GLOBAL WOMEN’S HEALTH FELLOWSHIP

The overarching goal of this fellowship is to create OBGYN professionals who are world-ready and skilled leaders in Global Women’s Health on the International stage. Graduates of this program will be experts eligible to apply for leadership positions in academic medicine, public health, international development, and government roles.

This is a two-year fellowship that incorporates clinical, teaching, and research responsibilities at Stony Brook Medicine and Hospital Central de Maputo in Mozambique. The fellow will graduate with an advance degree in public health and will graduate equipped to run global health program that focuses on capacity building in women’s health, clinical education, program development and/or program implementation.

Clinical Learning

In the first year of the fellowship, the fellow will work on G-local (Local-Global issues). G-local issues include issues of health disparity and health equity in the local community. During the G-local portion of the fellowship the candidate will focus on service to the uninsured and underserved communities in Suffolk County. The fellow will be required to serve as an attending at the Access-Gyn clinic once per month which is the free gynecology clinic offered by the Stony Brook OBGYN department and will be required to perform outreach and service to one of the following: Riverhead Jail or Shinnecock Indian Nation on Long Island. Outreach may include education or direct services on site.

Clinically, during the first year, the fellow will sharpen skills needed to work skillfully in Sub-Saharan Africa. They will work primarily as a Laborist, focusing on management of complications of labor and the top three causes of maternal mortality worldwide: Hemorrhage, Hypertensive diseases, and Infections. On average they will work 10 shifts per month on Labor ward. This will help them to sharpen their skills in dealing with common and complex obstetrical emergencies. During the first year, the fellow will be part of the Stony Brook Hemorrhage and Accreta call pool and will be expected to scrub as first-assist or attending on cesarean hysterectomies to become expert and this procedure.

Masters in Public Health

An online Masters of Public Health program at London School of Hygiene and Tropical Medicine will be included as part of this fellowship. This is an online course that includes basic competencies in public health such as program development, health policy, health economics, epidemiology, principles of disease control and a required research project. The research project may be substituted with a quality improvement project depending on the requirements of the specific public health degree concentration. The fellow’s research or quality improvement project will be designed during the first year and IRB approval (if applicable) will be sought during the first year.

Field Work

During the second year of the fellowship, the candidate will spend 12 months on site at Maputo Central Hospital as a visiting faculty at Universidade Eduardo Mondlane. During their time in Maputo Mozambique, the fellow will have clinical teaching responsibilities. They will be required to take primary labor and delivery call, gynecologic emergency room call. They will be primarily engaged in education and quality improvement or research projects..

The global health faculty are engaged in a variety of ongoing research endeavors. Research themes include:

• Medical Education
• Emergency Obstetrics
• Abortion Care
• Minimally Invasive Gynecology
• Point of Care Ultrasound
• Infectious Diseases in Pregnancy

The fellows are required to complete a research or quality improvement project during the second year of fellowship. The project will be co-designed by the fellowship director and collaborators in Maputo Central Hospital in Mozambique. The fellow is expected to complete any data collection, data analysis and to submit scholarly activity to national and/or international meetings during their second year of fellowship. They will also be mentored and required to submit scholarly activity to a peer reviewed publication.

Under the mentorship of the fellowship director, the fellow will coordinate the Mozambican resident afternoon teaching curriculum, the resident journal club, and the resident simulation curriculum in Maputo. This will give the fellow experience in day-to-day program management in the African context. They will emerge as expert clinical educators in a cross cultural and low-resource context.