A National Training Program in Reproductive Medicine

描述（由申请人提供）：生殖内分泌学和不孕症（REI）是在完成妇产科住院医师培训后进行高级培训的三个亚专业奖学金之一。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。该委员会向完成经认可的培训方案并随后通过笔试和最后通过口试的个人颁发生殖内分泌学和不孕症专业资格证书。生殖内分泌学和不孕症学会（SREI）是国家委员会认证的REI学会，其主要使命是支持参与研究员选拔、临床和研究培训以及联网的方案。正是在这一框架内提交了目前的竞争性延期申请。研究是奖学金计划的核心特征，这些计划在学术上严格，需要对研究做出重大承诺。这是妇产科医生培训期间唯一正式的时间，需要对学术研究工作做出如此严格的承诺。更重要的是，这是唯一一次当医生在培训有机会发展一个持久的兴趣（希望是一个激情）的研究。这是唯一的窗口，通过它学术生殖医学专家的管道可以保持开放。在过去的十年中，由于临床工作的报销减少的财政限制，促使许多（29%）的奖学金计划在REI和减少总奖学金职位（50%）在继续积极的计划。这是发生在一个时候，有一个可用的学术职位增加，并在该领域的研究方面的前所未有的进步的时候。本提案的目的是继续为每年三名在理事会核准的研究金培训期间从事有价值研究的研究员的所需两年研究培训期寻求资金。预计这种支持将继续有助于生殖医学领域的医生科学家和临床研究人员的早期发展，并将更好地准备研究员进入生殖科学家发展计划（RSDP）和妇女生殖健康研究职业发展计划（WRHR和BIRCWH）中NIH资助职位的管道。这一新颖方案的前六名毕业生（至2006年6月）都已进入学术职位，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。四名是妇女，三名是代表人数不足的少数民族。

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.