PURPOSE Improving access to care is an issue at the forefront of reproductive medicine. We sought to describe how one academic center, set in the background of a large and diverse metropolitan city, cares for patients with extremely limited access to reproductive specialists. METHODS The NYU Reproductive Endocrinology and Infertility (REI) Fellowship program provides a "fellow-run clinic" within Manhattan's Bellevue Hospital Center, which is led by the REI fellows and supervised by the REI attendings of the NYU Langone Health system. A description of the history of the hospital as well as the logistics of the fertility clinic is provided as a logistical template for implementation. RESULTS The fellow-run fertility clinic at Bellevue hospital is held on two half days per month seeing approximately 150 new patients per year. The fertility workup, counseling, surgery, as well as ovulation induction, and early pregnancy management are offered within the construct of the fellowship and residency at NYU. Barriers to care and ways to circumvent those barriers are discussed in detail. CONCLUSION By utilizing the ambition and construct of the OB/GYN programs, we greatly improve care for an otherwise underserved patient population by offering an efficient and optimal infertility workup and treatment in a population that would otherwise be without care. We utilize the framework of graduate medical education to provide autonomy, experience, and mentorship to both residents and fellows in our programs in an effort to provide a solution to combating inequity in infertility care.

中文翻译：

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在资源匮乏的环境中获得不孕不育护理：通过纽约市公立医院的住院医师和同伴教育来缩小差距。


目的 改善获得护理的机会是生殖医学的前沿问题。我们试图描述一个学术中心如何在一个庞大而多元化的大都市背景下照顾那些接触生殖专家的机会极其有限的患者。方法 纽约大学生殖内分泌和不孕不育 (REI) 奖学金计划在曼哈顿贝尔维尤医院中心内提供一个“研究员经营的诊所”，该诊所由 REI 研究员领导，并由纽约大学 Langone 健康系统的 REI 主治人员监督。提供了医院历史以及生育诊所后勤的描述作为实施的后勤模板。结果 贝尔维尤医院的联营生育诊所每月举办两个半天，每年接待大约 150 名新患者。纽约大学的奖学金和住院医师培训项目提供生育检查、咨询、手术以及促排卵和早期妊娠管理。详细讨论了护理障碍以及规避这些障碍的方法。结论 通过利用 OB/GYN 计划的目标和结构，我们为原本得不到护理的人群提供高效、最佳的不孕不育检查和治疗，从而极大地改善了对其他服务不足的患者群体的护理。我们利用研究生医学教育的框架，为我们项目中的住院医师和研究员提供自主权、经验和指导，努力提供解决不孕不育护理不平等问题的解决方案。