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Reproductive Endocrinology and Infertility

General Description

The RWJ Fellowship in Reproductive Endocrinology

APPLICATION PROCESS

The deadline for receiving completed applications is 7/1/2015.
We accept the On-Line Fellowship Application in Reproduction Endocrinology.

Please go to http://www.socrei.org/affiliates/srei/application.aspx?id=3073 to complete the standard application.   Selected applicants will be contacted to supply additional materials.

Invitations for interviews will be sent after we receive the completed application. Interviews will be help on one Thursday and one Friday in August. A dinner will be held the evening prior to the interview.

If you would like additional information on the program or the application process please contact:

Richard T. Scott, MD, HCLD - Director, Reproductive Endocrine Fellowship Program

  973-656-2831

Or

Nancy Niemaseck - Fellowship Education Coordinator
Telephone: 973-656-2831
Fax: 973-871-1226
Email: nancyn@rmanj.com

Overview of the RWJ Fellowship By Year

RWJ Reproductive Endocrinology Fellowship Training Program

Month of the Year

Jul

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

Apr

May

Jun

Year of Fellowship Training

1st

Clinical

Andr / Endocr

Embry-ology

2nd

Embryology

Clinical Research

Basic Research

3rd

Basic Research

Clinical

There are five fundamental types of rotations in the fellowship program:

1.  Clinical                                                                  12 months

2.  Andrology / Endocrinology Laboratory                  1 month

3.  Embryology                                                           5 months

4.  Clinical Research                                                   4 months

5.  Basic Research                                                     14 months

Note:  Formal research rotations do not begin until the second year.  However, fellows will be provided the opportunity to participate in research beginning July 1 of their first year.

The First Year

Clinical Reproductive Endocrinology

The fellow’s first year will consist of nine months of clinical reproductive endocrinology and infertility, one month in the clinical andrology and endocrinology laboratory, and two months of embryology laboratory experience.  During the first year, the daily schedule for the fellows includes morning ART monitoring which will start at 6 AM each weekday morning. 

Weekly schedule of FIRST-year Fellow  (Clinical Reproductive Endocrinology Rotation):

Clinical RE

Rotation

Day of the Week

Monday

Tuesday

Wednesday

Thursday

Friday

Time of Day

6:00-8:00

RE surgeries

Ultrasound monitoring

UMDNJ -Grand Rounds

Ultrasound monitoring

Ultrasound monitoring

8:00-12:00

RE surgeries

Vaginal oocyte retrievals and IUIs or REI surgeries

Medical Endocrinology Clinic

Clinical office visits and procedures

Clinical office visits and procedures

1200-2:00

RE surgeries

Lunch/Values

Lunch/Values

Lunch/Values

Lunch/Values

2:00-4:30

RE surgeries, post-op and pre-op patients

Fellows’ Didactic Conference

Pediatric Endocrinology Clinic

Embryo transfers and clinical office procedures

Clinical office visits and procedures

4:30-6:30

Admin / Study Time

Fellows’ Didactic Conference

Admin / Study Time

Research Meeting with Fellowship Director

Admin / Study Time

RE Surgeries:  The fellows will operate with Michael Bohrer, MD (Director of Reproductive Surgery) as well as the other attending physicians during their training.  The full spectrum of procedures are performed by the faculty and the fellow will be able to participate in all of those procedures.  The fellows will participate in the pre-operative and post-operative care of these patients. 

Ultrasound Monitoring:  The fellows will assist one of the attending physicians with morning monitoring.  This time is heavily focused on performing ultrasound scans to monitor the progress of follicular stimulation, endometrial development, and the progression of early pregnancies.  During this time, the fellows will also assist with and perform intrauterine inseminations and evaluate acute-care patients.

Vaginal Oocyte Retrievals:  The fellows will perform the oocyte retrievals for patients attempting conception through ART at least one day per week.

Embryo Transfers and Clinical Office Procedures:  The fellows will participate in embryo transfers. While extensive experience and documented proficiency with intrauterine inseminations will be required, the fellows will be allowed to do transfers during their training and will graduate with the requisite skills needed to practice Reproductive Endocrinology. This commitment is not present in many fellowship programs.  During this time, the fellows will also participate in/perform office procedures such as saline hysterosonograms.

