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Training and Curriculum

UCSF/KPSF Gynecologic Oncology Fellowship
The University of California, San Francisco (UCSF) School of Medicine and Kaiser Permanente San Francisco (KPSF) offer a three year joint Gynecologic Oncology Fellowship Program. Our fellowship Program is accredited program by accredited by Accreditation Council for Graduate Medical Education (ACGME). Our program is approved for 3 fellowship positions. One fellow is recruited each year. Fellows are trained at Bakar Cancer Hospital and Ron Conway Gateway Medical Building at the UCSF Mission Bay Campus, and Kaiser Permanente Medical Center, San Francisco (KPSF).

Our fellows will spend the first 6 month of their fellowship in a clinical rotation at UCSF follow by a 12 months protected time for research in gynecologic malignancies at a location based on the candidate’s research interests. After the research year, fellows will continue with their clinical at either KPSF or UCSF. Senior fellows will have an opportunity to do a one month rotation at the UCSF Intensive Care Unit as well as an elective month of their choice in clinical oncology, surgical oncology, or dysplasia.

The residency program at UCSF is also an ACGME-accredited program and has nine residents per year, for a total of 36 residents. Residents rotate through Gynecologic Oncology for a period of 5-7 weeks each year. Residents also participate in the daily activities of the inpatient service and surgery with the fellows.

Goals and Objectives
Our fellowship program's educational objectives are structured according to the core competencies of the ACGME Outcomes Project.
Interpersonal skill and professional communication objectives are critical to acquiring knowledge and conveying results and recommendations to patients and providers alike.
Medical knowledge objectives emphasize learning for diagnosis and management of each of the major gynecologic tumor sites, but also modalities of treatment including radiation, chemotherapy, and palliative care.
Patient care objectives including complete assessment using history, physical examination findings, and laboratory test results, and selection and performance of diagnostic and therapeutic interventions, including radical pelvic and minimally invasive surgery.
Practice-based learning includes evidence based medicine, critically considered research, self-reflection as part of the evaluation process, while system-based learning includes quality improvement and multidisciplinary team collaboration. Throughout all educational activities, professionalism is essential for good performance and lifelong learning.

 

Fellowship Training Schedule / Block Gird

 

August

September

October

November

December

January

February

March

April

May

June

July

Year 1

UCSF

UCSF

UCSF

UCSF

UCSF

UCSF

RES

RES

RES

RES

RES

RES

Year 2

RES

RES

RES

RES

RES

RES

KPSF
 

KPSF
 

KPSF
 

KPSF
 

KPSF
 

KPSF
 

Year 3

KPSF
 

KPSF
 

KPSF
 

KPSF
 

KPSF
 

ICU

ELECT

UCSF

UCSF

UCSF

UCSF

UCSF

Res = Research, KPSF = Kaiser Permanente San Francisco

Curriculum
Surgical and Clinical Management
Radiation Therapy
Chemotherapy
Palliative Care
Genetic Counseling
Pathology
Critical Care

Research
IRB Training
Grant Writing
Statistical Analysis
Quantitative Techniques /Epidemiology/Study Design
Manuscript Preparation
Thesis presentation and defense

Elective Options
Radiation Oncology
Phase I
Surgical Oncology
Urologic Oncology
Colorectal Surgery
Dysplasia
 

Fellowship Training Activities

 

UCSF

Daily Rounds

Daily

Teaching Rounds

Twice/ three times a week

Weekend Rounds and Calls

Share with Chief Residents

Grand Rounds

Weekly Tuesdays

Tumor Board

Weekly Tuesdays

Fellow’s didactic Lecture

Weekly Tuesdays

Journal Club

Quarterly*

M&M/Case Conference

Quarterly*

Fellowship College

Quarterly*

Teaching Medical Students/ Residents/ External Rotation Fellows/ Visiting Scholars

As Assigned



Research Projects

Rosa Guerra, MD

Project 1:

Ethnicity/race affect knowledge of clinical trials

Investigator(s):

Lee-may Chen, MD, Stefanie Ueda, MD, Edwin Alvarez, MD, Jocelyn Chapman, MD, Megan Swanson, MD, MPH, Hala Borno, MD

Mentor(s):

Lee-may Chen, MD, Celia Kaplan, PhD, Ann Lazar, PhD

Location:

UCSF Cancer Center

   

Project 2:

Minimal invasive surgery vs open surgery and the affects on outcomes in early stage cervical cancer

Investigator(s):

Aida Shirazi PhD, Lue-Yen Tucker, Ramey Littell, MD

Mentor(s):

Ramey Littell, MD

Location:

Kaiser Permanente, San Francisco

   

Project 3:

Increasing germline genetic testing uptake in an outpatient setting for all ovarian cancer patients

Investigator(s):

Lee-may Chen, MD, Stefanie Ueda, MD, Edwin Alvarez, MD, Jocelyn Chapman, MD, Megan Swanson, MD, MPH

Mentor(s):

Lee-may Chen, MD, FACS, FACOG, Stefanie Ueda, MD,

Location:

UCSF Cancer Center

   

Project 4:

Entereg and the affect on length of hospital stay in gynecologic oncology patients.

