New Application: Reproductive Endocrinology and Infertility

New Application: Reproductive Endocrinology and Infertility

Review Committee for Obstetrics and Gynecology

ACGME

Sponsoring Institution

1.Does the sponsoring institution also sponsor an ACGME-accredited residency program in obstetrics and gynecology? [PR I.A.1.] ☐ YES ☐ NO

a)Program Name and Number

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2.Describe how the program functions as an integral part of an ACGME-accredited residency in obstetrics and gynecology. [PR. I.A.1.a)] (Limit response to 100 words)

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3.Briefly describe how the program director maintains a collaborative relationship with the program director of the sponsoring core residency program to ensure compliance with the ACGME’s accreditation standards. [PR.I.A.1.b)]

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4.Does the program director have financial support for at least eight hours per week of protected time to conduct the educational and administrative aspects of the program? [PR I.A.2.)] ☐ YES ☐ NO

5.Does the program coordinator have financial support for time spent assisting with the administrative aspects of the program? [PR I.A.3.)] ☐ YES ☐ NO

If NO, explain.

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Faculty

1.Are all core faculty members involved in continuing scholarly activity? [PR II.B.5.]...... ☐ YES ☐ NO

2.Does the faculty include a minimum of one full-time faculty member, in addition to the program director, who is American Board of Obstetrics and Gynecology (ABOG) subspecialty-certified, and current in the subspecialty maintenance of certification (MOC)? [PR II.B.6.] ☐ YES ☐ NO

If NO, explain.

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3.Does the program include faculty members in the following disciplines: [PR. II.B.7 and II.B.7.a)-d)]

a)Genetics...... ☐ YES ☐ NO

b)Male infertility...... ☐ YES ☐ NO

c)Medical endocrinology...... ☐ YES ☐ NO

d)Pediatric endocrinology...... ☐ YES ☐ NO

4.Briefly explain the role of medical and pediatric endocrinologists, geneticist, and male infertility specialists in the education of fellows. [PR.II.B.8.)] (Limit response to 200 words)

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Resources

1.Indicate whether the following resources are available at the primary clinical site and whether access to these resources is available at all times. [PR II.D.1. and II.D.1.a)-j)]

Available at Primary Clinical Site / Accessible at All Times
Operating rooms (including those equipped for endoscopic and microsurgical procedures) / ☐ YES ☐ NO / ☐ YES ☐ NO
Ambulatory clinic facilities / ☐ YES ☐ NO / ☐ YES ☐ NO
Recovery rooms / ☐ YES ☐ NO / ☐ YES ☐ NO
Intensive Care Units / ☐ YES ☐ NO / ☐ YES ☐ NO
Blood banks / ☐ YES ☐ NO / ☐ YES ☐ NO
Diagnostic laboratories / ☐ YES ☐ NO / ☐ YES ☐ NO
Imaging services / ☐ YES ☐ NO / ☐ YES ☐ NO
Ultrasound imaging facilities / ☐ YES ☐ NO / ☐ YES ☐ NO
Laboratories equipped to conduct hormone assays, andrology testing, oocyte identification, fertilization, and embryo culture / ☐ YES ☐ NO / ☐ YES ☐ NO
Facilities to perform hysterosalpingography, computerized axial tomography, bone densitometry, and magnetic resonance imaging / ☐ YES ☐ NO / ☐ YES ☐ NO

If not available at the primary clinical site, explain.

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2.Does the program have the infrastructure for research, and facilities equipped to enable fellows to engage in scholarly activities? [PR II.D.2.] ☐ YES ☐ NO

3.Briefly explain the facilities and infrastructure for research available to fellows. Include the type of laboratory space, equipment, database access, faculty resources, including statistical support available, and other pertinent resources. [PR II.D.2.] (Limit response to 200 words)

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4.Briefly explain how the program will ensure that the clinical experiences required to meet the educational objectives of the fellowship will not adversely impact the educational experience of residents in the core obstetrics and gynecology program. [PR II.D.4.] (Limit response to 200 words)

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Fellow Appointments

Are fellows informed, prior to entering the program, of the requirements for completing the program, including the criteria to qualify for the subspecialty board examination? [PR III.A.] ☐ YES ☐ NO

Educational Program

At the beginning of the program, does each fellow receivean individual educational plan that includes a monthly block rotation diagram displaying the clinical, didactic, and research activities by rotation?
[PRIV.A.6.c)]...... ☐ YES ☐ NO

The Review Committee recommends use of either Option 1 or Option 2 of the sample block diagram.

