Application and deadline
We offer a flexible two- or three-year fellowship, and we accept one ACGME pediatric urology fellow per year. We participate in the national match, so all applicants should complete the Universal Pediatric Urology Fellowship Application and forward three letters of recommendation, including one from the department chair. The deadline for applications each year is March 1.
The focus of the first year of fellowship is clinical training. Our robust surgical program offers a fast-paced, high-volume experience in a tertiary care medical center. The diversity of surgical expertise of our faculty offers the fellow opportunities to train in open, laparoscopic, robotic and endoscopic procedures. Our Year-1 fellow typically completes 750-1,000 operations during the clinical training year. In addition to the hands-on surgical training described below, fellows will also receive lab-based surgical training through our STACK program.
Areas of training
Areas of training will include:
- Open surgery: Experience in all aspects of open surgery in the child with a urological problem. This includes major reconstructive, renal, ureteral, bladder and urethral surgery in boys and in girls. Genital surgery in both sexes as well as DSD surgery. Management of the fetus with a pediatric urological problem is also emphasized.
- Minimally Invasive Surgery (MIS): Experience in endoscopic, including laparoscopic and robotic surgery. This should include diagnostic as well as therapeutic intervention and should include vaginal, urethral, vesical and ureteral surgery, as well as laparoscopic diagnostics and therapeutics.
- Outpatient pediatric urology: Experience in all aspects of outpatient care with graded responsibility.
- Spinal defects and neurourology: Includes the knowledge of the physiology and pharmacology of voiding dysfunction, (obstructive and irritative phenomena, urinary incontinence and dysfunctional voiding). In addition, it includes knowledge of urodynamics, broadly defined as the data that relate to bladder and outlet parameters during the filling and emptying phases of micturition. It also includes the antenatal, newborn and subsequent care of children born with spinal defects.
- Pediatric andrology and disorders of sex development: Addresses the long-term care of children born with cryptorchidism or DSD or who develop a varicocele, and the long-term treatment to maximize fertility and minimize carcinoma formation for these children when they become adults.
- Stone disease in children: Includes endourology and lithotripsy. This also includes the knowledge of the pathogenesis of urinary stone disease and the evaluation and management. Endourology and lithotripsy refer broadly to the specialized techniques used to treat some varieties of stone disease. Endourology further includes the use of special endoscopic techniques to diagnose and manage disorders of the upper urinary tract other than stone disease.
- Urologic trauma: Includes the evaluation and management of trauma to all parts of the genitourinary system in males and females.
- Infectious disease: Includes a working knowledge of those factors involved in the pathogenesis of urinary infection, both lower and upper tract; of the bacteria, fungi, viral and other organisms involved; and of the various techniques used to diagnose and to treat infection. Expertise in the indications for specific use of antimicrobials and side effects of treatments are stressed.
- Reconstructive urology: This includes the use of innovative techniques for reconstruction of renal, ureteral, vesical, urethral, penile and vaginal congenital and acquired anomalies. This includes indications for and techniques for construction of continent urinary reservoirs.
- Renal transplantation: This includes a working knowledge of the urologic factors involved in renal transplantation and their application. Also included is knowledge of the reconstruction required in the recipient born with bladder or ureteral congenital anomalies to provide for successful long-term function of the transplanted kidney.
- Urologic imaging: This broadly refers to all of those entities involved in the radiologic study of urologic disease including urography, retrograde upper tract studies, urethrography and cystography including imaging of the perineal anatomy in children born with DSD anomalies, urologic ultrasound, computerized tomography, magnetic resonance imaging, angiography and the various types of interventional uroradiology.
The second year of fellowship is a research training year. For those interested in basic science, the laborotory research year can involve bladder function (with Stephen A. Zderic, MD) or andrology (with Thomas F. Kolon, MD).
Those interested in clinical research will complete either the one-year Certificate Program in Clinical Epidemiology research or the two-year Master of Science in Clinical Epidemiology (MSCE) degree program while also working on abstracts, papers and chapters from our clinical research databases. The fellow will also participate in outpatient clinical care and surgery at our Main Hospital and satellite surgical centers. Fellows completing the two-year program will have exceptional clinical skills and will have achieved proficiency in study design and data analysis.
If the fellow has opted to complete the MSCE, a third year of fellowship will be required. During the third year, the clinical fellow will complete the required thesis project for the MSCE program. The fellow will also serve in the role of junior attending, running independent outpatient clinics and operating rooms. Fellows completing this rigorous program will be prepared for independent clinical and research careers.