Gaining proficiency in all advanced gynecologic procedures is expected. These would include LSH, TLH, laparoscopic myomectomy, laparoscopic sacrocolpopexy, suburethral slings, hysteroscopic myomectomy and colorectal surgery. Robotic experience in hysterectomy, sacrocolpopexy, myomectomy and retroperitoneal oncologic staging will be included in the programs.
Teaching activities will include resident instruction in endoscopic technique using an advanced skills laboratory and supervision of basic endoscopic procedures. Participating in departmental grand rounds, didactic educational programs, biweekly journal clubs, biweekly tumor boards and weekly conferences is expected. The required research project may take advantage of the many clinical or basic research opportunities ongoing in the division or may be uniquely designed by the fellow with faculty supervision. The Yale OB/GYN department will be supportive of fellow research projects and will result in national presentations and peer-reviewed manuscripts. Protected academic research time is incorporated into the post-graduate training program.
A unique feature of this program is the fellows’ exposure to gynecological malignancies and the opportunity to assist in laparoscopic staging and radical surgery for malignancies. There are no gynecologic oncology fellows based at Bridgeport Hospital, and the busy surgical volume of the Gynecologic Oncology Section means all potential cases are learning opportunities for the gynecologic endoscopy fellow.
Overall, this program will train the fellow for general gynecologic minimally invasive surgery using conventional laparoscopy, robotic-assisted laparoscopy and hysteroscopy. They will also have extensive experience with gynecologic oncology procedures, reproductive endocrine procedures, urogynecologic procedures, complex gynecologic surgeries and advanced endometriosis cases. The fellow will also work with an experienced colorectal surgeon performing laparoscopic bowel procedures.
Fellows will spend an average of two days in surgery per week. Individuals can expect to be in the office/clinic an average of two days per week. Approximately one day per week will be reserved for research time.
Fellows will have teaching responsibilities as they relate to the training of medical students and physicians both in the academic and community settings. Post-graduate trainees will have the advantage of being exposed to a wide variety of resources available at Yale University. These resources include the ability to pursue Masters-level degrees in the areas of public health and clinical investigation. Surgical laboratories with established gynecology protocols will also be readily available for both inanimate and animate training and research.
The fellow will have a two-month rotation in reproductive endocrinology, a two-month rotation in Urogynecology and a one-month elective rotation.
Upon completion of this program, the fellow will be competent in a full-spectrum of endoscopic surgical techniques and be qualified to serve as a consultant in minimally invasive gynecologic surgery in an academic or private setting.