Female Pelvic Medicine & Reconstructive Surgery Fellowship

Description: 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. Fellows develop surgical expertise which includes abdominal, vaginal and laparoscopic/robotic approaches to pelvic floor disorders. Certificate of Science in Clinical Research, Masters in Clinical Research, or T32 Fellowship position may be available.

How to Apply

Program

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
  • 2 weeks gastroenterology
  • 2 weeks geriatrics
  • 1 week of physical therapy
  • 12 months of research (protected)
  • Independent practice (throughout the fellowship)

The fellows’ clinical experience will allow them to provide high quality care to women and consultative services to professional 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 serve as research mentor to others.

Female Pelvic Medicine and Reconstructive Surgery (18 months)

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 months)

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 month)

The colorectal rotation is a dedicated four-week block 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.

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 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 outpatient comprehensive geriatric assessment. It is our hope that this rotation will provide a framework and foundation for their future care of the older adult patient.

Physical Therapy (1 week)

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.

Research Training (12 months)

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.

T32 Fellowship

The Divisions of Female Pelvic Medicine & Reconstructive Surgery and Public Health Sciences at Washington University School of Medicine are seeking applications for a T32 Postdoctoral Fellowship (MD-clinical/research track, PhD-research track) in Clinical Outcomes Research Training in Female Lower Urinary Tract Disorders. MD and PhD fellows will be trained together with the goal of fostering MD & PhD collaboration in the field. Interested applicants should plan to apply to both the FPMRS Fellowship and the T32 Fellowship. More info here

Educational opportunities

Didactic training in clinical outcomes research methodology & full range of female lower urinary tract disorders. The FPMRS fellows participate in the following educational conferences, seminars and lectures weekly:

  • Fellow didactics include:
    • quality improvement seminars
    • research in progress seminars
    • journal club
    • comprehensive Urogynecology topics
  • Preoperative conference
  • OB/GYN Grand Rounds
  • Professional Development Series
  • COPE (Center for Colorectal and Pelvic Floor Disorders)

Faculty:

Urogynecology: Chiara Ghetti, MD, MSc; Jerry Lowder, MD, MSc
Urology: Henry Lai, MD

Colorectal: Radhika Smith, MD

Gastroenterology: Prakash Gyawali, MD
Geriatrics: Ellen Binder, MD
Pelvic Floor PT: Tracy Spitznagle, PT, DPT, WCS

Research: Siobhan Sutcliffe, PhD, ScM, MHS

 


Contact:

Program Director: Chiara Ghetti, MD, MSc

Fellowship Program Administrator: Michelle Steiner
steinerm@wustl.edu 
660 S. Euclid, Mailstop 8064-37-905
St. Louis, MO 63110
phone:  314-273-1905

Current fellows

Haidy Morsy, MD
Began Fellowship 7.1.2019
Graduates 6.30.2022
Kimberley Chiu, MD
Began Fellowship 7.1.2020
Graduates 6.30.2023

A Message from our Chair, Dineo Khabele, MD

How to apply

Complete FPMRS application in ERAS »
Female Pelvic Medicine and Reconstructive Surgery (OB/GYN)

Required documents:

  • CV
  • Personal Statement including description of research experience and interests, career goals, and rationale for pursuing formal mentored training in clinical outcomes research for female lower urinary tract disorders.
  • 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)

add t32 application link

Learn more about the Division of Female Pelvic Medicine and Reconstructive Surgery »