One of our main goals at CECOLFES is to promote a constant interest in academic training in the area of Human Reproduction in order to provide scientific support to Colombian and foreign health professionals.
Teaching and training assistance agreements have been set up with several academic institutions. Obstetrics and Gynecology residents, undergraduate students of health or biological sciences, and scientific staff from other related institutions spend time in our facilities for training purposes.
Colombian students from Universidad de Cartagena, Fundación San Martín, Fundación Universitaria de Ciencias de la Salud – Hospital San José and Universidad del Tolima are currently part of the one-month rotation program at CECOLFES.
During this time, students rotate through the various areas, i.e. Hormones, Andrology, Biogenetics, Treatments, Surgery, In Vitro Fertilization, Vitrification, and Psychology. Activities include lectures, seminars, observation in specific areas, a weekly journal club, and presentation of an essay on a current topic.
CECOLFES has prepared teaching materials for the residents in the form of a binder. It contains the schedule of activities, goals, workshops and reference material for the rotation in each of the areas.
GENERAL OBJECTIVES
1. To recognize the problem of infertility from a holistic approach, including the couple’s biological, psychological, social and environmental factors.
2. To identify the main causes of male and female infertility, as well as their prevalence in the human population.
3. To perform an initial evaluation of the infertile couple.
4. To determine and interpret the necessary paraclinical tests and their indications, benefits, complications, costs and limitations.
REFERENCES - BOOKS
1. Davila A. 2004. Texto de Obstetricia y Ginecología. “Factor Masculino en Infertilidad”. Capítulo 147. Pág. 751-758. Distribuna.
2. Davila A. 2004. Causas de anormalidades en el espermograma.
3. Spark Richard. The infertile Male. Plenun Medical Book.
4. Hulka. Laparoscopia. Capítulos 2, 3 y 4.
5. Emery and Rimoin’s. 2002. Principles and Practice of Medical Genetics. Fourth Edition. Churchill Livingstone.
6. Lucinda L. Veeck,MLT.hDSc. An Atlas of Human Gemetes and conceptuses. An Illustrated Reference for Assisted Reproductive Technology.
7. Nezhat C.R. Operative Ginecologic Laparoscopy.
8. Remahi J. Et al. Reproducción Humana.
9. Tronson. Biología y Patología del Oocito.
10. Vanrell J.A., Calaf J., Balasch J. Y Viscasillas P. Fertilidad y esterilidad humanas. Ediciones Científicas y Técnicas S.A. 11. Zucker Karl A. Surgical Laparoscopy.
National Academic Programs
Syllabus
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HORMONES
(Dr. ZuAML Suárez)
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1. To understand the normal physiology of the reproductive cycle in both males and females.
2. To understand and apply this knowledge as part of the various ovulation induction protocols.
3. To analyze the different hormonal values in order to apply them in clinical practice.
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1. Physiology of the reproductive cycle.
2. Ovulation induction.
3. Stimulation regimens.
4. Endometrial preparation and embryo transfer.
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ANDROLOGY
(Dr. Armando Dávila)
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1. To assess male factor in infertility.
2. To obtain the required information to interpret the spermogram and all other additional tests for determining fertilization capability.
3. To analyze abnormal values and integrate them into clinical practice.
4. To understand the various methods of spermatic habilitation used in assisted reproduction.
5. To understand the principles of sperm cryopreservation.
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1. Introduction. Male factor in infertility.
2. Diagnostic methods.
2.1. Clinical history
2.2. Diagnostic aids. Spermogram.
2.3. Special spermatic tests.
3. Etiology.
3.1. Endocrine disorders.
3.2. Congenital, genetic, infectious and immune disorders.
3.3. Obstructive, acquired dysfunctions; coital, erectile, ejaculatory dysfunctions.
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BIOGENETICS
(Dr. Luís Arturo Lizcano,
Dr. Katya Burgos )
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1. To gain thorough understanding of the cell cycle and its importance in genetic development.
2. To recognize the importance of conventional and molecular cytogenetics in infertility.
3. To determine the most common genetic abnormalities in the gynecological and andrological practice.
4. To gain overall knowledge in order to institute corrective therapies for certain genetic abnormalities.
5. To gain knowledge of diagnostic guidelines for the Y chromosome.
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1. Cell cycle.
2. Conventional cytogenetics. Chromosomal banding techniques.
3. Human karyotype. Numerical and structural chromosomal abnormalities.
4. Genetic aspects of recurrent miscarriage.
5. Genetic aspects of male and female infertility.
6. Pre-natal screening.
7. Pre-implantation genetic diagnosis.
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TREATMENTS
(Dr. Alejandro Rojas)
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1. To gain knowledge on the various drugs used in ovulation induction.
2. To learn ovulation induction regimens, follow-up, control and decision-making.
3. To learn infertility diagnosis techniques.
4. To gain knowledge regarding hormonal control of the cycle.
5. To acquire knowledge regarding ultrasound follow-up throughout the cycle. To learn the uterine ultrasound technique and its applications.
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1. Ovarian cycle.
2. Ovulation induction.
3. Diagnostic techniques in infertility.
4. Hormonal control during the cycle.
5. Ultrasound follow-up during the cycle.
6. Uterine ultrasound and its applications.
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SURGERY
(Dr. Oscar Lombana)
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1. To become familiar with the instruments used for diagnostic and therapeutic laparoscopy and hydrolaparoscopy, follicular aspiration, intra-tubal gamete transfer.
2. To gain knowledge of the various endoscopic surgery techniques.
3. To assist the surgeon or participate as observer at all surgical procedures.
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1. Diagnostic and therapeutic laparoscopy.
2. Diagnostic and therapeutic hydrolaparoscopy.
3. Follicular aspiration and intra-tubal gamete transfer.
4. Endoscopic surgery techniques.
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FERTILIZACION IN VITRO Y VITRIFICACION
(Dr. Sandra Mojica,
Dr. Angela Ma. Saa)
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1. To become familiar with the process of assisted fertilization and the various current AR technologies applied in the laboratory.
2. To integrate laboratory concepts with the clinical course of ovulation induction, gamete collection, spermatic injection of oocytes, in vitro culture and all stages preceding tubal or uterine transfer.
3. To understand the principles and applications of cryopreservation and vitrification.
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1. The human oocyte.
2. Pre-embryos.
3. The human embryo. Morphology and development.
4. Gamete collection.
5. Oocyte collection and embryo cultures.
6. Spermatic microinjection in oocytes.
7. In-vitro embryo cultures.
8. Tubal or uterine pre-transfer stages.
9. Embryo transfer.
10. Cyropreservation and vitrification. Oocyte and embryo cryopreservation.
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PSYCHOLOGY
(Dr. Abby Morán)
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1. To learn the psychological assessment process for couples with infertility problems.
2. To review topics pertaining to the impact of infertility on couples.
3. To understand the dynamics regarding expectations, a mature assimilation of therapeutic success or a mature acceptance of failure, should it occur.
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1.Psychological and emotional support in assisted reproduction.
2. Psychological (non-psychometric) assessment of a couple with infertility problems.
3. Impact of infertility on couples.
4. Acceptance of therapeutic success or failure.
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International Academic Programs
We have cooperation agreements with academic programs in Mexico, El Salvador, Dominican Republic, Panama, Venezuela, Ecuador, Peru, Bolivia and Chile
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