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 counseling, 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.