Women & Infants Fellowship in Obstetric & Consultative Medicine

Women & Infants Fellowship in Obstetric & Consultative Medicine and the Integrated Program for High-Risk Pregnancy.

Fellowship established in 1992 for internists and medical subspecialists committed to improving the care of medical illness in pregnancy.

Program Director:
Kenneth Chen, MD
Division Director
Obstetric & Consultative Medicine
Women & Infants Hospital

Introduction

The medical care of the obstetric patient is a rewarding and stimulating field of internal medicine that is becoming increasingly important as women delay childbearing and more women with medical problems become pregnant. However, training in internal medicine rarely includes significant exposure to pregnant patients. As a result, most internists are not well prepared to evaluate and manage medical problems in pregnant patients or those contemplating pregnancy, nor are they familiar with the future health risks portended by pregnancy complications. The Division of Obstetric & Consultative Medicine, Department of Medicine, in collaboration with the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, and The Warren Alpert Medical School of Brown University, now offers New England's only fully integrated program for the care of women with medically complex pregnancies and their developing fetuses. Our fellows work collaboratively with the providers in the Integrated Program for High-Risk Pregnancy.

Description

The Women & Infants Obstetric & Consultative Medicine Fellowship is designed to provide the board-eligible or board-certified internist specialized training in the clinical care, teaching, and research of medical complications of pregnancy. The fellowship draws on the many talents of the Division of Obstetric & Consultative Medicine's uniquely qualified internists, the faculty of the Division of Maternal-Fetal Medicine, and The Warren Alpert Medical School of Brown University's obstetric medicine and ob/gyn programs to provide fellows with a stimulating, two-year experience in obstetric medicine.

Our team of providers includes 10 maternal-fetal medicine (MFM) physicians, nine board-certified general internists, and 10 obstetric anesthesiologists who work alongside our obstetric medicine faculty. In addition, there is the opportunity to learn from and work on-site with full-time gastroenterology and behavioral health specialists who have a focus on pregnancy-related illness. This includes the unique Day Hospital program that treats pregnant and postpartum women suffering from mood disorders.

Also available are the full clinical services of Rhode Island Hospital including a team of subspecialists from cardiology, pulmonology, hematology, rheumatology and endocrinology, all with a special interest in pregnancy. All of these physicians work closely with our nursing team to create an interdisciplinary and integrated program.

This unique constellation of services offers unparalleled assurance that patients and their doctors can receive the state-of-the-art interdisciplinary guidance that these special women and these tiniest patients so deserve.

Fellows work in both the inpatient and outpatient settings on the Obstetric & Consultative Medicine Service at Women & Infants Hospital to:

  • acquire knowledge in the physiology of normal pregnancy and the pathophysiology of diseases occurring in pregnancy and postpartum;
  • learn to diagnose and treat medical complications of pregnancy;
  • learn to be an effective consultant to obstetricians and gynecologists and other internists and subspecialists;
  • develop practical teaching skills through the supervision and teaching of residents and medical students.
  • participate in the weekly Specialty Care in Pregnancy Program (SCIPP) Conference and Clinic, and the monthly Obesity in Pregnancy Clinic.

SCIPP is a multidisciplinary tumor board-style conference that discusses preconception counseling for non-pregnant women and recommends a plan of care for women whose pregnancy or post partum care is complicated by a medical condition in cardiology, hematology, endocrinology, rheumatology or gastroenterology.

Our Obesity in Pregnancy Program is part of the hospital's Integrated Program for High-Risk Pregnancy, a collaboration between the divisions of Maternal-Fetal Medicine and Obstetric and Consultative Medicine. The multidisciplinary team is led by Drs. Kenneth Chen and Katharine Wenstrom and is always staffed by an exercise physiologist and a nutritionist. A behavioral psychologist, bariatric surgeon and anesthesiologist are available as needed.

Fellows also participate in research and will complete a research project in the area of medical problems in pregnancy. With the assistance of a faculty advisor, it is expected that the work will be presented at a national meeting and published in a peer review journal.

