Fellowship Program Structure

The Fellowship in Minimally Invasive Gynecologic Surgery (MIGS) includes clinical and experiential learning as well as an active research component.

Clinical/Experimental Learning Activities

MIGS Fellows divide their time between Parkland Memorial Hospital and the William P. Clements Jr. University Hospital. Fellows participating in inpatient and outpatient services at these facilities are supervised by our Core MIGS Faculty.

Parkland Memorial Hospital (PMH). Fellows are essential members of the MIGS Service at PMH. They participate in all surgical cases as well as in the MIGS Outpatient Clinic. Two full days a week are devoted to advanced laparoscopic and hysteroscopic surgical cases. Fellows see outpatients with chronic pelvic pain as well as preoperative and postoperative patients, in the Gynecology Clinic at Parkland. They also perform and supervise office hysteroscopy in a devoted office suite outfitted with both rigid and flexible hysteroscopes.

William P. Clements Jr. University Hospital (CUH). With four Da Vinci robots, MIGS fellows refine their advanced laparoscopic skills and develop proficiency performing robotically-assisted cases while at CUH. Fellows perform a wide range of advanced general gynecologic and reproductive endocrinology-infertility (REI) MIGS procedures and have significant exposure to operative hysteroscopy and robotics, as well as pediatric-gynecologic procedures.

MIGS fellows also spend a month rotating with the UT Southwestern Female Pelvic Medicine and Reconstructive Surgery (FPMRS) Service. During this period, they function as a junior FPMRS fellows and gain exposure to vaginal procedures as well as laparoscopic and robotic pelvic support procedures such as sacrocolpopexies.

Research/Didactic Learning Activities

One-day a week throughout the year is spent attending departmental didactic sessions and pursuing scholarly activities. At the Southwestern Center for Minimally Invasive Surgery (SCMIS), fellows receive individual and team skills training in laparoscopy, hysteroscopy, and robotics, and take part in research activities. MIGS fellows are expected to participate in clinical research projects with faculty who have active interests in educational research and clinical trials of fibroid management, modes of hysterectomy, and surgical complications. Each fellow is expected to develop his/her own research project for presentation at a national meeting and publication in a peer-reviewed journal.