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Woman And Infants
Woman And Infants

Gyn Oncology Fellowship Program

Back to Program in Women's Oncology

"What would you want done for your loved ones under the same circumstances and/or the framing question…can we do more?"

Through its volume and diversity, Gyn Oncology at Women & Infants provides the fellows with broad exposure to gynecologic malignancies. Ample opportunity for performing radical pelvic surgery and managing GI, urologic, and vascular problems caused by gyn cancer, or its treatment, is present. Most importantly, the experience of selecting the appropriate treatment to recommend to patients, based on the nuances of their specific disease, is provided.

Experience in both outpatient and inpatient chemotherapy is another strength of the program. The fellow is totally/completely integrated into The Team which plans and implements this treatment. Since the outpatient chemotherapy unit is located proximate to the clinic, the environment is designed to foster spontaneous discussions and participation in treatment in a culture concerned with quality-of-care and quality-of-life.

The Program provides an environment for learning leadership in gynecologic oncology and women's health. As the center of an integrated cancer network, substantial resources and educational opportunities exist through Brown University teaching hospitals and other affiliate institutions. The Breast Health Center is also a strong and somewhat unique asset to the Fellowship Program. For example, breast cancer patients are a part of our inpatient services, underscoring the integrated aspect of women's oncology.

The Gyn Oncology program participated in a fully approved residency program in obstetrics and gynecology, as well as all the relevant disciplines at the Brown Medical School. The systems for clinical care and education have been well established and are effective for all concerned – including the teaching of residents. The Program has previously trained post-doctorate physicians and is dedicated to teaching at the highest level. Brown University and its affiliated hospitals offer capabilities for complex research, and the Program's high patient and surgical volume allow fulfillment of a comprehensive educational mission. Women's oncology is becoming the heart of a cancer care network encompassing southern New England. Our healthcare model has led us to become the region's oncology leader with a bright and compelling future.

The umbrella of comprehensive women's oncology services provides a continuum of care with many dimensions including:

  • A multi-disciplinary team of physicians which functions as a healthcare model convening weekly in the open forum Tumor Board.
  • Five board-certified gynecologic oncologists, one general surgical oncologist, two breast surgeons, and three medical oncologists.
  • The Breast Health Center, providing comprehensive multi-disciplinary diagnosis, consultation and management of breast disease including malignancies.
  • An excellent medical and support staff working in state-of-the-art facilities.
  • A broad array of treatment options including the latest cancer research protocols.
  • On-site tumor registry and data management.
  • An outpatient chemotherapy and IV treatment unit.
  • Oncology social workers, nutritionists and pharmacists on site integrated as part of the multi-disciplinary team.
  • Humanistic decision making program-based home care and hospice services led by Gyn Oncology.
  • Cutting-edge basic and translational research in such areas as cervical cancer vaccine development and breast cancer.
  • Nationally recognized complementing care program including therapeutic massage, deep relaxation, meditation, art therapy and animal companionship during chemotherapy and in follow-up.
  • The Women & Infants' Telemedicine Network ("Virtual Presence"): an interactive videoconference linkage between the oncology program, the hospital conference rooms, the OR and a growing network of hospitals in New England and internationally who look to us for leadership in cancer care. Physicians can, for example, participate in tumor boards, the OR, or outpatient office consultation; "Virtual Presence" is the future, and today it provides an excellent tool for fellows to interact in the coming media age of networks.
  • Poetry, art, performance art...

A broad political and "real-world" (e.g. business, economic, cultural) view of healthcare is also taught, offering fellows a perspective on the rapidly changing world of health care.

The program is constantly developing new relationships with allied institutions, services and physicians to build a sustainable sphere of influence. The vision encompasses a multi-institutional, integrated cancer network covering a wide, tri-state geographic region. Utilizing various means of outreach and the videoconferencing network, still, the hub for cancer expertise will always be with "us" here in Providence. Program administration designed as a physician led "service-line" is employed to foster a comprehensive, multidisciplinary cancer program for women. Fellows gain experience in administering such programs to assure a leadership role in more than clinical care in their future positions.

Finally, questions of ethics and philosophy are central to every day functioning in Women's Oncology. As part of this, poetry written by fellows and staff with patients is not uncommon. The values of relationship-centered care are learned and appreciated by all.

All interested candidates are required to submit their applications electronically to ERAS (Electronic Resident Application Service).

The deadline for completed applications is May 15, with those applicants being considered for the following year's start date of July 1.

Program Director: C.O. "Skip" Granai M.D.
E-mail: sgranai@wihri.org
Education/Fellowship Coordinator: Debra Fleming
E-mail: dfleming@wihri.org
Address: Program in Women's Oncology
Women & Infants Hospital/Brown University
101 Dudley Street
Providence, RI 02905-2401
Phone: 401-453-7520, ext. 7223
Fax: 401-453-7529
Prerequisites: ABOG eligibility and state medical license
Salary: PGY 5-8 scale plus stipend for conferences, memberships, and educational materials
Program contents: Research (12 months)
Clinical /Surgical (36 months)
History & Philosophy of Women's Oncology at Brown University
Goals of the Gyn Oncology Fellowship Program
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