The Christus Spohn OB and Women’s Health Fellowship was established in 2002 to provide Family Medicine physicians with added surgical skills in Obstetrics. Since then, the Fellowship has graduated 1-2 fellows almost every year. Our graduated Fellows have gone out to pursue their interests in different areas including Full scope FM-OB in private and academic settings with OB hospital privileges.

Family Medicine Academic Center (FMAC):

The FMAC is our Family Medicine Residency outpatient continuity clinic. Here, you will have a specialized OB clinic for new and established OB patients. You will work closely with FM-OB faculty and a licensed RDMS ultrasound technician for maternity care and ultrasound training.

CHRISTUS Spohn South Hospital:

CHRISTUS Spohn South Hospital is a level IV Maternal Designation. This is the highest level of care designated by the Texas Department of State Health Services for maternity care. We have in-house 24/7 Board-Certified OB-GYN Hospitalists focused on providing high-quality care to all Obstetrics and Gynecology patients. In addition, it is home to a Level II and Level III NICU with highly skilled, board-certified Neonatologists and Neonatal Nurse practitioners who provide the highest level of specialized care for premature and critically ill infants. Specialists in Maternal Fetal Medicine are also available for consultation for all high-risk patients. For these reasons, we care for and receive transfers of very High Risk Pregnancy patients from all of South Texas. With the OB ED in the Labor and Delivery unit, you will see a broad patient population with varying medical/obstetric problems in Obstetric emergency and triage settings, as well as be able to experience hands-on learning with labor and delivery. 

-Salary: $63,250

-CME allowance: $1000

-Paid time off: 3 weeks vacation (1 week guaranteed during Christmas or New Year’s). 6 sick days. 

-Memberships to: AAFP, AMA, Local medical society, up-to-date. Also, access to ACOG Medical

-Medical, Dental, and Vision Insurance Plans

-Dependent Day Care and FSA accounts

-Medical Malpractice Liability Insurance

-Call Rooms

-Meal allowance

-Two personalized white coats

-Maternity care in Routine and High-risk OB, including but not limited to, GDM/T2DM, Chronic HTN, Gestational HTN, Preeclampsia, Eclampsia, PPROM, Preterm labor, PPH, shoulder dystocia, VBAC, and other chronic conditions in pregnancy.

-Cesarean sections

-Normal Vaginal Delivery

-Assisted Vaginal Delivery

-Insertion of Balloon tamponade for PPH (Bakri, Jada)

-Vaginal Laceration repairs (1st-4th degrees)

-Obstetric Ultrasound Proficiency

-Circumcisions

-Colposcopy and LEEP procedures

-Endometrial Biopsy

-Polyp removal

-Suction D&C for failed pregnancies

-Sterilization (bilateral salpingectomy)

-IUD Insertion/Removal

-Nexplanon Insertion/Removal

-Eligibility for the American Board of Physician Specialties Family Medicine Obstetrics Board certification

Michelle Mulder, M.D., Board-Certified OB-GYN

Michael Karagas, M.D., Board-Certified OB-GYN

Roxanna Doucet, M.D., Board-Certified OB-GYN

Kristy Morales, M.D., Board-Certified OB-GYN

We are thrilled that you have chosen to further your training in Family Medicine - OB. We currently recruit two fellows each year. We accept applications until September 1st and start interviews mid-September. We look forward to reviewing your application. If you have any questions regarding the program and/or application, please do not hesitate to contact Dr. Lobaina and/or Mrs. Mireles.

Please submit the following documents by September 1st to both our Program Director and GME Program Coordinator (Information below). Applications must be sent through email (DO NOT mail):

Program Director: Dr. Yanet Lobaina Yanet.Lobaina@christushealth.org

GME Program Coordinator: Mrs. Denise Mireles Denise.Mireles@christushealth.org

-Updated CV

-3 Letters of Recommendation (one from Program Director and 2 from FP or OB faculty)

-Personal Statement of your interest in OB/Women’s Health Fellowship

-USMLE or COMLEX score transcript

-PGY1/2 ITE or AOA ACOFP In-Service Exam performance record

-List of procedures completed in Residency (Procedure log download from Resident management system)

-Medical School MSPE (Dean’s Letter)

The Christus Spohn Geriatrics Fellowship was established in 2006; our first graduate, Dr. Scot Ireton, has been a valuable faculty member ever since. Seven of our graduates have successful Geriatric practices here in Corpus Christi.  Others have secured a variety of jobs throughout Texas and other states, including broad-spectrum geriatrics, certified medical directors of long-term care facilities, and academicians.

