Fellowship in Pediatric and Adolescent Gynecology (PAG)

The NICHD Fellowship in PAG is a non-Accreditation Council for Graduate Medical Education (ACGME)-accredited, 2-year fellowship program comprising faculty from NICHD and Children’s National Hospital (CNH). The fellowship is housed within NICHD at NIH, and the care of patients will take place at NIH and CNH .

Fellowship Mission

• Ensure all graduates possess the knowledge, skills, and professional attributes essential to provide outstanding PAG clinical care.
• Grow the next generation of PAG leaders and researchers.

General Information

The goal of this fellowship is to train graduates of an ACGME-accredited obstetrics and gynecology residency in the gynecologic care of patients between birth and age 21. The fellow will learn the diagnosis and management of common problems in pediatric gynecology as well as uncommon and more complex conditions, such as congenital reproductive anomalies and anorectal malformations, variations in sex characteristics (VSC), pediatric and adolescent pelvic masses and gynecologic malignancies, gynecologic disorders in medically complicated children, reproductive endocrinopathies, fertility preservation, sexual abuse, and vulvar conditions.

The fellows also will receive extensive surgical training and will perform complex gynecologic surgeries in children of all ages, including those related to pelvic masses (benign and malignant) and congenital anomalies of the reproductive system, including those with anorectal malformations, in collaboration with the colorectal team. In addition, fellows will receive training and support for research development. Our goal is that graduates will pursue careers that advance the field of PAG in all areas, including research, education, and patient care.

Our fellows will interact with fellows in reproductive endocrinology and infertility and pediatric endocrinology within NICHD as well as pediatric surgery, pediatric urology, and adolescent medicine fellows at CNH. Opportunities for collaboration with Women and Infant Services fellows at MedStar Washington Hospital Center are also available. This interaction nurtures a rich academic environment that promotes excellence in clinical care, education, and research. Furthermore, our location is in the nation’s capital, which houses the American College of Obstetrics and Gynecology.

The Fellowship in PAG at NIH and CNH will entail 70% clinical work and 30% research, with rotational blocks dedicated to fellow research time. During clinical time at CNH, fellows will participate in general pediatric gynecology clinics as well as a variety of specialty clinics staffed by the PAG team. Fellows also will participate in emergency surgeries and those generated by the general and specialty clinics. Multidisciplinary clinics include those that care for patients with fertility preservation and survivorship, heavy menstrual bleeding, variations in sex characteristics, colorectal anomalies, Turner syndrome, anorectal malformations, complex endocrinology conditions, and rheumatologic conditions. In addition, fellows will have opportunities to rotate with providers specializing in eating disorders and child abuse. At the NIH, fellows will participate in the consult service and assist in the gynecologic care and research for studies in McCune-Albright, congenital adrenal hyperplasia, Turner syndrome, Mullerian agenesis (MRKH), fertility preservation and androgen insensitivity syndrome (AIS).

Current Fellows

Kirsten Das, M.D.
2023-2025

Carolyn Brookhart, M.D.
2024-2026

Eugenie Lehembre-Shiah, M.D.
2024-2026

How To Apply

Applications should be submitted using the Fellowship Common Application form on https://www.naspag.org/PAGFellowship

Past Fellows and Current Affiliations

Left to Right: Veronica Gomez-Lobo (Program Director), Lauren Damle, Gylynthia Trotman, Rachel Casey, Jason Jarin, Vrunda Patel, Kylie Fowler, Shashwati Pradhan, Ariel Cohen, Swetha Naroji, Jessica Long, Courtney Mascoe (Current Fellow), Kirsten Das (Current Fellow)

Publications and Leadership Accomplishments of Past Graduates

Gylynthia Trotman, M.D. – North American Society for Pediatric and Adolescent Gynecology (NASPAG) Program Chair 2023

Lauren Damle, M.D. – NASPAG Current Program Chair 2024

Allison Mayhew, M.D. - Director, Pediatric and Adolescent Gynecology at Children’s National Hospital, Member of GYN Subcommittee of PCPLC, Board Member of AAGL PAG SIG, Committee Member for NASPAG Research Network (NRN)

Jessica Long, M.D. - Winner of the NIH External LRP Award
Title: Development of a Predictive Tool for Etonogestrel Implant Breakthrough Bleeding: a step toward individualized care)

Fellow Publications

Kirsten Das, M.D.

