Obstetrics & Gynecology

MSC 10 5580
1 University of New Mexico
Albuquerque, NM 87131

Family Planning

About the Family Planning Program

Family Planning is the voluntary planning and action taken by individuals to prevent, delay, or terminate a pregnancy.  The UNM Division of Family Planning provides research, education, and clinical services to help individuals maintain their reproductive health and to prevent unintended pregnancies.

Vision:

Empower women and girls in the Southwest through optimal reproductive health.

Mission: (Clinical, Education, Research, Advocacy)

  1. Provide quality safe patient-centered reproductive healthcare and outstanding family planning consultative services with timely access and follow up.
  2. Provide exceptional family planning training and increase reproductive health knowledge in the local community.

Health Disparities and Advocacy

Surveys show that 200 million women wish to delay or stop the next pregnancy and over 100 million are not using any contraception because they lack access to it or face other barriers to its use.

We believe that no woman can be free unless she can choose when and how many children to have, that when women are offered realistic ways to limit their childbearing, family size always falls, and that access to family planning saves infant and maternal lives.  We have a long history of task shifting and removing non evidence-based barriers to family planning.  We are vividly aware of the public health burden of unsafe abortion and the suffering of women who experience it.

Areas of Special Interest

Clinical

  • Free pregnancy tests
  • Pregnancy options counseling
  • Inpatient or operating room services for women who have medical complications or who require general anesthesia
  • Long term, reversible birth control options, including IUDs (Mirena and Paragard) and implants (Nexplanon )
  • Sterilization for both men (vasectomy) and women (Essure)
  • Title X vasectomy
  • Medical abortion up to 10 weeks
  • Surgical abortion up to 22 weeks, including terminations for genetic indications

Research

Our research in family planning is designed to bring family planning back into international discussion and to promote improvements in access and availability of contraceptives for women who desire to limit family size. 

Our research focus areas include:

  • Post partum contraception
  • Pain mgt of office based gynecological procedures
  • Medical resident education and emergency drills
  • Poly substance abuse and contraception
  • Telehealth and repro health services
  • Contraception and breast feeding
  • Cost effectiveness effectiveness in repro health
  • Cultural barriers to contraception

Family Planning Fellowship

To Apply

The Family Planning Fellowship accepts
applications only through the "Fellowship in Family
Planning" website

If you would like further information about the
Family Planning Fellowship program at the University
of New Mexico School of Medicine, please e-mail a
question or request specific information from our
fellowship Coordinator Kirstin Ramsay.

Thank you for considering the UNM Family Planning Fellowship!

The UNM Family Planning Division's vision is singular:  to empower women through optimal reproductive health care.  Through our Fellowship in Family Planning, we extend this vision to our fellows as well.  Since accepting our first fellow in 2011, the UNM Fellowship has consistently trained top-quality family planning clinicians, educators, researchers and advocates.

General Overview

Are we the fellowship site for you?  The UNM Fellowship offers:

  • Experience working with underserved, ethnically and racially diverse patient populations
  • A culturally unique environment in a minority-majority state
  • Focus on medical student & resident education within UNM's Ryan Training Program
  • Reproductive health research opportunities
  • Training in the single referral institution for the state
  • Clinical, education and research collaboration between the UNM Departments of OB/Gyn and Family & Community Medicine
  • Advocacy opportunities through the ACOG New MExico Section, including the ACOG Congressional Leadership Conference and Santa Fe Lobby Day
  • New, clean, welcoming and supported clinic space, the UNM Center for Reproductive Health (visit our website! www.unmcrh.org)
  • Partnerships with Planned Parenthood and Southwestern Women's Options for supplemental abortion procedure experience
  • Practice in a relatively "choice-friendly" state (no gestational age limits)
  • A close-knit and collegial group of faculty with strong departmental support

The UNM Division of Family Planning features fellowship-trained, nationally recognized leaders in reproductive healthcare, including:

  • Dr. Eve Espey, president-elect of the Society of Family Planning, Chairperson of the UNM Department of Obstetrics and Gynecology, Family Planning Fellowship Director and tireless advocate for the underserved women and the moral imperative for contraception (read the article here: http://bit.ly/ContraceptionMoralImperative)
  • Dr. Brenda Pereda, UNM Ryan Training Program Director, Associate Fellowship Director, UNM's first Family Planning fellowship graduate and champion of reducing health disparities, Community Based Participatory Research and the UNM OB/Gyn Cultural Competency curriculum
  • Dr. Rameet Singh, Johns Hopkins fellowship-trained, Family Planning Division Chief, Fellowship research mentor and Medical Director for the Center for Reproductive Health.

