Yale Reproductive Endocrinology and Infertility (REI) Fellowship program offers an interdisciplinary clinical and research training in all aspects of the subspecialty. The depth and breadth of clinical experience and the expertise of the faculty in clinical and basic research attracts patients with clinical issues across the spectrum of REI. In addition, the state-of-the-art equipment and facilities available to the trainees within the Division, the Department and the institution ensures that our trainees are well prepared to meet the rigorous requirements for board certification by the ABOG Division of Reproductive Endocrinology and Infertility and for professional excellence in their chosen career paths (both as academicians and clinicians).
The three-year fellowship program is structured to ensure attainment of proficiency in clinical and research domains of the subspecialty through systematic exposure to the clinical challenges and concepts and through hands-on training under direct supervision and guidance by the faculty. The goal of our fellowship is to provide trainees with exposure to the breadth of reproductive endocrinology and infertility subspecialty, ranging from issues pertaining to adolescent population, reproductive age women, to concerns unique to the perimenopausal and postmenopausal women, while ensuring that the trainees gain exposure to the evolving technologies pertinent to the care of infertile couples. Education of fellows is accomplished through hands-on clinical experience gained through one-on-one interaction with faculty during outpatient clinics, in-patient rounds and surgeries, and through regularly scheduled teaching conferences, seminars, and didactic instruction in both basic science and clinical aspects of the subspecialty.
- Why Yale
The program is so designed that the trainee progressively attains proficiency in clinical reproductive endocrinology and office practice (Year I), research (Year II) and assisted reproductive techniques (Year III). The goal of this fellowship program is to ensure that the trainee is exposed to the breadth of the field of REI, and these experiences will help the trainee evolve into a sensitive and empathetic clinician and a critical thinker equipped with the requisites that would facilitate his/her role as an effective leader in the field.
Education of fellows is accomplished through hands on clinical experience gained through one-on-one interaction with and under direct supervision of faculty during outpatient clinics, in-patient rounds and in the operating room.
The second year is almost exclusively devoted to research-related experience. The fellows are encouraged to collaborate with any faculty member of the Department or any faculty member of the University with an established mentorship track record. Each fellow has the option of selecting or being assigned a research mentor. Department of Obstetrics, Gynecology and Reproductive Sciences at Yale is widely acclaimed for its mentoring record and offers a breadth of possibilities of collaboration with, and training by, an outstanding group of clinical and basic science faculty. Fellows are strongly encouraged to consult with the Program Director no later than January of the first year of fellowship so as to identify a mentor, and are expected to have identified a research project by April of the first year. Fellows are encouraged to seek guidance from senior fellows, faculty, as well as visit http://www.yaleobgyn.org/ to help identify potential research mentors.
It is in the second year that the fellow gets exposure to and gains proficiency in a breadth of laboratory techniques pertinent to REI-related research. The goal for the second year is to equip the trainee with requisite tools for conduct of his/her own research, and to ensure that the trainee develops a fundamental knowledge to be able to critically evaluate published literature. Basic science techniques and concepts that a fellow is expected to become familiar with during the research year of fellowship include but are not limited to tissue culture, immunohistochemistry, Western analysis, DNA-RNA analysis including polymerase chain reaction (PCR), and microarray and proteomic analyses. It is expected that each fellow will acquire a thorough knowledge and understanding of the methodologies and analyses used in research protocols that relate to research in their subspecialty. An in-depth understanding of the statistical methods and research project-specific methodology is mandatory. It is required that the fellow perform the research. Fellows must also acquire a thorough understanding (through direct research or didactic learning) of the theory and special methodology used to perform hormonal assays, receptor assays, molecular biological procedures, chromosomal analysis, gamete manipulation, embryo culture and cryopreservation.
The third year of fellowship aims at completion of research projects and attainment of proficiency in assisted reproductive technologies (ART).
Not only are all fellows expected to complete and submit their thesis work to the program director by the conclusion of the 3rd year of fellowship, each 3rd year fellow is required to defend his /her thesis at a formal presentation to the departmental scientific and clinical faculty prior to graduation.
The 3rd year fellow also learns to critically analyze and understand the rationale behind the treatment protocol individualized for each patient undergoing ART. He/she is responsible for critically evaluating each patient designated to proceed with ART. In addition to performing transvaginal (and occasionally transabdominal) ultrasound guided oocyte retrievals, mock transfers and transvaginal aspiration of ovarian cysts, the 3rd year fellow is the primary person for the evaluation and management of any ART-related complication and unanticipated event. The fellow is additionally expected to spend some time in the embryology and andrology laboratories to gain insight into gamete handling and evaluation. It is in the 3rd year that the fellow gains proficiency in all aspects of in vitro fertilization, from patient evaluation and management to laboratory techniques, including micromanipulation.