Training in reproductive endocrinology and infertility and assisted reproductive technologies Options and worldwide needs

The rules regulating training in reproductive endocrinology and infertility and assisted reproductive technologies vary greatly from country to country. This calls for international standardization, particularly for the training of specialists needed in emerging countries.

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Dominique de Ziegler, M.D., Cpt. Nathalie de Ziegler, Sokteang Sean, M.D., Osama Bajouh, M.D., David R. Meldrum, M.D.

Volume 104, Issue 1, Pages 16-23


Standardized, high-quality training in reproductive endocrinology, infertility, and assisted reproductive technologies (REI-ART) faces challenges owing to the high-tech nature of ART and the important country-to-country differences in clinical practice and regulations overseeing training. Moreover, while the training capacity of the classical by-fellowship training platforms is shrinking, an increasing demand for REI-ART specialists is coming from emerging countries. To meet this expanding need for REI-ART specialists, we propose a novel by-network model linking a reference training center to satellite practical training sites. Simulation should be used more extensively to achieve competency before initiating live clinical experience, analogous to the highly effective training systems that have been used in aviation for decades. Large ART databases that exist because of obligations to report ART activity and results constitute unique yet so far untapped sources for developing by-scenario simulation training models. Online training materials incorporating these state-of-the-art information technology tools could be developed as a means of fulfilling training needs worldwide.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.