Department of Obstetrics, Gynecology and Women’s Health Department of Obstetrics, Gynecology and Women’s Health

Complex Family Planning Fellowship

Complex Family Planning Fellowship Overview

In 1970, Hawaiʻi became the first state in the Union to allow abortion at the request of a woman. Since that time, the UH faculty has been a significant provider of abortion care. In 2006, we furthered our commitment to providing evidence-based family planning and abortion services through the successful implementation of our Kenneth J. Ryan Residency Training Program. In 2012 we were proud to become the 25th Family Planning Fellowship site.

The UH Fellowship in Complex Family Planning aims to develop exceptional CFP subspecialists who also maintain and grow in their expertise as ob-gyn generalists. The two-year, ACGME-accredited Fellowship program follows the educational, research, policy, and clinical training requirements outlined by the Society of Family Planning. Our Fellows

  • Provide clinical care in both hospital-based and community-based settings on multiple islands
  • Develop and complete an impactful research project that aligns with their interest and passion
  • Participate in multiple policy and advocacy projects locally and nationally
  • Engage in professional development opportunities locally and with their national cohort of Fellows
  • Manage complex patients in collaboration with our generalist and MFM colleagues and provide care in Hawaii’s only Level 1 trauma center
  • Care for patients who reflect the diverse cultural makeup of the state and come from both Hawaii and the broader Pacific region for care.

Graduates of the Fellowship are experts in complex family planning clinical care, family planning clinical and translational research, family planning public health and public policy, and family planning education. Fellowship graduates are highly sought after in academic departments of Ob-Gyn throughout the country.

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Individuals interested in applying to the Fellowship should visit https://students-residents.aamc.org/applying-fellowships-eras/applying-fellowships-eras or contact Mary at mtschann@hawaii.edu for specific information about the UH Fellowship in Complex Family Planning. The UH CFP fellowship start date is August 1st, and we encourage candidates to explore the Society of Family Planning’s funding for transitional expenses. 

Fellows can expect to have hands-on training in:
  • All methods of pregnancy termination
  • All diagnostic methods to confirm uterine extra-uterine pregnancy
  • Anesthesia and pain control for in-office gynecologic procedures
  • Ultrasonography related to contraception and abortion
  • Management of complications
  • All methods of contraception currently available and under investigation
  • Generalist call (additional hourly pay)*
  • Permanent contraception
  • Deep implant removal- UH is a Contraceptive Implant Center of Experience
  • Opportunity for vasectomy training
  • Working in high-volume freestanding clinicsWorking in rural/low-resource settings

Sample Schedule for a CFP Fellow:

AM PM
Mon Academic/research time Academic/research time
Tue Division research meeting (1hr) Planned Parenthood Planned Parenthood
Wed Family Planning Clinic Family Planning Clinic
Thu OR procedures Telemed
Fri Generalist clinic FP meeting (didactics weekly, case conference or M&Ms)
Sat One Saturday a month at PP
1-2 generalist calls a month (in-house. Fellows receive additional compensation for call)

* 24 hour minimum requirement per month; call is at The Queenʻs Medical Center and includes both L&D and gynecology.

CFP fellows teach medical students and residents routinely, both on CFP rotation and when doing generalist call. Fellows are also encouraged to work with residents or medical students who are interested in CFP research. The University of Hawaii Ob-Gyn residency program has 24 categorical positions. The University of Hawaii residency program is a Ryan Residency Program, and residents do a CFP rotation in their intern year.

Research is central to the focus and structure of the University of Hawaiʻi CFP division and Fellowship. The entire division, including all faculty and fellows, meet weekly to brainstorm research ideas, identify funding opportunities, discuss research progress and troubleshoot barriers. The Division also has one dedicated PhD researcher and one dedicated full time research coordinator. Biostatistics help is available when needed. Fellows also receive funding each year to attend research courses, such as the SASCOG Progress Course, and have funding to attend professional conferences, both in Hawaiʻi and on the continent. Fellows are encouraged to identify their own research questions, and the breadth of methodological expertise among the faculty ensures fellows are supported in producing high quality research, no matter the design. The UH CFP Division is hands-on and engaged with the fellows, providing support for study design, IRB approval, study implementation, analysis and dissemination. Fellows typically complete one primary and one secondary project during their fellowship.