• Varghese E, Das K, Yano J. Female Fertility Assessment and Preservation Procedures for Cancer Survivors. The Menopause and Patients after Cancer Treatments. Editors: Jha S., Schapira L. CRC Press. Invited book chapter, accepted. Anticipated publication in 2025.
• Das K, Huynh V., Wang S., Trugillo Rivera E., Gomez Lobo V., (October 2024). Oophorectomy Rates for Pediatric & Adolescent Patients with Adnexal Torsion in U.S. Emergency Departments. Journal of Pediatric & Adolescent Gynecology, 37(5). 
• Das K, Sheppard S, Yadav B, Turner JT, Bornhorst M, Siegel AH, Yano JC, Gomez Lobo V. Kaposiform Lymphangiomatosis as a Cause of Vaginal Bleeding & Discharge: A Case Report. J Pediatr Adolesc Gynecol. 2024 Jun 25:S1083-3188(24)00235-3. doi: 10.1016/j.jpag.2024.06.005. Epub ahead of print. PMID: 38936506.
• Hartwick Das KJ, Hood C, Rutenberg A, Lobo VG. Pediatric and Adolescent Obstetric and Gynecologic Encounters in US Emergency Departments: A Cross-Sectional Study. Ann Emerg Med. 2023 Apr;81(4):396-401. doi: 10.1016/j.annemergmed.2022.10.001. Epub 2023 Jan 18. PMID: 36669919; PMCID: PMC10038870.

Courtney Mascoe, M.D.

• Mascoe C, Ford C, Long J, Krishnan A, Gomez-Lobo V, Malcolm, S (2024). 29. Comparison of Incidence and Severity of Depression in Adolescents with PCOS in an Academic Pediatric Hospital before and during the COVID-19 Pandemic. Journal of Pediatric and Adolescent Gynecology. 37. 248.
• Evans J, Maher J, Mascoe C, Gomez-Lobo V (2024). 127. The Twisted Tail of a Hair Tourniquet. Journal of Pediatric and Adolescent Gynecology. 37. 301-302.
• Kastury R, Mascoe C, Balasubramanian R, Gomez-Lobo V, Maher, J (2024). 94. Ovarian Tissue Cryopreservation in a Patient with Blepharophimosis Ptosis Epicanthus Inversus Syndrome (BPES). Journal of Pediatric and Adolescent Gynecology.
• Jumani S, Brooks K, Kaur H, Das K, Mascoe C, Kastury R, Lightbourne M, Maher J, Gomez-Lobo V (2024). 63. Hormonal and Metabolic Profiles of Adolescents with Androgen Insensitivity Syndrome (AIS) and Intact Gonads. Journal of Pediatric and Adolescent Gynecology. 37. 267

Rama Kastury, D.O.

• Badger T, Kastury R, Kavarthapu R, Balasubramanian R, De La Luz Sierra M, Lou H, Abbott C, Yano JC, Gomez-Lobo V. Ovarian histology in children with classic galactosemia and correlation with endocrine and metabolic markers. Fertil Steril. 2024 Oct;122(4):744-746. doi: 10.1016/j.fertnstert.2024.05.146. Epub 2024 May 17. PMID: 38761847.
• Wiegand A, Kastury R, Neogi A, Mani A, Bale A, Cox A. FKBP14 kyphoscoliotic Ehlers-Danlos syndrome misdiagnosed as Larsen syndrome: a case report. Cold Spring Harb Mol Case Stud. 2023 Jul 11;9(3). PMID: 37433679.

Jessica Long, M.D.

• Yano Maher JC, Long JR Gomez-Lobo V. Ovarian Tissue Cryopreservation and Ovarian Transposition. Pediatric and Adolescent Gynecology Surgery: Management, Surgical Approaches and Post Operative Care. Complete, pending publication for 2025.
• Tazim Dowlut-McElroy MD MS1*, Jessica R. Long MD2, Allison C. Mayhew MD3, Ashli Lawson MD MS4, Y. Frances Fei MD5, Anne K. Smith MD6, Roopa Kanakatti Shankar MBBS, MS7, Veronica Gomez-Lobo MD8. Gonadal Tumors in Individuals with Turner Syndrome and Y-Chromosome Mosaicism: A Retrospective Multisite Study. Journal of Pediatric and Adolescent Gynecology (In Press, Available online 20 November 2024).
• Jessica R. Long, MD, Megan Parker, MS, Sanjay Jumani, MD, Aisha Ahmed, MD, Victoria Huynh, MD, Veronica Gomez-Lobo, MD. Effect of Lifestyle Modifications on Polycystic Ovarian Syndrome in Predominantly Young Adults: A Systematic Review. Journal of Pediatric and Adolescent Gynecology (In Press, Available online 21 November 2024).
• Long JR, Gomez-Lobo V, Sharma K. Treatment of Hematometrocolpos Associated with Vaginal Agenesis Using Ultrasound-Guided Active Drainage. J Vasc Interv Radiol. 2022 Dec;33(12):1624-1626. doi: 10.1016/j.jvir.2022.09.008. Epub 2022 Sep 13. PMID: 36108899; PMCID: PMC11130715.

Swetha Naroji, M.D.