-Completion of a 3-year ACGME-accredited Family Medicine Residency or Internal Medicine Residency (by July 1st of the year you are applying for)

-Must be ECFMG certified if an IMG applicant

-Texas medical license and DEA by Fellowship start date, or shortly thereafter

-Board Certification in Family Medicine or Internal Medicine by Fellowship start date

-At this time, we are unable to sponsor visas for Fellowship or accept residents off-cycle

-Fellowship year begins July 1st and ends June 30 of the following year

13 Four-Week block rotations:

-Orientation/Long Term Care

-Rehabilitation

-Neurology

-Geriatric Psychiatry

-Palliative Care

-Hospice

-In-Patient Consults

-Assisted Living

-Geriatrician in Practice

-Wound Care

-Electives (2 Weeks)

Didactics

-Weekly small group discussions on a wide variety of topics

-Monthly workshop

-Journal Club

-Clinical Case Conference

-Morbidity and Mortality

-Teaching Skills

-Monthly session on challenges in Palliative Care

-Geriatrics Review Syllabus provided

Scholarly Activity

With the assistance of a faculty advisor, fellow designs and implements an original research project, which must be approved by the CHRISTUS IRB.  To date, each fellow has successfully presented a poster at a national meeting (such as the Society of Teachers of Family Medicine Annual Spring Conference).

Patient Safety and Quality Improvement

-Fellow works as junior faculty for a 12-lecture series on patient safety and quality improvement, presented to the PGY 1 residents.

-Completion of a quality improvement project in the spring of each year.

-Responsible for Quality Measures in various practice settings.

Duty Hours/Call

-Fellow must be available from 7 AM to 7 PM Monday through Friday.

-He/she performs occasional night call throughout the year.  The last several years have been limited to one night of coverage during the Family Medicine Residency Retreat

-Fellow may be expected to spend extra time on didactics presentation and scholarly activities.  All assigned charts and tasks in the electronic medical records at the various sites must be closed within one business day.

Family Medicine Academic Center (FMAC):

The FMAC is our Family Medicine Residency outpatient continuity clinic. The fellow has 2 half days per week of clinic at which he/she is scheduled to see adult patients of all ages, but with an emphasis on the elderly.   On Friday afternoons, the fellow performs comprehensive Geriatric Assessments for complicated patients referred by residents and faculty.

CHRISTUS Spohn South Hospital:

The fellow performs consultations on patients in the Family Medicine inpatient service at CHRISTUS Spohn Hospital, Shoreline. This facility is the major teaching institution in the region with 432 beds.   Other rotations at the hospital include neurology, palliative care, and rehabilitation.  CHRISTUS Shoreline is the premier hospital in the region with tremendous exposure to a wide variety and large volume of elderly patients with acute and chronic illness, including a busy 50-bed ICU.  CHRISTUS Spohn Shoreline is a level II trauma center in the region, and residents and fellows work one-on-one with specialists of all types. Because there are only two core residencies (Family Medicine and Emergency Medicine), the fellow has an exceptional educational opportunity.

Long Term Care:

Fellow is responsible for a panel of continuity and skilled nursing patients at Windsor Nursing and Rehabilitation Center of Corpus Christi.  Faculty round with the fellow at least weekly.  Fellow is also involved with teaching family medicine residents in long-term care, both on the block rotation and as they care for their continuity assignments.  Fellow is a member of the Quality Care Committee and Interdisciplinary Care Team at the facility.

-Salary: $63,250

-CME allowance: $1000

-Paid time off: 3 weeks' vacation and 6 sick days

-Memberships to: AAFP, AMA, Local medical society, up-to-date. 

-Geriatrics Review Syllabus provided

-Medical, Dental, and Vision Insurance Plans

-Dependent Day Care and FSA accounts

-Medical Malpractice Liability Insurance

-Call Rooms

-Meal allowance

-Two personalized white coats

At the completion of this ACGME-approved program, the Fellow is eligible to sit for the American Board of Internal Medicine Geriatrics Certificate Exam.  All our fellows for the past 7 years have passed and are certified in Geriatrics.

We welcome all candidates to apply to our Geriatrics program. We currently recruit two fellows each year. Applications are accepted through the Electronic Residency Application Service (ERAS).  Interviews are arranged both virtually and in person.

If you have any questions regarding the program and/or application, please do not hesitate to contact Dr. McDaniel and/or our GME Program Coordinator, Mrs. Denise Mireles.

Program Director: Dr. Alma McDaniel Alma.McDaniel@christushealth.org

GME Program Coordinator: Mrs. Denise Mireles Denise.Mireles@christushealth.org