Thank you.

The Center for Endometriosis Care is very pleased to offer a number of educational programs ranging from short observerships to full Fellowships. Please read on for more information or contact our Program Director.

MD/Licensed Provider Observerships
The CEC is offers an Observational Education Program for licensed providers (MD, DNP, RN, DPT, allied health, etc.) who may wish to visit us in our Atlanta, GA operating room and offices, but who do not want to participate in a Fellowship. This short term program (maximum of 5 days) is NOT hands-on and participants will not receive a Certificate of Training; however, our Observerships offer insight on many levels ranging from surgical complexities of pelvic pain pathologies and endometriosis to our leading practice culture of patient-centric care. No fee applies; no funding or compensation is offered. Certification is not offered, but we are happy to provide you with a letter confirming your attendance in our program. Please note there is a lengthy hospital application required for Observerships; you will also be tasked with providing a full health history and evidence of current immunizations to the hospital. As such, please allow 2 months application processing time. To inquire and schedule your visit, please contact our Program Director.

Student Observers
The CEC is always delighted to have students join us for a Shadow Day. We’ve had the privilege of hosting student doctors, biomedical engineering students, Medical Assistants, Nursing students, high school students, PhD candidates and a variety of others from all healthcare and academic pursuits, ranging from secondary school to post-grads. No fee applies; no funding or compensation is offered. Confirmation of Hours and/or any other documentation that may be required will be provided to the student. Please note there is a lengthy hospital application required for Observerships; you will also be tasked with providing a full health history and evidence of current immunizations to the hospital. As such, please allow 2 months application processing time. To inquire and schedule your visit, please contact our Program Director.

Other Observerships
Members of industry who do not already have Northside access, journalists and press (credentialed only), authors, medical documentarians, filmmakers or others who may wish to visit us for observation should contact our Program Director for further information about specific requirements. Please be advised Northside Hospital no longer permits filming in any operating rooms or on hospital grounds. However, please inquire as to your needs and we will do our best to assist you.

FULL FMIGS & Fellowship Rotations (please contact us again in mid-2019 for opportunities)
The CEC’s FMIGS Program is for licensed practitioners only. Please read the following carefully before pursuing:

No funding or compensation is offered, unless otherwise specified on an individual basis. Fellowships are unpaid. All associated costs including those related to malpractice ($1MM/$3MM), relocation (Visa, temporary local housing, etc.) and credentialing (hospital application fees, etc.) are borne by the Fellow and/or provided for by the Fellow's sponsoring institution. Upon the successful completion of a CEC Fellowship, the CEC will provide appropriate documentation for purposes of recognition and serve as a reference for the Fellow. Fellowships typically range from between three to six months in duration, with specific arrangements made on a case by case basis.

In order to plan accordingly, please be advised that once accepted for rotation at our Center, it will take you approximately six months for your credentialing process to be completed before you can begin. International Fellows who require a Visa or other immigration documentation will need to start the process 18 months in advance, as the United States H-1B application deadline is in April the year prior to an October (or later) start in our offices. Fellows must obtain a valid GA State Medical license, DEA credentials, malpractice insurance, and Northside Hospital privileges; this is a very lengthy procedure which must be completed and in place before your Fellowship can start. Thank you for your understanding and adherence to these timelines.

About the Program: 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 and complex surgical competencies, 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 minimally invasive gynecologic surgery, offering qualified gynecologists an opportunity to participate in a unique, in-depth Preceptorship under the guidance of a leading surgical team headed by Dr. Ken Sinervo. Participants will receive their Certificate of Training upon successful completion and satisfactory evaluation.

Through a comprehensive didactic approach, CEC Fellows engage in extensive clinical hands-on exposure under the tutelage of our 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.

CEC surgeries range from LAPEX of highly complex, extrapelvic (thoracic, etc.), 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 Ken Sinervo, MD with exposure to CEC surgical staff and corresponding disciplines e.g. gastroenterology, urology, hospital and OR staff.

We have hosted successful Fellowships from such institutions as (to name but a few) the Center for Advanced Gynecology (VA), Kaiser (CA), Saint Louis University Medical Center (MO/multiple Fellows), Mayo Clinic (MI/multiple Fellows), the University of California at San Francisco (CA), Hurley Medical Center (MI), Riverside Health System (VA), St. Peter's University Hospital (NJ), University of Oklahoma College of Medicine/Health Sciences Center (OK), Universitary Hospital Samaritane-Santa Fé Bogotá (Colombia), Johns Hopkins (MD), LuccaHealth Specialty Medical Center (Ghana), and countless others. Our Fellows and Observers come from all over the world to learn from the CEC.

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 either the American College of OB/GYN (ACOG) or international equivalent;

  • Certified by either the AAGL, the Accreditation Council for Gynecologic Endoscopy, or equivalent/appropriate accrediting organization;

  • Demonstrated skill at MIGS/Laparoscopy;

  • Understand and agree with the science and principles of LAPEX (Laparoscopic Excision); uniformly use LAPEX on every case of endometriosis;

  • Letter of Recommendation (LOR) from a supervising Faculty Member, Fellowship Director or Department Chairperson; this must be emailed, mailed or faxed directly by the recommender to the CEC Program Director, not to the FMIGS candidate;

  • Curriculum Vitae, including explanation of any breaks in education and employment as applicable, must be provided;

  • Fluency in spoken and written English;

  • It is the Fellow’s responsibility to investigate and obtain any applicable Visa or other licensure requirements for the United States; foreign national, permanent resident, refugee or asylee must provide proof of resident alien status and have the legal right to work in the United States. Please include copies of any such paperwork if necessary in your application documents; and

  • Personal statement reflecting on your career goals and reason(s) for applying to the CEC’s Fellowship Program; must include experiences to date including outcomes data (pain relief, complications, recurrence rates).

Fellows go on in their own practices to adhere to the CEC’s approach:

  • Gather a team of multidisciplinary surgeons 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.

INQUIRE: Please send your letter of interest to Heather@CenterForEndo.com along with possible dates OF INTEREST. AS A REMINDER, Malpractice, salary, housing and/or fiscal sponsorship are THE RESPONSIBILITy OF THE FELLOW AND/OR the REFERRING INSTITUTION OR academic center [unless otherwise discussed with the CEC Medical Director].

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 and/or robotic assist, depending on the specific case's Proctor. Dr Arrington prefers da Vinci; Dr Sinervo prefers near-contact ‘straight stick.’ 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.

Fellows will attend, see pre-ops and other CEC patients in partnership with our Medical Director, and round. Fellows will be responsible for a portion of on-call duties including weekends. 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 such as at AAGL, SLS, etc.

To obtain your FMIGS candidate information packet, contact Heather Guidone. Acceptance INTO ANY CEC OBSERVERSHIP OR FELLOWSHIP OPPORTUNITY is at the sole discretion of the CENTER’S Medical Director; all decisions related to such are final.

Ken Sinervo, MD, MSc, FRCSC, ACGE, Medical Director, MIGS Surgeon
Jeff Arrington, MD, FACOG, ACGE, MIGS Surgeon
Heather Guidone, Surgical Program Director