Ken R. Sinervo, MD, MSc, FRCSC, AAGL, ACGE, Medical Director
Robert B. Albee, Jr., MD, FACOG, AAGL, ACGE, CEC Founder
Nicholas Kongoasa MD, MB BCH, FACOG, Associate
Wendy Winer, RN, BSN, CNOR
Program Director: Heather Guidone
The CEC is pleased to offer a short observational education program for licensed medical providers who may wish to visit us in our Atlanta, GA operating room and offices. Depending on the visiting physician’s desire, the Observership can last from day or two to a month or more. This program is NOT hands-on but will offer insight on many levels ranging from surgical complexities of pelvic pain pathologies and endometriosis to our leading, multidisciplinary office practices. No fee applies; however, no funding or compensation is offered. Whilst a Certificate of Training is not permitted or provided for Observerships, we are happy to provide you with a letter confirming your attendance in this program.
Hands-On Fellowships & Rotations
**Note: In order to plan accordingly, please be advised it will take approximately three months for your credentialing process to be completed before your rotation can begin. Fellows will need to obtain a valid GA State License as well as Northside Hospital privileges, and this is a lengthy process which must be completed and in place before your Fellowship can commence. Thank you for your understanding.**
The Center for Endometriosis Care/Kenny R. Sinervo, MD, FRCSC, LLC is committed to creating an enduring legacy of education and training in Minimally Invasive Gynecologic Surgery, specific to the advanced excision of endometriosis, for the next generation of providers. To that end, our Faculty has developed a strong training program for the expert excision of all stages of endometriosis and advanced MIGS surgery of highly complex cases, offering qualified gynecologists an opportunity to participate in a unique, in-depth preceptorship under the guidance of a leading surgical team. Participants will receive a Certificate of Training upon completion.
Through a comprehensive didactic approach, CEC Fellows engage in extensive clinical hands-on exposure under the tutelage of world-class surgeons specializing in advanced Laparoscopic Excision of Endometriosis (LAPEX). The intimate and dedicated nature of our program is highly effective, designed to facilitate expansion of surgical abilities in a complex specialty utilizing the C02 laser as an advanced dissection and cutting tool, while promoting development of expertise in the assessment, knowledge and treatment of individuals of all ages with endometriosis and chronic pelvic pain pathologies.
Surgeries range from LAPEX of highly complex, deeply fibrotic endometriosis including urogenital/colorectal involvement and retroperitoneal dissection to myomectomy, Laparoscopic hysterectomy, adhesiolysis, tubo-ovarian procedures and far beyond. Clinical time will be spent under the tutelage of world-class surgeons with exposure to corresponding disciplines e.g. gastroenterology, urology, hospital and OR staff.
The camaraderie and novel training environment permits the CEC to develop surgical leaders and future teachers in endometriosis and chronic pelvic pain gynepathologies while facilitating enhancement and refinement of advanced Laparoendoscopic skills for those qualified. Ultimately, this improves the standard of care for individuals with endometriosis and pelvic pain from every region of the world.
Minimum requirements to receive CEC credentialing:
- Board certified by the American College of OB/GYN (ACOG)
- Demonstrated skill at MIGS/advanced Laparoscopy
- Certified by AAGL or Accreditation Council for Gynecologic Endoscopy or an equivalent/appropriate accreditation organization
- Understand and agree with the science behind and principles of LAPEX (Laparoscopic Excision) vis a vis “modern concepts”
- Uniformly use LAPEX on every case of endometriosis
- Recommendation from MIGS Home Department Head or your Fellowship Director
Maintain data on the following:
- Pain relief
Fellows go on in practice to adhere to the CEC’s approach:
- Gather a team of surgeons ready to complete the excision at the initial surgery (for example – thoracic, bowel, bladder etc. disease); and
- Maintain the highest standards and CEC reputation for compassion, expertise and interest in advancing the treatment and understanding of individuals with endometriosis from all socio-cultural-economic walks of life.
TO BEGIN YOUR POSSIBLE ROTATION: please send full CV along with Letter of Inquiry to Heather@CenterForEndo.com. No fee applies; funding and compensation will not be provided unless otherwise discussed. Malpractice and sponsorship costs are typically hosted by the referring academic center or practice unless otherwise arranged with the CEC in advance.
Educational objectives during our rotation focus on evidence-based medicine, anatomical principles, instrumentation and operative Laparoscopy involving all stages of endometriosis including extrapelvic manifestation (thoracic, diaphragmatic, etc.). Operative procedures include but are not in the least limited to Laparoendoscopic Excision of endometriosis stages 1-4, adhesiolysis, myomectomy, hysteroscopy, appendectomy, hysterectomy +/-BSO, adnexal surgery, retroperitoneal dissection including ureterolysis, complex pelvic floor reconstruction/repair, diagnostic/operative cystoscopy and bowel excision/full thickness resection. All procedures are performed by conventional Laparoscopy. Educational emphasis is on an integrated operating room organization; indications, risks and benefits of MIGS; patient preoperative management and operative positioning/preparation; instrumentation, energy source(s) and trocar selection/port placement; strategies for access, dissection, hemostasis, tissue handling and removal; suturing; adhesion formation/prevention and more. Responsible use of equipment and performance requires comprehensive knowledge about instrumentation function as well as previous operative experience.
We expect our Fellows to attend office, see pre-ops and other CEC patients in partnership with our Medical Director. Fellows will be responsible for a portion of on-call duties and will see patients post-operatively in the hospital and round on them. In alignment with similar Fellowship Guidelines, Fellows engage in hands-on surgery initially as Assist, and then perform procedures as appropriate commensurate to level of skill and level of complexity of case. No research requirement is indicated unless a specific endeavor presents at the time of Fellowship. All CEC cases are recorded; Fellows are encouraged to edit cases for presentation at conferences and/or teaching videos.
Candidates, colleagues and members of industry who would like to visit our OR, invite our surgical team to train your constituency, observe/shadow or be considered for Fellowship here, please contact the CEC’s Program Director via email Heather@CenterForEndo.com or phone toll free 866.733.5540.
Practitioners may also be interested in Diagnosis & Management of Endometriosis: Pathophysiology to Practice, the most authoritative, updated CME module on the disease. Developed by a prestigious, invited faculty including members of the CEC staff, this important monograph is presented by the Association of Professors of Gynecology & Obstetrics (APGO) for medical school faculty and others to use in order to supplement training of residents and students, and for practicing healthcare providers to use to enhance their knowledge of endometriosis-related care. APGO represents academic obstetrician-gynecologists in the United States and Canada and occupies a unique position in offering contemporary, applicable teaching tools for physician-educators, and learning mechanisms for faculty, students and residents, with the ultimate goal of providing optimum health care to women. To access the module and accompanying slide kit, practitioners should use their credentials to log in at https://www.apgo.org/endo.