The Division of Reproductive Endocrinology and Infertility provides in-depth training for PGY1 and PGY3 residents rotating through the service.  Two residents are assigned at all times.  Educational activities are focused on outpatient diagnosis and management of endocrinology and infertility cases, operative management (laparoscopy, hysteroscopy, laparotomy), and exposure to in-vitro fertilization.  This service acts as a regional referral center for complex cases involving abnormal puberty, abnormal uterine bleeding, amenorrhea, abnormal hair growth, menopause management, recurrent pregnancy loss, and infertility.  In addition, a program of ovarian tissue cryopreservation for cancer patients exists.  Residents participate in all aspects of the service including preoperative, operative, and postoperative care, outpatient ovulation induction, and outpatient imaging studies (performing hysterosalpingograms and transvaginal ultrasounds every week with faculty and fellow guidance).  The Division of Reproductive Endocrinology and Infertility consists of 1 Board Certified Specialist in Reproductive Endocrinology and 1 Ph.D., along with clinical fellows. 

Both PGY1 and PGY3 residents are assigned to the outpatient clinics each week. Residents participate in surgical cases with attendings on assigned OR days.  Residents at both levels also have the opportunity to observe transvaginal ultrasound-guided egg retrievals and embryo transfers, and view embryos in the lab with the embryologist.

Residents on this service participate in weekly teaching conferences that are specific to this subspecialty. During conferences, a fellow may present an important published paper in the field, with discussion among all present, including residents. Each resident will present one formal review of a topic which may be one that is on their list of concepts proposed by CREOG, pertinent to their year of training, or alternatively a review of a particular topic that is relevant to an interesting endocrine patient they have seen in the office. Residents also attend weekly meetings, specifically to discuss the current in-vitro fertilization patients, review hysterosalpingograms (HSGs) and discuss surgical cases. Attendings, fellows, residents, students, nurses, and the embryologist are present for this meeting. Although this meeting is led by the fellow on service, the residents are instructed regarding the concepts of ovulation induction and IVF patient management during this time.  During clinical conferences, residents present the patients who have had surgery during the past week with operative findings and discussion of decisions made in the OR. Residents also review charts and present patients who will have surgery during the upcoming week. The PGY1 presents hysterosalpingograms that he/she has performed with the fellow on service. A resident or student on service also presents an interesting patient seen in the office during the past week for discussion of diagnosis and management during this clinical conference.

All residents, whether in the clinical setting seeing patients or while in the operating room, are with faculty attendings on this service.  After reviewing records from the referring physician with the attending, the resident sees the patient to gather a pertinent history and presents the patient to the attending physician with his/her initial plan for management.  The attending examines the patient with the resident after reviewing historical details with the patient.  A final plan of management is then made.  If office procedures such as transvaginal ultrasound, sonohysterogram, or endometrial biopsies are required, the attending supervises the resident for these procedures.