Educational Goals and Training Objectives:

1. The overall educational mission of the program is to ensure the graduate possesses the knowledge, skills, and professional attributes essential to be able to function as a consultant to pediatricians, family practitioners, obstetricians and gynecologists for girls from birth up to age 18-21 years with pediatric gynecologic concerns as well as older women born with congenital anomalies.
2. The PAG graduate should also learn to work with a team of specialists in the care of girls born with complex anomalies. In addition, he/she will obtain skills which will allow him/her to function effectively in the areas of basic and clinical research in pediatric and adolescent gynecology. 
3. The educational objectives for the fellowship are designed to be graded such that as fellows advance in training, procedural objectives are similarly designed to become more complex as fellows advance through training. 
4. Formal training portfolios will be maintained which will allow for documentation of satisfactory performance and advancement through the program.

At the completion of training, fellows should demonstrate competence at the level of a new practitioner in pediatric and adolescent gynecology

Structure of Program

The fellowship is housed within the Department of Obstetrics and Gynecology. This program consists of weekly clinical and surgical attendance on the pediatric and adolescent gynecology service at The Children’s Mercy Hospital as well as monthly interdisciplinary clinical participation in the DSD, and Turner’s syndrome clinic. Fellows will also rotate in associated disciplines of pediatric urology, adolescent medicine and eating disorders, endocrinology, SCAN clinics (sexual abuse and forensics) and be a member of the gender assignment team. In addition, each fellow will be expected to complete a certification in clinical research with a Master’s of Science in Health Informatics available if desired. Fellows are expected to generate an original research project during their fellowship and to be involved in ongoing multidisciplinary research. Each fellow will have some time each week for independent adult obstetric and gynecologic c practice for board certification. Home call for the PAG service will be approximately 1 in 3 nights.

The Fellowship in Pediatric and Adolescent Gynecology at University of Missouri -Kansas City will entail 80% clinical work and 20% research.

Pediatric and Adolescent Gynecology Service

The fellow will be directly involved in all PAG activities at the Children’s Mercy Hospital including ambulatory visits, hospital consults, surgical, and emergency services. Fellows will participate in the multidisciplinary GUIDE team, devoted to care of children with disorders of sexual differentiation and complex genital anomalies as well as the Turner’s syndrome clinic.

Clinical Research Training

Each fellow will obtain a graduate certificate in Clinical Research from the Department of Health Informatics. The graduate certificate program is comprised of the core courses offered in the Master of Science in Bioinfonnatics Clinical Research Track Curriculum. Fellows are expected to participate in ongoing clinical research as well as develop their own independent project.

Clinical Rotations

Clinical rotations at Children’s Hospital will be offered in the following areas:

• Adolescent Primary and Preventative Care
• Sexual abuse (SCAN clinic)
• Urology and voiding dysfunction
• Pediatric endocrinology

Clinical Practice / Academic responsibilities

All fellows will spend 30% oftheir clinical time in independent OB/GYN practice at University Health Truman Medical Center at the Instructor level.

The fellow will be expected to function as a full member of the Department of Obstetrics and Gynecology including clinical and didactic instruction to residents and medical students and attendance at departmental and sectional didactics.