1. MINIMALLY INVASIVE GYNECOLOGY SURGERY FELLOWSHIP
J. Sal Saldivar, M.D.
Gynecology Oncology - Department of OB/GYN
El Paso First Health
1145 Westmoreland Drive
August 28th, :00pm

2. Description of the Project
AAGL approved Fellowship in MIS
2 year program introducing 1 Fellow per year
Faculty preceptors from Texas Tech and the community
Supported internally by the Dept of OB/GYN
Fellows work in clinic and hospital environments to develop interpersonal skills alongside medical skills
Milestones
Increase the number of residents choosing MIGS specialties (shortage).
Design workforce enhancement initiatives to support access to MIGS providers in El Paso region (underserved)
Expand MIGS training.

3. Benefits to the Community
Increased Gynecologic Services Providers
Patients seen at Texas Tech, UMC, Del Sol/Las Palmas Medical Centers and Sierra-Providence Health Network
An independent provider for the greater El Paso community
Increased pool of Outside Applicants to our Program
New Talented Doctors become introduced to the El Paso area for increased specialist retention
Benefits of Minimally Invasive Surgery
lower incidence of site infections
As of August 2014 there have been only 7 minor infections present in Post-OP visits out of 39 MIS surgeries since April 2014
smaller incisions and less scarring
shorter time in the hospital
less analgesic and blood loss

4. Progress Milestones Risk Areas / Mitigation strategies
Hyein Park, M.D. – New Fellow as of July 1st 2014
New training equipment to practice techniques outside of the OR
More patients have been seen each quarter since the program began
Fellow Sandra Lopez, M.D.
138 New Patients and 229 Patient Encounters as of July 2014
Fellow Hyein Park, M.D. has begun seeing Patients in August 2014
Risk Areas / Mitigation strategies
Faculty preceptors role as supervisors and mentors
Anticipated outcomes
Successful completion of an independent MIS Physicians
Connection with other local healthcare initiatives
Southwest Center for Reproductive Health
TX Gynecology and Laser Surgery Center

5. Innovations Innovative ideas and research presented
All three abstracts submitted by TTUHSC MIS Fellowship members have been accepted to the 43rd AAGL Global Congress of Minimally Invasive Gynecology
Sandra Lopez M.D.: A Comparison of Outcomes between Robotic-Assisted Single-Incision Laparoscopy Versus Single-Incision Laparoscopy for Benign Hysterectomy
Hyein Park M.D.: Functional Outcomes of Robotic Assisted Laparoscopic Mesh Sacrocolpopexy (RASC) and Mesh Rectopexy for Combined Vaginal and Rectal Prolapse
J. Sal Saldivar M.D.: A Comprehensive 4-Phase Robotic Gynecologic Surgery Curriculum Congruent with PGY Levels Leads to Certification and Credentialing
Advanced minimally invasive endoscopic instruments
Robotic technologies - the da Vinci® Surgical System
Improvements to processes
Use of a mini laparotomy with an O ring wound retractor as a viable minimal invasive procedure in removing ovarian cysts
Ability to apply MIS technology to patient care where the availability was scarce or non-existent

6. Questions?
Comments?