• Naroji S, John J, Gomez-Lobo V. Understanding PCOS-Related Content across Social Media Platforms-A Cross-Sectional Analysis. J Pediatr Adolesc Gynecol. 2024 Apr;37(2):142-148. doi: 10.1016/j.jpag.2023.10.007. Epub 2023 Nov 20. PMID: 37992985.
• Naroji S, Gomez-Lobo V, Finlayson C. Primary Amenorrhea and Differences of Sex Development. Semin Reprod Med. 2022 Mar;40(1-02):16-22. doi: 10.1055/s-0042-1753551. Epub 2022 Jun 30. PMID: 35772411; PMCID: PMC11145579.

Allison Mayhew, M.D.

• Jacobs SE, Tiusaba L, Al-Shamaileh T, Bokova E, Russell TL, Ho CP, Varda BK, Pohl HG, Mayhew AC, Gomez-Lobo V, Feng C, Badillo AT, Levitt MA. Fetal and Newborn Management of Cloacal Malformations. Children (Basel). 2022 Jun 14;9(6):888. doi: 10.3390/children9060888. PMID: 35740825; PMCID: PMC9221828.
• Apte A, Mayhew A, McKenna E, Gomez-Lobo V, Levitt MA. Clinical Quiz-Newborn Female with an Anorectal Malformation and a Gynecological Abnormality. European J Pediatr Surg Rep. 2022 Apr 13;10(1):e63-e67. doi: 10.1055/s-0041-1741508. PMID: 35433193; PMCID: PMC9008222.
• Hanfling SN, Parikh T, Mayhew A, Robinson E, Graham J, Gomez-Lobo V, Maher JY. Case report: two cases of mature oocytes found in prepubertal girls during ovarian tissue cryopreservation. F S Rep. 2021 Apr 8;2(3):296-299. doi: 10.1016/j.xfre.2021.03.007. PMID: 34553154; PMCID: PMC8441562.
• Nashed LM, Mayhew A, Gomez-Lobo V, Lawlor C. DICER1 Mutation Detected in an Infant Guides Accurate Diagnosis of Auto-Amputated Embryonal Rhabdomyosarcoma. J Pediatr Adolesc Gynecol. 2021 Dec;34(6):865-868. doi: 10.1016/j.jpag.2021.08.006. Epub 2021 Aug 11. PMID: 34390861; PMCID: PMC11061778.
• Yauch L, Mayhew A, Gomez-Lobo V, Shimy K, Sarafoglou K. Nonvirilized Genitalia in 3 Female Newborns With the Salt-Wasting Congenital Adrenal Hyperplasia Phenotype. J Endocr Soc. 2020 Nov 5;5(1):bvaa169. doi: 10.1210/jendso/bvaa169. PMID: 33294764; PMCID: PMC7684867.
• Mayhew AC, Bost J, Linam L, Milla S, Farahzad M, Childress KJ. Compensatory Ovarian Hypertrophy after Unilateral Oophorectomy: Evaluation of Ovarian Volumes in Pediatric and Adolescent Populations. J Pediatr Adolesc Gynecol. 2020 Dec;33(6):631-638. doi: 10.1016/j.jpag.2020.07.001. Epub 2020 Jul 18. PMID: 32688053; PMCID: PMC7725918.

NIH PAG

Veronica Gomez-Lobo, M.D.
Director, Pediatric and Adolescent Gynecology

Jacqueline Maher, M.D.
Director, Fertility Preservation

NIH Multidisciplinary Faculty

Micah Hill, M.D.
Reproductive Endocrinology and Infertility

Alison Boyce, M.D.
Pediatric Endocrinology

Marissa Lightbourne, M.D.
Pediatric and Adult Endocrinology

Stephanie Chung, M.D.
Pediatric Endocrinology

Catherine Gordon, M.D.
Pediatric Endocrinology and Adolescent Medicine

Children’s National PAG

Allison Mayhew, M.D.
Director, Pediatric and Adolescent Gynecology

Lauren Damle, M.D.
PAG & Adult GYN at MedStar Washington Hospital Center

Swetha Naroji, M.D.
PAG

Ariel Cohen, M.D.
Kaiser PAG

CNH Multidisciplinary Faculty

Colorectal Surgery

Marc Levitt, M.D.
Christina Feng, M.D.
Andrea Badillo, M.D.
Erin Teeple, M.D.

Urology

Dan Casella, M.D.
Christina Ho, M.D.
Briony Varda, M.D.

Endocrinology

Kim Shimy, M.D.
Roopa Kanakatti Shankar, M.D. 
Rebecca Persky, M.D.

Hematology/Oncology

AeRang Kim, M.D.
Hyojeong Han, M.D.

Genetics

Tucker Pyle, M.D.

Dermatology

Anna Yasmine Kirkorian, M.D.

Child and Adolescent Protection

Allison Jackson, M.D.

Adolescent Medicine

Anisha Abraham, M.D.
Sharyn Malcolm, M.D.