Curriculum
Division of REPRODUCTIVE ENDOCRINOLOGY & FERTILITY
(7 weeks AR; 7 weeks SAR)
The goals of resident training on the Reproductive Endocrinology and Fertility service are to develop knowledge and skills necessary to:
- provide primary care to women with infertility or reproductive endocrine problems
- serve as a primary consultant to other physicians in the care of these patients.
In a four-year training program in obstetrics and gynecology, the resident is not expected to attain the skills of a subspecialty-trained physician. It is anticipated, however, that at a minimum the resident will develop the ability to:
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Thoroughly evaluate infertile couples to include male factor, uterine abnormalities, tubal function, ovulation, and the peritoneal factor.
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Provide infertility therapy directed toward each of the above-noted areas.
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Perform adequate diagnostic endoscopy (laparoscopy and hysteroscopy).
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Diagnose and manage the full spectrum of reproductive endocrine problems, including androgen excess, hyperprolactinemia, amenorrhea, dysfunctional uterine bleeding, menopause, abnormalities of puberty, congenital genital tract abnormalities, and disorders of sexual differentiation.
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Perform gynecologic surgery for benign disease (myomectomy, ovarian cystectomy, etc.) in young women and not compromise reproductive potential.
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Many patients seen by the AR will be older (>60). Accordingly, this rotation will also emphasize the geriatrics aspect of our discipline.
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Become familiar with indications/procedures for assisted reproductive technologies. Considerable time is devoted to the care of mid-life and older patients, with specific effort to integrate primary care for geriatric patients as well as medical/surgical management of appropriate gynecologic problems.
The third-year rotation involves participation in:
- the outpatient and private clinics evaluating new and follow-up ambulatory patients,
- infertility and reproductive endocrine surgery, and
- the management of non-surgical endocrine inpatients who are admitted for endocrine evaluation.
In addition to acquiring the above-noted skills, the resident has the opportunity to be exposed to the full spectrum of assisted reproductive technologies including in-vitro fertilization/embryo transfer, controlled ovarian hyperstimulation, GIFT, embryo cryopreservation, etc. The faculty has also maintained an interest in sponsoring resident research projects on related topics.
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