Center for Infertility and Reproductive Surgery Education and Training

The Brigham and Women’s Hospital Reproductive Endocrinology and Infertility fellowship program was established in 1973 and has graduated 87 fellows since its inception. It is ABOG and ACGME certified. Our Divisional mission is to provide the highest quality reproductive healthcare while expanding the boundaries of reproductive medicine through innovative research and by training tomorrow's leaders in a team oriented and integrated atmosphere attentive to the personal and collective goals of its members.

 

Program Information

Host Institution: Brigham and Women’s Hospital
Mailing Address: 75 Francis Street, Boston, MA 02115
Location: ASB1, 3rd Floor, Room 3252
Phone Number: (617) 732-4648
Program Coordinator: Denise Galotti (dgalotti@bwh.harvard.edu)
Program Director: Elizabeth S. Ginsburg MD (eginsburg@bwh.harvard.edu)

Prerequisite Training and Selection Criteria

Applicants must have completed a four year Obstetrics and Gynecology residency program in and be board eligible in Obstetrics and Gynecology. Applicants on our rank list have excelled in clinical patient care including surgery, teaching and who have pursued research.

Clinical Experience

Approximately 10,000 patient visits occur annually within the Center for Infertility and Reproductive Surgery (CIRS). The full gamut of problems is cared for within the CIRS including infertility and endocrine diagnoses such as hyperprolactinemia, amenorrhea, and hirsutism. Infertility patients are evaluated as couples.

Beginning in the second half of their first year, fellows have their own continuity clinic two afternoons per month in which new reproductive endocrine and infertility patients are seen with treatment plans coordinated with a supervising faculty mentor. Our faculty see patients with the following problems: general reproductive endocrinology, infertility, endometriosis (Drs. Hornstein and Laufer), hyperandrogenism (Dr. Barbieri), fertility preservation (Dr. Ginsburg, Srouji and Ashby), assisted reproduction (Drs. Anchan, Ashby, Fox, Gargiulo, Ginsburg, Hornstein, Srouji, Walsh and Yanushpolsky), and robotic surgery (Drs. Gargiulo and Srouji). There are also separate rotations in adult endocrinology (Drs. Matthew Kim and Ole-Petter Hamnvik), and pediatric endocrinology (Dr. Diane Stafford), pediatric gynecology (Dr. Marc Laufer), male infertility (Dr. Martin Kathrins), genetics and ultrasound, and IVF and andrology laboratory.

Surgical experience includes operative laparoscopy, operative hysteroscopy, all major infertility and reconstructive procedures, including robotic and microsurgery. The hospital has state‑of‑the‑art operative laparoscopy and hysteroscopy equipment which is heavily utilized. Fellows average 100‑150 operative cases per year. Fellows begin their robotic training in the STRATUS center, and are expected to be robot certified by graduation.

In Vitro Fertilization

The department has an active in vitro fertilization (IVF) program with approximately 1,800 cycles per year. Fellows are assigned to the IVF program on a rotating basis monthly for training in patient screening, treatment planning including donor egg, gestational carrier, PGD, PGS, fertility preservation, ovulation induction, transvaginal ultrasound follicle monitoring, oocyte retrieval, and embryo transfer. Fellows are expected to understand the techniques and quality control measures of the embryology laboratory, and have a rotation precepted by Dr. Catherine Racowsky, our IVF Laboratory Director.

Fellow Teaching and Clinical Responsibility in General Obstetrics and Gynecology

Fellows are given an appointment at Harvard Medical School (i.e., Clinical Fellow) and are actively involved in teaching medical students and residents and are active staff physicians at the Brigham and Women's Hospital, requiring the acquisition of an unrestricted license to practice medicine in Massachusetts. The attending physician has ultimate responsibility for providing supervision and teaching of residents and Harvard Medical students assigned to the clinic. On call assignments (home call) for the CIRS practice are on a rotational basis divided equally among the fellows.

Formal Education and Graduate Level Courses

The reproductive endocrine program has formal teaching rounds once each week which are attended by all faculty and fellows, as well as weekly research and clinical seminars. In addition, there are weekly ob-gyn grand rounds, inter-hospital endocrine rounds and weekly medical and pediatric endocrine rounds. Two university graduate level courses should be taken for credit which might include one in Statistics and Epidemiology given at the Harvard School of Public Health, a Reproductive Biology course offered at either the School of Medicine or Public Health as well as other choices such as Computing Principles and Methods, Clinical Research, and Grant Writing. This is not required by the American Board of Obstetrics and Gynecology, Inc., but is required by our fellowship program.

Laboratory and Research Experience

Each fellow is expected to carry out basic laboratory and/or clinical research projects under the guidance of a faculty member. Major laboratory facilities are affiliated with the program with extensive resources. The embryology laboratory for our ART program is under the direction of Dr. Catherine Racowsky who also directs an active basic program for in vitro ovum maturation and cryopreservation. Dr. Raymond Anchan has a research program focused on stem cell research. Dr. Cynthia Morton directs the Cytogenetics Laboratory and has a research program studying the genetics of uterine leiomyomata. Other laboratory mentors throughout BWH are also available.

Clinical research projects are also available for fellows. Dr. Leslie Farland is the Director of Research for the fellowship, and assists with study design and data analysis. The Boston Center for Endometriosis—a collaborative effort between our Department and Boston Children's Hospital, with Director, Dr. Marc Laufer and Scientific Director, Dr. Stacey Missmer, focuses on endometriosis research advancement in teen and adult women, including a biorepository for both intervention and observational studies. Fellows have also undertaken research in collaboration with colleagues at the Massachusetts General Hospital, Dana Farber Cancer Institute and MIT.

Fellowship Structure

Our three-year fellowship is structured with 18 months of clinical and 18 months of research.

Year One: Nine month-long clinical blocks.

  • IVF: Includes specialty rotations in medical endocrinology, pediatric and adolescent endocrinology and gynecology, genetics, ultrasound, and male infertility—these clinics encompass three to 4 half days (sessions) per week.
  • Surgery
  • Research (three months): We strongly believe that fellows should play an active role in choosing an area of research focus, which we hope will help them perform research independently after fellowship. During orientation Fellows are scheduled to meet with potential research mentors.

Year Two: Twelve months of research.

Year Three: Three months of research, nine months of clinical blocks.

How to Apply

Candidates apply through the online ERAS system. We also require CREOG scores be sent to the Fellowship Coordinator, Denise Galotti. Three or four letters of recommendation are required. All materials must be received by May 31. Interviews are typically in early to mid-September, and invited applicants will be informed by the end of July.

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