- PRINCIPLES &PRACTICE OF ASSISTED REPRODUCTIVE TECHNOLOGY -kamini A rao
- TEXTBOOK OF ASSISTED REPRODUCTIVE TECHNIQUES – DAVID.K.GARDNER
- LABORATORY MANUAL IN ASSISTED REPRODUCIVE TECHNOLOGY – KAMINI A RAO
- CLINICALGYNECOLOGIC ENDOCRINOLOGY & INFERTILITY- SPEROFF
Course Name: FELLOWSHIP IN REPRODUCTIVE MEDICINE
Syllabus:
- Anatomy : Male and Female genital tract
- Physiology : Menstrual cycle / ovulation
- Endocrinology : Relevant to human reproduction – Pituitary hormones / Thyroid function / Control of reproduction
- Embryology : Cell cycle, gametogenesis, Fertilization & cleavage structure of sperm and oocytes
- Genetics : Nomenclature / Basic principles prenatal diagnosis
- Laboratory equipment
- Andrology : Spermatogenesis, Semen Analysis Components, Sperm function tests.
- Broad outlines of causes of male and female.
- Causes and Evaluation of male and female infertility.
- Evolution
- Different technologies
- Semen analysis
- Processing sperm for various procedures – intrauterine insemination
- Processing samples –testicular / epididymal
- Culture media Egg Identification
- Insemination
- Fertilization and cleavage check.
- Embryo transfer technique
- Blastocyst Culture
- Embryo Hatching
- Technique of ICSI
- Cryopreservation: Semen freezing/ Embryo freezing
- ART Act and Surrogacy Act
Duration of the Course: 12 months
.
Fees for Indian nationals – INR 500,000
.
Fees for Internationals –INR 600,000
.
Eligibility : MD/MS/DNB in Gynaecology
.
Mode : Off line, in campus
Apply NowAfter completion of the course the reproductive medicine specialist will be proficient in the following areas of learning :
- Proficient in the principles and practice of diagnostic and operative laparoscopy for infertility like release adhesions / cystectomy / endometriosis, etc.
- Proficient in the principles and practice of diagnostic and operative hysteroscopy for infertility like removal of foreign body, polyps, biopsy / septum resection / adhesiolysis / cannulation of ostium
Attain expertise:
- In the use of ovulation inducing agents and hormonal control of the menstrual cycle.
- Follicular recruitment and retrieval procedures
- Understand and be able to manage OHSS.
- Trans Vaginal Ultrasonography with particular reference to follicular monitoring
- Luteal Phase Support
- With reference, maintenance and trouble shooting.
- Familiarity with – Laboratory equipment, maintenance
- QC & QA of laboratory
- Detailed knowledge of ART procedures carried out like semen preparation, oocyte identificationand grading, embryo grading, micromanipulation, cell culture.
- To be maintained to ensure practical exposure.
Suggested minimal requirements:
Minimally Invasive Surgery:
Observe
- 10 diagnostic laparoscopies
- 5 operative laparoscopies
Assist
- 5 diagnostic laparoscopies
- 3 operative laparoscopies
Andrology
Observe: 5 PESA, TESA, TESE
Assist: 2 PESA, TESA, TESE
IVF :
- Observe : 25 Oocyte retrieval
- Assist : 10 Oocyte retrieval
- Perform : 5 oocyte retrieval
Laboratory:
- Observe 15 semen analysis & 10 sperm preparation
- Perform 10 semen analysis & 2 sperm wash procedures
- Follow up : 5 cases of IVF / ICSI patient preparation to embryo transfer (written records)
Counseling sessions : Observed 30 patients from initial visit/planning till OPU
Observed 30 patients from Embryo transfer plan till embryo transfer
- Reproductive anatomy and physiology of the male and the female.
- Reproductive endocrinology.
- Gametogenesis.
- Fertilization in vivo.
- Implantation and early embryogenesis.
