Duke Ob/Gyn’s one-year fellowship program in Quality and Safety in Women’s Health was approved in the fall of 2021. Our goal is to train obstetricians/gynecologists to improve healthcare through an understanding of the principles, design and conduct of quality improvement (QI) and patient safety initiatives. Graduates of this program will have the knowledge and experience to become leaders in quality and safety in women’s healthcare, including obtaining formal quality and safety leadership roles in their departments.

The program accepts one fellow per year and will provide training in the areas of quality improvement, patient safety and practice-based improvement as outlined below.



Our goal is that fellows gain sufficient knowledge and experience to drive quality improvement and patient safety initiatives, allowing them to lead future quality and safety programs in healthcare.

Core didactic course: The fellow will select and complete 1-2 approved core courses, offered through the Duke University School of Medicine Clinical Leadership Program. Examples include:

  • CLP 201: Management, Leadership and Team Development
  • CLP-206: Quality Measurement and Improvement for Clinical Leaders
  • CLP 215: Health Care Operations: Perspectives for Continuous Improvement

Professional development in Quality and Safety: The fellow will gain experience in the conduct of quality and safety initiatives through participation in institutional and departmental quality programs. Examples include:

  • Duke Hospital Women’s Core Safety Committee
  • GME Patient Safety and Clinical Quality Council
  • Obstetrics and Gynecology Quality, Safety and Peer Review Committee
  • Obstetrics Peer Review Committee
  • Gynecology Peer Review Committee

Core reading: Each fellow will complete required core reading lists on Leadership, Quality and Safety.

Core certifications: Each fellow will complete the Institute for Healthcare Improvement’s Basic Certification in Quality and Safety; pass the Certified Professional in Patient Safety examination; and complete basic level TeamSTEPPS 2.0 core curriculum patient safety training.

Discussions on Quality and Patient SafetyEach fellow will attend this monthly conference in conjunction with other Duke Health Quality and Safety trainees (Departments of Medicine, Pediatrics and Medical Oncology). Fellows will identify a topic, do background reading and research and present an institutional analysis. Invited experts will contribute to the discussion.

Journal club: During the year, each fellow will participate in three mentored QI journal clubs with core faculty and other institutional QI fellows. For each conference, one fellow will choose 2 papers, present  to the attendees and lead a discussion.

Capstone project: Each fellow will perform mentored conceptualization, design and conduct of a capstone project in quality and patient safety, presented at the Duke Department of Ob/Gyn’s Hammond Research Day.


Patient Care

  • Fellows will apply quality improvement and patient safety principles in providing clinical care and developing improvement projects for ambulatory and hospital care in Obstetrics and Gynecology.
  • Fellows will commit at least 60% of their time to the fellowship, while working in their clinical specialty no more than 40% of the time.


Key Personnel

Dr. Laura Havrilesky

Laura J. Havrilesky, MD, MHSc
Quality and Safety Fellowship Program Director
Associate Chair, Quality, Safety and Peer Review Committee
Professor, Division of Gynecologic Oncology



Dr. Brenna L Hughes

Brenna Hughes, MD
Vice Chair of Obstetrics, Quality and Safety
Professor and Division Director, Division of Maternal-Fetal Medicine



Allison Mooney, MBA

Allison Mooney, MBA
Fellowship Program Coordinator



Cescille Gesher Quality & Safety Fellowship Coordinater

Cescille Gesher
Fellowship Program Coordinator



Application Information

Thank you for your interest in the Duke University Department of Obstetrics & Gynecology’s one-year fellowship program in Quality and Safety in Women’s Health. The application for the 2023-2024 fellowship cycle will close on October 28, 2022 at noon EST. Applications received after this time will not be considered by the selection committee. Interviews are held in November and December for an August 1 start date the following year (beginning in 2023).

When you are ready to apply, please gather your application materials for a single submission.  

Required Application Materials:

Please submit the following items in 1 PDF file to qualityfellowship@duke.edu:

  • Resume/CV 
  • Personal statement including reason for interest (1 page max)
  • Medical school transcript (official or unofficial)
  • 3 Letters of Recommendation 
    • one from residency program director
    • one from fellowship program director (if applicable) 
    • one from a clinical colleague

If recommenders would like to maintain the confidentiality of their letters, they may email LORs in PDF format to qualityfellowship@duke.edu