The Feinberg School of Medicine is a part of the vibrant educational and cultural community of Northwestern University, an independent private institution founded in 1851. The Feinberg School-one of Northwestern's 11 colleges and schools-stands out among the nation's medical schools. Consistently receiving high marks in U.S. News & World Report surveys, the medical school attracts bright and talented individuals to its faculty and student body.

The University, primarily through the Feinberg School, is part of the McGaw Medical Center of Northwestern University, an academic medical center in which the missions of education, research, and clinical services are paramount.

The Andrology Fellowship

General Program Description
The modern management of male reproductive and sexual health requires an in-depth knowledge not only of surgery but also of imaging, biopsy techniques, pathology, endocrinology, radiology and basic science. The andrology fellowship is designed to enhance the basic knowledge of the management of male sexual health and reproductive health acquired by a urology trainee, particularly in the non-surgical disciplines.

The existence of the fellowship is to augment and support Northwestern Memorial Hospital and the Department of Urology at Northwestern University's Feinberg School of Medicine and to advance the field of sexual health and infertility consistent with the goals of the above-mentioned institutions.

Successful completion of a five or six year accredited program in urology is a prerequisite.

Objectives
The andrology fellowship will enable the resident to acquire an advanced body of knowledge and level of skill in the management of reproductive and sexual health diseases in order to assume a leadership role in teaching and research in the field. This will include:

* an understanding of the classification and evaluation of erectile dysfunction;
* knowledge of the indications, techniques, and complications of radiographic evaluation of the arterial supply of the penis;
* an understanding of the basic techniques of testicular biopsy, evaluation and tissue processing, recognition of basic testicular pathology, and knowledge of pathologic prognostic factors;
* the ability to counsel patients on treatment options for therapy for erectile dysfunction and reproductive health abnormalities;
* an evaluation of erectile dysfunction and reproductive dysfunction in an office based setting;
* an understanding of the indications, complications, techniques, and results and biology of erectile dysfunction treatments;
* an understanding of the indications, results and basic biology of localized and systemic treatment for reproductive dysfunction; and
* an understanding of the biology, evaluation and treatment of local therapies to the penis and testis.

In addition, individuals completing this training program will be able to:

* evaluate the clinical literature on erectile dysfunction and reproductive health in a critical fashion and make contributions to the field;
* teach the specialty of andrology; and
* organize a multidisciplinary approach to erectile dysfunction and male infertility care.

Curriculum

Knowledge Base

* Evaluation and management of erectile function and dysfunction.
* Erectile dysfunction risk assessment.
* Male infertility risk assessment.
* Male infertility genetics.
* Screening and diagnostic radiographic and ultrasound techniques.
* Natural history and pathology of erectile dysfunction and male infertility.
* Selection of local therapy, contraindications and expected outcomes in treatment of erectile dysfunction.
* Selection of local therapy, contraindications for treatment of testicular failure and infertility.
* Consequences of systemic treatments on erectile function and testicular function.
* Effect of systemic chemotherapy and endocrine therapy on reproductive health and sexual health.
* Preoperative workup and postoperative management of surgical patients with sexual dysfunction.
* Preoperative workup and postoperative management of postsurgery testicular biopsy imaging techniques.
* Psychosocial and legal aspects of erectile dysfunction and reproductive health.

Skills

* Doppler ultrasound of penile arteries.
* Dynamic infusion cavernosography and cavernosometry.
* Penile reconstruction using a variety of autologous and non-autologous materials.
* Techniques for implantation of the complicated penile prosthesis and revision.
* Ultrasound and MR imaging of testicular and vasal abnormalities.
* Biopsy techniques of testis.
* Percutaneous and open sperm retrieval techniques.
* Management of varicocele techniques.
* Microscopic interpretation of testicular pathology.

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This information is reposted with thanks for Northwestern University, Feinberg School of Medicine.