Female Pelvic Medicine & Reconstructive Surgery Fellowship
The Washington University fellowship in Female Pelvic Medicine and Reconstructive Surgery is an ACGME-accredited three-year program for individuals who have completed residency training in obstetrics and gynecology or urology at an ACGME-approved program. The ideal candidate for this program has a strong interest in pursuing a career in academic urogynecology, to include excellence and leadership in education, research and patient care.
The curriculum is designed to provide board training and experience in clinical care and research for women with pelvic floor disorders. Clinical rotations include in-patient and outpatient urogynecology, urology, gastroenterology, colorectal surgery, pelvic floor physical therapy, and geriatrics. Both surgical and non-surgical approaches to treatment are emphasized. Surgical approaches to pelvic floor disorders include abdominal, vaginal and laparoscopic/robotic procedures. Certificate or Master of Science in Clinical Research degrees may be available if approved.
The program will not be participating in the 2017 NRMP Match
The primary goal of the Washington University and Barnes-Jewish Hospital FPMRS fellowship is to provide fellows with advanced training and experience in the clinical care of women with pelvic floor disorders and in the theoretical and practical aspects of basic science, translation and clinic research.
The fellowship program consists of:
- 18 months of female pelvic medicine and reconstructive surgery
- 2 months of female urology
- 1 month of colorectal surgery
- 1 month of physical therapy
- 2 weeks gastroenterology
- 2 weeks geriatrics
- 12 months of research (protected)
The fellows’ clinic experience will allow them to provide high quality care to women and consultative services to processional colleagues regarding pelvic floor disorders. Their research experience will enable them to contribute to the advancement of the field, pursue independent research careers and to service as research mentor to others.
Female Pelvic Medicine and Reconstructive Surgery (18 mos.)
FPMRS rotations involve both four-week dedicated rotations on the outpatient and inpatient FPMRS services. Clinical sites for these rotations include Washington University Medical Campus / Barnes-Jewish Hospital, as well as Barnes West County and Missouri Baptist Medical Center.
Female Urology (2 mos.)
The Urology rotation is a dedicated four-week rotation during which fellows work in both the outpatient and in-patient setting with female urology faculty and will be integrated into the urology inpatient team.
Colorectal Surgery (1 mo.)
The colorectal rotation is a dedicated four-week block in the third year during which fellows will rotate with faculty members of the Section of Colorectal Surgery in the Department of Surgery. The Colorectal rotation has both in-patient and outpatient components in which the urogynecology fellows will be exposed to the depth and breadth of patients seen and operated on by a busy referral CRS service, participate the anal physiology lab and participate in the COPE conference.
Physical Therapy (1 mo.)
The PT rotation is shared with geriatrics in year one. Fellows will shadow the physical therapists to observe the evaluation and treatment of patients with pelvic floor disorders.
Gastroenterology (2 weeks)
The GI rotation occurs during a four-week outpatient urogynecology block. Fellows gain valuable experience on their gastroenterology rotation in evaluating and non-surgically managing women with irritable bowel syndrome, constipation, dyschezia, fecal incontinence, rectal prolapse and other pelvic floor disorders presenting as posterior compartment conditions. The experience includes exposure to testing for anorectal and defecatory dysfunction including endoanal ultrasound, anal manometry, surface electromyography, single-fiber eletromyography, pudendal nerve testing and defecating proctography. Testing such as endoanal ultrasound, anal manometry and neurophysiologic testing and clinical consultation for selected patients is currently available in the Digestive Disorders Center at Barnes Jewish Hospital and Missouri Baptist Medical Center.
Geriatrics (2 weeks)
Geriatric Medicine is two-week block rotation shared with PT in the first year. This rotation is designed to expose trainees to numerous aspects of clinical care, education and research methodology for older adults. The trainee will participate in a variety of clinical experiences including outpatient comprehensive geriatric assessment, subspecialty in-patient and outpatient care and primary care in the nursing home setting. It is our hope that this rotation will provide a framework and foundation for their future care of the older adult patient.
Research Training (12 mos.)
Opportunities may be available for candidates to pursue a certificate or master’s degree in clinical research through the Washington University Institute of Clinical and Translational Sciences during fellowship training.
The FPMRS fellow will participate in the following educational conferences, seminars and lectures weekly:
- OB/GYN Grand Rounds
- COPE (Center for Colorectal and Pelvic Floor Disorders)
- Fellow Conference: This weekly fellow conference is dedicated to
- Monthly quality improvement seminars, research in progress seminars,
- Monthly journal club as well as urogynecology topic lectures
Faculty and fellows
Urogynecology: Chiara Ghetti, MD, MSc; Jerry Lowder, MD, MSc, Christine Chu, MD
Urology: Henry Lai, MD
Colorectal: Matthew Mutch, MD; Elisa Birnbaum, MD
Pelvic Floor PT: Tracy Spitznagle, PT, DPT, WCS
Geriatrics: Ellen Binder, MD
Basic Science Research: Indira Mysorekar, PhD
Program Director: Chiara Ghetti, MD, Msc
Program Coordinator: Emily Alexander
660 S. Euclid, CB 8064
St. Louis, MO 63110
2016 – 2019 Fellow: Melanie Meister, MD
Complete application in ERAS »
Female Pelvic Medicine and Reconstructive Surgery (OB/GYN)
The program will not be participating in the 2017 NRMP Match.
- Personal statement
- Medical Student Performance Evaluation (MSPE)
- Medical school transcript
- UMSLE Step 1 and Step 2
- Three letters of recommendation (one of which is from residency director)