Maternal Child and Reproductive Health fellowship

photo of a mom and toddlerThis two-year Maternal & Child Health fellowship was initiated in 2003 to train leaders in Family Medicine for rural or academic practice settings. The fellowship is offered in collaboration with UNM Ob/Gyn and Pediatrics Departments and includes advanced clinical training in maternity and newborn care. Fellowship graduates will be skilled in cesarean delivery, postpartum tubal ligation, newborn resuscitation and stabilization, operative vaginal delivery, medical and surgical abortion care (if desired), vasectomy (optional), first trimester obstetrical ultrasound, colposcopy, and care of complicated obstetric patients. All fellows will receive a certificate in public health based on coursework and have the opportunity to take courses towards an MPH concurrently with the MCH fellowship. Research training is available. MCH fellows participate in a core educational series which reviews current literature on important issues in maternal and newborn care. The fellowship director, Larry Leeman, MD, MPH, has completed an FP OB fellowship, as has Sarah Gopman, MD, Education Director, Maternal, Child and Reproductive Health Program, Nicole Yonke, MD, MPH, Assistant Clinical Director, Maternal, Child and Reproductive Health, and Mary Beth Sutter, MD. Together with UNM Ob/Gyn faculty, Drs. Leeman, Gopman,Yonke and Sutter train the fellows in operative obstetrics. For more information on the fellowship see our informational brochure or contact our program specialist.

We are currently looking to fill the fellowship for August 2019 and will be offering 1 position. If you are interested in applying to our fellowship please contact our program specialist, Andrea Baca, for an application.

photo of a babyFellowship benefits

  • Salary: $62,000/year
  • Educational funding: $3000/year
  • Vacation: 3 weeks/year
  • CME leave: 1 week/year
  • Sick leave
  • Liability insurance
  • Health insurance

photo of a baby and fatherGeneral Learning Objectives

  • Maternal and Child Health: Become familiar with management of routine and complicated labor and care of the maternal-infant diad. Function in chief resident role on the service.
  • Maternal and Fetal Medicine: Function as a team member on the inpatient service and in the clinic, managing pregnancies complicated by preterm labor, abnormal placentation, twins, pre-gestational and gestational diabetes, epilepsy, and other medical problems. Outpatient rotation at the Center for Perinatal Development, a private perinatal practice.
  • Newborn Nursery: Care for term neonates (>36 weeks) until discharged to home. Includes supervising Family Medicine and Pediatric interns and midlevel practitioners.
  • Intermediate Care Nursery: Care for Level 2 newborns, including those affected by prematurity (34-35 weeks), growth restriction, hypoglycemia, jaundice, and neonatal infections under supervision of attending physicians in neonatology, general pediatrics, and family medicine.
  • Neonatology: Night shifts in the neonatal intensive care unit, including focus on routine and advanced neonatal resuscitation, initial fluid management and ventilator settings. Some experience in neonatal intubation.

Fellowship Training

Longitudinal Experience

  • Labor and Delivery Management: Supervise obstetric, family medicine, and other off-service residents, as well as medical students, in caring for patients on the general obstetrical service. Work directly with MFM fellows and obstetrical attendings. Operative delivery experience.
  • Gynecologic Procedures: Acquire knowledge and technical skills of first trimester ultrasound, medical and surgical abortion (may “opt out”), and management of spontaneous abortion. Also includes colposcopy and urogynecology experience. Training in uterine aspiration or D&C occurs in inpatient and outpatient settings including the Center for Reproductive Health, a collaboration between Family Medicine and Ob/Gyn.
  • Ultrasound: Develop a working knowledge, including basic biometry and anatomy, of ultrasound throughout pregnancy. Emphasis during this time is on second and third trimester exams.
  • Dysmorphology/Pediatric Development: Outpatient and inpatient experience in diagnosis and treatment of genetic abnormalities and developmental delays, as well as developmental assessment of the normal child.
  • Research: Participation in a research project, including application for approval through Human Research Review Committee. The project may be implemented over the course of the fellowship, with goal of publication.
  • Milagro: Provide prenatal care for women with a history of substance abuse including medication assisted treatment with buprenorphine. Care for newborns exposed to opioids in utero and provide treatment for neonatal abstinence syndrome.

Hospital Service Attending

  • Maternal and Child Health—Attending for all Family Medicine patients in OB Triage, L&D, our antepartum unit, and the Mother-Baby Unit. Supervise family medicine residents.
  • Newborn Nursery—Attending for all non-MCH infants in the Mother Baby Unit, supervising pediatric and family medicine interns.
  • Intermediate Care Nursery—Attending for Level 2 newborns supervising family medicine and pediatric residents.

Photo of a mom feeding a babySample Clinic Schedule

Fellow 1
Mon AM Westside MCH Clinic
PM Westside MCH Clinic or Center for Reproductive Health
Tues AM Milagro Clinic
PM Family Medicine Clinic Precepting
Wed AM Family Medicine Center Fellow Clinic (1)
PM Milagro Clinic
Thurs AM Los Lunas MCH Clinic (2)
PM Los Lunas MCH Clinic
Fri AM Northeast Heights MCH Clinic
PM Run L & D Boards (3)

If two fellows are scheduled for outpatient weeks, the clinic coverage will be shared by the two fellows. The fellow not in clinic will have time scheduled for public health classes, research, ultrasound, or reproductive health training. Fellows take primary call at night for the MCH service two or three times per month. Fellows share back-up coverage for the service and offer consultative services to the primary MCH attending. Fellows are called during this back-up time to consult on complicated patients in L&D and Obstetrical Triage. If a C-section, post-partum tubal ligations D&C, vacuum assisted delivery, or complicated perineal repair is needed, the fellow on back-up will perform these procedures with the supervision of the MCH Fellowship Faculty.

  1. Referral-based clinic for management of patients w/ pregnancy complications, including twins, chronic HTN, diabetes, etc.
  2. 50% Spanish-speaking patient population, 35 minutes south of Albuquerque.
  3. Work with OB attendings while OB residents attend didactics.