Department of Reproductive Medicine

Female Pelvic Medicine & Reconstructive Surgery

The Female Pelvic Medicine and Reconstructive Surgery Fellowship Program at UCSD - Kaiser Permanente, San Diego is a joint training program developed by Dr. Charles Nager at the University of California, San Diego and Dr. Karl Luber at Kaiser Permanente, San Diego in 2000. The educational objective is to train the next generation of leaders in urogynecology and reconstructive pelvic surgery. While there is a very strong clinical component to the fellowship, the focus is to prepare graduates for careers in academic medicine and teaching.  The fellow will be welcome to participate in ongoing research, but he/she will also be encouraged to develop his/her own ideas and to plan, execute, analyze, and report on these subjects.  Presentations are expected at the American Urogynecological Society meeting.  The fellowship is accredited by the American Board of Obstetrics and Gynecology and the American Board of Urology.  As such, the fellowship program length is 3 years for  both ob/gyn and urology residency graduates.

Overview

The fellowship is jointly (50/50) shared and funded by UCSD and Kaiser Permanente, San Diego.   This combined program takes advantage of the strengths of each institution and diversifies the educational experience and training of the fellow with broad exposure to several faculty members.  It is expected that the fellow will spend approximately 50% of their clinical time at UCSD and 50% of their clinical time at Kaiser.  The clinical experience will be approximately 50% ambulatory and 50% operative. The diverse faculty provide training in the full spectrum of incontinence and prolapse surgical procedures including open, vaginal, laparoscopic, and robotic approaches.

Faculty

Dr. Charles Nager completed his residency in Ob/Gyn at UCSD in 1986 and then after a preceptorship in 1987 with Dr. Donald Ostergard became the Director of the UCSD Urogynecology Clinic.  He completed a fellowship in urogynecology in 1997 at St. George's Hospital with Professor Stuart Stanton.  He is director of the Division of Female Pelvic Medicine and Reconstructive Surgery in the UCSD Department of Reproductive Medicine (OB/Gyn). 

Dr. Shawn Menefee serves as associate director of the Female Pelvic Medicine and Reconstructive Surgery fellowship program. He completed a fellowship in urogynecology at Louisiana State University and was director of the Urogynecology Division at the Naval Medical Center, San Diego before joining Kaiser Permanente, San Diego.

Dr. Karl Luber completed a fellowship in urogynecology with Dr. Donald Ostergard at Long Beach Memorial Hospital and was the previous division director at Kaiser Permanente, San Diego.

Dr. Emily Lukacz completed the three-year fellowship at UCSD/Kaiser in June of 2003 and joined Drs. Nager and Albo at UCSD's Women's Pelvic Medicine Center at that time.  She has extensive experience in clinical research and completed a Masters in Advanced Studies of Clinical Research at UCSD.  Dr. Lukacz took on the role of director for the Female Pelvic Medicine & Reconstructive Surgery Fellowship Program in 2010.

Dr. Michael Albo is a UCSD urologist who completed a Female Urology fellowship with Dr. Shlomo Raz at UCLA in 1994. He co-directs (with Dr. Nager) the UCSD Women's Pelvic Medicine Center and serves as Vice Chief of the Department of Urology.

Dr. Keisha Dyer completed the three-year fellowship at UCSD/Kaiser in June of 2010 and joined Drs. Menefee and Luber at Kaiser Permanente, San Diego.

Dr. Gouri Diwadkar completed a three year fellowship at Cleveland Clinic under the guidance of Dr. Matthew Barber. In 2010, she joined Drs. Karl Luber and Shawn Menefee at Kaiser Permanente, San Diego.

Dr. Jasmine Tan-Kim completed both her residency and fellowship training at UCSD. In July of 2011, she too joined Drs. Karl Luber and Shawn Menefee at Kaiser Permanente, San Diego.

Other faculty includes Drs. Sonia Ramamoorthy and Elisabeth McLemore (Colorectal Surgery, UCSD) and Dr. Marco Tomassi (Colorectal Surgery, Kaiser Permanente).

Fellowship Rotation Schedules

There is one fellow in each year of training.  Each year of training is divided into three (3), four (4) month long rotations.  These rotations are:

 

Research

 

The fellow has up to 12.2 to 13.8 months of dedicated research time. Nine months come from 3 dedicated months each year and the additional 3.2 to 4.8 months come from the 2/3 to 1 clinical research day during each of their 8 clinical months each year (2/3 x 1/5 x 8 x 3 = 3.2 and 1/5 x 8 x 3 = 4.8).

Research interests and ongoing projects include:

Beginning in July of the Year 1, it is expected that the fellow will attend a 2-year course that meets every Wednesday from 4-6 pm. This Clinical Research Enhancement through Supplemental Training (CREST) course is a Masters level comprehensive program that covers the following courses over 24 months:

Education

In addition to the CREST course, other educational activities include:

Clinical Experience/Volume

UCSD Medical Center is a tertiary medical center at two sites:  Hillcrest and Thornton (La Jolla).  The Department of Reproductive Medicine (Ob/Gyn) performs >2000 deliveries each year and approximately 45 major gynecologic surgeries each month.  It has a long tradition of affiliation with Kaiser Permanente, San Diego and the 5-resident/year residency is an integrated program.  The Ob/Gyn residents spend 25% of their training time at Kaiser.  The UCSD Department of Reproductive Medicine also has fellowships in Maternal-Fetal Medicine and Reproductive Endocrinology and Infertility.

Kaiser Permanente, San Diego serves 500,000 members in San Diego.  The Urogynecology Division manages nearly all female incontinence and this division manages 200 urogynecology referrals each month and performs 300 surgeries each year.

Urodynamic Facilities

At present, the multiple sites offer urodynamic studies with Laborie equipment.

Imaging

The UCSD Department of Radiology and Reproductive Medicine are one of the few centers with expertise in 3-dimensional ultrasound and research opportunities are possible in this area.  MR defecography is also available.

Administrative issues

The goals and objectives of our fellowship include compliance with the special requirements for Female Pelvic Medicine and Reconstructive Surgery approved by the American Board of Obstetrics and Gynecology and the American Board of Urology.

The program is also compliant with ACGME 80 hour work week restrictions and duty hour requirements.  

Salary

 

Salary is commensurate with the University of California pay scale for a PG5.  At present, this is approximately $53,670.00 per year.

Application

Application to the University of California San Diego / Kaiser Permanente Fellowship Program in Female Pelvic Medicine & Reconstructive Surgery may be made through the Electronic Residency Application Service (ERAS). For more information on the ERAS application process, please visit the AAMC website at: www.aamc.org and click on the ERAS prompt.

In addition to the ERAS application, please forward the following documents to ERAS:

For further application inquiries, please contact urogyn@ucsd.edu.

Director: Emily S. Lukacz, MD, MAS, Associate Professor of Clinical Reproductive Medicine

Associate Director:  Shawn Menefee, MD, Department of Ob/Gyn, Kaiser Permanente, San Diego

Address all administrative inquiries to the Fellowship Program Coordinator:

Ms. Angela Ribant                  

UCSD Women's Pelvic Medicine Center

9350 Campus Point Drive, Ste 2A,

Mail Code 0974

La Jolla, CA 92037- 0974

urogyn@ucsd.edu