Below is an example of University of Hawaii CFP fellow’s completed studies:

As the first state to legalize abortion at the request of the patient in 1970, Hawaiʻi has a proud history of protecting abortion rights. UH faculty and fellows have been integral in legislatively reaffirming the right to abortion, and proactively codifying protections in the years following the Dobbs decision. UH faculty and fellows work with community organizations, reproductive health advocates and state legislators prior to the legislative session to craft bills and meet with stakeholders. During the legislative session, faculty and fellows provide written and oral testimony and assist the ACOG junior fellows in planning the ACOG Hawaii Section lobby day. Our fellows have participated in multiple media opportunities as well.

We have formalized advocacy training into a curriculum that emphasizes not only legislative advocacy and media training, but institutional advocacy as well.

Fellows are encouraged to pursue elective rotations that support their educational goals. Past fellows have done rotations at DuPont Clinic for all-trimester procedure training and with the Population Council to pursue additional research experience. Fellows are encouraged to explore elective opportunities and will be supported as much as possible in completing electives that match their interests and goals.

Complex Family Planning Services, including pregnancy termination and contraception, are provided by the CFP Faculty and Fellows at two locations:

1380 Lusitana St
Honolulu, HI 96813

Appointments: (808) 686-4690

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82 Puuhonu Pl
Hilo, HI 96720

Appointments: (808)-961-6608

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Fellows also provide care at Planned Parenthood locations on Oʻahu and Maui.

For more information on services provided, visit: https://hawaiifamilyplanning.org/

 

Current CFP Fellows

OLIVIA MANAYAN, MD
Olivia Manayan, MD
2nd Year Fellow
ELAINE CHAN, MD
Elaine Chan, MD
1st Year Fellow
ALUMNI CIRCLE
Alumni
Fellowship Testimonials

The UH Division of Family Planning is proud to be a participating Ryan Residency Program. Residents complete an opt-out 8 week family planning rotation and complete a thorough didactic and clinical curriculum, with in-depth evaluation of knowledge and competency throughout. Prospective residents can learn more about the UH Department of Ob-Gyn Residency at https://hawaiiresidency.org/

  • Curriculum: Residency program graduates are expected to meet competencies in patient education and counseling regarding contraception and abortion, early pregnancy loss and IUFD management, and medical and surgical pregnancy termination. Residents will participate in didactic sessions regarding epidemiology, public policy, research and clinical care in family planning.
  • Research: The Family Planning division is actively involved in resident research mentorship. Resident research in family planning has included topics such as post-placental IUD placement in adolescents, emergency contraception pharmacist knowledge and pharmacy availability and LARC uptake among Native Hawaiian women.

Medical students work with the Family Planning division during their 3rd year Ob-Gyn clerkship. Students participate in a hands-on lesson on contraception, IUD placement, and uterine evacuation, as well as a discussion about professionalism and challenging patients. Medical students will participate in clinical cases involving family planning, and can arrange to participate in office-based family planning services during their rotation. Contact Mary at mtschann@hawaii.edu for additional information.

Visiting Medical Students: Space is available for medical students to rotate with the Department of Ob-Gyn and to participate in a family planning rotation. Students will receive a tailored reading and didactic curriculum and will participate in office- and hospital-based family planning cases. For more information about completing a rotation with our department, contact Krysten Kawamata at: (808) 203-6508

Prospective Medical Students interested in learning more about John A Burns School of Medicine (JABSOM) should visit: https://jabsom.hawaii.edu

Health Science Student Internship/Field Studies/Practicum

  • Undergraduate, post-baccalaureate, and graduate student interns are always a welcome addition to our research team. More information about the program can be found here. You may also contact Mary Tschann at mtschann@hawaii.edu

Mission Statement

The University of Hawaiʻi Complex Family Planning Fellowship is committed to advancing anti-oppression, and reproductive justice for all people including patients, trainees, faculty, our workforce, and the community in which we live. Our programmatic values of kuleana, pono, and aloha are the foundations of our educational mission. Our curriculum and educational programs reflect our commitment to recognizing and dismantling structures of oppression and privilege within medical education and in complex abortion and contraceptive care. We continuously seek to identify opportunities for growth and change, and strive to create just educational and clinical environments for all members of our community.
Mailing Address:


University of Hawaii – Department of OBGYN
Attn: Complex Family Planning Division
1319 Punahou Street, Suite 824
Honolulu, HI 96826

Email: famplan@hawaii.edu

Follow our Fellows on Instagram: @hawaiicfp

 

Current Research:

The Division of Complex Family Planning sometimes conducts research studies. These studies help us to develop new or improved medications, treatments, and medical techniques. We can only make these discoveries with the help of study participants.

See our actively enrolling studies here.