About this fellowship program


The ACGME-approved Female Pelvic Medicine and Reconstructive Surgery (FPMRS) Fellowship at The Ohio State University Wexner Medical Center provides trainees with advanced training in the care of patients with female pelvic floor disorders, and provides an in-depth experience in clinical and investigative work sufficient to allow pursuit of an academic career in the field of female pelvic medicine and reconstructive surgery after completion of the program.

The Female Pelvic Medicine and Reconstructive Surgery fellows receive outstanding clinical and research exposure during the three years within the program. Fellows will be actively involved in teaching when it comes to medical students and residents that rotate on the benign gynecologic service. They will be assessed regularly by the program director and other faculty. There's a focus on allowing each fellow to reach his or her own personal goals during training, while meeting all the requirements set forth by the ACGME. 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 monitor their progress towards meeting educational goals.

Fellowship Curriculum


The curriculum for the Female Pelvic Medicine and Reconstructive Surgery Fellowship includes 12 months of female pelvic medicine and reconstructive surgery, eight months of female urology, two months of colorectal surgery, one month of geriatrics and physical therapy, one month of gastroenterology and physical therapy and 12 months of research (protected).

Coursework

Fellows are required to take two graduate level courses (Biostatistics and Epidemiology) as part of the fellowship. These courses are taught by faculty of The Ohio State University College of Public Health or Department of Epidemiology and are typically taken in the first and second year of fellowship. In addition, fellows have the opportunity to pursue a more comprehensive Master of Science, which would incorporate these didactic requirements.
 
The Female Pelvic Medicine and Reconstructive Surgery Fellowship offers a single position on an annual basis. All positions are filled through the National Residency Matching Program (NRMP) match. International applicants are invited to apply through the NRMP as well.

Fellowship Rotations

Female Pelvic and Reconstructive Surgery

This rotation provides a broad-based exposure to clinical reconstructive pelvic surgery marked by progressive responsibility both in the clinic and hospital. All outpatients are seen in the division’s outpatient clinic (Outpatient Care Upper Arlington) located three miles from the main campus and the University Hospital or in the McCampbell Hall clinic on campus. The division is housed in this new, state-of-the-art, ambulatory center along with components of general gynecology, maternal fetal medicine and women’s health. It is during these times that initial examinations and urodynamic assessments, including management decisions and plans for surgery, are reviewed and implemented.
 
During these rotations, fellows work directly with our board-certified FPMRS specialists. One fellow will be on service at all times and clinical responsibilities will include management of the inpatient UROGYN unit and associated surgical recovery floors, operating rooms and consult coverage for emergency and hospitalized patients. The fellow will also see patients in the outpatient setting in clinic and gain exposure to management of typical office-based issues. The fellow will perform multi-channel urodynamics in this setting as well as at the main campus resident-driven urogynecologic outpatient clinic.

Fellows may also have the opportunity to rotate on other FPMRS services at affiliated hospitals, working with academic and private physicians to increase their exposure to a variety of clinical management strategies and surgical techniques. 

Female Urology

This rotation involves several month-long blocks on the inpatient and outpatient female urology service. Currently, the fellows work with two board certified FPMRS urologists at affiliated hospitals. There are plans for them to also rotate with OSU faculty at University Hospital and the Ohio State Eye and Ear Institute, which houses the outpatient site for female urology, with state-of-the-art exam and procedure rooms as well out outpatient surgical suites. Fellows will be integrated with the urology team although clinical activities will be restricted to female patients and they will be exclusively supervised by our board certified female urologists.

Colorectal Surgery

This rotation is two dedicated four-week blocks 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.

Geriatrics

This is a four-week block providing experience in outpatient and inpatient geriatric medicine. While on this rotation, the fellow will spend time with faculty observing and learning about the issues associated with the care of the geriatric patient.

Gastroenterology

This is a four-week block providing experience in outpatient and inpatient gastroenterology. While on this rotation, the fellow will spend time with faculty observing and learning about common gastrointestinal issues often seen in the FPMRS patients including constipation, dysmotility, irritable bowel and other disorders. Opportunity will exist for further exposure to anal manometry, electrophysiology and endoanal ultrasound.

