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Urology Fellowship Program
Children’s Hospital of Pittsburgh’s Division of Pediatric Urology offers a 2-year fellowship program with an active basic science research laboratory. The program includes four full-time faculty members who are Steven Docimo, MD; Glenn Cannon, MD; Francis Schneck, MD and Dr. Michael Ost.
Learn more by selecting the links below:
|Fellowship Selection Criteria
Goals and Objectives
|Work Hours and Coverage Responsibilities
Evaluation and Feedback
How to Apply
Fellow Selection Criteria
The pediatric urology fellow (referred to as “resident” below) will be selected from a pool of candidates who will have completed an approved urology residency program prior to the start of their pediatric urology year. The candidate will have demonstrated an interest in pediatric urology as evidenced by letters of recommendation, scholarly accomplishments and/or extramural activities. Candidates will be ranked on the basis of their perceived ability, aptitude, academic credentials, communication skills as well as their perceived ability to work well with the staff at the Children’s Hospital.
One pediatric urology resident position will be available per year. This position will only be filled if a qualified candidate can be recruited.
The pediatric urology residency educational program is designed to provide a well rounded exposure to all clinical areas of pediatric urology. In the operating room, the resident will be exposed to multiple techniques and approaches to common urological problems. These will include endourological, robotic and laparoscopic approaches as well as more traditional procedures. In the clinic, the resident will be exposed to outpatient management of all pediatric urological diagnoses. The resident will be involved in a multidisciplinary elimination dysfunction clinic and will participate in complex urodynamics studies. In the hospital, inpatient management of both surgical and nonsurgical urologic conditions will be stressed. Triage and management of patients presenting to the emergency department will also be a part of the training program.
The twelve month clinical rotation will include one month as a resident on the pediatric surgery service and eleven months on the pediatric urology service. The day-to-day schedule of the resident on the pediatric surgery service will be similar to that for the full time pediatric surgery residents, according to their approved program. While on the urology service, the resident will serve as the senior member of the housestaff team. He or she will supervise the general urology residents in their day-to-day functions. Although there will be variation from week to week, the goal will be three days in the operating room, one full day in the outpatient clinic and one day per week that can be used in a flexible manner, either for further operative experience, outpatient experience or academic endeavor.
- Evaluate the child with a urological problem in the outpatient setting. This will include review of history, complete physical examination, performance of office ultrasound as indicated and determination of further urologic or radiologic testing required.
- Evaluate the child with a urological problem in the emergency setting. The resident will understand triage of patients to inpatient admission, emergent operation or radiologic evaluation or outpatient follow up.
- Evaluate the child with urological trauma. In conjunction with the pediatric surgery team and as part of the level one trauma center at Children’s Hospital of Pittsburgh, the urology resident will evaluate through history, physical examination and radiologic studies, the extent of urological injury. Within the context of a potentially multiply injured child, appropriate evaluation and management will be determined.
- Be able to perform, interpret and understand complex urodynamic testing. This would include cystometrogram, EMG, uroflow and urethral pressure profile when indicated. The application of urodynamic testing to the child with a neurogenic bladder will be emphasized. Appropriate management based on urodynamic findings, including intermittent catheterization, medical therapy and reconstructive surgery will be expected.
- Determine the appropriate surgical management of congenital anomalies of the kidneys, ureters, bladder, urethra and genitalia. By the end of the residency program, resident will be competent in performing these reconstructive operations in a future unsupervised setting.
- Be able to manage the postoperative patient in an appropriate manner with emphasis on economy, patient safety and outcomes.
Work Hours and Coverage Responsibilities
The program director is responsible for the assignment of reasonable duty hours. The pediatric urology resident will be expected to be in the hospital or clinic during normal working hours, 5 days per week. The resident will not be expected to take first call, but will take backup call behind a general urology resident. The pediatric urology resident will be free of clinical duties every other weekend. Because an attending urologist will be present for any after hours case, the pediatric urology resident would only be expected to be present for index cases or other procedures based on their interest. Urology call rooms are available within the medical center complex, but it is expected that these would rarely be needed by the pediatric urology resident. An attending call schedule is arranged such that there is always a pediatric urologist on backup call and available. As per payer compliance requirements, an attending will be present for all procedures and supervise all admissions and consultations.
Evaluation and Feedback
The formal resident evaluations are held four times a year, shortly after the conclusion of each three-month rotation cycle. The Department’s Urologic Surgery Resident Evaluation Form for each resident is received from each faculty member with whom the resident could be expected to interact in the given rotation.
The Faculty pays particular attention to evidence of unsatisfactory performance or growth. When deficiencies appear, remedial action is evaluated and adopted. The interpretation of these evaluation instruments is made more complete by the fact that the vast majority of the teaching and interaction with the resident’s is carried out by four faculty members. Thus, the evaluation of resident progress relies not only on paper but also on the close one-on-one contact between the faculty and the residents.
Twice a year, the resident meets with the Director of the Program at which time the summarized observations which have been made in the previous six months are related to the resident. The strength and progress as well as the areas of concern are discussed with the resident. The results of the pediatric urology inservice examination are also examined to detect problem areas. At that conference, problems that the resident may have encountered during his/her tenure are elicited with assurance of confidentiality.
In those instances where the quarterly review by the faculty determine an area of significant deficiency, the Director meets on an ad hoc basis with the resident to outline the concern and proposed remedial action.
The final written evaluation of the pediatric urology resident will be based on those factors previously mentioned, including faculty evaluations. The overall evaluation will be based on those areas represented in the resident evaluation form including overall competence, interpersonal skills, clinical competence both on the floor, in the clinic and in the operating room as well as an evaluation of teaching ability and academic accomplishments. The final written evaluation will be reviewed with the pediatric urology resident prior to the completion of the residency year.
The program evaluation will be a continuous process. The adequacy of the curriculum will be assessed through resident performance on inservice evaluations, documented improvement in patient care and operative technique as well as the confidential evaluation of that curriculum and faculty by the pediatric urology resident as well as the general urology residents.
The pediatric urology resident will be able to evaluate the faculty in a relatively confidential way by combining these evaluations with the quarterly evaluations of the general urology residents. As for the general urology program, residents will be asked to submit anonymous comments. Each faculty member receives those comments relating to his/her own performance as well as anonymous ratings of the faculty in general. An annual retreat takes place with all of the general urology residents which would include the pediatric urology resident. This is an open forum for discussing opportunities to change the program, improve the curriculum and to discuss issues in a more relaxed atmosphere.
Francis Schneck, MD
Fellowship Director, Pediatric Urology
Children’s Hospital of Pittsburgh of UPMC
University of Pittsburgh Medical Center
4401 Penn Avenue
Pittsburgh, PA 15224
The Match Process and Application:
We participate in the Pediatric Urology Match through the American Urological Association. Details can be found at www.spuonline.org/fellowships.cgi.
January 7, 2013
January 7, 2013