Urologic Andrology Fellowship

Fellowship Overview

The Andrology Fellowship at the University of Virginia aims to provide the Fellow with the depth of knowledge and surgical skill necessary to provide expert specialty care in the field of Andrology (sexual medicine and male infertility) to the patient. Microsurgical techniques and experiences are taught in primarily in a clinical environment with additional opportunities, such as a prosthetics cadaver lab dispersed throughout the year. Office-based assessment for patients with sexual dysfunction or infertility is experienced through a mentorship approach. The Fellow will be expected to continue work as a General Urologist during the Fellowship allowing a maturation of surgical skills and knowledge. This also permits the opportunity for operative and clinic based teaching of residents. Research time is protected to ensure the opportunity to explore clinical questions. Both clinical and bench research opportunities are available. Fellows interested in bench research are guided by a dedicated laboratory staff with a strong background in Andrology research. Upon completion, the Fellow will have the background to become a leader in the field of Andrology through Research and Clinical Practice. Clinical time (two half-day clinics and on average 2.5 OR day/week) represents approximately 90% of the Fellowship experience.

Clinical time will include the Fellow’s own clinic and surgery. The clinic will run parallel with the Fellowship faculty’s clinic to allow discussion and review of Andrology and infertility cases. General urology patients will also be included in the Fellow’s clinical time with the majority of patients being examined for problems with infertility and sexual dysfunction (vasectomy reversal, oligo/azoospermia, Peyronie’s disease, ART evaluations etc). Surgical time will be performed at the outpatient surgery center, clinic procedure rooms and main operating rooms. It is required that the Fellow participate in all Andrology cases. The Fellow is able to schedule and perform general urologic procedures within their ability.

Learning Objectives

  • Evaluate and treat male factor infertility and common disorders of male sexual health
  • Learn and develop the core diagnostic and surgical principles of urologic microsurgery, urologic prosthetics and reconstructive urology
  • Evaluate and treat erectile and ejaculatory dysfunction, Peyronie’s disease, and male sexual dysfunction
  • Manage complicated and difficult urologic prosthesis cases
  • Evaluate and treat patients with benign disorders of the penis scrotum
  • Develop expertise in the advanced comprehensive men’s health evaluation

Program Requirements

In order to be eligible for our Fellowship program, an applicant must:

  • Have completed United States Medical Licensing Examination Steps I, II, and III prior to applying for the fellowship
  • Have completed or anticipate completion of an ACGME-accredited Urology residency program
  • Meet requirements and obtain an unrestricted full Virginia medical license prior to commencing the program
  • Be a United States citizen or permanent resident
  • If selected as a potential candidate for the Fellowship, the applicant will be required to fulfill conditions for UVA Faculty Appointment (Clinical Instructor Level) as delineated by the University of Virginia and University Physicians Group.

Application Process

Virtual interviews will be offered and in-person interviews are currently on hold due to COVID precautions, they may become available again in the future. A Letter of Interest, CV and two (2) letters of recommendation should be submitted to the contacts below:

Ryan Smith MD
Email: rps2k@virginia.edu

Meghan Rover
Fellowship Coordinator

Fellowship Faculty

Core Curriculum


Fellows are encouraged and expected to participate in the core curriculum established by national sub-specialty societies such as the Sexual Medicine Society of North America which provides online learning modules for core concepts in sexual medicine as well as webinars throughout the year. In addition, the American Society of Reproductive Medicine, Society for Male Reproduction and Urology and the Society for the Study of Male Reproduction have webinars throughout the year for Fellow education. This is in addition to the Andrology curriculum done through scheduled resident/faculty conferences (see below) where the Fellow will participate and instruct residents and medical students in core curriculum materials.

Responsibilities and Expectations


  • The Fellow will have clinical privileges at the University of Virginia and participate in clinical activities within UVA Fontaine Outpatient Urology clinic, the Outpatient Surgery Center and Main Operating room.
  • The Fellow will participate in male fertility clinics at Virginia Fertility & IVF and will have surgical privileges at this site.
  • Other clinical privileges may be obtained depending on UVA Health growth and availability.

Hospital Privileges

  • The Fellow will obtain a full unrestricted Virginia state medical license as a licensed independent practitioner and have full independent operative and clinic privileges as an attending. The Fellow will have his/her own clinic and book cases that come out of this clinic. These cases can be booked with either residents assisting or Fellowship faculty assisting, depending upon preference and availability.

Administrative Tasks

  • Fellow will coordinate surgical involvement directly with the faculty and residents at least 1 week in advance and include their case involvement with the weekly emailed resident schedule to ensure a balanced and collaborative surgical environment with the resident training experience.
  • The Fellow will assist with Andrology instruction in formal resident didactic sessions as well as the clinical setting including the operating room and resident clinic.
  • The Fellow will coordinate and participate in formal resident didactics and conferences related to Andrology and non-Andrology topics as well as any supplemental teaching during the year (including a prosthetics cadaver lab).



  • The Andrology Fellow will receive formal feedback twice annually with the faculty. This will also be done on an intermittent basis throughout the year within the clinical setting and to ensure successful completion of the program.