Clinical experience by our fellows is obtained in many settings. The Sloane Endocrine Clinic provides out-patient care for disorders of reproductive endocrinology and infertility to service the population of New York Presbyterian-Columbia University Medical Center. The full range of clinical disorders in our subspecialty, including menopause, infertility and reproductive endocrine, are seen by the first year fellow under the direct supervision of a full-time Division faculty. The Clinic provides long-term continuity of care for these patients and is run by the first year fellow as a “private practice”. The fellow is able to provide a thorough evaluation, offer all necessary treatment options, such as transvaginal ultrasound, surgery, ovulation induction, and IVF, and provide long-term follow-up. Residents and medical students, from both our own and other institutions, rotate on the Service. The clinical fellow functions as a supervisor and instructor of the residents and students. The fellow also rotates through the Endocrine clinics in the Departments of Medicine and Pediatrics and spends time in male infertility with our Urology colleagues.
The fellow is also an active member of the Assisted Reproductive team (ART). Day to day management of cases is reviewed with the Medical Director. The ART group also meets weekly to discuss patient management and related topics of interest. The fellow is taught the principles and techniques of ART. During the second year they actively participate in the full range of activities, from transvaginal sonography of follicular development to oocyte retrieval, under the supervision of the ART physicians. They are also familiarized with laboratory procedures and are offered opportunities to do research in the gamete laboratory. The fellow receives additional experience in transvaginal sonography by scanning all patients who are undergoing ovulation induction, both in the private Center for Women’s Reproductive Care (CWRC) office and the Sloane Endocrine Clinic.