Oby gyn is comparatively a smaller subject than the other ones in the reproductive medicine field. If you see medicine, surgery, paediatric they are relatively bigger subjects. It is a small subject and although fellowship and certificate courses are there a lot of those things during your post-graduation times only you learn of. So, for instance laparoscopy, primary management of an infertile patient, urogynaecology a little bit of repairs of the perineal trauma in the wound and a little bit of assisting onco surgeries, radical hysterectomies, and all of that. So, a lot of these things the basic idea of it you get during your post-graduation times and apart from that now that we have both certificate courses as well as we have FNB courses FNB and MCH in certain of those topics. Depending on the student preference for instance after post-graduation a lot of people they want to do with fellowships and certificate courses they want to join a lot of courses.
For those students who are confused what to join what not to join, if you are confused you join with the basics. Start your basics, understand the market around you, understand the world around you, talk to your seniors assess how they are doing and finally you will decide what is correct for you.
Laparoscopy have the certificate courses and they are given by institutes as well as all the societies for obstetrics and gynaecology. Also, there are ICOG certificate courses in every state in India. The ICOG has appointed two-three hospitals, colleges and IVF Centre in Bangalore, wherein they issue the ICOG certificate courses. There also the person can enroll and get those certificate courses. The ICOG certificate courses you know it is little it is not very different that the standard procedures you learn everywhere the things you will do the same everywhere but then yeah, the two categories are different one is the ICOG the other is from the institute themselves.
Dr. Kamini Rao Hospitals is one such IVF Centre, where you can practice obs, gynae and multiple other ART procedures as a part of the Fellowship in Reproductive Medicine Program. Now Fetal medicine it is a bit complicated because you will be dealing with the foetus a lot of procedures you will be doing and you will be doing that in very highly specialized centres. Not all centres in India they provide facilities to Fetal medicine and very less people are there who do the who know and do it perfectly.
Whether you do infertility or you foetal medicine, it is up to the candidate to decide what they have to do. Now how to decide that it is based on their personal experience and their personal thought and their understanding of subject and their interest most importantly.
Reproductive Medicine means that treatment, management of infertility and infertility reproductive medicine. Apart from that you have urogynaecology wherein you do the surgery of urogynaecology. Then you have endoscopy minimal access surgeries, and then you have something again new which has come up which is the cosmetic gynaecology, and the laser surgery and all of that, but a very new and last you have the gynaecology.
Gynaecology deals with the completely opposite spectrum of what you do for instance in obstetrics you counsel the patient about birth and all of that but oncology again you counsel them about mortality, morbidity and all that. So it is a completely opposite spectrum of patients that you will be doing. Finish off with the basic things first and then according to your choice, go ahead with the advanced.
What is the kind of opportunities when we pursue different branches?
Urogynaecology is also a newer thing to do in that you have the urogynaecology problems starting from mass per ****** prolapse issue or incontinence or repair of the pelvic floor and all that. So that is a newer thing again. And then they have certificate courses for that as well. So, urogynaecology is also something which is a good and urogynaecology problems we face day in and day out. For instance, mass per ****** prolapse associated with stress urinary incontinence is a very common problem and the management is little tricky provided you know the entire anatomy and you know the way of repair. You need a specialized place, your faculty, your people to help you around and do that procedure. So, it's a combination and a group of people come together and do the foetal medicine procedures.
Infertility management starts from your post-variation days only. Basic workup of an infertile patient, the basic way it must be treated, everything from the post-variation only they come to know. It is the advanced management of infertility for example up till IUI, up till intrauterine insemination a postgraduate will learn and do. But beyond IUI you have something called ICSI which is IVF and ICSI which is in vitro fertilization and intracytoplasmic ***** injection. So, these are the things which are advanced IVF centres provide the protocols of drugs and management of infertile patients that changes with patient to patient. It is not standard protocol for every patient.
There are some characteristics which are to be seen and following which the management is given. So those things again will require the infertility specialist. For that infertility it is a very good branch. A lot of people have enrolled themselves in infertility courses over 4 decades.
In Bangalore, there is a well-known centre, Padma Shri Prof. Kamini Rao’s Medline Academics. She is a very well renowned infertility specialist. This centre offers fellowship courses – Fellowship in Reproductive Medicine and Fellowship in Embryology in addition to the short-term certification courses in infertility management and embryology. So, infertility again requires a teamwork. It is not an individual person's job. It requires a lot of investment as well as time.
There is something called amniocentesis and there's something also called intrauterine transfusion. So, they are very specialized things which are done by specialist people. Now if you particularly talk of and these are most centres are mostly in the cities because the ability of all the facilities is better in the cities as you may understand for obvious reasons.
What is the right time to go for these kinds of certifications?
Most of the people plan this during their PG times only. Post passing, they will generally think about settling down because of the era of super specializations they are under pressure to go for all these fellowships and certifications. This is a very important thing.
There are two types of students:
• One who know what is not to be done and
• the others were confused.
The people who know what is not to be done they have their lives settled they know what not to do. For the second set of people, give time to understand, the see when you are a student you do not understand how the patients behave, what they want, what the market is behaving, what are the current changes, what are the current trends and where to go and what to do and what not to do. Once you pass out you get a very broad wider picture of the society around. You get to meet new people, you get to see how things are progressing, you get to you get feedback from other people, your fellows, your seniors, your juniors, how they are, what they're doing, what was their experience and all of that. So, getting that feedback is important.
Visit: https://www.medlineacademics.com/fellowship-in-reproductive-medicine.php
https://www.iirrh.org/fellowship-in-reproductive-medicine.php
https://drkaminiraohospitals.com