:

Institution

City

State

ACCREDITED RESIDENCY PROGRAMS: Indicate the name and the ACGME program number for the programs offering the combined training:

Program

ACGME #

Primary Training Site

Obstetrics and Gynecology Medical Genetics

COMBINED TRAINING DIRECTOR(S):

Board Certification of Training Director

Co-Director Name

Director

Obstetrics and Gynecology Maternal and Fetal Medicine Medical Genetics GENERAL PROGRAM POLICIES AND DOCUMENTS

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Associate Director (Choose one)

The following are policies the program should develop, distribute to residents and faculty, and have on file for RRC review. Indicate ( ) if the guideline has been met, and enclose documents marked “enclosed”. On File

The program informs Maternal and Fetal Medicine fellows and Medical Genetics residents leaving the program of the need to request Board approval to receive credit for previous training experience.

On File

The program informs ABOG and ABMG of MFM fellows and Medical Genetics residents leaving the combined program, transferring to another program.

On File

Time off is equally distributed between MFM and Medical Genetics and the vacation leave policy is on file.

On File

A schedule of at least quarterly meetings between co-directors

On File

The program is based on a written curriculum of planned educational experiences in both specialties and is not simply a listing of rotations between the two specialties.

On File

The written curriculum is periodically reviewed by MFM and Medical Genetics faculty and residents.

On File

There is a process for periodic resident evaluation and feedback.

Enclosed

The description of any combined educational experiences, including a brief curriculum summary, site of activity and whether an activity is shared with categorical residents.

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MATERNAL AND FETAL MEDICINE REQUIREMENTS

DIRECT PATIENT RESPONSIBILITY (DPR) List only once. Do not add parts of months together such as continuity clinic half-days, etc. Rotation

# Months

Total Months of DPR

Indicate if the program includes each of the following requirements for maternal and fetal medicine. The Maternal and Fetal Medicine fellowship is approved by ABOG A letter signed by the department chair documents institutional and faculty commitment to combined training A minimum of 12 months of clinical training in Maternal and Fetal Medicine is provided Attendance at rounds didactic conferences for residents and fellows are provided -5-

18 months of protected time for graduate level courses and research is provided

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MEDICAL GENETICS REQUIREMENTS Indicate if the program includes each of the following requirements for approved training in Medical Genetics. The Medical Genetics residency has full ACGME accreditation. A letter is signed by the department chair documenting institutional and faculty commitment to combined training. 24 months of clinical Medical Genetics experience with the primary responsibility in patient care. (Outpatient; inpatient; and consultations) One year (or equivalent) of graduate level course in human genetics Exposure to laboratory analyses important to medical genetic diagnosis including biochemical genetics, cytogenetics, and molecular genetics Exposure to the treatment of metabolic disorders Exposure to pediatric, obstetric, adult , and cancer genetic patient populations Mandatory attendance at seminars and conferences in medical genetics Knowledge of the major developments in both the basic science and clinical science relating to medical genetics

COMBINED MATERNAL AND FETAL MEDICINE AND MEDICAL GENETICS ROTATIONS Joint maternal and fetal medicine and medical genetics experiences should be provided. Certain rotations might be designed to provide simultaneous maternal and fetal medicine and medical genetics knowledge and skill development applicable to the subspecialty or specialty area.

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SIGNATURES: Indicate by signing below that the information contained is correct and that the hospital and faculty of each department are committed to supporting the

combined program.

Print Name

Signature

Medical Genetics Director or Co-Director Obstetrics and Gynecology Director or Co-Director Maternal and Fetal Medicine Program Director Medical Genetics Program Director

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Date

Description of Curriculum Graduate level classes: Continuity clinic arrangements. Call restrictions .Other information

Directions for completing the attached Rotation Outline Column 1: Column 2: Column 3: Column 4: Column 5: Column 6: Column 7: Column 8:

Column 9: Column 10: Column 11: Column 12:

Represents various rotations for a particular year. Insert name of rotation. Indicate if rotation counts as maternal and fetal medicine. Indicate if rotation counts as Medical Genetics. Indicate if rotation counts for both MFM and Medical Genetics (combined rotation). Enter number of Continuity Clinic sessions (1/2 days) for this rotation. Indicate if the rotation counts toward MFM direct patient responsibility (DPR). Enter the percentage of time the rotation occurs in an ambulatory care site: Examples: 100% = Full time 50% = Five half-days 20% = Two half-days or one full day 10% = One half-day 5% = every other week for one half-day Enter the percentage of inpatient time. Indicate if rotation includes consultation experience; mark MFM, if Maternal and Fetal Medicine or G, if Medical Genetics. Indicate if rotation includes supervision of more junior residents. Indicate if the combined residents/fellows interact with categorical MFM or Medical Genetics residents during this rotation.

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ROTATIONS LISTED BY CALENDAR MONTH

6 7 8 9 10 11 12

- 10 -

9

10

11

12 Categorical Resident Interaction

5

8

MFM or Genetics Supervisor

4

7 MFM DPR

3

6 Continuity Clinic

2

MFM and Genetics

Medical Genetics

1

5

Consultations (Mark as MFM or G)

4

MFM

Month or 4-week block

There must be at least one 3 month block of medical genetics during this year. MFM rotations must occur during this year as well Rotation Name

3

Inpatient Time (%)

2

IM Ambulatory Time (%)

PGY-1 1

ROTATIONS LISTED BY FOUR-WEEK BLOCKS

9

10

11

12

13

- 11 -

Categorical Resident Interaction

8

MFM or Genetics Supervisor

7

Consultations (Mark as MFM or G)

6

Inpatient Time (%)

5

MFM Ambulatory Time (%)

4

MFM DPR

3

Continuity Clinic

2

7 6 5 4

MFM and Genetics Medical Genetics

MFM

Rotation Name

Month or 4-week block

1

12 11 10 8

9

Rotations of not less than 1 month in MFM or medical genetics may occur as necessary to meet requirements

3 2 PGY-2 1

7

8

9

10

11

12

13

- 12 -

Categoric al Resident

6

MFM or Genetics Superviso

5

Consultati ons (Mark as MFM G)

4

Inpatient Time (%)

3

MFM Ambulato ry Time

2

MFM DPR

1

Continuit y Clinic MFM and Genetics Medical Genetics

Month or 4-week Block

Rotations of not less than 1 month may occur in MFM or medical genetics as necessary to meet requirements Rotation Name

12 11 10 9 8 7 6 5 4 3 2 PGY-3 1

4

6 7 8 9 10 11 12 13

- 13 -

10

11

12 Categorical Resident Interaction

5

9

MFM or Genetics Supervisor

4

8 MFM Ambulatory Time (%)

3

7 MFM DPR

2

6 Continuity Clinic

1

5 MFM and Genetics

Medical Genetics

MFM

Month or 4-week Block

Rotations of not less than 1 month in MFM or medical genetics may occur as necessary to meet requirements. Research activities should be listed as credited to MFM or medical genetics or both Rotation Name

3

Consultations (Mark as MFM or G)

2

Inpatient Time (%)

PGY-4 1

8

9

10

11

12

13

- 14 -

Categorical Resident Interaction

7

MFM or Genetics Supervisor

6

Consultation s (Mark as MFM or G)

5

Inpatient Time (%)

4

MFM Ambulatory Time (%)

3

MFM DPR

2

Continuity Clinic

)

MFM and Genetics Medical Genetics

Rotation Name

MFM

As necessary to complete training Month or 4-week Block

1

12 10

11 9 8 7 6 5 4 3 2 PGY-5 1

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