Complex Benign Gynecology Fellowship Program Structure
The Complex Benign Gynecology (CBG) Fellowship Program includes clinical and experiential learning as well as an active research component.
Clinical/Experiential Learning Activities
CBG fellows divide their time between Parkland Memorial Hospital and William P. Clements Jr. University Hospital. Fellows participating in inpatient and outpatient services at these facilities are supervised by our core CBG faculty.
Parkland Memorial Hospital (PMH): Fellows are essential members of the CBG Service at Parkland. They participate in all surgical cases as well as in the CBG Outpatient Clinic. Two full days a week are devoted to advanced laparoscopic and hysteroscopic surgical cases.
Fellows have a dedicated clinic template to see patients with chronic pelvic pain, endometriosis, large fibroid uteri, and complex adnexal masses, as well as preoperative and postoperative patients, within the Gynecology Clinic at Parkland. Complex vaginal, laparoscopic, and robotic-assisted cases are all part of the repertoire at Parkland.
William P. Clements Jr. University Hospital (CUH): With access to four Da Vinci robots as well as traditional laparoscopy, CBG fellows refine their advanced laparoscopic skills and develop proficiency performing robotic-assisted cases while at CUH. Fellows perform a wide range of advanced CBG procedures and have significant exposure to operative hysteroscopy and robotics. At this regional referral center, our fellows focus on reproductive surgery for fertility, as well as complex and multi-organ endometriosis.
Mentorship
Fellows are mentored throughout the research process and their clinical training.
Our faculty members have extensive experience in a variety of gynecologic conditions at every level of complexity.
Fellows also have access to interdisciplinary mentorship from faculty specializing in urogynecology, gynecologic oncology, colorectal surgery, physical medicine and rehabilitation, and other fields.
Typical Fellow Schedule
| Block | 1st Year | 2nd Year |
|---|---|---|
| 1 | – | Parkland |
| 2 | Parkland | CUH |
| 3 | Parkland | Research |
| 4 | CUH | Parkland |
| 5 | CUH | Parkland |
| 6 | Parkland | CUH |
| 7 | Research | CUH |
| 8 | CUH | Parkland |
| 9 | CUH | Parkland |
| 10 | Parkland | CUH |
| 11 | Parkland | CUH |
| 12 | CUH | Parkland |
| 13 | CUH | Parkland |
| 14 | Parkland | CUH |
Conferences and Didactic Learning Activities
Fellows spend one day per week throughout the year attending departmental didactic sessions and pursuing scholarly activities. At UT Southwestern's Simulation Center, fellows receive individual and team skills training in laparoscopy, hysteroscopy, and robotics, and take part in research activities.
Weekly:
- Grand Rounds
- Parkland Gyn Case Conference
- Parkland teaching rounds/didactics
- MIGS Wednesdays
- First: Lecture Series
- Second: MIGS Works in Progress
- Third: MIGS Journal Club
Quarterly:
- Sim lab curricula (hysteroscopy, vNOTES, tissue extraction), porcine and cadaveric
- Pelvic Pain Multidisciplinary Conference
Annually:
- AAGL, FMIGS Boot Camp, +/- SGS/ACOG
- Fellow Grand Rounds, Core Curriculum lectures
Surgical Videos
- Application of vNOTES in a training setting
J. Chen M.D., P. Weix M.D. Ph.D.
- Laparoscopic Approach to the Difficult Trachelectomy: Surgical Tips and Tricks
J. Shields DO, A. Porter M.D., L. Chao M.D.
- Surgical Approach to Distorted Anatomy: What to do when nothing looks normal!
J. Chen M.D., L. Chao M.D.
- The RUMI Uterine Manipulator: A beginner's guide to assembly and manipulation
L. Kenyon, J. Shields DO, T. Walsh M.D., K. Kho M.D.
- Laparoscopic Management of Tubo-ovarian Abscess
J. Shields DO, A Porter M.D., T. Walsh M.D.
- Laparoscopic Ureterolysis in the Setting of Endometriosis
R. Allen M.D., L. Chao M.D.
- Laparoscopic Approach to the Obliterated Anterior Cul-de-sac
A. Porter M.D., L. Chao M.D.
- Laparoscopic Appendectomy: Surgical Techniques for the Benign Gynecologist
E. Wang M.D. MPH, P. Sawyer M.D., L. Chao M.D.