Specific Fellowship Goals

• Performing advanced gynecologic surgery- open, laparoscopic, robotically assisted, and vaginal technique
• Recognition and management of surgical complications
• Performing office procedures such as office hysteroscopy, and LEEP procedures.
• Performing advanced hysteroscopic procedures
• Perioperative care: understanding preoperative workup and targeting individuals who may require supplemental assessment  
• Management of benign medical conditions such as abnormal uterine bleeding, endometriosis, fibroids, pelvic mass and pelvic pain with both medical, in office procedures and surgical management
• Understating physiology of the menstrual cycle and managing hormonal disorders
• Understanding the anatomy of the pelvis as well as surgical spaces and landmarks
• Involvement in scholarly activities including research conference presentations, publications, and medical student teaching
• Learning adequate communication strategies with both colleagues and patient’s family

Rotation Objectives

Block 1: MIGS- REI

• Perform office procedures including office hysteroscopy
• Recognize and appropriately manage uterine septum, intra-uterine adhesions, and submucosal fibroids
• Counsel patients appropriately regarding gyn conditions that may affect fertility including endometriosis, and intrauterine pathology
• Understand the pathophysiology of the menstrual cycle and how it relates with fertility
• Understand and perform basic gynecologic ultrasound and associated gynecologic pathology
• Perform basic as well as advanced laparoscopic procedures including ovarian cystectomies, endometriosis resection, myomectomy, salpingectomy
• Perform robotically assisted laparoscopy, single site laparoscopy, multiport laparoscopy, and hysteroscopic procedures.

Block 2: MIGS- GYN- ONC

• Gain comfort in laparotomy procedures
• Understand pelvic pathology, including vascular and neuro anatomy.
• Recognize and identify the anatomic spaces of the pelvis
• Understand basic techniques required for bowel resection and re-anastomosis as well as repair of bowel injuries
• Perform advanced laparoscopic procedures including radical hysterectomies and lymph node dissection
• Expected to participate in patient care including inpatient rounds

Block 3: MIGS- URO-GYN

• Perform basic urogynecologic procedures including anterior posterior repair, mid urethral slings, vaginal hysterectomies, and urinary incontinence procedures
• Preform office cystoscopies, as well as operative hysteroscopies
• Understand and perform urodynamic procedures
• Understand the work up of basic urogynecologic complaints including prolapse, and incontinence
• Perform advanced laparoscopic, open and hysteroscopic procedures

Block 4: MIGS- Research

• Perform office procedures including office hysteroscopies, IUD insertions, vulvar biopsies, and office LEEP procedures
• Manage medical gynecologic complaints including vulvar pathology, contraception counselling, abnormal uterine bleeding, and common gynecologic complaints

Research block

• Research idea is identified at the start of training
• By the last block of the year, the fellow should utilize this time to analyze preliminary data, and start the write up of the thesis