In a number of countries, the pathway to become a sub-specialist in REI is regulated. Thus, in the United States, for instance, the American Congress of Obstetricians and Gynecologists (ACOG) sets the standards for sub-specialtists to become certified. After four years of training in Obstetrics and Gynecology, a three-year approved fellowship needs to be successfully completed. Then, to become board certified in reproductive endocrinology and infertility, one must first complete board certification in obstetrics and gynecology (written and oral exams), and then certify in reproductive endocrinology and infertility (written, oral, and thesis exams).
Reproductive endocrinologists Certified by ACOG often belong to a specific medical society named Society for Reproductive Endocrinology and Infertility (SREI). As a condition of full membership, medical practitioners must be ACOG-certified in the reproductive endocrinology and infertility subspecialty.
According to a systematic review, fertility patients want to be treated like human beings with a need for medical skills, respect, coordination, accessibility, information, comfort, support, partner involvement and a good attitude of and relationship with fertility clinic staff.