A National Training Program in Reproductive Medicine

描述(由申请者提供)：生殖内分泌学和不孕症(REI)是完成妇产科住院医师资格后接受高级培训的三个专科奖学金之一。生殖医学培训的正式认证由美国妇产科委员会生殖内分泌学和不孕不育部主持。该委员会在完成经认可的培训计划并随后通过笔试和口试后，向个人颁发生殖内分泌学和不孕症执业的特殊能力证书。生殖内分泌和不孕症协会(SREI)是全国董事会认证的REIS协会，其主要使命是支持涉及研究员选择、临床和研究培训以及建立网络的计划。本竞争性续展申请就是在这一框架内提交的。研究是奖学金项目的一个核心特征，这些项目在学术上是严格的，需要对研究做出重大承诺。这是产科医生/妇科医生培训期间唯一需要对学术研究工作作出如此严格承诺的正式时间。更重要的是，这是正在接受培训的医生唯一有机会培养对研究的持久兴趣(希望还有激情)的机会。这是保持学术生殖医学专家渠道畅通的唯一窗口。在过去的十年中，由于临床工作报销减少而造成的财政紧张，促使REI的许多奖学金计划(29%)中断，并在持续进行的计划中减少了总的奖学金职位(减少50%)。这是在现有学术职位增加和该领域研究方面取得前所未有的进展的时候发生的。本提议的目的是为理事会核准的研究金培训期间每年参与功勋研究的三名研究员继续寻求所需的两年研究培训期的经费。预计这种支持将继续有助于生殖医学领域的内科科学家和临床研究人员的早期发展，并将使研究员更好地为进入NIH资助的生殖科学家发展计划(RSDP)和妇女生殖健康研究职业发展倡议(WRHR和BIRCWH)的职位做准备。该项目的首批六名毕业生(至2006年6月)都进入了学术岗位，一名是RSDP学者，两名是WRHR和BIRCWH学者，一名是罗伯特·伍德·约翰逊基金会的哈罗德·阿莫斯学者。其中四人是女性，三人是代表性不足的少数民族。

DESCRIPTION (provided by applicant): Reproductive Endocrinology and Infertility (REI) is one of three subspecialty fellowships for advanced training after completion of a residency in Obstetrics and Gynecology. Formal certification for this training in Reproductive Medicine is under the aegis of the Division of Reproductive Endocrinology and Infertility of the American Board of Obstetrics and Gynecology, Inc. This Board awards certificates of special competence for the practice of Reproductive Endocrinology and Infertility to individuals after completion of an accredited training program and subsequent passing of a written and finally an oral examination. The Society for Reproductive Endocrinology and Infertility (SREI), the national Society of Board Certified REIs, has as a major mission the support of programs involved in the selection, clinical and research training and networking of fellows. It is within this framework that the present competing renewal application is submitted. Research is a central feature of fellowship programs, which are academically rigorous and require a major commitment to research. This is the only formalized time during the training of Obstetrician/Gynecologists that such a rigorous commitment to an academic research exercise is required. More importantly, this is the only time when physicians in training have the opportunity to develop a lasting interest (and hopefully a passion) for research. This is the sole window through which the pipeline of academic reproductive medicine specialists can be kept open. During the past decade, financial constraints due to decreased reimbursement for clinical work have prompted the discontinuation of many (29%) fellowship programs in REI and a reduction of total fellowship positions (by 50%) in the continuing active programs. This is occurring at a time when there is an increase in the available academic positions and at a time of unprecedented advances in the research aspects of the field. The objective of the present proposal is to seek continued funding for a required 2 year training period in research for three fellows per year who are involved in meritorious research during their respective Board-approved fellowship training. It is anticipated that such support will continue to contribute to the early development of physician scientists and clinical investigators in the field of Reproductive Medicine and will better prepare fellows to enter the pipeline of NIH funded positions in the Reproductive Scientists Development Program (RSDP) and the Women's Reproductive Health Research Career Development initiatives (WRHR and BIRCWH). The first six graduates (through June 2006) of this novel Program have all entered academic positions, one as an RSDP scholar, two as WRHR and BIRCWH scholars, one as a Harold Amos scholar of the Robert Wood Johnson Foundation. Four are women and three are under represented minorities.