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 for 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.

Faculty

Division of Reproductive Endocrinology & Infertility

Johanna Archer, MD, Associate Professor, private practice physician, Fertility First

Zhenmin Lei, PhD, Research

Fellow

Rebecca Pierson, MD, PGY 6

 Pierson Pic

Others involved in fellowship education include:

Alexander Asamoah, MD, PhD, Clinical Genetics

Suzanne Kingery, Pediatric Endocrinology

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

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

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

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

Curriculum

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 an 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 the 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 the 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.

Fellows are expected to demonstrate 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 the 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.

The fellowship at the University of Louisville is not currently recruiting fellows.

If you have questions about the fellowship for the University of Louisville REI Program, please 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