Clinical Office Visits and Procedures:  New patients, office procedures and return patients are seen by attending physicians Monday through Friday from 9 a.m. until 4:30 p.m. daily.   The fellows will be assigned to work with an attending physician to see patients for two days (four 1/2 day sessions) each week.  Of note, patients with complex infertility issues or interesting endocrine diagnoses will be funneled to the fellows for initial and follow-up evaluation. 

Values: Most afternoons the fellow will participate in “Values,” which involves making daily medication decisions on patients undergoing infertility treatment.

Medical and Pediatric Endocrinology Clinic:  The fellows will see Endocrine patients at the Robert Wood Johnson University Hospital Campus for a two half-day clinics every other week.

The Women's Health Institute, led by Dr. Bachmann, has a strong program focusing on menopause and contraceptive research.  The Institute is one of the WHI regional research centers. There also will be an opportunity to see patients with Dr. Bachmann.

Genetics Clinic:  The fellows may spend time working with the clinical genetics team. 

Andrology / Endocrinology

One month will be spent in the Clinical Andrology and Endocrinology laboratory under the direction of Andrew Ruiz.  During this rotation, the fellow will spend the mornings 6:00 am to 12:00 noon in the laboratory learning basic andrology and endocrinology laboratory and assay techniques and procedures.  The afternoon hours will used for independent study and to work on and complete research studies.

Embryology

The remaining two months of the first year will be spent in the embryology laboratory under the direction of Dr. Richard Scott and Kathleen Ferry, where the fellows will have an introduction to the embryology lab.  They will learn all the laboratory techniques and at this time begin formulating a major research project.  The hours for the embryology laboratory rotation will be from 8:00 a.m. until 4:30 p.m. and the fellows will be involved in every aspect of the embryology laboratory and get a hands-on experience with actual ART cases. 

Statistics

The first-year fellow will have the opportunity to apply for and attend the Excellence in Clinical Research Course offered three times a year. This course, which focuses on clinical research design, may be used to satisfy the ABOG requirement in statistics.

 

Call Schedule

The fellowship is focused on clinical care, academics, and research in the area of Reproductive Endocrinology. Therefore, call is limited to the area of Reproductive Endocrinology.

The fellows will take Reproductive Endocrine Call which exists of the following:

1.  The first year fellow will carry “the beeper” at night.  This is principally “phone call” for basic questions.  An attending will be assigned to back up the fellow at all times.  The first and second year fellow will carry this beeper every other week.

2.  The first year fellow will be responsible for participating in emergency procedures done at night or on weekends and will be assisted by one of the attending physicians.  Our program averages only one to two such procedures per year.

3.  The first year fellow will work every other weekend from 6 AM to approximately 12 PM.  They will have responsibility for scans, inseminations, and the evaluation of acute-care needs of Reproductive Endocrine patients.  Attending physicians are also in house and caring for these patients during this time. The third year fellows will participate in the call pool as needed.

4.  The fellows will get one day off the week after taking weekend call. 

5.  The specific day of the week of that “day off” may vary at the fellow’s discretion, subject to coordination with the program director.

The Second Year

Weekly schedule of Second-year Fellow:

2nd Year

Day of the Week

Monday

Tuesday

Wednesday

Thursday

Friday

8:00 – 4:30

Embryology laboratory

(July – October)

Clinical Research

(November – February)

Basic Science Research

(March – June)

4:30-6:00

Admin / Reading

Fellows’ conference (2:30)

Admin / Reading

Research Meeting

Admin / Reading

Embryology

The second year of the fellowship will consist of four months of an advanced embryology rotation under the direction of Dr. Richard Scott and Kathleen Ferry.  During this time, the fellow will learn advanced laboratory techniques and get hands-on case experience in each skill set. The experience will enable the fellow to gain a true understanding of the techniques and procedures preformed in the embryology laboratory and allow them to work effectively with their embryology teams in the future. It will also provide them with the background knowledge and technical skill sets which will empower more advanced basic /translational research projects.