Physical Therapy

While on rotations for geriatrics and gastroenterology, the fellow will also have the opportunity to observe the evaluation and management of FPMRS patients undergoing pelvic floor physical therapy and behavioral therapies for pelvic floor disorders.

Conferences 

The Female Pelvic Medicine and Reconstructive Surgery fellows participate in various regular educational conferences and seminars including three mandatory weekly conferences: FPMRS Conference, OB/GYN Grand Rounds and scientific meetings.

FPMRS Conference

Occurs: Thursdays at 8 a.m.

The Pelvic Medicine and Reconstructive Surgery Conferences are attended by FPMRS and female urology faculty, along with involvement by colorectal surgery, GI and geriatrics faculty and fellows when applicable. Other participants may include interested members of the Departments of Biomedical Engineering, Quantitative Health Sciences and Physical Therapy. These conferences include weekly lectures, journal club, case conferences and research meetings. Topics include a diverse range of subjects with a goal of meeting all ACGME Learning Milestone requirements in the areas of anatomy, neurophysiology, advanced urodynamic testing, pathophysiology and surgical management of stress urinary incontinence, pathophysiology, physical assessment and surgical management of pelvic organ prolapse, detrusor overactivity, repair of surgical injuries to the lower urinary tract, voiding disorders, suburethral diverticula/fistula and other topics.
 
In addition, the fellows participate in a monthly research seminar led by the director of reproductive epidemiology, Dr. Courtney Lynch, PhD, MPH. In addition to discussions on research design, statistics, grantsmanship and research management, regular research meetings will include review and analysis of current research ideas and projects.
 
Fellows will also have an opportunity to enroll in and complete a course of study to obtain a Master of Science through The Ohio State University Wexner Medical Center Department of Surgery. The fellow’s research blocks are scheduled to facilitate completion of any coursework required for this degree.

OB/GYN Grand Rounds

Occurs: Thursdays at 7 a.m.

The FPMRS fellows participate in weekly departmental Grand Rounds. Included in these conferences are monthly GYN morbidity and mortality meetings. The fellows actively participate in these conferences and present all pertinent patient materials. The fellows are expected to serve as the Grand Rounds presenter at least once during their three years of training (second or third year).

The fellows may participate in and share teaching responsibilities in the medical student core lecture program and the monthly resident education conferences during which a core curriculum of material is presented on an annual basis. Additional conferences may include those related to their rotations with the Departments of Urology and Colorectal Surgery, as time permits.

Scientific Meetings

The fellows actively participate in the annual Ohio State University Wexner Medical Center Research Day and in appropriate departmental postgraduate courses. The fellows submit their current research for presentation in the form of poster presentations or oral presentations at these meetings. They are also expected to attend all department-sponsored invited guest lectureships including the Barnes, Copeland, Jones and Zuspan lectures.
 
Fellows attend a minimum of one meeting per year (more for research presentations) and have the opportunity to attend the annual meetings of the Society of Gynecologic Surgeons, the American Urogynecology Society, ACOG, AAGL or other national or international meetings, as appropriate. Active participation, including presentation, is encouraged at all meetings to promote the fellow’s experience and expertise in scientific meeting participation.

Application Process

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, which includes:

  • Complete application
  • CV
  • 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) 

For more information, contact:

Andrew Hundley, MD
FPMRS Fellowship Director
Andrew.Hundley@osumc.edu
 
Rachel Thibaut
Program Coordinator
Rachel.Thibaut@osumc.edu

Female Pelvic Medicine and Reconstructive Surgery Fellows

Female Pelvic Medicine and Reconstructive Surgery Fellows

Silpa Nikkanti, MD PGY 7

NekkantiMD: Northeast Ohio Medical University
Residency: The Ohio State University/Mount Carmel Health

Lopa Pandya, MD PGY 6

PandyaMD: St. Louis University
Residency: University of Chicago

Pamela Escobar Smith, MD PGY 5

EscobarMD: Brown University
Residency: Albert Einstein College of Medicine

Share this Page