Curriculum

The thoughtfully designed curriculum ensures that everything you need to know is covered in a manner that is tailored to your learning style and offers flexibility so you can develop a focus of expertise within REI.

Clinical Experience

With our large and diverse catchment area, we are able to provide fellows with a high volume and broad range of clinical experiences. This robust clinical exposure enables our fellows to readily exceed minimum case-volume requirements while developing comprehensive clinical competence across a diverse patient population. Importantly, we are committed to ensuring that clinical service complements, rather than supersedes, education. Our program is designed to provide a well-rounded training experience in which fellows have dedicated opportunities for teaching, supervision, case discussion, and professional development, ensuring that educational objectives remain central to their clinical experience. The clinical experience spans 11 contiguous months starting during the 1st year of fellowship and 13 contiguous months in the 3rd year of fellowship, with elective time built-in to focus your areas of interest.

First Year & Third Year

REI/ART/IVF – Fellows complete yearlong rotations in REI/ART/IVF. During this rotation fellows manage protocols for ovulation induction, superovulation, controlled ovarian hyperstimulation, frozen embryo transfer, and early pregnancy monitoring for the fellow and faculty members’ patients under faculty supervision with progressively increasing independence. They learn to perform transvaginal and transabdominal ultrasonography, saline sonograms, hysterosalpingograms, intrauterine inseminations, oocyte retrievals, trial embryo transfers, live embryo transfers, and office hysteroscopies with mentorship from a supervising faculty. In addition, they spend part of each year rotating in Medical Endocrinology, Pediatric Endocrinology, Urology, and Genetics, and operate with REI and Minimally Invasive Gynecologic Surgery faculty.

• Fellows are assigned patients through a longitudinal Fellows’ Clinic that is supervised by a faculty member. In this clinic, fellows get the unique opportunity to provide continuity of care for their patients while evaluating and treating individuals and couples with reproductive endocrine and infertility disorders. Fellows formulate treatment plans with the faculty member’s direct supervision and are granted progressive authority and responsibility for patient care.

Minimally Invasive Gynecologic Surgery – Fellows conduct operative hysteroscopies and laparoscopies with the REI faculty and perform advanced laparoscopy and robotic surgical cases with MIGS faculty as needed for REI patients. Fellows also have opportunities to participate in myomectomies and endometriosis surgeries with MIGS faculty in non-REI patients.

Urology – Fellows complete Urology electives in their first and third year participating in urology office visits and procedures.

Reproductive Genetics – Fellows complete Reproductive Genetics electives in their first and third year participating in genetics office visits and procedures.

Medical Endocrinology – Fellows complete Medical Endocrinology electives in their first and third year participating in medical endocrine office visits.

Pediatric Endocrinology – Fellows complete Medical Endocrinology electives in their first and third year participating in pediatric endocrine office visits.

Second Year

The second year fellow has 12 contiguous protected months to focus on research. They complete the highly rated Basic Training in Reproductive Medical Genetics virtual course through UCSF during this year.

Third Year

In addition to the REI/AR/IVF rotation described above, third year fellows are provided time to develop elective rotations based on their career goals and interests. Examples of additional electives that have been completed recently include transgender medicine, fertility preservation, pituitary clinic, advanced MIGS experience, and medical ethics and law. All fellows complete a one-month IVF Lab rotation.

Weeknight and Weekend Call

Fellows share weekday after hours call (Monday through Thursday) throughout fellowship and do one weekend call per month (Friday through Sunday). Fellows cover 2 holiday holidays a year with the holiday call counting as their 1 weekend a month.