- Pathology of infertility – Causes of infertility namely the ovarian, tubal, uterine, male factors, pathology that reduces fertility namely PCOS, endometriosis, fibroid, adenomyosis uterine anomaly etc.
- Approach to investigate and diagnose sub-fertility.
- Clinical decision making and choice of treatment.
- 9.Pharmacology – Pharmacological effects of the various drugs including the pharmacokinetics and pharmacodyanamics of the commonly used drugs.
- Complication of ART procedure.
- Ovulation induction during IUI and IVF procedures.
- Ultrasound and other imaging modalities in infertility(only folliculometry)
- Fundamental of the surgical procedures namely laparoscopy,hysteroscopy, myomectomy etc.(theory and observation)
- Pre-conception evaluation and counseling.
- Administration – Setting up the ART unit, quality control and assurance, creating protocol for management and organizing and coordinating of clinical meetings.
- Counseling of the infertile couple Implicative, therapeutic, ethical and social.
- Clinical Embryology. ∙ Principles and practice of semen analysis and cryopreservation of semen. ∙ Cytology of mammalian and human oocyte to identify stages of oocyte maturation accurately. ∙ All aspects of embryology including developmental itiology. ∙ Cell biological techniques used in cell and tissue culture. ∙ Molecular biology and genetics of human reproduction. ∙ Micromanipulation of sperm and oocytes for carrying out ICSI and single-cell biopsies of embryos for pre implantation genetic diagnosis. ∙ Principles and functioning of all the equipment used in the laboratory. ∙ In vitro fertilization of oocytes after processing the gametes. ∙ Principles and practice of embryo freezing
- Research and Audit
- Teaching
Components Of The Fellowship:
The trainees work in the hospital out-patient unit where they share the responsibility with the consultant in the evaluation of the infertile couple, participate in the decision making depending on the couple’s need, formulate a plan of action, pre-procedure assessment, counseling, protocol selection, monitoring the patient for response and early detection of side effect, etc. The trainee receives instruction and is guided by the consultant in acquiring the cognitive and technical skills for the various diagnostic and therapeutic procedures.
The trainee acquires special competence in ultrasound imaging for folliculometry during stimulation, basic TVS
Observe : SIS , HyCoSY ( 10)
15 days of observation of OPU/ICSI/Embryo transfer/Fertilization check/Embryo check
The trainee is required to participate in the pre-procedure assessment; observe surgical procedure and the post operative follow up the patients who undergo laparoscopy, hysteroscopy and laparotomy.
The research project should be approved and should demonstrate the basic principles of the research. The trainee is required to participate in the audit of the ART procedure and should obtain knowledge in quality control and assurance.
1 research paper to be completed and published
Specific Objective Of The Fellowship
The practice of reproductive medicine involves the following major subgroup of patients, namely
- Anovulation, namely WHO type 1, 2, 3, 4.
- Tubal factor namely with tubal obstruction, hydrosalpinx.
- Uterine cavity abnormality both congenital and acquired (Fibroid, adenomyoma, septum and uterine malformations).
- Endometriosis.
- Endocrine abnormality (hyperprolactinemia, hyperandrogenism, etc).
- Recurrent pregnancy loss.
- Obstructive azoospermia.
- Non- obstructive Azoospermia.
- Other sperm Abnormality (OATZ).
- Endocrine abnormalities (hypogonadotrophic hypogonadism).
- Couple with decreased gamete reserves to be offered donor gamete or embryo programme.
The academic activities of the programme in the hospital should include:
- Regular academic sessions – 3 sessions per week
- Case discussions – One per week
- Seminars – One per fortnight
- Paper presentation in conference – one
- Audit – 2
- Projects & Research – as co-Author – one
- Conferences – 1
- CMEs – 1
- Fertility Sterility
- Human Reproduction
- Human Reproduction Update
- Reproductive Biomedicine Online
- ESHRE
- ASRM
- Canadian Guidelines
Theory : 100 marks
Practical : 1 long case, 1 short case
Viva