MIGS Program Goals & Rotation Objectives

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