Department of Obstetrics & Gynecology

Education

Urogynecology Fellowship


Lily A. Arya, MD, MS
Program Director

University of Pennsylvania Health System Department of OB/GYN
Division of Urogynecology and Pelvic Reconstructive Surgery
3400 Spruce Street
1000 Courtyard Bldg.
Philadelphia, PA 19104

Phone: (215)662-3230
Fax: (215)349-5893

Please direct all fellowship application inquiries to:
mrossi@obgyn.upenn.edu

The objective of the Female Pelvic Medicine and Reconstructive Surgery at Penn (FPM/RS) fellowship program is to provide high quality comprehensive education in urogynecology and pelvic floor disorders for obstetrician-gynecologists and urologists.    This three year ACGME approved program will provide clinical, surgical and research training in the field of FPM/RS.  The Division of Urogynecology and Pelvic Reconstructive Surgery serves as a major referral center for the diagnosis and treatment of patients with urinary and fecal incontinence, pelvic organ prolapse and pelvic floor dysfunction. To provide patients with the best possible outcome, our specialists work closely with urologists, colo-rectal surgeons, radiologists, and physical therapists.

Prerequisite


Applicants must have completed an approved residency in Obstetrics and Gynecology or Urology.  A graduate of a foreign medical school must have a standard ECFMG certificate and completed postgraduate training in the United States.  Fellows will be required to apply for a Pennsylvania medical license. 

Number of First Year Positions: 1

Clinical

Clinical training consists of an intensive experience in the clinical care of patients with incontinence and pelvic floor dysfunction. Ample surgical experience will be obtained in repairs of urinary incontinence, anal incontinence, pelvic organ prolapse, vaginoplasties and female genital tract fistulas. Fellows will be trained in vaginal, abdominal, laparoscopic and robotic surgery.  To provide multidisciplinary training, fellows will progress through well-defined rotations in Female Urology in the Department of Urology, Colorectal surgery in the Department of Colorectal Surgery, and pelvic floor muscle rehabilitation. Fellows will also be expected to be involved in the teaching of residents and medical students.

The inpatient service is based at the Hospital of the University of Pennsylvania (HUP) and Pennsylvania Hospital (PaH).  The division performs approximately 500 major surgical procedures every year. Pennsylvania Hospital, one of the University of Pennsylvania Health System’s core hospitals, is located about 10 minutes away from the main campus.  At PaH, fellows participate in selected major surgical procedures, and also rotate in the ambulatory practice on a full-time basis.

In addition to its inpatient facilities, the Division will also utilize the operating rooms in the Perelman Center for Advanced Medicine, a fully staffed and equipped surgical unit where diagnostic and therapeutic procedures can be performed on an outpatient basis.  This unit has full capability to perform operative laparoscopy, cystoscopic and robotic procedures.

Research

The Division has well-equipped clinical and translational research facilities.  Research time is distributed over the three-year period.  This allows fellows to develop the research protocol during the first year, followed by continued involvement during the second year with final writing of thesis during the third year. Fellows have 12 months of protected research time. We expect that all fellows will complete between one and three projects leading to presentations at national meetings and publications by the third year. 

Education

The Division of Urogynecology and Pelvic Reconstructive Surgery maintains an active teaching schedule that includes a weekly lecture series and journal club within the division. All major topics pertinent to FPM/RS are covered in this lecture series every year. The weekly conference also allows for presentation and discussion of complex patients seen in the institution during the previous week, and any current patients who need major treatment decisions made.  In addition, once a month multi-disciplinary conferences are held with Urology and Colo-rectal Surgery. The joint Urology-FPM/RS conferences are attended by faculty, residents and fellows of both divisions and are an intensive teaching and patient management conference.  The joint Colo-rectal-FPM/RS surgery conference is also attended by both faculty and residents of both Divisions with focus on fecal incontinence, rectal prolapse and pelvic floor dysfunction.  Radiologists and Physical Therapists also attend both conferences to foster interdisciplinary discussion, collaboration and teaching of fellows.

Current Fellows

  • Uduak Umoh Andy, MD
  • Christine Chu, MD
  • Avita Pahwa, MD

Application Requirements

  • Personal Statement
  • Three Letters of Reference
  • PGY-3 In-training Exam Scores
  • USMLE Steps 1, 2 and 3 scores (step 3 must be passed for PA license)

Our program is participating in the Electronic Residency Application Service (ERAS) and the last date to submit ERAS applications is February 28th.

Participating Faculty

Lily A. Arya, MD, MS
Fellowship Program Director
Associate Professor of Obstetrics and Gynecology
Chief, Division of Urogynecology and Pelvic Reconstructive Surgery

Dr. Arya has been successful in establishing a dynamic multi-disciplinary collaboration for the treatment of pelvic floor disorders at Penn.  Her research activities include epidemiologic aspects of pelvic floor dysfunction and treatment outcomes. She directs the fellowship training program and medical student elective in FPM/RS.  Dr. Arya has also developed a robotic pelvic reconstructive surgery program.

Heidi S. Harvie, MD, MBA, MSCE

Assistant Professor of Obstetrics and Gynecology


Dr. Harvie is responsible for the clinical training, scholarly activities and research training of the fellows rotating at Pennsylvania Hospital and is integrally involved in their clinical, research, and educational endeavors.

Pamela Levin, MD

Assistant Professor of Clinical Obstetrics and Gynecology

 

Dr. Levin is integrally involved in the clinical training and scholarly activities of fellows at Pennsylvania Hospital.  She is responsible for developing the academic curriculum of the weekly lectures and journal clubs.  In addition, she works closely with the program director to develop the weekly and monthly block diagrams.

Ariana L. Smith, MD
Assistant Professor of Urology in Surgery

Dr. Smith’s practice is primarily female voiding dysfunction, pelvic organ prolapse and urinary incontinence and she is an integral part of the education and training of the FPM/RS fellows.  She provides one on one teaching in the Urology clinics at Pennsylvania Hospital and at the Hospital of the University of Pennsylvania and the Videourodynamics Lab.  The FPM/RS fellow and the Urology chief resident operate with Dr. Smith at PAH. She is involved clinically, academically, and in research collaboration with fellows and faculty of the division.

Najjia N. Mahmoud, MD
Associate Professor of Surgery

Dr. Mahmoud has a particular interest in surgery for pelvic floor disorders such as fecal incontinence, rectocele, rectal prolapse as well as sphincter-saving procedures for rectal cancer. Research efforts focus on the impact of colorectal cancer genetics on treatment and evaluation of novel chemoprevention agents for colorectal cancer and issues related to continence.  

 


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