REPRODUCTIVE MEDICINE FELLOWSHIP PROGRAM
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REPRODUCTIVE MEDICINE FELLOWSHIP PROGRAM Document Transcript

  • 1. REPRODUCTIVE MEDICINE FELLOWSHIP PROGRAM DEPARTMENT OF OBSTETRICS AND GYNECOLOGY I. INTRODUCTION The task of a fellowship program in the Section of Reproductive Medicine, Department of Obstetrics and Gynecology, will complete the role of the Section at King Faisal Specialist Hospital & Research Centre (KFSH&RC). II. GOALS AND OBJECTIVES The goal of the Fellowship Program in Reproductive Medicine at KFSH&RC is to train a general obstetrician/gynecologist to function as an independent consultant in Reproductive Medicine. It will provide basic training in the subspecialty to fellows wishing to pursue a career in clinical reproductive medicine, research or teaching. The training will be of high quality, and qualified fellows throughout the Kingdom will be accepted for subspecialty positions in the area of Reproductive Medicine. It is the program’s objective that the fellows achieve the following: A) Experience in the management of a wide variety of clinical problems affecting the development, function and aging of the human reproductive system. This experience should include disorders related to both male and female reproduction. B) Adequate and diverse surgical experience related to infertility, including techniques of assisted reproduction. Procedures include diagnostic laparoscopy, medium level laparoscopic surgery (ectopic pregnancy, ovarian cysts, adhesions), diagnostic hysteroscopy, hysteroscopic surgery, and IVF procedures (ovum pick-up and embryo transfer). C) Knowledge of techniques and limitations of the various laboratory procedures utilized in clinical reproductive endocrinology. D) A research experience centered around a specific area of investigation that can possibly provide a published thesis for the fellow and stimulate future independent studies. III. PREREQUISITES A) Candidates must have completed four (4) years of residency training in Obstetrics and Gynecology and hold a specialty certificate, i.e. Saudi Specialty Certificate, Arab Board, or equivalent. B) Candidates should have letters of reference from at least three (3) referees who know them professionally. C) Candidates must have passed a personal interview by the Fellowship Committee of the Department of Obstetrics and Gynecology. D) In order to participate in direct patient care under supervision in the complementary program, the candidate should pass the qualifying examinations 1
  • 2. required in the host country. IV. NUMBER OF FELLOWSHIP POSITIONS No more than two fellows will be accepted in the program every two years. V. RESOURCES The Section of Reproductive Medicine at KFSH&RC has an adequate number of consultants. The ambulatory services support high quality care for women and provide care for both partners with disorders of infertility. Operating rooms are equipped for operative laparoscopy and microsurgical procedures. Embryology and Andrology laboratories are equipped to conduct hormone assays, sperm function testing and embryo culture. Equipment and experience are available within the Department of Obstetrics and Gynecology, and/or the Department of Radiology for a wide variety of diagnostic studies, including ultrasonography, hysterosalpingography, computerized tomography and magnetic resonance imaging. A microsurgical and endoscopic laboratory is available at KFSH&RC to enhance the surgical skills of the fellows. A comprehensive medical library, equipped for computerized literature-searching, contains a wide variety of clinical and basic science journals. VI. PROGRAM CONTENT The fellowship in Reproductive Medicine requires two (2) years of training. During these years, the fellows are expected to acquire surgical and research skills which will enable them to practice with competence in the field of Reproductive Medicine. To achieve this goal, the fellows must deepen their basic knowledge in medicine, beyond what they acquired in their training as general obstetrician/gynecologists. Furthermore, they are expected to acquire enough skills in interpreting laboratory, radiologic and histologic data to allow them to function as proficient consultants in the subspecialty. Research is mandatory in the training of the fellows. The fellows will both give and attend lectures that address all aspects of the reproductive physiology, pathology physiology, and new therapy in reproductive medicine and infertility. Lectures will be given by consultants from the Section of Reproductive Medicine at both institutions. Fellows are expected to refer to standard texts in endocrinology, read designated endocrine journals regularly, and review series in the subspecialty as well as articles selected by consultants. The Infertility Service provides a wide experience for the fellows to diagnose, manage, and monitor infertile patients. They are expected to be proficient in performing pelvic ultrasound scanning and interpretation. After the first few months of training, the fellows will become increasingly involved in consultations and teaching of the junior staff. 2
