The objectives of the clinical portions of the fellowship are primarily to train fellows in clinical reproductive care. This will cover all areas of clinical reproductive endocrinology and infertility listed in the American Board of Obstetrics and Gynecology (ABOG) Guide to learning Reproductive Endocrinology and Infertility for pediatric, adolescent and adult patients. Secondary objectives include establishment of clinical research projects and continuation of the bench research project (as time allows).
Patient care is largely integrated into the Boston IVF facilities with satellite clinical settings at the Beth Israel Deaconess Medical Center, Boston, Waltham, and Quincy. As a result, a very high volume (over 1,000 new patient and 5,500 return patient visit per year) of outpatient visits, assisted reproductive technology (ART) procedures (nearly 2,000 oocyte retrievals/year), and reproductive surgeries are available for training fellows. Furthermore, a very broad spectrum of clinical problems exists in this practice ranging from routine infertility care and all associated procedures, pediatric and adolescent reproductive care, menstrual related problems, and the menopause.
During the clinical blocks, fellows, will spend four days per week in supervised clinical settings which include at least one day of surgery, one day of ART procedures with time for related clinical research, four half days of outpatient clinical sessions with reproductive endocrine faculty, and one half day in outpatient pediatric/adolescent endocrinology. The four half days of outpatient clinical session will include a mixture of endocrine related reproductive disorders as well as patients with problems related to infertility. During these clinical sessions, fellows will perform procedures including intrauterine inseminations, hysterosalpingograms and sonohysterograms.
Fellows will spend 50% of their last six months in clinical activities and the other half in research. four outpatient sessions will be scheduled with different reproductive endocrinology faculty. These sessions include rotations with a reproductive urologist, medical endocrinologist, as well as the clinical reproductive endocrinologists within the division. Surgical and ART procedures will be scheduled for the other half-day session. the remaining time will be utilized either with bench research or applied clinical research, depending on the interest/inclinations of the fellow as stated above. The fellow will utilize this time to complete previously started research projects and collect data for grant writing.