Reproductive Endocrinology and Infertility Training Program
- Micah J. Hill,
DO, Program Director, Combined NICHD/Federal Fellowship in Reproductive Endocrinology - Alan H. DeCherney, MD, Deputy Director, Reproductive Endocrinology and Infertility Fellowship Program
- Torie C. Plowden, MD, MPH, Associate Program Director
- Jennifer Chae-Kim, MD, Clinical Fellow
- Ariel J. Dunn, MD, Clinical Fellow
- Allison A. Eubanks, MD, Clinical Fellow
- Kiley Hunkler, MD, Clinical Fellow
- Howard Li, MD, Clinical Fellow
- Peter G. Lindner, MD, Clinical Fellow
- Amalia Namath, MD, Clinical Fellow
- Selena Park, MD, Clinical Fellow
- Alexandra Poch, MD, Clinical Fellow
- Nicholas S. Pyskir, MD, Clinical Fellow
The Intramural NICHD Reproductive Endocrinology and Infertility Training Program sponsors a three-year clinical fellowship in Reproductive Endocrinology and Infertility, which is accredited by the Accreditation Council for Graduate Medical Education (ACGME). The objective of the graduate medical education program is to train clinicians to serve as researchers and future leaders in the field of reproductive endocrinology with a view toward advancing basic, translational, and clinical science in reproduction. The program was started in 1978 and has since trained over 100 physicians in reproductive endocrinology. Upon completion of the rigorous scientific, clinical, and surgical curriculum, fellows may apply to the American Board of Obstetrics and Gynecology for certification in the subspecialty of Reproductive Endocrinology. The Fellowship in Reproductive Endocrinology and Infertility is served by faculty from four institutions: the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the Uniformed Services University of the Health Sciences (USUHS), Walter Reed National Military Medical Center (WRNMMC), and the Shady Grove Fertility Center. The program accepts civilian and military graduates of U.S. residencies in Obstetrics and Gynecology and has the mission to train reproductive-endocrinology and infertility fellows who will serve as faculty in academic, government, and military institutions, and to establish and maintain high standards of training for students and residents in obstetrics and gynecology, so that they can provide evidence-based, cutting-edge treatments for patients with infertility. Program graduates have become assistant, associate, and tenured professors, and departmental chairs.
Intracytoplasmic sperm injection
Intracytoplasmic sperm injection
Fellows in the program rotate on clinical services of NICHD–supported intramural graduate medical programs in Medical and Pediatric Endocrinology, as well as in Medical Genetics. The clinical training is robust. Thus, within the unique environment of the NIH, fellows participate in evaluation and management of rare and challenging endocrine conditions on the NIH Reproductive Endocrine Teaching Service. Clinical and surgical rotations take place at WRNMMC and the Shady Grove Fertility Center. Research is strongly emphasized. Trainees in the program must complete a thesis project and may choose among any research laboratory in the Institute’s intramural research program. To complete the research project, fellows are given 12 months of protected research time. The curriculum includes two university-based graduate courses, one in biostatistics, the other in reproduction. In the past year, faculty and fellows published 70 peer-reviewed articles. Over the past five years, each graduate of the program published an average of five peer-reviewed manuscripts associated with the training program, and several trainees received national recognition for excellence in research.
The three-year training program is structured to capitalize on the particular strengths and resources of each participating institution. Specifically, infertility services and operative care are provided by the busy clinical services at Walter Reed Bethesda Hospital, the NIH Clinical Center, and the Shady Grove Fertility Center. Experience in Assisted Reproductive Technologies (ART) is provided by rotation in the newly renovated, state-of-the-art Walter Reed Bethesda ART facility and in the Shady Grove Fertility Center. Fellows also obtain medical endocrine, pediatric endocrine, and genetic clinical training through rotations on the active inpatient services at the NIH Clinical Center. The program staff and fellows see 1,500 patients in the NIH Clinical Center, in addition to conducting 40 surgeries and 50 oocyte retrievals, per year. Outstanding research training is available either through NIH intramural laboratories or at USUHS. The program is intended to achieve synergism between the four sponsoring institutions and to provide fellows with an experience and resources not available from a single institution.
