Obstetrics and Gynecology Fellowship Programs

There are currently two Fellowship Programs offered in Obstetrics and Gynecology. For more information on both of these Fellowship Programs please consult the PGME Fellowships website.

1. Female Pelvic Medicine and Reconstructive Surgery Fellowship (Urogynecology)

Length: 2 years
Number of positions: 1
Fellowship Director: Dr. Lisa Merovitz

The MUHC Division of Urogynaecology & Pelvic Floor Reconstructive Surgery offers tertiary level care to patients with pelvic floor dysfunction. A 2-year clinical and research fellowship training program was initiated in 2013 in Female Pelvic Medicine and Reconstructive Surgery and was designed to provide comprehensive understanding of female pelvic medicine. Conditions investigated and treated include urinary and fecal incontinence, pelvic organ prolapse, urogenital fistulae, pelvic visceral pain syndromes (particularly interstitial cystitis and myofascial pain), and voiding and sexual dysfunctions. The fellow attains awareness of pelvic floor anatomy, physiology, and the diagnostic criteria and pathophysiology of various aspects of pelvic floor dysfunction.  Management of pelvic floor dysfunction is carried out in a multidisciplinary fashion with involvement from members of the Divisions of Urology, Colorectal Surgery, and Pelvic Floor Physiotherapy. Surgical expertise is gained in laparoscopic approaches (sacral colpopexy/hysteropexy, total hysterectomy, uterosacral/paravaginal suspensions), incontinence procedures (mid-urethral slings, pubovaginal slings, periurethral bulking), vaginal approaches (hysterectomy, colporrhaphies, vaginally- assisted laparoscopic sacral colpopexy, transvaginal mesh systems, fistulae repair, sphincteroplasty, sacrospinous suspensions), cystoscopy (ureteral catheterization, Botox injection), and intraoperative injury prevention and management. Modalities offered include consultation services, pessary fitting, indications for and interpretation of multichannel urodynamic studies, outpatient cystoscopy, bladder installation therapy, behavioural modification, pharmacotherapy, and levator ani assessment.  Research projects are facilitated and presented.

2. Minimally Invasive Gynecologic Surgery

Length: 1 and 2 years
Number of positions: 1
Type of fellowship: Clinical for 1 year / Clinical and Research for 2 years
Fellowship Director: Dr. Jessica Papillon-Smith

The McGill Fellowship in MIGS offers a balanced mix of complex gynecologic surgery through all modalities including open, laparoscopic, vaginal, and hysteroscopic approaches. Fellows will have the opportunity to develop an expertise in advanced topics such as retroperitoneal anatomy (including complete ureterolysis from brim to bladder, identification and preservation of pelvic neuroanatomy, vascular anatomy including isolation and ligation of the anterior division of the internal iliac artery), laparoscopic myomectomy, advanced endometriosis surgery (approach to the obliterated cul-de-sac, bowel endometriosis, radical resection and restoration of anatomy for fertility improvement), as well as the surgical management of pelvic infections and invasive placentation (Cesarean-Hysterectomy).

The close working relationship with the McGill reproductive centre results in high volume of hysteroscopic procedures for polypectomy/myomectomy, adhesiolysis (Asherman’s syndrome), and septoplasty/metroplasty/isthmocele repair. In addition, endometrial resections and ablations are frequently performed for the management of abnormal uterine bleeding (resectoscopic and second generation devices). Fellows will also have the opportunity to gain confidence in urogynaecologic and vaginal surgery, including hysterectomy, A/P repair, mid-urethral sling, colpocleisis, laparoscopic Burch, and sacrocolpopexy. The opportunity to gain experience in colposcopy and ultrasound is also available, should the candidate express an interest.

Fellows will have the opportunity to take on more of a junior attending role with the gynecology residents on service, assist in teaching core surgical objectives for the postgraduate trainees, and participate in didactic lectures, wet and dry labs, as well as simulation sessions. Fellows will have the opportunity to present at Grand Rounds, and are expected to produce a research project for presentation nationally/internationally and subsequent publication in a peer-reviewed journal. Pursuit of additional higher learning (i.e. Master’s degree in education, simulation, quality improvement, health policy, global health etc) is encouraged but not required.

For more information, please see the Program Goals & Objectives

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