Urology Fellowship

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: Steven Docimo, MD; Glenn Cannon, MD; Francis Schneck, MD and Dr. Michael Ost.

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.

Goals and Objectives

The goals and objectives of the program can be broken down as follows and the pediatric urology resident will be able to:

  • 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.