Faculty in this division include:

• Kara Ehlers, M.D. - Fellowship at University of Louisville
• David Grainger, M.D., MPH - Fellowship at Yale University
• Jamie Peregrine, M.D. - Fellowship at University of Oklahoma Health Sciences Center
• Laura Tatpati, M.D. - Fellowship at Mayo Clinic

Description of the Resident Experience

Residents on the Reproductive Endocrinology and Infertility service will train in both office-based and surgical areas of the sub-specialty. The resident will directly participate in all aspects of patient care alongside the attending faculty members with hands-on management of patients in both arenas. They will develop their complete patient interview, examination, cost-effective management, counseling, informed consent, patient safety and technical surgical skills on this service.

From the Intrinsic and Specialty Objectives for Obstetrics and Gynecology residents will be able to:

• Describe the physiology of the normal menstrual cycle (puberty, perimenopause and fertilization timing)
• Describe patterns of inheritance
• Describe the embryology and anatomy of the abdomen and pelvis
• Describe the mechanism of action of reproductive drugs
• Provide pre-pregnancy health evaluations and make appropriate pre-pregnancy
• recommendations and counseling for pregnancy risk factors
• Develop an understanding of the clinical application of hormonal testing and treatments
• Describe the appropriate screening, diagnosis, pertinent history, focused physical examination, diagnostic testing and treatment as well as indications for referral (if applicable) for the following conditions:
  • Miscarriage and Recurrent pregnancy loss
  • Galactorrhea
  • Androgen excess and Polycystic Ovarian Syndrome
  • infertility
  • PMS/PMDD
  • Amenorrhea
  • Abnormal Uterine Bleeding
  • Leiomyomata
  • Mullerian anomalies
  • First trimester vaginal bleeding
  • Hyperemesis gravidarum
  • Miscarriage
  • Ectopic pregnancy

To achieve educational goals as identified in the CREOG Objectives Procedures in OB-GYN, this rotation gives the resident the opportunities needed to understand and perform:

• Dilation and Curettage
• Hysteroscopic polypectomy
• Hysterosalpingography
• Uterine septum resection
• Incision of vaginal septum
• Laparoscopic chromopertubation, ovarian cystectomies, adhesiolysis, fimbrioplasty
• Treatment of endometriosis
• Myomectomies (hysteroscopic, robotic and open laparotomy
• Salpingotomy
• Saline infusion sonohysterogram
• Tubal anastomosis
• Endovaginal Ultrasound (gynecologic and first trimester obstetric)