Society of Laparoscopic & Robotic Surgeons | Dignity Health Fellowship in Endometriosis, Menstrual Disorders and Advanced Minimally Invasive Robotic Surgery

Dignity Health Fellowship in Endometriosis, Menstrual Disorders and Advanced Minimally Invasive Robotic Surgery

Dignity Health Fellowship in Endometriosis, Menstrual Disorders and Advanced Minimally Invasive Robotic Surgery

Location: Institute for Advanced Gynecology and Minimally Invasive Surgery, Dignity Health Medical Group and Saint Francis Memorial Hospital, San Francisco CA
Preceptor: Dr. Mona E. Orady MD, FACOG

This one-year fellowship-training program will provide fellows with extensive experience in the comprehensive diagnosis and minimally invasive surgical management of the full range of menstrual disorders with a strong focus on Endometriosis, Fibroids, and Abnormal Uterine Bleeding. The experience and education provided will give the fellow the skills to accurately diagnose and treat the full spectrum of Advanced Benign GYN conditions.

Diagnostic focus will be on advanced office GYN ultrasound and office hysteroscopy while surgical management focuses on the full spectrum of minimally invasive surgery including operative hysteroscopy, Mini-Micro laparoscopy, and advanced robotic surgery techniques. Office procedures are performed 2 days per week including at least 30-40 ultrasounds and office procedures per week and operating room experience occurs 2-3 days per week. Current volume consisted of 4-6 advanced endometriosis surgeries per week and 1-2 days of mini-micro laparoscopy and mini-microlaparoscopy per month. The focus is on fertility preserving surgery including the use of the CO2 laser and advanced robotic, mini-micro, and hybrid techniques as well as operative hysteroscopy. Collaboration with General Colorectal surgery, GI, and urology allows a multidisciplinary experience that can be guided by the fellow as to the experience they with to have in an individualized fashion. Rotations in the Institute will involve direct observation of patient counseling, preoperative ultrasound techniques, and selection of proper candidates for various minimally invasive procedures.
Post-operative management of these patients as well as understanding the treatment of the associated pain and infertility related to endometriosis will be discussed including the treatment of chronic pain, nerve and pelvic floor dysfunction and sexual dysfunction. Pre-operative assessment and surgical planning for advanced stage endometriosis patients and patients with Deep Infiltrating Endometriosis with multiple organ invovlment will be emphasized prior to surgery. Surgical approach and the organized multidisciplinary approach to management and surgical planning will be thoroughly taught. The assessment and management of advanced leiomyoma cases will be taught as well as well as the roles and indications for both conservative treatments as well as surgical intervention with Myomectomy. The role of laparoscopic hysterectomy, for both definitive treatment of endometriosis and/or management of large fibroid uteri is also emphasized. The Fellow will also learn the principles and techniques for approaching and treating infertility pathology, ovarian pathology and interstitial cystitis. Finally, the Fellow will become proficient in hysteroscopy, cystoscopy, proctoscopy, and pelvic ultrasonography.

Opportunity for collaboration and research is present with director support and guidance. Protected academic and research time will be provided to each fellow in the program and participation in research will be mandatory, and publication is encouraged. Time will be set aside for appropriate meetings including the AAGL and the Annual SLS meeting

Candidates must be board eligible OBGYN’s. Moonlighting opportunities are permitted.

To apply, please visit: