The University of Colorado Pediatric and Adolescent Gynecology Fellowship Program is designed to train academic pediatric and adolescent gynecologists who are outstanding clinicians, surgeons, teachers and researchers.  Our program is affiliated with the North American Society of Pediatric and Adolescent Gynecology and is a two-year program, accepting one fellow per year. 

The cumulative educational objective of the two-year training program is to provide trainees with the necessary knowledge, skills and experience to serve as consultants to pediatric subspecialists, pediatricians, family practitioners, obstetricians and gynecologists. Graduates should be able to provide consultation for patients of diverse backgrounds from birth up to age 18-21 years with gynecologic concerns as well as adults born with reproductive congenital anomalies and differences in sex development.  The PAG graduate should also learn to work with a multi-disciplinary team of specialists in the care of individuals born with complex conditions.  

The educational objectives for the fellowship are designed to be graded such that as fellows advance in training, the learning objectives will involve more complex and multi-disciplinary care of PAG patients. Procedural objectives are similarly designed to become more complex as fellows advance through training.  In addition, the fellow will obtain necessary skills to perform clinical outcomes-based research in pediatric and adolescent gynecology.

Clinical training will primarily occur at Children’s Hospital Colorado, within the Section of Pediatric and Adolescent Gynecology.  Approximately 10% of the fellow’s time will be allotted to training in Adult Obstetrics and Gynecology at the University of Colorado, including transitional care of complex adolescents to adulthood.

Formal training portfolios will be maintained which will allow for documentation of satisfactory performance and advancement through the program. At the completion of training, fellows should demonstrate competence at the level of a new practitioner in pediatric and adolescent gynecology.

Specific educational goals for each fellow include specific learning objectives as outlined by the North American Society for Pediatric and Adolescent Gynecology.  Procedures for which the fellow will become expert include, but are not limited to the following:

Vaginal Surgery

• Vaginoscopy with or without removal of foreign body
• Hymenectomy, complete and partial
• Diagnostic hysteroscopy and hysteroscopic metroplasty
• Vaginal septum resection
  • Complete and partial
  • Transverse and longitudinal
  • Obstructive and non-obstructive
• Vaginoplasty
• Vaginal laceration repair in the pediatric and adolescent patient
• Labiaplasty for labial hypertrophy
• Minor vulvovaginal surgeries in the child and adolescent, including excision of labial adhesions, excision of vulvar condyloma, I&D labial and Bartholin’s abscess, vulvovaginal cyst excision
• Contraceptive implant and IUD management in medically complex patient, both in-office and under anesthesia

Abdominal Surgery

• Diagnostic laparoscopy with and without excision and ablation of endometriosis
• Laparoscopic hysterectomy in gender dysphoria
• Adnexal cystectomy, laparoscopy and laparotomy
• Adnexal detorsion, laparoscopy
• Laparoscopic oophoropexy
• Laparoscopic ovarian transposition and ovarian tissue cryopreservation
• Resection of Mullerian remnants, laparoscopy and laparotomy