There are regularly scheduled learning opportunities through:

  • a weekly fellows lecture series
  • fellows case presentations
  • fellows research meetings
  • journal club
  • Rhode Island Hospital grand rounds
  • ob/gyn grand rounds
  • medical and sub specialty consultation clinics
  • opportunities to enroll in Brown University courses in biostatistics and epidemiology
  • attendance at national meetings such as the Society of Obstetric Medicine, American College of Physicians, Society for Maternal-Fetal Medicine, and the Society of General Internal Medicine.

Background

Women & Infants Hospital, a Care New England hospital, is a major teaching affiliate of The Warren Alpert Medical School of Brown University. Women & Infants has been awarded designations and honors for dedication to health care of women and infants:

  • A top hospital in gynecology (ranked19th in the nation) and Best Children's Hospital in neonatology (ranked 34th ) in the U.S. News 2011-12 Best Hospitals;
  • High-performing in cancer, U.S. News 2011-2012
  • Ranked #1 hospital in the Providence metro area (including Providence and Pawtucket, RI and Fall River and New Bedford, MA) in U.S. News & World Report's Best Hospitals metro area rankings;
  • Five-star rating in Maternity Care for 2011 by HealthGrades, the nation's most trusted, independent source of physician information and hospital quality outcomes

This commitment to excellence extends to our training of medical students, residents and fellows. With 167 beds, Women & Infants Hospital is the 7th largest obstetrical service in the country and the busiest in New England. Women & Infants has the largest single-family room NICU in the country. In 2010 more than 8,500 deliveries were recorded, of which approximately 14% were classified as high risk. The Women's Primary Care Center is the site of comprehensive primary and specialized care services for women. In combination with the Division of Ambulatory Care's urgent care services, more than 63,000 patient visits were recorded for 2010.

Women & Infants Hospital is situated on the campus of Rhode Island Hospital, and together the two hospitals form the largest tertiary care referral center in Rhode Island and southeastern New England. It is the site of the only obstetrics and gynecology residency in the state, as well as ob/gyn fellowships approved by American Board of Obstetrics and Gynecology in maternal-fetal medicine, gynecologic oncology, and urogynecology and reconstructive pelvic surgery. Also offered are fellowships in breast disease, pediatric and perinatal pathology, neonatal-perinatal medicine, gynecologic pathology and cytopathology, and reproductive endocrinology and infertility

Application

To begin the application process:

  • Click here to download a PDF version of our Fellowship Application
  • Print the application form and complete it in its entirety. Please be sure to include your home phone number, pager number or cell phone number.
  • Include your current curriculum vitae and a personal statement (not to exceed one typed page).
  • Submit the application via US Postal Service or any overnight delivery service to the Program Director, Dr. Kenneth Chen, at Women & Infants Hospital, Department of Medicine, Suite 1440, 101 Dudley Street, Providence, RI 02905. (Your application should not be sent via e-mail as your signature is required.)
  • Three professional letters of reference should be sent to the Director under separate cover.

Successful fellow candidates will demonstrate evidence of promise as a clinician, an educator and independent investigator in the area of consultative and obstetric medicine. All applications will be reviewed, and all candidates will be notified regarding their suitability for an interview with the obstetric medicine team.

For More Information

For further information regarding the Women & Infants Fellowship in Obstetric & Consultative Medicine, contact:

Kenneth Chen, MD
Division Director
Obstetric & Consultative Medicine
Women & Infants Hospital
101 Dudley Street
Providence, RI 02905
(401) 274-1122, extension 1925
E-mail: KeChen@wihri.org

We appreciate your interest in our Fellowship in Obstetric & Consultative Medicine and look forward to receiving your application.

Patient Services

Members of the Department of Medicine provide both Primary Care Clinical services and Subspecialty Clinical services. Locations include community-based private physician offices, Foundation-owned group practices and the hospitals listed below.

Rhode Island Hospital, a large academic medical center.

The Miriam Hospital, a community based teaching hospital.

Memorial Hospital of Rhode Island, a community based teaching hospital.

Women & Infants Hospital of RI, the 10th largest OB/GYN hospital in the U.S.

Providence VA Medical Center, serving a unique patient population & spectrum of illness.