Current Fellows

First Year

Lily Bayat

Lily
Bayat, MD

Second Year

Lauren Thaxton

Lauren
Thaxton, MD

Clinical Training

Fellows are trained in abortion and contraception care, using evidence-based medical and surgical methods.  Training occurs primarily at the UNM Center for Reproductive Health, the Albuquerque Planned Parenthood Surgical Center, and Southwestern Women’s Options (Dr. Curtis Boyd).  Later second and third trimester abortions are performed at UNM Hospital and at SWO.

General obstetrics and gynecology clinical opportunities are available, including OR coverage in the main OR and minor procedures at Outpatient Surgery and Imaging Services (OSIS).  Fellows take three OB primary call (overnight and/or weekend) shifts per month. Maintenance of general clinical practice allows for collection of cases for board certification. The UNM Fellow will become expert at the range of family planning and abortion care while maintaining and promoting generalist skills.

Clinical training sites: 

Center for Reproductive Health

The UNM Center for Reproductive Health is a full-service family planning clinic (3 miles from the hospital) providing:

  • Abortion care through 22 weeks
  • Management of first trimester pregnancy complications
  • Contraception, complex contraception
  • Miscarriage management
  • Hysteroscopic sterilization (Essure)
  • In-office hysteroscopy, endometrial ablation
  • STI management
  • Full-scope obstetrics and gynecology services

After orientation and training, the UNM Fellow supervises residents and medical students at the UNM Center for Reproductive Health, and will perform uterine evacuations up to 22 weeks with participation of medical students and residents.

UNM Hospital

Medically complex and later gestational cases are performed on labor and delivery and in the main operating rooms at UNM.

Planned Parenthood Surgical Center, Albuquerque

Fellows manage first, and early second, trimester abortion care (through 17 weeks GA) at Albuquerque’s Planned Parenthood Surgical Center.

Southwestern Women’s Options

During the course of fellowship, UNM Family Planning fellows complete from one to three (2) week rotations at Dr. Curtis Boyd’s Albuquerque clinic, Southwestern Women’s Option, to train to competence in later abortions, with the focus on 20-24 week gestational age.

Research Opportunities

Fellows are expected to design and execute a primary research project and a secondary project of their choice during fellowship. In most cases, these projects also fulfill requirements for the Master's degree. Research may be conducted on a wide range of topics in contraception and abortion, adolescent health, or in collaboration with MPH faculty or School of Medicine faculty. Projects may also be done in collaboration with the New Mexico Department of Health or the Indian Health Service/CDC field office in Albuquerque.

Each fellow meets individually with the Fellowship Director weekly, and once every two weeks with the research mentor to discuss the progress of research projects. The director also serves as a facilitator and advocate for the Fellow’s research.

Present and Past Fellow Research Projects:

  • Neha Bhardwaj, MD (2014-2016):  POPI
  • Emily Schneider, MD, MS (2013-2015) Pain management during in-office transcervical sterilization; (PACER)
  • Shannon Carr, MD, MS (2012-2014):  Post-partum IUD insertion pain study (PIPPI)
  • Brenda Pereda MD, MS (2011-2013):  The voice of Latino adolescent parents on barriers to LARC: A focus group approach.

Research and clinical interests

Our research interests include:

Eve Espey, MD, MPH (Fellowship Director)

  • Post-partum contraception
  • Simulation-based medical education
  • Teen pregnancy prevention

Rameet Singh, MD, MPH (Fellowship Research Mentor)

  • Post-partum contraception
  • Pain management of in-office gynecological procedures
  • Abortion
  • Reproductive health education and training
  • Using technology to advance reproductive health science

Brenda Pereda, MD, MS (Fellowship Associate Director)

  • Teen pregnancy prevention
  • Community based participatory research
  • International reproductive healthcare
  • Contraception decision making
  • Family planning health disparities