  • 3. VII. FORMAT OF THE TWO-YEAR FELLOWSHIP PROGRAM FIRST YEAR It will allow the fellow to gain experience in various clinical problems involving male infertility and their treatment involving endoscopic procedures and/or reproductive technologies. Outpatient experience is particularly important and will be carefully organized and supervised by the clinical faculty. Direct hands-on experience with transvaginal ultrasound imaging techniques is considered to be an integral part of the training experience. The fellow is expected to have direct experience in the interpretation of all imaging procedures and access to histological material available from surgical specimens. The fellow will have a major role in all decisions affecting patient management and be part of a program that allows for continuum of patient care. By the end of this year one month will be spent in the IVF Laboratory, learning the basic diagnostic as well as treatment procedures. During this period the fellow will be expected to give regular seminars to residents and other members of the department on topics related to reproductive medicine. The performance of the fellow will be evaluated through periodic formal appraisals by all participating faculty. In order to develop an appreciation of the scope and limitations of laboratory techniques, the fellow will become familiar with the relevant laboratory procedures in reproductive endocrinology. During the first part of the fellowship, the fellow is expected to conceptualize a question or hypothesis and develop a strategy to resolve the question. This is in anticipation of the second part of the fellowship where more emphasis will be towards research. The topic of research will be selected, such that it will be applicable to medical problems commonly observed in the Kingdom of Saudi Arabia. SECOND YEAR The fellow will acquire a thorough understanding of the theory and special methodology utilized to perform immunoassays, tissue culture techniques, receptor assays, DNA-RNA analysis, and chromosomal karyotyping. Included in this is an in-depth understanding of quality control of each of these laboratory procedures. A rotation that will allow participation in clinical activities of the Pediatric Endocrinology service will be extremely helpful to provide experience with various endocrinologic problems such as sexual ambiguities, enzyme deficiencies and genetic diseases. The fellow will participate fully in the theoretical and technical aspects of research projects being conducted within the training program. During this period, two compulsory postgraduate level courses, one in biostatistics, and the other in basic endocrinology, will provide an opportunity for the fellow to obtain formal and didactic education, preferably to be completed before the research component starts. These courses must be completed satisfactorily with documentation of a passing grade. The courses must have a final examination which the fellow must pass. After successfully completing the 2-year program, the fellow will be certified by KFSH & RC as a reproductive endocrinologist. THIRD YEAR (OPTIONAL) This year is optional for fellows who want to pursue further training. This part will be spent in an institution abroad. The main emphasis during this period is to attain certain skills and experience in one of the sub-interest areas of Reproductive Medicine, to meet the country’s needs. These areas include Reproductive Surgery, Recurrent Pregnancy Loss, Gynecological Endocrinology, Clinical Genetics and Andrology. During this period, the fellow is supposed 3
  • 4. to finalize the designated research project. The fellow is also expected to participate in, and present at annual meetings of prominent reproductive endocrinology or infertility societies. The performance of the fellow will be evaluated through periodic formal appraisals by all the participating faculty. At the end of the fellowship training, a certificate with special qualification in reproductive endocrinology will be issued. VIII. RESEARCH Abstracts on a number of studies in which the objectives, materials, methods, and anticipated problems in the conduct of the research are outlined, will be made available to the fellows. They will choose one project and will be required to conceive and write a protocol under the guidance of the consultant who provided the abstract. Research will be supervised by a committee within the Section, and if expertise in some aspect of the project is not present, help would be sought from outside the Section. The aim of the research is to train the fellows in posing scientific questions, designing experiments to answer those questions, analyzing data, and coming to conclusions appropriate for the data obtained. These ideas will then be conveyed to the medical community through well-written publications and presentations. IX. FACILITIES AND CLINICAL TEACHING The fellows will spend a good proportion of their time seeing patients in clinics. They will be involved in the supervision of rotating residents. The fellows will be expected to participate in the general obstetrics and gynecology call, and in teaching residents. These activities will represent a minimal proportion of the fellows’ time commitment. The Section of Reproductive Medicine has one operating room day, mainly for diagnostic and operative endoscopy. Also, outpatient infertility procedures are increasingly developed and made available. The fellows are expected to be actively involved in the management of these cases. KFSH&RC has a superb library facility, comparable to those of the best academic institutions. It has a large collection of textbooks and subscribes to all leading infertility journals. Fellows in the Hospital have access to abstracted literature through a computer access system. X. ACADEMIC, TEACHING, AND ADMINISTRATION The fellows should take an active role in ongoing academic and teaching activities, such as journal clubs and case presentations. XI. EVALUATION 1. Except for the modifications mentioned in Section XIV, the guidelines stipulated in the existing KFSH&RC Fellowship Training Policy Manual relating to performance, responsibility, and conduct will apply to fellows in this program. 