Emily Lukacz, MD, MAS
Associate Director: Keisha Dyer, MD
The Female Pelvic Medicine and Reconstructive Surgery Fellowship Program at UCSD - Kaiser Permanente, San Diego is a joint training program developed by Dr. Charles Nager at the University of California, San Diego and Dr. Karl Luber at Kaiser Permanente, San Diego in 2000. The educational objective is to train the next generation of leaders in urogynecology and reconstructive pelvic surgery. While there is a very strong clinical component to the fellowship, the focus is to prepare graduates for careers in academic medicine and teaching. The fellow will be welcome to participate in ongoing research, but he/she will also be encouraged to develop his/her own ideas and to plan, execute, analyze, and report on these subjects. Presentations are expected at the American Urogynecological Society meeting. The fellowship is accredited by the American Board of Obstetrics and Gynecology and the American Board of Urology. As such, the fellowship program length is 3 years for both ob/gyn and urology residency graduates.
The fellowship is jointly (50/50) shared and funded by UCSD and Kaiser Permanente, San Diego. This combined program takes advantage of the strengths of each institution and diversifies the educational experience and training of the fellow with broad exposure to several faculty members. It is expected that the fellow will spend approximately 50% of their clinical time at UCSD and 50% of their clinical time at Kaiser. The clinical experience will be approximately 50% ambulatory and 50% operative. The diverse faculty provide training in the full spectrum of incontinence and prolapse surgical procedures including open, vaginal, laparoscopic, and robotic approaches.
- Charles Nager,
MD - completed his residency in Ob/Gyn at UCSD in 1986; then after a
preceptorship in 1987 with Dr. Donald Ostergard became the Director of
the UCSD Urogynecology Clinic. He completed a fellowship in
urogynecology in 1997 at St. George's Hospital with Professor Stuart
Stanton. He is the Chair of the Department of Obstetrics, Gynecology and Reproductive Sciences at UCSD.
- Michael Albo,
MD - is a UCSD urologist who completed a Female Urology fellowship with
Dr. Shlomo Raz at UCLA in 1994. He co-directs (with Dr. Nager) the UCSD
Women's Pelvic Medicine Center and serves as Vice Chief of the
Department of Urology.
- Emily Lukacz,
MD - completed the three-year fellowship at UCSD/Kaiser in June of 2003
and joined Drs. Nager and Albo at UCSD's Women's Pelvic Medicine Center
at that time. She has extensive experience in clinical research and
completed a Masters in Advanced Studies of Clinical Research at UCSD.
Dr. Lukacz took on the role of director for the Female Pelvic Medicine
& Reconstructive Surgery Fellowship Program in 2010 and is also the
- Marianna Alperin, MD, MS – completed a fellowship at University of Pittsburg, Magee-Women's Hospital. She joined the division in July 2017.
- Yahir Santiago-Lastra, MD – is a UCSD urologist who completed a fellowship in FPMRS at University of Michigan. In August 2016, she joined UCSD Women's Pelvic Medical Center.
- Linda Brubaker, MD, FACOG – completed a fellowship at Rush University. In January 2017, she joined UCSD Women's Pelvic Medical Center.
- Tatiana Catanzarite, MD, MAS – is our most recent graduate (June 2018) who will begin practice here at UCSD in January 2019.
- Karl Luber, MD - completed a fellowship in urogynecology with Dr. Donald Ostergard at Long Beach Memorial Hospital and was the previous division director at Kaiser Permanente, San Diego.
- Shawn Menefee, MD - completed a fellowship in urogynecology at Louisiana State University and was director of the Urogynecology Division at the Naval Medical Center, San Diego before joining Kaiser Permanente, San Diego.
- Keisha Dyer, MD, MPH – completed the three year fellowship at UCSD/Kaiser in June 2010 and joined Drs. Menefee and Luber at Kaiser Permanente, San Diego. She is the associate director of the Female Pelvic Medicine & Reconstructive Surgery Fellowship Program and Fellowship Site Director at Kaiser Permanente, San Diego.
- Gouri Diwadkar, MD - completed a three year fellowship at Cleveland Clinic under the guidance of Dr. Matthew Barber. In 2010, she joined Drs. Luber and Menefee at Kaiser Permanente, San Diego.
- Jasmine Tan-Kim, MD - completed both her residency and fellowship training at UCSD/Kaiser in June 2011 and joined Drs. Luber and Menefee at Kaiser Permanente, San Diego
Kimberly L. Ferrante, MD – completed the three year fellowship at UCSD/Kaiser in June 2015. She practiced at NYU for two years and in January 2018 joined Kaiser Permanente, San Diego.
Other faculty includes Drs. Maro Tomassi and Daniel Klarensfield (Colorectal, Kaiser Permanente).
Structure and Rotations
There is one fellow in each year of training. Each year of training is divided into three (3), 16 week blocks plus one (1) four 4 week block (elective/colorectal). These rotations are:
UCSD (16 weeks) - a predominantly clinical rotation. On this
rotation there will be 2-½ days spent in the office, 2 days in the OR and ½ day
of Research/Education. Fellow leads a team of one urology resident, one ob/gyn
resident, as well as medical students. The fellow will be working with Drs.
Nager, Albo, Lukacz, Alperin, Santiago-Lastra, Brubaker, and Catanzarite.
