Overview of FPMRS Fellowship Training

Graduates of United States or Canadian residency programs in either Urology or Obstetrics and Gynecology are eligible to seek subspecialty fellowship training in Female Pelvic Medicine and Reconstructive Surgery (FPMRS).  FPMRS physicians provide comprehensive management of women with pelvic floor disorders, including urinary incontinence, lower urinary tract disorders, neurogenic bladder, pelvic organ prolapse, and trauma- and childbirth-related injuries. Comprehensive management of the total female patient with pelvic floor disorders and related sequelae ranges from prevention of these conditions to proper diagnosis and treatment when they occur.  FPMRS fellowship training is designed to equip graduates with the multidisciplinary knowledge and training to address the gamut of pelvic floor disorders and to provide education in research and scholarly activities in the area of FPMRS

Graduates of an ACGME-accredited fellowship program are eligible for FPMRS subspecialty board certification, through an examination process. Since 2016, completion of an accredited program is the only way to become eligible for subspecialty certification.


Fellowship Types

Applicants to FPMRS fellowship must have completed an ACGME-accredited urology or gynecology residency.  Fellowship programs vary with regard to whether they accept residents trained in gynecology, urology or both.  In general, urology residents are required to complete two years of FPMRS fellowship while gynecology residents must complete three; however, some programs require all fellows to complete three years of training, regardless of whether their core training is in urology or gynecology.

Combined programs are generally open to graduates from either specialty.  Some programs have a set alternating pattern of accepting candidates from both specialties.  There are also institutions that have parallel dual programs that function separately, but interact with each other to varying degrees with regard to clinical rotations and didactic training.

Based on the above, it is very important to be clear on whether a program is open to your core training specialty during your year of application and what the expected length of training is prior to embarking on the application process.

It is also important to note that your eventual subspecialty certification will be obtained through the specialty board of your residency training (ABU for Urology, ABOG for OB/Gyn), regardless of where you do your fellowship. 

Finally, there are non-ACGME-accredited programs, but is important to note that only graduates of accredited fellowships will be eligible for subspecialty Board certification from either the ABU or ABOG.  Details regarding non-accredited programs may be found at SUFUorg.com.


Program Requirements

Program requirements for all ACGME-approved education programs within the field of FPMRS are set by the ACGME. These requirements are similar for all fellowship programs regardless of the core specialty of the program.  All ACGME-approved programs and can be found here.