2. Throughout the training period, the fellows will be assessed to ensure that the aims and objectives of the program are being followed and achieved. During the first year, an ongoing assessment will be made by the Section staff. At 6-month intervals, a formal means of assessment is required, i.e., a viva voce examination, written examination (including MCQs), and formal interview. Topics for evaluation will include the fellows’ general clinical standing with regard to their future functions as consultants, and discussion of their research and publication topics. Should any deficiencies be highlighted, these will be communicated to the fellows to allow for early improvement. 4
  • 5. 3. The Program Director will discuss the assessment with the fellow at the end of each year. 4. The Program Director will refer specific problems to the departmental Fellowship Committee. 5. At the conclusion of the fellowship training, a formal examination will be given to fellows, that will again include a written examination (possibly essay type questions), with MCQs and viva voce examination. During the final evaluation, research and publication topics will be further discussed and taken into consideration. The contribution of the fellows to teaching will also be a key point to be evaluated. 6. The Section is encouraged to invite members of Endocrinology Section in the Department of Medicine, and the Research Centre to participate in the assessment of the fellows. 7. The fellows will be awarded a joint certificate by KFSH&RC and the complementary program upon satisfactory completion of the Reproductive Medicine Fellowship Training Program. XII. HOLIDAYS Regulations governing holidays are as stipulated in the KFSH&RC Fellowship Training Policy Manual. XIII. AMENDMENTS TO KFSH&RC’S “POLICY FOR FELLOWSHIP PROGRAM” The Academic & Training Affairs (ATA) policy manual for Fellowship Training Program will serve as the main policy document for the Fellowship Program in Reproductive Medicine. Following are the sections amended: XIV. Responsibility of Institution A. 4. Evaluation of fellows will be at six (6) months intervals (refer to Section XI of this manual, i.e., Fellowship in Reproductive Medicine). XV. Eligibility for Admission to Fellowship Training 2. The candidate must possess a certificate in the specialty of Obstetrics and Gynecology, i.e., Saudi Specialty Certificate, Arab Board, or equivalent. The candidate must have passed the qualifying examinations to enroll in a supervised training in the country of the complementary program (refer to Section II of this manual, i.e., Fellowship in Reproductive Medicine). XVI. Selection and Mechanism of Appointment 2. Processing of applications should be completed at least nine (9) months before the start of the fellowship program. 3. Accepted fellows will start the fellowship training program in July (every two years). 5
  • 6. XVII. Program Organization and Responsibilities B. 12. In order to keep resources at optimal level and for proper planning between the institutions, fellows can not spend more than one year in each level. The fellow has to complete the program successfully within the three-year period of training. This will be achieved through submission to the departmental Fellowship Committee of six-month reports summarizing the fellow’s performance, including a recommendation that he/she: a. be promoted to the next level of training, or b. be dropped from the program. The departmental Fellowship Committee chairman shall forward the report with the Committee’s recommendation to ATA. XVIII. Re-appointment and Promotion A. 2. Refer to amendments in VII. B. 12 above. XIX. Disciplinary Action and Due Process The fellow's suspension rules under X.3. is omitted since such suspension will disrupt the flow of the program. This paragraph is replaced by the following: 3. Decisions regarding termination of fellowship are made by the Executive Director of ATA based on the joint recommendation of the Program Director, the Department Chairman "at KFSH&RC", and the Section Head. 6
  • 7. u:docsaddocstrainingfellowmanualmanualob_gyne_manual Reproductive Med_ 2006_new June 2006.e Reproductive Medicine Fellowship Program Department of Obstetrics & Gynecology Revised: June 2006 ---------------------------------------------------------------------------------------------------- RECOMMENDED: RECOMMENDED: _____________________________________ ________________________________ Dr. Saad Al Hassan Dr. Ahmed Al Shaikh Program Director, Reproductive Medicine Deputy Executive Director Department of Obstetrics & Gynecology Academic & Training Affairs APPROVED: _________________________ Dr. Abdullah Al-Dalaan Executive Director Academic & Training Affairs 7
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