About Our Fellowship
The Male Reproductive Medicine and Surgery fellowship is a one-year fellowship under the mentorship of Larry Lipshultz, M.D., professor of urology and the Lester and Sue Smith Endowed chair for Reproductive Medicine at Baylor College of Medicine and Mohit Khera, M.D., M.B.A., M.P.H, professor of urology and the F. Brantley Scott Endowed chair. The fellowship is designed is develop clinical expertise in the diagnosis and treatment of the male patient with infertility, erectile dysfunction, Peyronie’s disease, and hypogonadism.
Dr. Lipshultz and Dr. Khera currently accept three fellows per year. The fellows become experts in the management of male factor infertility, making use of state-of-the-art sperm function testing, genetic testing, and imaging studies. Decisions about assisted reproductive techniques, particularly in how it pertains to sperm acquisition procedures, are made with input from the fellows, Dr. Lipshultz, Dr. Khera, and the reproductive endocrinologists caring for the female partner. The fellow achieves extensive proficiency in microsurgical techniques required to treat the patient with reproductive failure by providing a high case volume of microscopic testicular sperm extractions, vasectomy reversals, and varicocele repairs. Other surgical procedures include prosthetic surgery for erectile dysfunction, intralesional therapies and surgical techniques for treatment of Peyronie’s disease, in addition to a number of general urologic surgeries.
Past fellows have been productive in writing book chapters and developing research projects ranging from basic science to clinical or surgical in nature. Fellows frequently attend and present at national meetings such as ASRM, SMSNA, SCS, and AUA. Fellows have the opportunity to mentor junior residents from the Scott Department of Urology at Baylor College of Medicine residency program both in clinic and in the operating room. Previous graduates of this fellowship have gone on to be well-known experts in andrology at a wide variety of academic centers across the country. Five of our former fellows are urology chairs in this country and abroad.
Admissions
Candidates must have completed an ACGME-accredited general urology program (or Canadian equivalent). Prospective fellows must be eligible for a Texas Medical Board Physician-In-Training permit.
Applicants will provide:
- Current curriculum vitae
- Three letters of reference from their residency program faculty
- A Baylor College of Medicine fellowship application
- Professional headshot
Incomplete applications will not be accepted. Please confirm that all materials are provided before submission.
Fellows are selected after direct interview with the fellowship faculty mentor.
The deadline is 18 months prior to July 1 start.
Questions about admissions? Contact the urology education department at uroeducation@bcm.edu
Curriculum
Fellows attend all outpatient clinics (four one-half clinics/week) and see all new and return patients prior to the fellowship doctor seeing them. This allows discussion of the fellows’ treatment plan with the fellowship director.
Fellows participate in all operative procedures, often in conjunction with the urology resident. Fellows must become proficient in microsurgical technique, which includes taking a microsurgery course through the Scott Department of Urology, as well as operating with the fellowship director for the entire year on numerous microsurgical cases, including vasovasostomy, epididymovasostomy, microscopic epididymal sperm aspiration (MESA), testicular sperm extraction (TESE), and microscopic varicocele repair.
Fellows are expected to submit abstracts to the American Society for Reproductive Medicine (ASRM), to the American Urological Association (AUA), and to the Sexual Medicine Society of North America (SMSNA). The majority of these research projects are clinical, since the fellow spends most of his time in patient care and not in the basic research laboratory, although some fellows do collaborative work with our basic science colleagues. Each fellow is also expected to publish at least one clinical paper during the fellowship, most commonly in the form of a review or a book chapter.
During the 12 months of the fellowship, fellows see patients at the Baylor St. Luke’s McNair Campus and operate at Baylor St. Luke’s Medical Center and O’Quinn Medical Tower.
The didactic curriculum includes:
- Wednesday: Grand Rounds (week one, two, four, five) and Morbidity & Mortality (week three)
- Thursday: GU Pathology and GU Radiology (week one), AUA Core Curriculum didactics (week two and four), Public Hospital Case conference (week three and five)
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