Investigator(s):

Lee-may Chen, MD, Stefanie Ueda, MD, Edwin Alvarez, MD, Jocelyn Chapman, MD, Megan Swanson, MD, MPH

Mentor(s):

Lee-may Chen, MD, Stefanie Ueda, MD,

Location:

UCSF Cancer Center

 

Nicole Marjon, MD, PhD

Project 1:

Targeting PARP inhibitors to ovarian cancer, decreasing off target effects

Investigator(s):

Alan Ashworth, PhD, FRS, Morgan Diolaiti, PhD

Mentor(s):

Alan Ashworth, PhD, FRS, Jocelyn Chapman, MD

Location:

UCSF Cancer Center

   

Project 2:

Evaluating novel interactions between ovarian cancer and the immune system to develop innovative targets for ovarian cancer

Investigator(s):

Alan Ashworth, PhD, FRS, Morgan Diolaiti, PhD

Mentor(s):

Alan Ashworth, PhD, FRS

Location:

UCSF Cancer Center

   

Project 3:

Using clinical targeted sequencing of ovarian tumors to predict response to PARP inhibitors

Investigator(s):

Jocelyn Chapman, MD

Mentor(s):

Jocelyn Chapman, MD

Location:

UCSF Cancer Center

   

Project 4:

Systematic evaluation of PARP inhibitor resistance and reversion mutations

Investigator(s):

Lee-may Chen, MD

Mentor(s):

Lee-may Chen, MD

Location:

UCSF Cancer Center

   

Project 5:

Evaluating the effects of prior cancer treatment on the risks and outcomes of patients with occult cancer found at the time of risk-reducing salpingo-oophorectomy

Investigator(s):

Trina Mansour, MD, Lee-May Chen, MD

Mentor(s):

Lee-may Chen, MD

Location:

UCSF Cancer Center

 

Allison Kay, MD

Project 1:

Improving our postoperative opioid prescribing process by creating a decision aid to personalize opioid prescription size to meet a patient's actual need.

Investigator(s):

Jocelyn Chapman, MD

Mentor(s):

Jocelyn Chapman, MD

Location:

UCSF Cancer Center

   

Project 2:

Comparing surgeon placed TAP blocks to thoracic epidurals for postoperative pain management after open surgeries.

Investigator(s):

Rosa Guerra, Nicole Marjon, MD, PhD, Edwin Alvarez, MD, Jocelyn Chapman, Megan Swanson, MD, MPH, Lee-lynn Chen, MD, Lee-may Chen, MD, Stefanie Ueda, MD

Mentor(s):

Lee-lynn Chen, MD, Lee-may Chen, MD, Stefanie Ueda, MD

Location:

UCSF Cancer Center

   

Project 3:

Reviewing our historical prescribing patterns for postoperative opioid medication and identifying perioperative and patient characteristics that affected prescription size and increased a patient's use of opioid medication.

Investigator(s):

Jocelyn Chapman, MD, Ramey Littell, MD

Mentor(s):

Jocelyn Chapman, MD

Location:

UCSF Cancer Center/ Kaiser SF

 

Current Fellows (UCSF remains merged with Stanford in fellowship training through 2016-2017. Beginning in July 2017, our program is merged with Kaiser Permanente San Francisco

Allyson Jang, MD

Alison McGough-Maduena, MD, MPH

Yeon, Woo Lee, MD

 

Graduates (through 2016-2019 UCSF remains merged with Stanford in fellowship training through 2016-2017. Beginning in July 2017, our program is merged with Kaiser Permanente San Francisco)

Megan Swanson, M.D., M.P.H. 2016-2019

UCSF, Faculty Position

Jana Freeman, M.D. 2017-2020

UCSF, Fresno Faculty Position

   Rosa Guerra, MD 2018-2021                                                                                                                                 University of Houston, Texas, Faculty Position

                                                                                                                              
Graduates (through 2016-2017, UCSF was merged with Stanford in fellowship training)

Leah McNally, M.D. 2014-2017 Duke University, Faculty Position

Gina Westhoff, M.D. 2012-2015

Private Practice, Oregon

Jocelyn Chapman, M.D. 2012-2015

UCSF, Faculty Position

Elise Simons, M.D. 2011-2014

UW Norwest Hospital Campus University, Faculty Position

Katherine Fuh, M.D 2009-2012

Washington University St Louis, Faculty Position

Renata Urban, M.D. 2008-2011

University of Washington, Faculty Position

Katherine Yang, M.D. 2007-2010

Willamette Valley Cancer Institute and Research Center , Oregon

Valerie Sugiyama, M.D. 2006-2009

Boston University, Faculty Position