Kaiser (16 weeks) - a predominantly clinical rotation. On this
rotation there will be 2 days spent in the office, 2-½ days in the OR and ½ day
of Education. The fellows will be working with Drs. Luber, Menefee, Dyer, Diwadkar,
Tan-Kim, and Ferrante.
Research and off-service rotations - ( 16 weeks research + 4 weeks service/elective) The elective rotations will be:
- Year 1 - Colorectal (Drs. Tomassi and Klaristenfeld)
- Year 2 - None
- Year 3 - Global Health Research
The fellows' schedule is subject to change. It is recognized that the development of a high quality educational experience requires a continuous quality improvement process and Program Director (with fellow input) will modify this as necessary. The 50/50 UCSD/Kaiser clinical experience and 50/50 ambulatory/OR clinical experience are guiding principles.
UCSD Medical Center is a tertiary
medical center at two sites: Hillcrest and Thornton (La Jolla). The Department
of Obstetrics, Gynecology and Reproductive Sciences (OB/GYN) performs >2000
deliveries each year and approximately 200 pelvic flor surgeries each year. It
has a long tradition of affiliation with Kaiser Permanente, San Diego and the OB/GYN
residency is an integrated program. The OB/GYN residents spend 25% of their
training time at Kaiser. The UCSD Department of Obstetrics, Gynecology and
Reproductive Sciences also has fellowships in Maternal-Fetal Medicine, Reproductive
Endocrinology and Infertility, Gynecologic Oncology, and Family Planning.
Kaiser Permanente, San Diego
serves 500,000 members in San Diego. The Female Pelvic Medicine and
Reconstructive Surgery division manages nearly all female incontinence and this
division manages 300 urogynecology referrals each month and performs over 300 pelvic
floor surgeries each year.
Both institutions perform the
full spectrum of pelvic floor surgeries. Click here to view Institutional Data for AYS 2017-2018.
At present, the multiple sites offer urodynamic studies with Laborie equipment with and without fluoroscopy.
The UCSD Department of Radiology and Reproductive Medicine are one of the few centers with expertise in 3-dimensional ultrasound and research opportunities are possible in this area. MR defecography is also available.
In addition to the CREST course, other educational activities include:
meeting – weekly as needed with primary mentor
fellows present research ideas and projects the 5th Wednesday
- Chapter review – 2x monthly
review chapter by chapter of our specialty using the selected textbooks
Seminars – 7 or 8 lectures yearly
lecture for 36 months on 22 topics essential to the specialty.
Club every month – 1st Tuesday evening a month
UCSD Faculty, Kaiser Permanente faculty, and local FPMRS practitioners.
multidisciplinary conference reviewing defecography, manometry, and
ultrasound imaging studies.
afternoons also include departmental grand rounds, research meetings, and
Morbidity and Mortality conferences at both institutions. The fellow will
be expected to attend and participate in all educational conferences.
The fellow has up to 48 weeks of dedicated
research time. Research interests and ongoing projects include:
science in pelvic floor muscle physiology
- NIH funded
– Prevention of Lower Urinary Tract Symptoms (PLUS)
- NIH funded
- Pelvic Floor Disorders Network (PFDN)
of Pelvic Floor Disorders
surgery education and outcomes
Beginning in July of Year 1, it
is expected that the fellow will attend a 2-year course that meets every
Wednesday afternoon for 2-hours. This Clinical
Research Enhancement through Supplemental Training (CREST) Program is a Masters level comprehensive
program that covers the following courses over 24 months:
Oriented Research I
- Patient Oriented
Management and Informatics
Development Module (elective of your choice)
These credits can be applied to a
Master of Advanced Studies (MAS) Degree in Clinical Research and 50% of the
course fees are covered by the Ellis Wyer Endowment (valued at $11,400.00)
Application Deadline: March 1, 2019
- Application Period: December 1, 2018 - March 1, 2019
- Interview Date: May 18, 2019
- Applicants must have graduated from a US or Canadian accredited residency program.
- We participate in the National Resident Match Program (NRMP) and all candidates must enroll in the Electronic Residency Application Service (ERAS). To register for the fellowship matching process, please go to nrmp.org.
Application to the University of California San Diego Medical Center Program, Female Pelvic Medicine & Reconstructive Surgery (OB/GYN) - Accreditation 2210522003 may be made through the ERAS. For more information on the ERAS application process, please visit
In addition to the ERAS application, please forward the following documents to ERAS:
- Photo (optional)
- Curriculum Vitae
- Personal Statement
- At least two Letters of Recommendation. One of these must come from the Residency Program Director or Department Chairperson.
- USMLE Transcripts, Step 1, 2 and 3
- CREOG Scores
- Current email address
For further inquiries, please contact the Fellowship Program Manager:
9500 Gilman Drive
Mail Code 0633
La Jolla, CA 92037
The goals and objectives of our fellowship include compliance with the special requirements for Female Pelvic Medicine and Reconstructive Surgery approved by the American Board of Obstetrics and Gynecology and the American Board of Urology.
The program is also compliant with ACGME 80 hour work week restrictions and duty hour requirements. Click here to be
taken to UCSD House Officer Policy and Procedure Document (See pages 12 &
13 for detailed information).
Salary is commensurate with the University of California pay scale for a PG5. At present, this is approximately $66,493.00 per year.
Effective July 1, 2018 – June 30, 2021 a labor contact
between UCSDH and San Diego House Staff Association has been negotiated. More information will be forthcoming and posted on
Office of Graduate Medical Education website.