In a number of countries, the pathway to become a subspecialist in REI is regulated. Thus, in the
United States, for instance, the
American Board of Obstetrics and Gynecology (ABOG) and
American Osteopathic Board of Obstetrics and Gynecology set the standards for subspecialists 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 and oral exams). In the United States, fellowship in reproductive endocrinology and infertility usually takes 3 years, and is offered in 40 centers across the country as of 2013. In the
European Union, the European Board and College of Obstetrics and Gynaecology (EBCOG) has accreditation centers for a subspecialist training program in reproductive medicine at 4 centers across the EU as of 2012. In
Australia and
New Zealand, a training program in reproductive endocrinology and infertility takes 3 years, and is offered in 15 centers across the two countries. In
India, Assisted Reproductive Technology bill has been passed in parliament. This bill mandates
gyncelogists or andrologists to have 3 years of experience in recognized ART centers to conduct procedures such as
IVF, PGT. ==Societies==