The Jones Institute for Reproductive Medicine
The Jones Institute ( JI ) for Reproductive Medicine at Eastern Virginia Medical School's Reproductive Endocrinology and Infertility ( REI ) Fellowship Program was established in 1982. Many of the successful infertility programs throughout the world are staffed by reproductive endocrinologists trained in our program.
In 1979, Dr. Howard Jones and the late Dr. Georgeanna Jones came to the Department of Obstetrics and Gynecology at Eastern Virginia Medical School to accept the challenge of starting an in vitro fertilization, IVF, program. Their work led to the birth of the first IVF baby in the United States, Elizabeth Carr, on December 28, 1981. That birth, the subsequent pregnancy successes, and research innovations at the Jones Institute, have attracted a legion of bright and talented scientists and physicians to our program.
The JI REI fellowship program has a structured, comprehensive, and intensive 3 - year postgraduate training format, covering both the clinical and laboratory aspects of reproductive endocrinology. This program is approved by the American Board of Obstetrics and Gynecology. Taking advantage of our large clinical and research faculty, this program provides both basic and clinical research experience, as well as intensive training in infertility, assisted reproduction techniques, and the full range of surgical treatment approaches.
These disorders which affect the reproductive tract include operative endoscopy, tubal reconstruction, congenital anomalies of the reproductive tract, and others. The program spans three continuous years, beginning on July 1 of each year. The first year consists of 95% clinical work and 5% lab and clinical investigation. The second year is comprised of 90% basic laboratory techniques, clinical and animal investigation, and 10% clinical reproductive endocrinology. The third year includes 80% clinical and basic research in the fellow's focused area and 20% in the clinic.
The following sections demonstrate the breadth and depth of the clinical and research training resources currently in place.
Current Activities at the Jones Institute
Reproductive Medicine Division
Reproductive Science Division
- Oocyte freezing
- Robotic surgery
- In vitro oocyte maturation
- Blastocyst culture / transfer
- ICSI using frozen eggs
- Preimplantation genetic diagnosis: new diagnostic modalities
- Endometrial receptivity studies
- Sperm function tests
- Sperm apoptosis
- Sperm function and physiology
- Oocyte freezing and chromosomal analysis
- Gene regulation of the endometrium
- Biomarkers of embryo developmental potential
Contraceptive Research and Development
- Large - scale research sponsored by the Agency for International Development targeted to develop new contraceptives.
Note: The fellows have access to a full - time technician who is experienced in many laboratory methods, including molecular techniques as well as standard assay methods ( including RIA ).
- Molecular mechanisms of endometrial bleeding
- Phase l and Phase 2 clinical testing of new spermicides, microbicides, and virucidal compounds
- New treatment modalities for endometriosis and menopause
- To provide comprehensive postgraduate training in all clinical aspects of reproductive endocrinology and infertility to make graduates fully competent to practice modern reproductive medicine, particular training in genital tract surgery, assisted reproduction techniques, cost - effective management of routine infertility, and general reproductive endocrinology
- To provide training in allied disciplines ( medical and pediatric endocrinology )
- To provide intensive training in research methodologies, including experimental design, epidemiology, statistical evaluation, assay methodology, techniques of molecular biology, and other methods pertinent to research efforts
- To provide training in grant writing and budget development
- To provide training in effective teaching methods
Fellows, residents, and attending physicians participate in these regularly scheduled conferences:
- Reproductive medicine lectures ( by attendings ) - weekly, one hour, Monday noon
- Reproductive medicine case reviews ( by attendings ) - weekly, one hour, Tuesday noon
- IVF case review - twice monthly, one hour, Wednesday noon
- Departmental grand rounds - 3 times a month, 3 hours, Thursday morning
- Reproductive medicine chapter reviews ( by fellows ) - 3 times a month, one hour, Friday noon
- Reproductive Medicine Journal Club ( by fellows ) - once monthly, one hour, Friday noon
- IVF Journal Club - monthly over dinner
Other major activities of fellows particular to their year of training are summarized as follows:
Year 1: Full - time in clinic, seeing patients with attending physicians, doing surgery, assisted reproduction, and management of reproductive endocrine problems. Course work: statistics and physiology
- Several clinical projects undertaken
- SGI conference
- Fellows' Conference sponsored by the National Institute of Child Health and Human Development ( NICHD ) and Ferring Laboratories
Year 2: Full - time in research ( except to cover vacations, etc. )
- Research experience for thesis
- Attendance at the American Society for Reproductive Medicine ( ASRM ) annual meeting and one other scientific meeting
Year 3: Finish research, write and publish thesis. ½ day "continuity clinic" all year
- Day Donor Egg program all year
- Practice in Embryology, Andrology, and Endocrine laboratories ( usually 1 week each )
- ASRM and one other meeting
- Pediatric Endocrine and Medical Endocrine clinics ( ½ day each week - 6 months on each clinic )
Fellowship Director and Current Fellows
David F. Archer, MD, is Director of the CONRAD Clinical Research Center and the Jones Institute for Reproductive Medicine, Professor of Obstetrics and Gynecology, and Director of the Reproductive Endocrinology and Infertility Fellowship Program.