Current faculty research projects

  • Impact of mifepristone medical abortion expanded abortion access in New Mexico
  • Prospective study of ethnic differences in postpartum LARC uptake
  • Impact of progestin-only vs. combined oral contraceptive pills on lactation: An RCT
  • First trimester abortion training for Family Medicine residents
  • Immediate vs. delayed postpartum IUD placement RCT
  • Misoprostol for IUD insertion in nullips: An RCT
  • Needs Assessment of Sex Workers in Albuquerque: A Multidisciplinary Community Based Participatory Approach
  • Determinants of IUD removal
  • U USE IT: Survey of college freshmen on satisfaction with high school sex education

Post-Secondary Education

Master’s Degree

During the course of fellowship, each fellow is expected to pursue and complete either the Master of Public Health (MPH), or the Master of Science in Clinical Research (MS) degree program at the University of New Mexico.    The mission of the Master of Public Health (MPH) Program is to provide leadership both in graduate- and community-based education, and in social-justice research, to improve the health of the diverse populations in New Mexico and the Southwest.   The Master of Science in Clinical Research (MSCR) program is designed to develop the skills necessary for a successful career as a principal investigator and collaborator in clinical research.

Clinical and Translational Investigators Program

Additionally, Fellows participate in the Clinical and Translational Investigators Program (CTIP), a government-funded program spanning the 2 years of fellowship.  Within CTIP, the fellow is paired with an experienced research mentor, who reviews project proposals, study design, and feasibility of projects.  The CTIP research mentor and the flow meet regularly (at least 2 times per month) over the 2 year program.  The program also provides statistical support for the project.  CTIP includes monthly evening sessions of the entire CTIP group with participant presentations and critiques.

Summer Institute in Community Based Participatory Research for Health (CBPR)

CBPR is defined by the Kellogg Foundation as a “collaborative approach that equitably involves all partners in research…with the aim of combining knowledge and action for social change to improve health and eliminate health disparities.”  The CBPR Institute is an intensive, co-learning program that explores how CBPR interacts with indigenous and critical methodologies, including the challenges for academics and community members to co-construct knowledge for improved community health.  For more information, visit the UNM Center for Participatory Research website at:  cpr.unm.edu.

International Opportunities

International placements can lead to post-fellowship consultancies, volunteer opportunities, or even permanent positions with the World Health Organization, non-profits or NGOs.  A global health placement, or international rotation, is a fellowship graduation requirement.  The UNM Family Planning fellow will be expected to spend a minimum of three weeks and maximum of two months abroad.

During your time with us here at the UNM Fellowship in Family Planning, you will select, coordinate, and complete your own global heath rotation to learn more about international family planning, abortion care, and reproductive health.  Throughout the first year of fellowship, fellows will be encouraged to seek out these options to ensure that they have adequate time to find an appropriate experience and prepare themselves to maximize the placement.

Opportunities exist for global health projects through relationships with a variety of NGOs with a reproductive health focus. 

UNM offers a variety of global health resources available to fellows, including:

  • Family Planning Fellowship National Office:  The UNM Fellowship works closely with the National Fellowship Office to provide international training opportunities to the fellow.
  • UNM’s Global Health Office:  This office promotes foreign travel and work experiences for all members of the University community. There are university-affiliated Global Health programs in Nigeria and Ecuador.   
  • UNM Fellowship Leadership:  Dr. Espey, the UNM Fellowship Director, has worked internationally with the Stanford Program for International Reproductive Education and Services (SPIRES).  Singh 2007, AMOS has served 13,000 people through its community-based primary health care program (CBPHC).
  • Nicaragua:  Dr. Brenda Pereda, our Associate Fellowship Director, has traveled extensively to Nicaragua with AMOS Health and Hope, a non-profit organization whose mission is to improve the health and well-being of poor and marginalized communities by working alongside them in health, education, and development.  AMOS uses community empowerment training and community based participatory approaches to build community capacity and inter-sectoral coordination to increase impact of interventions with AMOS, local health ministries and communities.   Starting with her own global health fellowship placement in 2012, Dr. Pereda has contributed to multiple ongoing projects in Nicaragua, including:
    • A reproductive health curriculum for health promotors
    • A Family Planning clinic in urban Nejapa, Managua with local PASMO (Pan American Social Marketing Organization) trainers and guidelines
    • A “See and Treat” cervical cancer program for AMOS physicians and local health ministry physicians

Additional Opportunities

Collaborations

For information, please contact Pallavi Trikutam, Fellowship National Office Project Manager, at (415) 476-4891.

