title: Training in reproductive endocrinology and infertility and assisted reproductive technologies: options and worldwide needs.
abstract: Standardized, high-quality training in reproductive endocrinology, infertility, and assisted reproductive technologies (REI-ART) faces challenges owing to the high-tech nature of ART and the important country-to-country differences in clinical practice and regulations overseeing training. Moreover, while the training capacity of the classical by-fellowship training platforms is shrinking, an increasing demand for REI-ART specialists is coming from emerging countries. To meet this expanding need for REI-ART specialists, we propose a novel by-network model linking a reference training center to satellite practical training sites. Simulation should be used more extensively to achieve competency before initiating live clinical experience, analogous to the highly effective training systems that have been used in aviation for decades. Large ART databases that exist because of obligations to report ART activity and results constitute unique yet so far untapped sources for developing by-scenario simulation training models. Online training materials incorporating these state-of-the-art information technology tools could be developed as a means of fulfilling training needs worldwide.
authors.affiliation: Department of Obstetrics and Gynecology and Reproductive Medicine, Université Paris Descartes, Paris Sorbonne Cité-Assistance Publique Hôpitaux de Paris, Centre Hospitalier Cochin, Paris, France. Electronic address: ddeziegler@orange.fr.
authors.forename: Dominique
authors.initials: D
authors.lastname: de Ziegler
authors.affiliation: Bureau Enquête Analyse, Paris, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: de Ziegler
authors.affiliation: Fertility Clinic of Cambodia, Phnom Penh, Cambodia.
authors.forename: Sokteang
authors.initials: S
authors.lastname: Sean
authors.affiliation: Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Osama
authors.initials: O
authors.lastname: Bajouh
authors.affiliation: Reproductive Partners La Jolla, San Diego, California.
authors.forename: David R
authors.initials: DR
authors.lastname: Meldrum
mesh_terms: D004704:Endocrinology / Q000193:education* / Q000379:methods / Q000592:standards; D014943:Global Health / Q000193:education* / Q000592:standards; D006301:Health Services Needs and Demand / Q000592:standards; D006801:Humans; D007246:Infertility / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D007396:Internship and Residency / Q000379:methods / Q000592:standards; D027724:Reproductive Techniques, Assisted / Q000592:standards
keywords: Reproductive endocrinology; infertility; medical simulation; network; training