Pelvic Pain Observership Program (PPOP)
I. Program Description

An observership program, which provides qualified healthcare practitioners such as MDs, PTs, NPs, PAs, Fellows and Residents an opportunity to visit one of the observership locations for the purpose of observing on a temporary, restricted basis. If a provider has a valid license to practice medicine in the state of the observership they may examine patients if their mentor agrees.

2017 July – August
2017 September – October

II. Observership Locations

Annapolis, Maryland
Richard P. Marvel, MD
Center for Pelvic Pain

The Center for Pelvic Pain is a private practice in Annapolis Maryland that provides care for patients with various complicated gynecologic problems including chronic pelvic pain disorders, vulvar pain, pudendal neuralgia, recurrent vulvovaginitis, peripheral neuropathies. Areas of specific expertise include peripheral nerve entrapments, pudendal neurlagia, vulvodynia and peripheral neuromodulation.

The preceptorship involves exposure to 2- 4 1/2 days in the office and possibly surgical procedures, depending on the schedule. It is important to know the OR schedule is difficult to predict and can change with short notice.

The fellow would have exposure to:

  • Office-based patient evaluation (560 New patients/year)
  • Diagnostic evaluation
  • Medical management
  • Nerve blocks
  • Minimally Invasive Gynecologic Surgery including laparoscopic hysterectomy
  • Neuromodulation, procedures and follow up

Kansas City, Kansas
Charles W. Butrick, MD, FPMRS
Urogyecology Center

The Urogynecology Center is a private practice in the suburbs of Kansas City that provides care for patients with various pelvic pain disorders as well as more traditional urogynecologic problems. Areas of specific expertise include pelvic floor myofascial pain, painful bladder syndrome/IC and vulvodynia.

The preceptorship involve two full days in the office and one evening for didactics, case management discussion and BBQ.

The fellow would have exposure to:

  • Office-based patient evaluation
  • Pharmacologic management
  • Various intravesical therapies for IC
  • Trigger point injections

Salt Lake City, Utah
Howard T. Sharp, MD, FACOG
University of Utah Women’s Pelvic Pain Clinic

Dr. Howard T. Sharp offers a one-day experience in the University of Utah Women’s Pelvic Pain Clinic. This day is a fly in Tuesday afternoon and fly out Wednesday afternoon / evening event. On the Tuesday evening, a didactic session will be held for 3 hours. This will include a one-hour slide presentation on his approach to the pelvic pain work up including the history and physical exam, as well as approaches to neuropathic and centralized pain processes. The second hour will focus on dyspareunia, including a video on how he performed vestibulectomy for provoked vulvodynia (vulvar vestibulitis), of which he has performed over 500 during his career spanning over 2 decades. The third hour will be open for free discussion.

You will spend Wednesday morning from 8AM until Noon in the pelvic pain clinic along with Dr. Sharp and a resident seeing an average, 12 patients, including 3 new patients. During that time, you will observe his approach to H&P, patient counseling which will include dealing with successes and failures, and it will be highly likely that trigger point injections will be given during this clinic session.

Pereira, Colombia
Juan Diego Villegas-Echeverri, MD
Advanced Gynecological Laparoscopy and Pelvic Pain Center -ALGIA- at Clínica Comfamiliar in Pereira

The Advanced Gynecological Laparoscopy and Pelvic Pain Center -ALGIA- at Clínica Comfamiliar in Pereira (Colombia) is a private practice, university affiliated focused care center in Minimally Invasive Gynecologic Surgery and Pelvic Pain. It addresses the concern that most graduating residents in obstetrics and gynecology are not fully trained in modern MIS techniques and Pelvic Pain.

ALGIA provides care for patients with various complicated gynecologic problems including chronic pelvic pain disorders, endometriosis, painful bladder syndrome, peripheral neuropathies and myofascial pain among others.

The preceptorship lasts one week and includes exposure to office-based patient evaluation (including focused H&P), office procedures, diagnostic procedures, medical and surgical management and follow up, nerve blocks and minimally Invasive Gynecologic Surgery.

III. Requirements and Application:
  • Eligibility: The program is open to all qualified IPPS active member who are qualified healthcare practitioners such as MDs, PTs, NPs, PAs, Fellows and Residents.
  • Observation only: A preceptorship shall be strictly an observational tutorial program. Accordingly, each Participant shall only be permitted to observe the activities and to discuss his/her observations with applicable staff employees. A Participant shall not have access to hands-on patient care or contact, examination, research or other work during his/her preceptorship.
  • Length of Preceptorship: The length of time for a Participant’s observership shall be limited to a maximum of 4 weeks.
  • Insurance: The program will not cover any type of malpractice insurance, thus interactions between the fellow and patients are limited to observation only. Fellows must also cover their transportation, food, and lodging costs. If a fellow has a valid license to practice medicine in the state of the observership they may examine patients if their mentor agrees.
  • IPPS Pelvic Pain Observership Program (PPOP) application process: All participants must obtain both IPPS mentor approval and complete the Observership application through IPPS website. Submit a $150.00 applications fee and all applicants must submit the following documentation:
    • Cover letter
      (The cover letter must not exceed 500 words. The letter should give a brief description of your background and why you are interested in the program. Please indicate WHICH SPECIFIC PROGRAM LOCATION the fellow is applying to (1st and 2nd choice).
    • CV
    • Copy of an active license to practice patient care
    • Letter of support from their chairman or immediate supervisor if applicable and or 2 letters of recommendation.

Download Observership Application