Dr. Archer received a BA in Zoology in 1956 from the University of Louisville and his MD from the University of Louisville School of Medicine. He completed his residency in Obstetrics and Gynecology at Louisville General Hospital. Dr. Archer was a National Institutes of Health (NIH) postdoctoral fellow in Reproductive Endocrinology at the University of Pennsylvania School of Medicine (1966-1968) under Luigi Mastroianni, MD, and was a special NIH postdoctoral at the Hormonlaboratoriet of the Karolinska Hospital in Stockholm, Sweden, directed by Egon Diczfalusy, MD (1968-1970). During his fellowships, he investigated steroid hormone metabolism in the fetoplacental unit.
Dr. Archer has published extensively on contraception and menopause. His current research is in the mechanism related to endometrial bleeding.
He is on the editorial board of Menopause, Menopause Management and Contraceptive Technology. He is an ad hoc reviewer for The American Journal of Obstetrics and Gynecology, Obstetrics and Gynecology, Human Reproduction, Journal of Clinical Endocrinology and Metabolism, Steroids, Journal of Women’s Health and Biology of Reproduction.
Dr. Archer was elected to the North American Menopause Society (NAMS) Board of Trustees (1994), serving as the Society’s treasurer, chair of the Scientific Committee for the 1997 Annual Meeting, and being elected president of the Society for 1997-1998. He has been a continuing member of the NAMS Exam Writing Committee since its inception in 2002.
Dr. Archer is a member of the board of the International Menopause Society. He served for eight years as secretary of the American Society for Reproductive Medicine (ASRM), and was a member of the Board of Directors for three years. He has been president of the Society of Reproductive Endocrinology and Infertility (SREI) and chair of both the Contraceptive Special Interest and the Menopause Special Interest Groups for ASRM.
Albert L. Hsu, MD, is in his third year of sub-specialty training in Reproductive Endocrinology and Infertility at The Jones Institute for Reproductive Medicine, Eastern Virginia Medical School.
He completed medical school at Albert Einstein College of Medicine. Following medical school, Dr. Hsu completed a residency in Obstetrics and Gynecology at Tufts-Baystate Medical Center at Tufts University School of Medicine in Springfield, MA. Dr. Hsu worked as a Postdoctoral Research Fellow at NIH/NICHD in the Program in Reproductive and Adult Endocrinology while also serving as attending staff at George Washington University Medical School following completion of his residency.
Dr. Hsu completed his undergraduate training at the Massachusetts Institute of Technology in Cambridge, MA, where he was a member of the Sigma Xi Honorary Society as well as the Alpha Sigma Mu Materials Science Professional Honor Society.
He is a fellow of the American College of Obstetrics and Gynecology and a member of the American Society for Reproductive Medicine. He has several publications and presentations to his name and has been the recipient of multiple scholarships and awards during his training.
Tarita Pakrashi, MD, is in her second year of sub-specialty training in Reproductive Endocrinology and Infertility at The Jones Institute for Reproductive Medicine, Eastern Virginia Medical School.
She completed medical school at Topiwala National Medical College, Mumbai, India. Following medical school, Dr. Pakrashi went to graduate school at the University of North Carolina at Chapel Hill and earned a Masters in Public Health in Maternal and Child Health. She then went on to complete a residency in Obstetrics and Gynecology at the University of Cincinnati College of Medicine in Cincinnati, Ohio. During her chief residency she was inducted into the Gold Humanism Honor Society for demonstrated excellence in clinical care, leadership, compassion and dedication to service. Dr. Pakrashi worked as a Postdoctoral Research Fellow at Cincinnati Children's Hospital Medical Center in the Division of Reproductive Sciences while also serving as an attending physician and Medical Director of the Division of Community Women's Health at the University of Cincinnati College of Medicine following completion of her residency.
She is a Junior Fellow of the American College of Obstetrics and Gynecology and a member of the American Society for Reproductive Medicine. She has several publications and presentations to her name and has been the recipient of multiple scholarships and awards during her training.
Kay Waud, MD, is in her first year of sub-specialty training in Reproductive Endocrinology and Infertility at The Jones Institute for Reproductive Medicine, Eastern Virginia Medical School.
She completed medical school at the University of California, San Diego. Following medical school, Dr. Waud completed a Residency at Eastern Virginia Medical School where she was the Administrative Chief during her senior year. Dr. Waud also worked as a summer intern at NICHD, in Endocrine Physiology. She was the recipient of the Endocrine Society Summer Research Fellowship award.
She is a junior fellow of American College of Obstetrics and Gynecology and a member of the Endocrine Society. She has several publications and presentations to her name and has been the recipient of multiple research scholarships and awards during her training.
Interested applicants may contact us at ( 757 ) 446 - 7444.