The Female Pelvic Medicine and Reconstructive Surgery (FPMRS) Fellowship at the Cleveland Clinic’s mission is to provide fellows with advanced training in the care of patients with female pelvic floor disorders, and to provide an in-depth experience in clinical and investigative work sufficient to allow pursuit of an academic career and leadership within Female Pelvic Medicine and Reconstructive Surgery.
The Cleveland Clinic Center for Female Pelvic Medicine and Reconstructive Surgery provides a formal organization for the collaborative relationships between specialists caring for women with urinary incontinence, pelvic organ prolapse, defecatory, voiding disorders dysfunction, and related conditions. This broad-based exposure to clinical Urogynecology/Reconstructive Pelvic Surgery is marked by progressive responsibility both in the clinic and hospital. The fellows work with six Board-certified FPMRS specialists with different areas of expertise, colorectal surgeons recognized for their work in anal incontinence and defecatory dysfunction, and with nationally recognized urologists who specialize in female urology and voiding disorders.
Tommaso Falcone, MD
"Our obstetric and gynecology services were ranked number three in the country and number one in Ohio in the 2013 U.S. News & World Report physician survey. Our patients benefit from innovative, leading-edge care arising from extensive research and vast clinical experience. Our collaborative approach, fostered in interdisciplinary care centers, consistently improves clinical outcomes, increases patient satisfaction and stimulates research. Our Centers of Excellence include gynecologic oncology, female pelvic medicine and reconstructive surgery, reproductive endocrinology and infertility, menstrual and fibroid treatment and maternal-fetal medicine."
- Tommaso Falcone, MD, Professor and Chairman,
Cleveland Clinic Obstetrics, Gynecology and Women’s Health Institute.
Quality counts when referring patients to hospitals and physicians. Designed for a healthcare provider audience, the Outcomes books contain a summary of our surgical and medical trends and approaches, data on patient volume and outcomes, and a review of new technologies and innovations.
The Female Pelvic Medicine and Reconstructive Surgery fellows are marked by the strong clinical and research exposure that they receive during the 3 years within the program. The large volume of patients enables the fellows to develop a broad base of teaching when it comes to medical students and residents that rotate on the benign gynecologic service. During their time within the fellowship, they will be assessed by the program director and other faculty so that their progress allows them to reach their own personal goals during the time here at Cleveland Clinic. The Female Pelvic Medicine and Reconstructive Surgery fellowship has become ACGME certified as of 2012 with the enactment of the milestones and case log system which enables the fellows to diagnose and develop their own personal portfolio before they begin their career after the end of their fellowship.
During the time of your Female Pelvic Medicine and Reconstructive Surgery Fellowship your rotation will include:
- 22 months of Female Pelvic Medicine and Reconstructive Surgery
- 2 months of Female Urology
- 2 months of Colorectal Surgery
- 1 month of Physical Therapy
- 10 months of Research (Protected)
Female Pelvic Medicine and Reconstructive Surgery »
Female Pelvic Medicine and Reconstructive Surgery
The large clinical volume provides a broad-based exposure to clinical Urogynecology/Reconstructive Pelvic Surgery marked by progressive responsibility both in the clinic and hospital. All outpatients are seen in the outpatient clinic located on the same campus as the Main hospital, Hillcrest Hospital, or Fairview Hospital. It is during these times that initial examinations and urodynamic assessments, including management decisions and plans for surgery, are reviewed and implemented.
Main Campus Rotation:
There are 3 FPMRS rotations that fellows participate in during their 3 years of fellowship. The rotations are primarily divided by location (Main Campus, East and West). During each they work directly with 2 or more of our Board-certified FPMRS specialists.
- Main Campus: During this rotation you will have a 4 week dedicated block in the inpatient and outpatient urogynecology and female pelvic medicine and reconstructive surgery service at the main campus of the Cleveland Clinic. The clinical sites primarily include Outpatient clinics on A81, inpatient GYN unit, and associated surgical recovery floors, operating rooms, and consult coverage for emergency and hospitalized patients. During this rotation also the fellow will be able to spend 20% of their time pursuing scholarly activities.
