Fellowship Program Director: Veronica Gomez-Lobo, M.D.
Associate Program Director: Tazim Dowlut-McElroy, M.D.
The Pediatric and Adolescent Gynecology (PAG) Fellowship is comprised of faculty from the National Institute of Child Health and Human Development (NICHD), MedStar Washington Hospital Center, and Children’s National Health System. Previously housed at MedStar Washington Hospital Center, the Pediatric and Adolescent Gynecology Fellowship has been training fellows since 2010 with the mission 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 women born with congenital anomalies.
Pediatric and Adolescent Gynecology fellowship graduates will have expertise in the following areas:
- CONGENITAL: anomalies of the reproductive tract including disorders of sex development (DSD).
- ONCOLOGY: pelvic masses, pediatric and adolescent cancers of the genital tract as well as risks for adult cancers which begin in childhood and adolescence (such as human papilloma exposure and endocrine exposures).
- FERTILITY: impact of exposures in the adolescent period on fertility such as ovarian torsion, exposure to gonadotoxic therapy and exposure to infectious agents which cause infertility (such as Chlamydia).
- MEDICAL/ENDOCRINE CONDITIONS: evaluation and management of reproductive endocrine conditions such as precocious and delayed puberty, polycystic ovary syndrome, premature ovarian insufficiency, hirsutism and medical management of transgender adolescents.
- STRUCTURAL: structural gynecologic conditions including vulvar and vaginal conditions, pre-pubertal bleeding, management of conditions which can cause vaginal stenosis such as radiation, and autoimmune reactions.
Qualified fellowship candidates must be U.S. citizens or Green Card holders who have completed a U.S. approved four-year residency in Obstetrics and Gynecology (PGY-4) and must be eligible for board certification by the American Board of Obstetrics and Gynecology. Due to the nature of the training program and rotations, this requirement cannot be waived. The program accepts civilian and military graduates of U.S. residencies in Obstetrics and Gynecology.
The first-year fellow will attend most PAG clinics as well as Heavy Menses and Special Gynecologic Endocrine clinics at MedStar and Children’s National. Second year fellow will attend Vulvar Dermatology clinics. Fellows will alternate attendance to Turners Clinics, PROUD (DSD clinics) at Children's National and consult services at NICHD. These outpatient services do not depend on fellows for clinical care, which will allow flexibility to maximize the educational experience. Surgeries will be performed by the fellow on call with a resident and the fellow will function as the surgical instructor during such cases. Complex surgeries will be performed by both fellows as co-surgeons. Rotations including 1 month in Child Abuse and 2-4 weeks of pediatric surgery at Children’s National will be scheduled during the second year of fellowship and electives in Adolescent Medicine (eating disorders), as well as to travel to other sites for further complex anomaly training will be available.
For successful completion of this training program, the fellow will design, implement, complete, describe and report at least one research study. A second multicenter project is to be designed and submitted or collaboration with a project submitted to the Fellows Research Network at North American Society for Pediatric and Adolescent Gynecology (NASPAG) will be required. During the fellowship, fellows will have thirty percent of their time protected for clinical research. This time will take place throughout the 2 years of training with 1.5 weekdays except during outside rotations.
Structured training includes a series of introductory seminars geared to the first-year fellows that takes place from July to September of the first year. These introductory seminars provide a historical perspective and basic understanding of the practice of Pediatric and Adolescent Gynecology and Reproductive Endocrinology as well as statistics. Fellows are required to attend a weekly colorectal conference, a monthly DSD clinic conference and a monthly Turner's clinic conference, PAG Journal Club/research meeting and lectures. In addition, fellows are encouraged to attend the monthly Reproductive Endocrine Journal Club and DSD-TRN case conference.
In addition, to larger groups, mentors of individual laboratories to which the fellow affiliates generally meet on a weekly basis to review research progress. Furthermore, fellows are encouraged to participate in didactic training offered at national meetings, such as the North American Society for Pediatric and Adolescent Gynecology, the American Society for Reproductive Medicine, the Society for Gynecologic Investigation and the Pediatric Endocrine Society. Moreover, fellows are encouraged to attend specialty meetings in their chosen interest areas, such as the Oncofertility Consortium and Differences in Sex Development-Androgen Insensitivity annual meetings.
Major Clinical and Research Interests of the Faculty
- Veronica Gomez-Lobo, M.D., General PAG, Surgery including pelvic masses and anomalies; fertility preservation in special populations, transgender care in adolescents, androgen insensitivity syndrome, and reproductive endocrinology
- Tazim Dowlut-McElroy, M.D., General PAG and PAG surgery; Turner Syndrome, fertility preservation in special populations and pediatric vulvar disorders
- Jacqueline Maher, M.D., follicle activation and fertility perservation
- Lauren Damle, M.D., General PAG, management of bleeding disorders (MedStar and Children's National)
- Alan H. DeCherney, M.D., Reproductive Surgery, Assisted Reproduction and Infertility
- Micah Hill, D.O., Clinical Reproductive Endocrinology
- Eric Widra, M.D., Assisted Reproduction Outcomes
- Kristina Rother, M.D. Pediatric Diabetes and Metabolism
- Kim Shimy, M.D., Pediatric Endocrinology (Children's National)
- Fady Hannah-Shmouni, M.D., Adult Endocrinology, Hypertension and Metabolic Genetics
- Kevin Richter, Ph.D., Statistical Analysis of Reproductive Outcomes
- Allison Jackson, M.D., Child Abuse (Children's National)
- Nicole Verdun, M.D., Hematology (Children's National)
- John Strang, Ph.D., Autism and Gender (Children's National)
- David Call, M.D., Pediatric Psychiatry and Gender (Children's National)
- Daniel Casella, M.D., Pediatric Urology (Children's National)
- Lisa Tuchman, M.D., Adolescent Medicine, Eating Disorders (Children's National)
Applications should be submitted using the common application form on NASPAG. Applications are accepted in July before the anticipated start date and interviews are typically held in August or September before the start date. Qualified candidates must be U.S. Citizens or Green Card holders and have completed an accredited residency in Obstetrics and Gynecology in the United States and be board eligible in this specialty. Selection of candidates is processed through the National Resident Matching Program. One to two positions are available alternating years.
The Pediatric and Adolescent Gynecology training program is not an Accreditation Council for Graduate Medical Education (ACGME) accredited specialty. Upon completion of the program, fellows may obtain special certification for Pediatric and Adolescent Gynecology through the American Board of Obstetrics and Gynecology.
Questions regarding the application and status of applications may be addressed to Sofia Getachew.