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Education

Clinical Fellowship in Endourologic Surgery


Program Director: Bodo E. Knudsen, MD, FRCSC

Co-Director

Geoffrey N. Box, MD

 

 

2016 Fellows

 

Dr. Nathaly François - 1 year fellow

Medical School - University of Cincinnati College of Medicine
                          Cincinnati, OH
Residency Training - Southern Illinois University School of
                          Medicine, Springfield, OH       

 

Dr. Michael Sourial - 2 year fellow

Medical School - Universite Laval, Quebec City, Quebec
Residency Training - Combined Sherbrooke/McGill University,
                          Montreal, Quebec        

 

 

Program Duration: 1 year fellowship or 2 year fellowship

Program Goals/Objectives/Curriculum

Program Goals:
Development of advanced knowledge, experience, and technical skills in endourologic surgery, and to train future academicians and potential national and international leaders in endourology.

Objectives: Active participation in a minimum of 100 retrograde ureteroscopic cases, 60 percutaneous renal cases, 10 shock wave lithotripsy cases, and 50 laparoscopic/robotic cases. Must submit a minimum of 3 publications in peer reviewed journals, 2 of which the fellow must be the first author. The Essay Content manuscript will count as one of these publications.  Fellow must have written and accepted an IRB protocol, and then lead it toward completion. Fellow must submit a manuscript to the Journal of Endourology.

Curriculum:

Clinical:

The clinical status of the fellow is at a level above that of a chief resident. The fellow will have graded surgical responsibility and, as deemed appropriate by the supervising physician, will be responsible progressively for an escalating amount of the operative care of individual cases.

The fellowship will focus primarily on minimally invasive care of the urologic patient. Procedures that the fellow will train in include extracorporeal shock-wave lithotripsy, ureteroscopy, percutaneous nephrolithotomy (including establishing percutaneous renal access), cystolitholapaxy, laparoscopic partial and total nephrectomy, laparoscopic pyeloplasty, endopyelotomy and robotic assisted laparoscopic procedures including radical prostatectomy.

The fellow will be expected to make daily ward rounds on post-operative patients and be actively involved in their care.

The fellow will attend one metabolic stone clinic per month.

The fellow will be incorporated into the Urology Faculty call rotation.

Minimum number of index cases:
Total Pure Laparoscopic                               25 cases / year
Total Robotic-assisted                                  25 cases / year
Total PCNL                                                  60 cases / year
Total Ureteroscopic                                     100 cases / year
Total ESWL                                                  10 cases / year

Educational:
The fellow will be trained in methods of instruction for basic laparoscopic and advanced laparoscopic techniques and skills in animate and inanimate models, as well as in the operating room.

The fellow will have an active role in the training of resident and visiting physicians attending CMIS courses for robotic, laparoscopic, and endourology. The fellow’s duties will include performing didactic lectures, hands-on training supervising in the skills lab, and assisting the live-surgical procedures.

The fellow will attend the Department of Urology’s Monthly Journal Club and review one article pertinent to minimally invasive urologic endourologic surgery each month.

The fellow will independently review articles that his/her supervisor are asked to review for peer-reviewed journals.
The articles will be independently reviewed by the supervisors and discussed with the fellow.

The fellow will present a minimum of 2 presentations at a local (eg. Grand Rounds), regional, national, or international level. This is exclusive of abstracts presented at the annual AUA sectional or national meetings, or at the World Congress of Endourology.

The fellow will assist in the writing and editing of book chapters or non-peer reviewed articles as deemed appropriate by the supervisors.

The fellow will log all educational activities.

Research:
The fellow will submit, revise, and ultimately have accepted a minimum of 1 IRB protocol. The fellow may work in conjunction with the Department of Urology Research Coordinator on this.

The fellow will be expected to have a minimum of 2 peer reviewed publications accepted or submitted at the time of completion of the fellowship per year of fellowship. For at least 2 of these publications the fellow must be the first author.

The fellow will submit a minimum of 3 abstracts to the annual AUA sectional or national meetings (Society meetings held at the AUA such as the Society of Engineering and Urology will also be considered) and to the annual World Congress of Endourology.

The fellow will have an active role in any Grant applications that his/her supervisors are involved in.
 
Assessment of Fellow:
• The fellow will maintain a comprehensive operative log on the Endourological website, and it will be reviewed by the supervising physicians quarterly. Lack of exposure in any given clinical area will be identified and the fellow redirected as needed.

• The fellow will maintain a log/binder of all educational and research activities.

• The fellow will meet on a weekly basis with the supervisors to review clinical, research and educational activities. The fellow will be expected to prepare an agenda for these meetings.
  
Program Policies:
Eligibilty requirements for appointment into fellowship programs at The Ohio State University
 
Selection of fellow:
• Applicants from the United States must have completed an accredited Urology Residency program.

• Applicants must be board eligible or board certified at the commencement of the fellowship year. A current Ohio medical license must be obtained. Previous evidence of training and clinical experience in basic laparoscopic skills must be documented.

• Letters of recommendation will be required from the individual’s Program Director and two other individuals familiar with the applicant’s training and performance.

• Non-US applicants will be considered for the position if they are able to obtain a license to practice medicine in Ohio and have completed a urology residency. The applicant's VISA status must be current and allow for clinical activity.

• The Ohio State University is an equal opportunity employer. Women, minorities, veterans and individuals with disabilities are encouraged to apply.

Evaluation of fellow:
Fellow will meet with supervisor quarterly to discuss progress and future direction. A narrative of this meeting will be written by the supervisor and kept on file. A summative evaluation will be performed and compiled at the completion of the Fellowship.

Promotion of fellow:
Fellow will be promoted to 2nd year if progressing appropriately and passing specific milestones (applies to 2 year fellowship position only).

Grievance and Due Process:
Any adverse actions will be discussed with the Urology Educational Committee and appropriate action will be provided in writing to the fellow.

Supervision of fellow:
The fellow will have graded surgical responsibility and, as deemed appropriate by the supervising physician, will be responsible progressively for escalating amount of the operative care of individual cases. As the fellow gains experience with the clinical procedures, it is anticipated that the fellow will be able to function to assist the residents in acquiring both basic and advanced minimally invasive surgical skills.

Duty hours for housestaff: Not Applicable

Moonlighting for fellow: Not permitted

Impact of new program on research/clinical/educational opportunities for housestaff in current GME programs (both positive and negative impact):
• The addition of a Fellowship in Endourologic Surgery at the OSU will have a positive impact for current housestaff in Urology.
 
• The fellow will have an active research portfolio. Thereby the fellow will be able to collaborate with the residents to provide them with unique research opportunities.

• As the fellow gains experience with the clinical procedures, it is anticipated that the fellow will be able to function to assist the residents in acquiring both basic and advanced minimally invasive surgical skills. The fellow will function as an additional resource person for the residents. In addition, the fellow will be expected to assist with residency surgical skills training in the OSU clinical skills labs.

• The fellow will present at Grand Rounds and at the monthly Urology Journal Club. They will not reduce the residents expected educational workload, but ideally will enhance the residents exposure to selected topics in endourology.

Financial resources/support:
• The Fellow will generate clinical revenue from being part of the Departmental Faculty call pool. This would include consults, emergency procedures, and clinic follow up patients that he/she is credentialed to perform.

• Additional funding will be supported from the Department of Urology.

Letter of support from both the Department Chair and associated Core GME Program Director. This can be one letter signed by both.