Reproductive Endocrinology & Infertility

Reproductive Endocrinology & Infertility

University of Louisville REI Fellowship

Program Overview

The Reproductive Endocrinology and Infertility Fellowship at the University of Louisville is an accredited program through the Accreditation Council in Graduate Medical Education (ACGME).  Previously accredited through the American Board of Obstetrics and Gynecology (ABOG) beginning in 1977, before transitioning to the ACGME, the fellowship was among a few of the first in the country.

The program trains a total complement of three fellows and selects one every academic year through the Association of American Medical Colleges' match.  

Faculty

Division of Reproductive Endocrinology & Infertility

Kelly Pagidas, MD, Division and Fellowship Director

Henry C. L. Bohler, MD, MSc, FACOG

Others involved in fellowship education include:

Alexander Asamoah, MD, PhD, Clinical Genetics

Michael B. Foster, M.D., Pediatric Endocrinology

Jeremy Thomas Gaskins, Ph.D., Bioinformatics and Biostatistics

Zhenmin Lei, Research, OB/GYN

Resad Pasic, M.D., Ph.D., Minimally Invasive Gynecologic Surgery

Christopher Gerard Schrepferman, M.D., Urology/Male Infertility

Brittany Johnson Schulz, M.D., Radiology

Kira C. Taylor, Ph.D., Epidemiology and Biological Sciences

Stephen J. Winters, M.D., Medical Endocrinology

Facilities

The division maintains its major outpatient care at the University of Louisville Fertility Center where the REI attending and fellows see their private patients as part of the University of Louisville Physicians (ULP) group.  The division is one of only three practices providing advanced ART procedures in the Louisville metropolitan area and is the dominant provider of ART services.

The REI practice has a wide referral base, accepting patients from Kentucky, Indiana, Ohio, and West Virginia. In the immediate Louisville metropolitan area, the division draws from a geographical area of 1.3 million people within a 50-mile radius.  Patients have a wide range of medical conditions including infertility, amenorrhea, hirsutism, abnormal sexual development, premenstrual syndrome, and symptoms of the menopausal period.  The division has clinical patient care hour’s six-days-a-week and has an in-house andrology laboratory, clinical endocrinology laboratory, and ultrasound services on site.  The andrology laboratory operates the major artificial insemination (AI) program in the Louisville metropolitan area.

Application Process

The Reproductive Endocrinology and Infertility Fellowship utilizes the Electronic Residency Application Service (ERAS) for Fellowship Applicants.  To apply to the program, visit the ERAS for Fellowship Applicants website. All applications must include the ERAS Common Application Form, where you describe your activities with professional societies, publications, and any other relevant information about your education and experience. Any information you would put in your curriculum vitae should be included.  Our program does not require applicants to submit documentation outside of what is required through ERAs.  Once applications are received through ERAs, we will follow up with additional information usually sometime in late July, early August.

Applicants that plan on participating in the Match should also register with the NRMP http://www.nrmp.org/intro-fellowship-matches.

Timeline:

  • The deadline to apply is June 1, 2018.
  • Invitations for interview sent out in July-August
  • Interviews conducted late August and/or early September
  • Match Opens June 21, 2018
  • Rank orders are due September 20, 2018
  • MATCH DAY - OCTOBER 5, 2018

If you have questions about the fellowship or application process for the University of Louisville REI Program, fell free to email our Fellowship Coordinator: Dana Lamon

Department of Obstetrics, Gynecology & Women's Health
University of Louisville School of Medicine
550 S. Jackson Street
Louisville, KY 40202
academic office:  (502) 561-7260

Curriculum

The first year fellow performs and works closely with the attending faculty in the office setting, outpatient procedure setting, ultrasound setting and IVF setting at the University of Louisville Physicians (ULP) Fertility Center Healthcare Outpatient Center (HCOC) and outpatient clinics (Springs Medical and HCOC).  The focus of the first year of fellowship training is to develop a comprehensive knowledge base in the subspecialty. The fellow develops patient evaluation skills and treatment planning skills for patients presenting with infertility and reproductive endocrine disorders through direct supervision by attendings during patient consultations. For all experiences, the fellow is appropriately supervised, but with less oversight as knowledge and skills increase.  The fellow, under direct supervision, develops the ability to evaluate patients for and perform outpatient procedures related to the subspecialty including Assisted Reproductive Technologies (ART). These procedures include pre-operative evaluations for IVF, inpatient procedures and outpatient surgeries, procedures such as IUI, HSG, SIS and transvaginal gynecological, folliculograms and 1st trimester ultrasounds.

The fellow provides teaching in both informal and group discussions with third and fourth year medical students, first and second-year residents, as well as other trainees rotating on the service. Specifically, s/he functions as a role model for colleagues, residents and medical students on service.

During the second year, there is increased emphasis on research productivity. The fellow spends most of the time with the basic science faculty learning to master laboratory research. A medical biostatistics course is completed during the second year.  The fellow has some clinical responsibility and begins rotations with outside divisions.  During the second and third year, fellows rotate briefly with medical endocrinology, pediatric endocrinology, genetics and urology (male infertility). The second year fellow becomes more proficient with technical skills acquired during the previous year of training; the fellow expands their clinical experience, effectively manages more complex patients, coordinates patient care, and continues to develop the necessary skills to function as an effective subspecialist. Skills include appropriate utilization of personnel and resources, which includes the understanding of personal limitations.

The third year fellow is primarily responsible for diagnosis and development of a care plan for each patient. All training in the previous two years culminates in the final year of responsibility and competence, thus demonstrating the knowledge and skills necessary to practice independently upon completion of the program.  The senior fellow will teach independently within the scope of the sub-specialty.

All fellows participate in surgery and rounds on post-operative patients on the service.  Fellows evaluate and manage patients presenting to the University of Louisville Hospital emergency room under supervision of the REI attending.Fellows at all levels will be expected to expand and refine skills to perform specialized surgical techniques including hysteroscopy, laparoscopy, robotics, and operative procedures for the management of acquired and developmental abnormalities of the reproductive tract including fibroids, endometriosis, müllerian anomalies, tubal disease.

Research and Scholarly Activity

Fellows are expected to participate in scholarly activities, either existing or de-novo based on their area of interest both within the institution and at the national level.  During the research rotation, the fellow will pursue research and education by participating in laboratory, clinical and epidemiologic research, as well as self-directed learning and didactics. The fellow will become competent in the techniques that they adopt in the laboratory.

Felows are expected to demonstrates competence in research through the completion of the thesis and two additional projects with presentation, submission and acceptance of research manuscripts for publication in the peer-reviewed literature. On site, the thesis research is presented to the Department’s Thesis Evaluation Committee and at the Departmental Annual Research Day.

Prior to completion of fellowship training, all fellows are expected to have:

  • at least three publications.
  • at least one presentation at a regional, national, or international meeting.
  • a completed thesis of such quality as to allow the fellow admittance to the ABOG Subspecialty Oral Examination (Refer to the Bulletin for Subspecialty Certification on the ABOG website).
  • defended their thesis to their Program Director, research mentor and the department’s thesis committee, which includes other members of the division and department.
  • completed and submitted a final written manuscript to the Program Director.

Current Fellows