Regularly Scheduled Educational Sessions

Indicate whether fellows participate in the following activities: [PR IV.A.3., II.B.5.a)]

1.Journal clubs...... ☐ YES ☐ NO

a)Indicate frequency...... [Click here to enter text. ]

b)Who conducts these sessions? (Limit response to 100 words)

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2.Seminars...... ☐ YES ☐ NO

a)Indicate frequency...... [Click here to enter text. ]

b)Who conducts these sessions? (Limit response to 100 words)

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3.Didactics...... ☐ YES ☐ NO

a)Indicate frequency...... [Click here to enter text. ]

b)Who conducts these sessions? (Limit response to 100 words)

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4.Morbidity and mortality conferences...... ☐ YES ☐ NO

a)Indicate frequency...... [Click here to enter text. ]

b)Who conducts these sessions? (Limit response to 100 words)

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Patient Care

Indicate the settings and activities in which fellows demonstrate competence in each of the following areas of patient care. Also indicate the method(s) used to assess competence.

Examples of assessment methods:

Direct observation, videotaped/recorded assessment, global assessment, simulations/models, record/chart review, multisource assessment, patient survey, structured case discussions, anatomic or animal models, formal oral or written exam, practice/billing audit, review of case or procedure log, review of patient outcomes, review of drug prescribing.

Competency Area / Settings/Activities / Assessment Method(s)
reproductive disorders, including abdominal uterine bleeding
[PR IV.A.5.a).(2).(a).(i)] / Click here to enter text. / Click here to enter text. /
climacteric
[PR IV.A.5.a).(2).(a).(i)] / Click here to enter text. / Click here to enter text. /
contraception endometriosis
[PR IV.A.5.a).(2).(a).(i)] / Click here to enter text. / Click here to enter text. /
fibroids
[PR IV.A.5.a).(2).(a).(i)] / Click here to enter text. / Click here to enter text. /
hypothalamic, pituitary, ovarian,
and adrenal axis disorders
[PR IV.A.5.a).(2).(a).(i)] / Click here to enter text. / Click here to enter text. /
structural abnormalities of
the reproductive tract
[PR IV.A.5.a).(2).(a).(i)] / Click here to enter text. / Click here to enter text. /
fertility disorders, including ovarian stimulation for purposes of fertility enhancement, and techniques of assisted reproduction
[PR IV.A.5.a)(2).(a).(ii)] / Click here to enter text. / Click here to enter text. /
psychological, sexual, legal, and ethical implications of reproductive issues
[PR IV.A.5.a)(2).(a).(iii)] / Click here to enter text. / Click here to enter text. /
surgical techniques, including hysteroscopy
[PR IV.A.5.a).(2).(b).(i)] / Click here to enter text. / Click here to enter text. /
laparoscopy
[PR IV.A.5.a).(2).(b).(i)] / Click here to enter text. / Click here to enter text. /
robotics
[PR IV.A.5.a).(2).(b).(i)] / Click here to enter text. / Click here to enter text. /
operative procedures for the management of acquired and developmental abnormalities of the reproductive tract (fibroids, endometriosis, mullerian anomalies, tubal disease)
[PR IV.A.5.a).(2).(b).(i)] / Click here to enter text. / Click here to enter text. /
oocyte retrieval
[PR IV.A.5.a).(2).(b).(ii)] / Click here to enter text. / Click here to enter text. /
embryo transfer (live, mock, or simulation)
[PR IV.A.5.a).(2).(b).(iii)] / Click here to enter text. / Click here to enter text. /
surgical management of acquired and developmental abnormalities of the reproductive tract
[PR IV.A.5.a).(2).(b).(iv)] / Click here to enter text. / Click here to enter text. /
transvaginal and transabdominal ultrasound
[PR IV.A.5.a).(2).(c).(i)] / Click here to enter text. / Click here to enter text. /
sonohysterography
[PR IV.A.5.a).(2).(c).(i)] / Click here to enter text. / Click here to enter text. /
hysterosalpingography
[PR IV.A.5.a).(2).(c).(i)] / Click here to enter text. / Click here to enter text. /
interpretation of all imaging modalities used in the practice of reproductive endocrinology and infertility
[PR IV.A.5.a).(2).(c).(ii)] / Click here to enter text. / Click here to enter text. /

Medical Knowledge

Indicate the activities (lectures, conferences, journal clubs, clinical teaching rounds, etc.) in which fellows demonstrate competence in their knowledge of each of the following areas. Also indicate the method(s) used to assess fellow competence.