- East FPMRS (Hillcrest Hospital and Main Campus): During this rotation the fellow will have a 4 week dedicated block providing inpatient and outpatient Urogynecology and female pelvic medicine and reconstructive surgery experience at the Hillcrest Hospital and at the Main Campus of the Cleveland Clinic. Fellows will spend 2 days per week on the inpatient and outpatient Urogynecology service at Hillcrest Hospital and the remainder at the Main Campus including outpatient clinics, inpatient GYN unit, and associated surgical recovery floors, operating rooms. Fellows will also receive 30% of their time while on this rotation pursuing scholarly activities.
- West FPMRS (Fairview Hospital and Main Campus): During this rotation the fellow will have a 4 week dedicated block providing inpatient and outpatient urogynecology and female pelvic medicine and reconstructive surgery experience at the Fairview Hospital and the main campus of the Cleveland Clinic. The fellow will also perform a multi-channel urodynamics in Main Campus outpatient clinics. Fellows will also get the opportunity to spend 20% of their time on this rotation pursuing scholarly activity.
This is a dedicated 4 week block on the inpatient and outpatient Female Urology service at main campus. Fellows will be integrated with the Urology team where the clinical sites primarily include outpatient clinics and ambulatory procedure suites in the Glickman Urologic Institute.
Colorectal Surgery »
This is a dedicated 4 week block providing experience in outpatient and inpatient colorectal surgery. While on this rotation the fellow will spend time in the anal physiology laboratory observing and performing anal manometry, electrophysiology, and endoanal ultrasound. They will also get a chance to spend time in the outpatient colorectal clinic and inpatient/ambulatory colorectal surgical service.
Physical Therapy »
While on the Main Campus rotation the fellow will get exposure while observing and experiencing pelvic floor physical therapy and behavioral therapies for pelvic floor disorders.
This is a 4 week block dedicated to the fundamentals of designing and administering research. This concentrated period of time should be used to develop projects, collect data, analyze results, and write presentations and manuscripts.
Class of 2014
Nathan Kow, MD
Medical School: Mercer University School of Medicine, Atlanta, GA
Residency: Tufts University School of Medicine, Boston, MA
Ellen Solomon, MD
Medical School: University of Vermont College of Medicine, Burlington, VT
Residency: Metro Health/Cleveland Clinic, Cleveland, OH
Class of 2015
Cecile Unger, MD
Medical School: Stony Brook University, Stony Brook, NY
Residency: Brigham and Women's Hospital, Boston, MA
Class of 2016
Audra Jo Hill, MD
Medical School: Virginia Commonwealth University School of Medicine, Richmond, VA
Residency: Virginia Commonwealth University School of Medicine, Richmond, VA
The Female Pelvic Medicine and Reconstructive Surgery Fellowship offers a rotation of 2-1-1categorical positions . All positions are filled through the National Residency Matching Program (NRMP) match. International applicants are invited to apply through the NRMP as well.
How to Apply
The Female Pelvic Medicine and Reconstructive Medicine Fellowship participates in the Electronic Residency Application Service (ERAS) for all positions. Our application requirements are the same as the standard ERAS application:
- Complete Application
- Personal Statement
- Medical Student Performance Evaluation (MSPE)
- Medical School Transcript
- USMLE Step I USMLE Step 2
- Three Letters of Recommendation (One of which has to be from your residency program director)
International Medical Graduates
Here are some frequently asked question by graduates of international medical school regarding the application process:
While there is no definite deadline, we strongly encourage that all applications be submitted on or soon after the beginning of March as interview spots fill very quickly as we close the ERAS system in middle of March for interviews in May.
Offers for interviews will be made via email starting in April. Interviews will be held on Thursday and Friday in May. If invited for an interview, please plan on being here all day. In most cases, interviews will be completed by 4 p.m. Applicants are invited and highly encouraged to attend a social dinner the night before with our current fellows. Detailed information regarding the actual interview day, traveling to Cleveland, hotel accommodations, etc. will be provided to the applicant once the interview is confirmed.
For further questions please contact:
Melinda A. Feldkircher
Ob/Gyn & Women’s Health Institute
Education Program Manager