Requirements for enrollment include graduation from a residency in Obstetrics and Gynecology in the United States that is accredited by the ACGME and an active medical license in the United States. Selection is competitive, and prospective candidates must register with the National Resident Matching Program (NRMP). Three positions per year are approved for a complement of nine fellow trainees. Trainees may meet criteria for the NIH Loan Repayment Program (LRP) for outstanding educational debt.
Didactic instruction
Structured training includes a series of introductory seminars geared to first-year fellows, which take place from August to September of the first year. The introductory seminars provide a historical perspective and basic understanding of the practice of Reproductive Endocrinology. In weekly NIH teaching-rounds conferences, fellows review and discuss challenging cases with faculty and fellows. In addition, all faculty and fellows of all years are expected to attend the weekly Preoperative and Fellows’ conferences. Fellows also attend weekly research conferences sponsored by the NICHD, and they present updates on thesis work at the weekly “Research in Progress Conference.” Core training objectives of the ACGME are covered in special NIH grand rounds and by courses at the NIH or the WRNMMC in Bethesda. NIH Endocrine Grand Rounds provide additional training in medical, pediatric, and reproductive endocrine conditions. Regular attendance at a monthly journal club is expected. Fellows regularly attend ART clinical meetings, during which management of patients pursing ART is discussed and outcomes are reviewed. In addition to larger groups, mentors of individual laboratories to which the fellow is affiliated generally meet on a weekly basis to review research progress. Furthermore, fellows are encouraged to participate in didactic training offered at national meetings, such as those of the American Society for Reproductive Medicine, the Society for Reproductive Investigation, and the Society for the Study of Reproduction. Moreover, fellows are encouraged to attend specialty meetings in their chosen interest areas.
Publications
- Assessment of clinical pregnancies in up to eight ovarian stimulation with intrauterine insemination treatment cycles in those unable to proceed with in vitro fertilization. Fertil Steril 2024 Jul 122(1):114–120
- Initiation and outcomes of women pursuing planned fertility preservation. Fertil Steril 2024 Aug:8
- Evaluating the endometrial receptivity assay: a nested diagnostic accuracy study within the Synchrony randomized clinical trial. Fertil Steril 2023 Dec120(6):1255–1256
- Meeting the demand for fertility services: the present and future of reproductive endocrinology and infertility in the United States. Fertil Steril 2023 Oct;20(4):755–766
- Preimplantation genetic testing for sickle cell disease: a cost-effectiveness analysis. F S Rep 2023 Jun 13:4:300–307
- Reproductive genetics laboratory may impact euploid blastocyst and live birth rates: a comparison of 4 national laboratories' PGT-A results from vitrified donor oocytes. Fertil Steril 2023 Jan;119(1):29–35
Collaborators
- William H. Catherino, MD, PhD, Uniformed Services University of the Health Sciences, Bethesda, MD
- Alicia Christy, MD, Office of Women’s Health, Veterans Administration Central Office, Washington, DC
- Alan H. DeCherney, MD, Deputy Clinical Director for Academic Affairs of the Division of Reproductive and Adult Endocrinology, NICHD, Bethesda, MD
- Kate M. Devine, MD, Medical Director and Chief Research Officer, Shady Grove Fertility, Washington, DC
- Veronica Gomez-Lobo, MD, Pediatric and Adolescent Gynecology Training Program, NICHD, Bethesda, MD
- Jessica Marinaro, MD, Shady Grove Fertility, Towson, MD
- James Robinson, MD, MS, Shady Grove Fertility, Rockville, MD
- Phillip Romanski, MD, MSc, Associate Research Director, Shady Grove Fertility, New York, NY
- Trimble Spitzer, MD, Walter Reed National Military Medical Center, Bethesda, MD
- Saioa Torrealday, MD, Walter Reed National Military Medical Center, Bethesda, MD
- Eric A. Widra, MD, Shady Grove Fertility, Washington, DC
Contact
Reproductive Endocrinology and Infertility Training Program
NICHD, NIH
Building 10, Room 8N248
10 Center Drive
Bethesda, MD 20892-1840
Phone: 301-402-2141
Program Director: Micah J. Hill, DO; hillmicah@mail.nih.gov
Program Coordinator: Marilyn Minor; minormar@mail.nih.gov
Program website: https://www.cc.nih.gov/training/gme/programs/reproductive_endocrinology
Online application: https://students-residents.aamc.org/applying-fellowships-eras/applying-fellowships-eras-system