Fellowship Training

Unlike most medical and surgical specialties, board certification in the field of Urogynecology DOES NOT reflect the training of the individual.

The Impact of Fellowship Training

Board certification was first made available in 2013. Fellowship training in Urogynecology has been available for decades but was not required to become board certified if the physician graduated from Ob/Gyn residency prior to 2010. These individuals were allowed to sit for a multiple choice exam if a certain percentage of their practice was consider Urogynecologic.

Conversely, all individuals graduating from Ob/Gyn residency after 2010 were require to complete a 3-year fellowship in order to sit for the written exam. In 2010, there were 34 fellowships around the country each of which accepted one fellow per year. These are difficult fellowships to obtain. In addition to the written exam, they were required to take a 3-hour oral exam and publish research in the field. The result of this policy is that there are board certified Urogynecologist around the country who have no additional training beyond Ob/Gyn residency. The majority of patients are unaware of this policy. Fellowship training in Urogynecology, like training in most fields, provides specialized skills and knowledge which is passed to the trainee by mentors in the operating room and in clinic. In the case of Urogynecology, trainees often rotate through related fields of colorectal surgery, urology and plastic surgery. Ob/Gyn residency does not provide this level of training. The table below highlights the difference in training between a board certified non-fellowship trained and a board certified fellowship trained urogynecologist.

Non-fellowship trained Urogynecologist

Obstetrics & Gynecology Residency: 4 years
Exams: Written & 3-hour oral exam

Urogynecologic Fellowship: 0 years
Exams: Written

Fellowship trained Urogynecologist

Obstetrics & Gynecology Residency: 4 years
Exams: Written & 3-hour oral exam

Urogynecologic Fellowship: 3 years
Exams: Written & 3-hour oral exam

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   Dana Smith 
 September 25, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I can't recommend Dr. Nosti and the team at Urogynecology of Kansas City enough. I had surgery with him last month, and from my very first evaluation appointment through recovery, the entire experience exceeded my expectations. Dr. Nosti took the time to listen, explain my options clearly, and made me feel confident and comfortable with my decision to move forward with surgery. The surgery itself went smoothly, and my recovery has been great.

Every member of the staff was kind, professional, and attentive at every visit. I'm so glad I made that first appointment to get evaluated — it's made a real difference in my quality of life. I would give Dr. Nosti and his team a 10/10 recommendation to anyone considering care with this practice.
  
 
      
   Patty Cowan 
 September 23, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Latasha Reed was great to work with. She was very thorough and took the time to listen to everything that was going on. She went beyond the scope of the initial reason I was coming to see her and helped me with another concern. I would highly recommend her.
  
 
      
   Shawn Kyndesen 
 September 11, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I had my first visit with Kellie James, CRNP and she listened to all my concerns. She gave me a plan to help my urinary in-continuance. She was so easy to talk to!
I am so thankful that I saw her. My life has changed for the better!  SKK
  
 
      
   charnice burk 
 September 4, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Nosti is great! I felt very confident in his work. He has done 2 procedures for me and both have gone so smooth. He tells you what to expect and has a plan for those things. I would refer him to anyone having gynecological issues that they need surgery for. Thanks Dr. Nosti!!
  
 
      
   Deb Hundley 
 August 26, 2026
 
 
 Trustindex verifies that the original source of the review is Google. As a Provider in the region I self referred to Dr. Nosti for female pelvic organ prolapse and stress incontinence. From the time I walked in the door for my initial consult to my post-op surgical follow up the process has been seamless. Any hiccups were anticipated and a plan was in place prior. I’ve been nothing but happy with this process and my results.
  
 
      
   Kathryn Gonzalez 
 August 26, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Everyone is so professional and Dr. Nosti is incredible.  Surgery went well.  I feel more confident.
  
 
      
   Rose Hamilton 
 August 25, 2026
 
 
 Trustindex verifies that the original source of the review is Google. This place was amazing, I was treated kindly and softly, everything explained to me as we went, my options and things to help till my next appointment.
The office itself is soft, clean, and quiet to help you feel more relaxed in an uncomfortable situation. Everyone was very friendly and respectful. I highly recommend this office.
Dr Stork was very friendly, took her time, explained everything and presented my options, pros and cons for each and let me make the choice. She was light-hearted and helped me feel at ease.
  
 
      
   Elaine Smith 
 August 16, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr Nosti is wonderful, I would recommend him to any of my friends.  His office staff are kind, courteous and professional.  Highly recommend if you need urogynecology services!!
  
 
      
   Ashlee White 
 August 13, 2026
 
 
 Trustindex verifies that the original source of the review is Google. I have dealt with IC and bladder pain for the last 3 years. Went to a urologist for years and tried anything he threw at me but after years of suffering and plenty of my own research (spiraling), I found Latasha online. She is the first provider that made me feel seen and heard and actually helped me feel better. Thank you, Latasha! ❤️
  
 
      
   Colleen Dublin 
 August 11, 2026
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Nosti and LaTasha are excellent practitioners. They are a busy practice but always have time to make you feel like you're the only patient. (I wouldn't recommend a practice that isn't busy... if it's not, the practitioners aren't any good). The staff is excellent, too.
I'm a bit of an expert when judging urologists... I'm in my 50's and was born with a bladder condition. Needless to say, I've seen many urologists since childhood (I move around a lot).