Clinical Research

Four months of the second year will be spent performing clinical research where the fellow will work on retrospective and/or prospective protocols of their choosing.  During this time, fellows will formulate hypotheses, design protocols, prepare and submit research grant proposals, collect data, evaluate data with appropriate statistical methods, and write and submit manuscripts. 

Basic Science Research

The last four months of the second year will be spent in the REI Division’s Molecular Genetics Research Laboratory.  This will be under the direct supervision of Richard Scott, MD, HCLD and Nathan Treff, PhD.  During these four months, the fellow is expected to begin their thesis project. 

During the second year, the fellow is still expected to attend all pertinent grand rounds, all research meetings, all fellows’ conferences, and journal clubs. 

Additionally, the second year fellows will complete their two required graduate courses (see sheet on graduate course work).

The second year fellows will participate in the on call rotation.

The Third Year

Weekly schedule of Third-year Fellow:

Third Year

Day of the Week

Monday

Tuesday

Wednesday

Thursday

Friday

8:00 – 4:30

Basic Science Research

(July - April)

Clinical rotation

(May– June)

4:30-6:00

Admin / Reading

Fellows’ conference (2:30)

Admin / Reading

Research Meeting

Admin / Reading

Basic Science Research

The fellow’s third year will consist of 10 months of laboratory basic science research, with the work hours being approximately 7:00 a.m. until 4:30 p.m.  This will be under the direct supervision of their mentor and Dr. Scott.  During this time, the fellows will complete their thesis project, analyze data, perform appropriate statistical methods, write manuscripts and submit their research for publication. 

Clinical

At end of the third year, the fellow will return to clinical responsibilities for two months.  Here the fellow will be expected to assume full faculty-level responsibilities for running an ART program.  The fellow will at this time refine the skills that they have learned during their fellowship, including embryo transfer, and demonstrate all the skills necessary to be an independent practitioner. 

During the third year, the fellow is still expected to attend all pertinent grand rounds, all research meetings, all fellows’ conferences, and all journal clubs. 

The third year fellow will participate in the on call rotation on an as needed basis.

Conference Schedule

All fellows are expected to attend the educational conferences independent of the year of fellowship or the specific rotation to which the fellows are assigned.

Fellows’ Didactic Conference:  This conference is held each Tuesday afternoon.  The fellows and attendings will present topics from ABOG’s “Guide to Learning in Reproductive Endocrinology and Infertility.” The fellows will present some of these conferences and will have an attending physician assigned to help them prepare their lecture. The slides, references, and any other relevant materials will be archived for review in the future.  On a monthly basis, this time will be utilized for a journal club.  The fellows will be responsible for presenting one or more journal articles of particular interest.  Selection of the article will be done in conjunction with the program director and the faculty member assigned to help the fellow prepare and lead the journal club presentation.  There will be occasional presentations by guest lecturers who are experts in their fields.

Research Meeting:  The fellows will meet weekly with the program director to discuss ongoing and future clinical and basic science projects, statistical analysis, and manuscript preparation. 

GRADUATE LEVEL COURSE REQUIREMENTS

The ABOG mandated course work will typically be completed during the second year of the fellowship.

Fellows will be required to take a statistics course as well as one additional graduate-level course to satisfy their fellowship requirements. The statistics course requirement may be met by the Exxcellence in Clinical Research Course.  For the second required course, the fellow will be able to choose between the molecular genetics courses offered through Rutgers Robert Wood Johnson Medical School or Rutgers University.

Masters of Public Health

During the three-year fellowship, the fellow will also have an opportunity to complete a Masters of Public Health at the Rutgers School of Public health.  The masters degree programs are designed to accommodate full–time students as well as working professionals as part-time students to focus on job–related areas of concentration. Most classes at all campuses are offered in the late afternoons/early evenings.  Likewise, certificate programs are available and are intended for students who wish to enhance their knowledge. These programs will allow for specialization in a very particular aspect of public health such as: clinical epidemiology, environmental health or general public health.