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" ... IVF in the United States is typically performed by reproductive endocrinologists (four-year ob/gyn residency followed by three-year fellowship–two written and two oral exams to become board certified, which most RE’s aspire to). There are 45 fellowships in the country (most recent ob/gyn board bulletin), most graduating 1-3 fellows per year. There are 923 active fellows enrolled in the recertification program (a rolling process that is ongoing for almost all currently active fellowship grads), plus 44 taking their first written exams and 45 taking their first orals. The total: 1,013. ... "