Second Year of Urology Fellowship

The second year is a dedicated clinical experience, exposing the fellow to different concepts in clinical management and honing pediatric surgical skills and surgical decision-making. The fellow can expect to progress in independence throughout the clinical year. The aim of this fellowship year is to send forth competent and compassionate academic pediatric urologists.

Goals

The clinical year is spent primarily at the downtown campus, where we care for a diverse patient population with the entire spectrum of complexity of clinical problems.

The fellow will become comfortable with management of neurogenic bladder, evaluation of congenital hydronephrosis, pre-transplant urological assessment, management of post-transplant concerns,  assessment and counseling regarding disorders of sex development, urogenital reconstruction planning, management of stone disease, care of elimination disorders and enuresis and management of all routine genital concerns.

The fellow experiences a large volume of surgical opportunities that include general pediatric urology, complex hypospadias, complex urinary and genital reconstruction, laparoscopic and robot-assisted surgery and endoscopic stone management.

Aside from the pediatric urology faculty the fellow is exposed to the expertise of colleagues in medical imaging, kidney disease, neurosurgery, neonatology, endocrinology, general pediatric surgery and general pediatrics.

Expectations

The fellow should expect to complete their training at Lurie Children's confident in their skills in all aspects of academic pediatric urology. A large faculty with diverse backgrounds, clinical styles and expertise allows mentorship to develop each of these elements. Fellows can draw from each attending to synthesize their own style in preparation for entering independent practice. Fellows should expect to strengthen leadership and communication skills, and they will develop a style for teaching patients, families, students, residents and colleagues.

The fellow should expect to progress throughout the year toward independent clinical decision-making and operative experience. This progression is different for each fellow, with emphasis on fostering strengths and providing guidance where required. The progression will include fellow as co-surgeon, fellow as primary surgeon and fellow as instructor. 

The faculty expects curiosity, integrity, sense of responsibility and compassion from the fellow; we treat our patients as we would our own children.

Responsibilities

The clinical fellow participates primarily in all aspects of the operating room and in the care of inpatients, but also has a weekly half-day clinic experience with the supervision of an attending. Additional outpatient participation is strongly encouraged as graduation to independent practice nears.

At the beginning of the year, the clinical fellow mentors the first-year fellow in performing video urodynamics. Throughout the year, the fellow has multiple opportunities to refine teaching style with residents, medical students and non-urologic colleagues. The fellow will participate in preparation for weekly academic conferences. 

To foster leadership skills and maintain consistency of care for the inpatients, the clinical fellow has primary responsibility for the urology service. Quality care, safety and education are our top priorities. The fellow is a primary and valued resource for the rotating residents.

The clinical fellow provides back-up call with the most junior rotating resident every third night. Only in extenuating circumstances would the fellow have primary call. ACGME work hour restrictions are observed.

Operative Procedures

The fellow will receive broad surgical experience in all aspects of pediatric urology; the number of surgeries is expected to total roughly 500 cases and includes the following:
  • Bladder augmentation
  • Cystoscopy, diagnostic and therapeutic
  • ESWL
  • Hydrocelectomy/herniorrhaphy
  • Hypospadias/epispadias/exstrophy
  • Incontinence/outlet procedures
  • Laparoscopic surgery
  • Orchiopexy
  • Penile surgery
  • Percutaneous renal surgery
  • Pyeloplasty
  • Renal surgery
  • Robot-assisted laparoscopic surgery
  • Scrotal surgery
  • Ureteroneocystostomy
  • Ureteroscopy/laser lithotripsy
  • Urethroplasty/urethral surgery
  • Urinary diversion, continent and incontinent
  • Varicocelectomy