Competency Area / Settings/Activities / Assessment Method(s)
topics in reproductive endocrinology and infertility
[PR IV.A.5.b).(1)] / Click here to enter text. / Click here to enter text. /
abnormal uterine bleeding
[PR IV.A.5.b).(1).(a)] / Click here to enter text. / Click here to enter text. /
adrenal function and disease states
[PR IV.A.5.b).(1).(b)] / Click here to enter text. / Click here to enter text. /
amenorrhea
[PR IV.A.5.b).(1).(c)] / Click here to enter text. / Click here to enter text. /
clinical diagnostic techniques
[PR IV.A.5.b).(1).(d)] / Click here to enter text. / Click here to enter text. /
contraception
[PR IV.A.5.b).(1).(e)] / Click here to enter text. / Click here to enter text. /
embryology
[PR IV.A.5.b).(1).(f)] / Click here to enter text. / Click here to enter text. /
endocrinology of pregnancy
[PR IV.A.5.b).(1).(g)] / Click here to enter text. / Click here to enter text. /
endometriosis
[PR IV.A.5.b).(1).(h)] / Click here to enter text. / Click here to enter text. /
female infertility
[PR IV.A.5.b).(1).(i)] / Click here to enter text. / Click here to enter text. /
genetics
[PR IV.A.5.b).(1).(j)] / Click here to enter text. / Click here to enter text. /
male infertility;
[PR IV.A.5.b).(1).(k)] / Click here to enter text. / Click here to enter text. /
neuroendocrine function and disease states
[PR IV.A.5.b).(1).(l)] / Click here to enter text. / Click here to enter text. /
ovarian function and disease states
[PR IV.A.5.b).(1).(m)] / Click here to enter text. / Click here to enter text. /
physiology and endocrinology of the climacteric
[PR IV.A.5.b).(1).(n)] / Click here to enter text. / Click here to enter text. /
psychological, sexual, legal, and ethical implications of reproductive issues
[PR IV.A.5.b).(1).(o)] / Click here to enter text. / Click here to enter text. /
puberty
[PR IV.A.5.b).(1).(p)] / Click here to enter text. / Click here to enter text. /
recurrent abortion
[PR IV.A.5.b).(1).(q)] / Click here to enter text. / Click here to enter text. /
statistics
[PR IV.A.5.b).(1).(r)] / Click here to enter text. / Click here to enter text. /
techniques of assisted reproduction
[PR IV.A.5.b).(1).(s)] / Click here to enter text. / Click here to enter text. /
thyroid function and disease states
[PR IV.A.5.b).(1).(t)] / Click here to enter text. / Click here to enter text. /
techniques and limitations of the surgical, diagnostic, and laboratory procedures used in clinical reproductive endocrinology and infertility
[PR IV.A.5.b).(2)] / Click here to enter text. / Click here to enter text. /

Practice-based Learning and Improvement

1.Briefly describe one learning activity in which fellows demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on self-evaluation and life-long learning. [PR IV.A.5.c)] (Limit response to 400 words)

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2.Briefly describe one planned learning activity in which fellows engage to identify strengths, deficiencies, and limits in their knowledge and expertise (self-reflection and self-assessment); set learning and improvement goals; and identify and perform appropriate learning activities to achieve self-identified goals (life-long learning). [PR IV.A.5.c).(1)-(3)] (Limit response to 400 words)

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3.Briefly describe one planned quality improvement activity or project that will allow fellows to demonstrate an ability to analyze, improve, and change practice or patient care. Describe planning, implementation, evaluation, and provisions of faculty member support and supervision that will guide this process. [PR IV.A.5.c).(4)] (Limit response to 400 words)

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4.Briefly describe how fellows will receive and incorporate formative evaluation feedback into daily practice. (If a specific tool is used to evaluate these skills please provide a copy of it with the application.) [PR IV.A.5.c).(5)] (Limit response to 400 words)

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5.Briefly describe one example of a learning activity in which fellows engage to develop the skills needed to use information technology to locate, appraise, and assimilate evidence from scientific studies and apply it to their patients' health problems. [PR IV.A.5.c).(7)] (Limit response to 400 words)

The description should include:

Locating information
Using information technology
Appraising information
Assimilating evidence information (from scientific studies)
Applying information to patient care
Conducting a comprehensive literature search

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6.Briefly describe how fellows will participate in the education of patients, families, students, residents, and other health professionals. [PR IV.A.5.c).(8)] (Limit response to 400 words)

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7.Briefly describe the multidisciplinary inter-professional opportunities for fellows that are devoted to the care of reproductive endocrinology and infertility patients. [PR IV.A.5.c).(9)] (Limit response to 400 words)

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Interpersonal and Communication Skills

1.Briefly describe one learning activity in which fellows demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals. [PR IV.A.5.d)] (Limit response to 400 words)

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2.Briefly describe one learning activity in which fellows develop competence in communicating effectively with patients and families across a broad range of socioeconomic and cultural backgrounds, and with physicians, other health professionals, and health-related agencies.
[PR IV.A.5.d).(1)] (Limit response to 400 words)

