Introduction

Introduction

Jeffery Goldberg, MD
Fellowship Program Director

The Reproductive Endocrinology and Infertility Fellowship (REI) at the Cleveland Clinic’s mission is to provide fellows with advanced training in the care of patients during the inpatient and outpatient clinical activities along with using the resources of the state of the art In-vitro fertilization laboratory located at our Beachwood Family Health Center. The fellowship program consists of six reproductive endocrinologists who are all board certified and highly published, medical endocrinologists, pediatric endocrinologists, medical geneticists, and specialists who focus on menopause and male infertility. The Cleveland Clinic’s In-Vitro Fertilization (IVF) center is one of a kind with cutting-edge technology for the culture, growth, and assessment of embryos where the fellows will perform a majority of research. During these rotations the fellows get a wide spectrum of experience to be attributed towards their own practice one day.

Outcomes

Outcomes

 

Tommaso Falcone, MD, Professor and Chairman
Cleveland Clinic Obstetrics, Gynecology and Women’s Health Institute.

"Our obstetric and gynecology services were ranked number three in the country and number one in Ohio in the 2015-2016 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." 

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.

Fellowship Overview

Fellowship Overview

The goal of the fellowship program is not just to prepare the fellows to meet the requirements for ABOG subspecialty certification in reproductive endocrinology and infertility, but to become outstanding academic reproductive endocrinologists using all of the resources available at the Cleveland Clinic. There are six board certified reproductive endocrinologists on the faculty who all trained at different programs and offer diverse skill sets and practice styles. This provides the fellows with a very large and varied clinical and surgical experience.

The fellows will have extensive hands-on experience with the complete spectrum of reproductive surgery including the correction of congenital malformations, reversal of sterilization, myomectomy, and management of tubal disease and all stages of endometriosis utilizing a minimally invasive approach. The fellows will be proficient with minilaparotomy, microsurgery, operative hysteroscopy and laparoscopy with and without the surgical robot.

We perform approximately 500 fresh IVF cycles a year with success rates above the national average. The fellows are involved in all aspects of clinical IVF and perform egg retrievals and embryo transfers. The IVF lab offers all permutations of IVF such as donor sperm, donor oocytes, gestational carriers, ICSI, assisted hatching, PGD/PGS, time-lapse embryo morhpokinetics, percutaneous sperm aspiration and testicular sperm extraction, and gamete, embryo and ovarian tissue cryopreservation. The IVF lab is also well equipped for clinical and animal research.

The large clinical volume provides a broad-based exposure to clinical reproductive endocrinology and infertility with progressive responsibility both in the clinic and operating room.

  • The first six months of the PGY 5 year will allow the fellow to become indoctrinated to clinical reproductive endocrinology and infertility, reproductive surgery and IVF, and to prepare for the subsequent 18 month research block. In addition, they will have weekly rotations through medical endocrinology, pediatric endocrinology, medical genetics, menopausal medicine, pediatric and adolescent gynecology, and male infertility.
  • The second year (PGY 6) is fully protected for research. The fellows have no clinical responsibilities but can choose to spend time in clinic, the operating room or IVF whenever not actively engaged in research.
  • The final year (PGY 7) is devoted entirely to the clinical practice of reproductive endocrinology and infertility. The fellow will have their own clinical practice where they function as the primary physician responsible for the specialty care of the patient with faculty oversight and feed-back.

Research

During the second half of the first year (PGY 5) and all of PGY 6 the fellows will have 18 consecutive months of protected research time with no clinical responsibilities except pager call on evenings and weekends. We can support the fellow in any area of clinical and basic science reproductive research they wish to pursue to fulfill their thesis requirement. The fellows can choose to conduct their research in the IVF research laboratory, The Center for Reproductive Medicine Research Laboratory or the Lerner Research Institute depending on their particular field of study. The Lerner Research Institute is one of the largest research institutes in the nation, with nearly 1,500 researchers and support personnel in 175 laboratories in 12 departments, and consistently ranks in the top 10 in National Institutes of Health funding. All of the current and prior fellows have had multiple presentations and publications resulting from their participation in clinical studies in addition to their main thesis project.