Mentorship

The UNM Fellowship team provides both standing and as-needed general and research mentorship.  The Fellowship Director provides regularly scheduled fellowship mentorship.  The Associate Director and the Fellowship primary research mentor both meet with individually with each fellow every two weeks.  Finally, both fellows meet with the core Fellowship leadership team monthly for group mentorship.  Additionally, mentorship meetings can be individually scheduled on an as-needed basis, and the Fellowship coordinator is available as needed for programmatic, operational assistance on a daily basis. 

Additional program highlights

  • Southwest Family Planning Consortium: Regular meeting of family planning fellowship providers for collaboration on research and projects.
  • The opportunity to participate in advocacy both locally and nationally through reproductive health initiatives supported by the ACOG New Mexico Section.
  • Opportunities for fellows to teach residents and students through the Kenneth J. Ryan Residency Training Program and Family Planning conferences.
  • Community outreach and speaking opportunities to community and Indian Health Service physicians and providers as well as on campus with medical students and at the School of Nursing and Midwifery.
  • Opportunities to be involved with the Legal Society for Reproductive

The Ryan Residency Training Program

The UNM Family Planning Division’s vision is singular:  to empower women through optimal reproductive health care.  Through the Kenneth J. Ryan Residency Training Program, we extend this vision to our learners as well, by integrating comprehensive reproductive health care education, including opt-out abortion training, into UNM Ob/Gyn medical student education and residency training.

What is the Ryan Program?

The Kenneth J. Ryan Residency Program is a national program launched in 1999, in response to the ACGME mandate that Ob/Gyn residency education include access to opt-out abortion training.  Its mission is to improve and formalize training in all aspects of contraception and uterine evacuation, including pregnancy termination, for ob-gyn residents. 

What Makes UNM’s Family Planning Training Special?

When you complete your Ob/Gyn residency at UNM, you will experience first-rate family planning training by fellowship-trained, nationally recognized leaders in the field.  As the single academic referral institution in a minority-majority state, you will join us in delivering vital reproductive healthcare services to underserved, ethnically and racially diverse patient populations.   Our welcoming and well-equipped clinical training site, the UNM Center for Reproductive Health, is a full-service family planning clinic providing abortion care, management of first trimester pregnancy complications, contraception, miscarriage management, hysteroscopic sterilization, in-office hysteroscopy, endometrial ablation, STI management, and full-scope obstetrics and gynecology services (Visit our website!  www.unmcrh.org). UNM also enjoys clinical rotation partnerships with local Planned Parenthood and Southwestern Women’s Options clinics.

Ob/Gyn Residents on Family Planning Rotation Receive:

  • Extensive training in all contraception methods, including long-acting reversible methods (IUDs/Implants)
  • Complete exposure to pregnancy options counseling, procedure counseling, and early gestational ultrasound training
  • Comprehensive opt-out training in first trimester surgical and medical abortion and the opportunity to learn second trimester procedures
  • Weekly didactic sessions, online modules, cultural competency and health disparities training. 
  • A wealth of reproductive health research opportunities and mentorship
  • Rich advocacy experiences through local partner organizations and the ACOG New Mexico Section.

What does “Opt Out” Mean?

An opt-out rotation in abortion and contraception means that training in elective pregnancy termination is an expected and scheduled part of residency education.  Residents with religious or moral objections can “opt-out” of participating in pregnancy termination; however, participation in contraception counseling, pre/post abortion care training, and management of pregnancy failure is still expected.

Feedback from Residents after Their Ryan Rotation

“This rotation gave such a great sense of varying levels of care as well as an overarching sense of the importance of research to continue advancing the field.” – Ryan Program resident

 “One-on-one teaching with an attending as an intern – this is rare.  Lots of procedures.  Lots of opportunity to counsel over and over again to really get a feel for what works and what doesn’t.  Enough procedures that sometimes difficult ones were encountered.  Training at an actual abortion clinic to get a feel for the disparities.” – Ryan Program resident

 “Even at my experience level, I was treated as part of a team and allowed hands-on learning during office hours.  This type of teaching gave me the exposure I needed to learn about the family planning aspects of obstetrics and gynecology.” – Ryan Program resident

 Join us!

Get to know the Family Planning Division

Link to the Faculty Directory.

Family Planning Clinics

UNM Center for Reproductive HealthCenter for Reproductive Health

2301 Yale Blvd SE (directions)
Building E
Albuquerque, NM 87106
For appointments: (505) 925-4455