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3.Briefly describe one learning activity in which fellows develop their skills and habits to work effectively as members or leaders of a health care team or other professional group. In the example, identify the members of the team, responsibilities of the team members, and how team members communicate to accomplish responsibilities. [PR IV.A.5.d).(3)] (Limit response to 400 words)

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4.Briefly describe how fellows will be provided with opportunities to act in a consultative role to other physicians and health professionals. [PR IV.A.5.d).(4)] (Limit response to 400 words)

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5.Briefly describe how fellows will be provided with opportunities to maintain comprehensive, timely, and legible medical records, if applicable. [PR IV.A.5.d).(5)] (Limit response to 400 words)

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Professionalism

Briefly describe the learning activity(ies), other than lecture, by which fellows develop a commitment to carrying out professional responsibilities and an adherence to ethical principles, including compassion, integrity, and respect for others; responsiveness to patient needs that supersedes self-interest; respect for patient privacy and autonomy; accountability to patients, society, and the profession; and sensitivity and responsiveness to a diverse patient population, including to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation ; sensitivity to the psychological, sexual, legal, and ethical implications of reproductive issues, including gamete donation, fertility preservation, and third party reproduction. [PR IV.A.5.e)] (Limit response to 400 words)

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Systems-based Practice

1.Briefly describe the learning activity(ies) through which fellows demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. [PR IV.A.5.f)] (Limit response to 400 words)

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2.Describe the learning activity(ies) through which fellows achieve competence in the elements of systems-based practice: working effectively in various health care delivery settings and systems, coordinating patient care within the health care system; incorporating considerations of cost-containment and risk-benefit analysis in patient care; advocating for quality patient care and optimal patient care systems; and working in interprofessional teams to enhance patient safety and care quality. [PR IV.A.5.f).(1)] (Limit response to 400 words)

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3.Describe an activity that fulfills the requirement for experiential learning in identifying system errors and implementing potential systems solutions. [PR IV.A.5.f).(6)] (Limit response to 400 words)

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Curriculum Organization and Fellow Experiences

1.Do fellows have12 months of clinical training in reproductive endocrinology and infertility?
[PRIV.A.6.c).(2).(a)]...... ☐ YES ☐ NO

2.Do fellows have 18 months of protected time for research organized in month-long blocks with no more than four hours of a fellow’s time each week (averaged over a four-week period) devoted to non-research activities?[PR IV.A.6.c).(2).(b)] ☐ YES ☐ NO

3.Are at least 12 months of the required 18 months of research contiguous
[PR IV.A.6.c).(2).(b).(ii)]……...... ………………☐ YES ☐ NO

Fellows’ Scholarly Activities

1.Describe the curriculum for fellows’ scholarly activities, to include research design, grant writing, research methodology, scientific writing, and presentation skills. [PR. IV.B.2.b).(1)]

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2.Describe the curriculum for fellows’ scholarly activities, including: [PR IV.B.2.b).(2)-(5)]

knowledge of biostatics, epidemiology, research design, and research methods, including basic science, translational techniques;
enhancement of fellows’ understanding of the latest scientific techniques and encouragement of interaction with other scientists;
opportunities for fellows to present their academic contributions to the reproductive endocrinology and infertility community;
preparation of fellows to pursue research funding and academic positions; and,
preparation of fellows to be independent investigators.

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3.Is each fellow’s scholarly activity monitored by a faculty mentor? [PR IV.B.2.c).(2)]...... ☐ YES ☐ NO

4.Does each fellow give a presentation of his or her scholarly project (thesis)? [PR IV.B.2.c).(3).(d)]
...... ☐ YES ☐ NO

5.Do faculty members provide evaluations of these presentations? [PR IV.B.2.c).(3).(e)]
...... ☐ YES ☐ NO

Institutional Data

Include data from each institution in the reproductive endocrinology and infertility program. The list should include all procedures performed by the reproductive endocrinology and infertility service that were available for the education of reproductive endocrinology and infertility fellows during the most recently-completed academic year. Add columns as needed for other participating sites.

Site #1 / Site #2 / Site #3 / Site #4
Laparotomies
Tubal Anastomosis
Myomectomy
Endometriosis
Other
Surgery for Developmental Abnormalities
Any type
Laparoscopies
Diagnostic
Operative-Non-Robotic
Operative-Robotic
Hysteroscopies
Diagnostic
Operative
In Vitro Fertilization (IVF)
Retrievals
Transfers (includes mock)
Ultrasound
Follicle Scans
Complete Gynecologic Scans
First Trimester Pregnancies
Saline Sonograms
Intrauterine Insemination

Reproductive Endocrinology and InfertilityUpdated 7/2016