Education

Teaching Opportunities

The fellow will have the many opportunities to develop their teaching skills. The fellows participate assume teaching responsibilities of the residents and medical students on our service. They also contribute formal didactic lectures on REI topics for the medical school core lecture program and the resident education conferences.

OB/GYN Departmental Grand Rounds - The fellows attend the weekly departmental grand rounds which include the monthly GYN Quality Assurance and Improvement meetings. The fellows are expected to present once or twice during the three years.

REI Fellows Conference – During these weekly sessions, the fellows and faculty present a topic on one of the ABOG learning objectives. All of the objectives are covered during a 3 year cycle. In addition, journal clubs, updates of the fellows’ research and quality assurance reviews are presented.

Women’s Health Institute Fellowship Research Conference - This monthly conference, run by the WHI Chair of Research, is designed for all of the gynecology subspecialty fellows to receive formal training in study design, database use, data analysis, IRB application, and grant writing.

Scientific Meetings

The fellows present their research at the Annual Cleveland Society of Obstetricians and Gynecologists Research Day. All of the fellows attend the annual meeting of the American Society of Reproductive Medicine each year. The fellows also go to the SREI Fellows’ Retreat during the 1st and 3rd years, the SRS Surgical Boot Camp during the 1st and 2nd years and the Pacific Coast Reproductive Society during the 1st year. In addition, they may attend other national scientific meetings such as ACOG, AAGL and the Midwest Reproductive Symposium if they are presenting.

Education Requirements

Education Requirements

Conferences, Seminars and Lectures, Including Topics and Presenters

OB/GYN Departmental Grand Rounds - The fellows will get a chance to perform a grand rounds to Cleveland Clinic’s OB/GYN department. The topic is one in which the fellow shows special interest in.

Fellowship Didactics - Didactic sessions are performed by both staff and fellows. The didactic session are on a rotating schedule so that each year topics are different for the three years the fellow is at Cleveland Clinic.

Women’s Health Institute Fellowship Research Conference - This conference is designed for fellow to receive formal instructions during which there will be presentations covering the ABOG learning objectives. The course provides instruction in study design, database use, IRB application, and grant writing.

ASRM - American Society of Reproductive Medicine allows the fellows each year to present/show a video, poster, or discussion on research that they have worked on during their time of fellowship.

(Other conferences approved by program director)

Staff

Staff

Reproductive Endocrinology and Infertility Staff

Fellows

Fellows

Class of 2017

Aicha Gueye, MD

Medical School: Robert Wood Johnson Medical School, New Brunswick, NJ
Residency: Robert Wood Johnson Medical School, New Brunswick, NJ


Class of 2019

Anne Cashmore Davis, MD, MS

Medical School: University of California , San Francisco CA
Residency: Magee-Womens Hospital of UPMC, University of Pittsburgh , Pittsburgh PA

Apply

Apply

The Reproductive Endocrinology and Infertility fellowship takes one fellow per year. 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 Reproductive Endocrinology and Infertility Fellowship Application Service participates in the Electronic Residency Application Service (ERAS). Our application requirements are the same as the standard ERAS application: https://www.aamc.org/services/eras/.

Please note: Applicant must have completed an ABOG approved residency program.

Apply Now

International Medical Graduates

Here are some frequently asked question by graduates of international medical school regarding the application process:

Deadline

The Deadline for the REI application is June 1.

Interviews

Interviews will take place every August. Offers for interview will be made via email by July 1 if they have been selected for an interview. The day of the interview will be from 7:45 a.m. to 5 p.m. A Social dinner is highly encouraged 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.

Remember to Register with NRMP before you are interviewed.

For further questions please contact:

Erin Hodgson
Ob/Gyn Education Coordinator
216.444.5335
hodgsoe@ccf.org