Division Of Urology Curriculum
The Urology Residency at UMDNJ spans a total of five years of training, to include one year of pre-specialty training in General Surgery and four years of Urology. Two residents serve at each level. The residency is tailored towards acquiring the skill set outlined by the six core competencies listed below:
• Patient care
• Medical knowledge
• Interpersonal and communication skills
• Practice based learning and improvement
• Systems based practice
Each year, you will have had opportunity to attend several important urological seminars and resident competitions. You will be provided with a complimentary set of Campbell 's Urology, an annual book allowance and surgical loops. Academic, as well as clinical excellence is expected of all of our residents; publication of articles in the scientific literature is strongly encouraged.
Pre-Specialty Training (PGY1):
The first year is an intensive clinical exposure to General Surgery and the surgical specialties at University Hospital (UH), Hackensack University Medical Center (HUMC), and the Veterans Affairs New Jersey Health Care System (VANJHCS). Rotations at Saint Barnabas Medical Center (SBMC) may also be a part of the year. In addition, 2 months during the first year will be spent on Urology at University Hospital with the PGY5 and PGY2 residents.
First Year Urology Training (PGY2):
The PGY2 year is broken down into 3 month rotations alternating between UH hospital and the VA hospital. The PGY2 will work closely with the PGY5 (chief) resident. There will be a balance of autonomy and guidance from chief resident and attendings.
At UH, the rotations will be involving an extensive, but balanced, number of hours in the clinic and the operating room (40% clinic; 60% OR). Most of the time is spent working closely and under the guidance of the chief resident. The goal of the rotations will be: 1) learn workup and management of patients in the clinic; 2) be able to perform basic clinical procedures on your own such as cystoscopy, ultrasound, ureteroscopy, etc. 3) assisting with major open, laparoscopic and robotic cases; 4) presenting didactic lectures at Grand Rounds. There is also a Physician Assistant to help during clinic hours. You will be working closely with Dr. Robert Weiss, Urology Division Chief and Program Director, Dr. Vlad Bargman (endourology, oncology, minimally invasive surgery) & Dr. Nitin N. Patel (male sexual dysfunction, minimally invasive surgery, endourology).
At VA hospital, there is a similar level of expectations. Autonomy is given to the chief resident and PGY2 to run the service. The VA is led by Dr. Hossein Sadeghi-Nejad who is Division Chief and expert in male sexual dysfunction. Additional staff include Dr. Patricia Gilhooly who specializes in Female urology and Urodynamics & Dr. Asha Shah, newest member of the staff. In addition, the robotics program at the VA is covered by Dr. Sadeghi and Drs. Bargman and Patel from UH.
Second Year Urology (PGY3):
This year alternates between Pediatric Urology at St Barnabas Medical Center (six months) and Hackensack University Medical Center (HUMC) for six months. Drs. Moneer Hanna, Jeffrey Stock and Gina Cambareri at SBMC and Newark Beth Israel (NBI) are outstanding pediatric urologists known for their clinical expertise. The resident is responsible for the clinical service and scrubs on all pediatric cases, as well as presenting Pediatric Grand Rounds monthly. This rotation provides a one-on-one intensive exposure to pediatric urology (there is no fellow).
The six months at HUMC encourages a close, clinical interaction between Urology residents and active, suburban urologists in private practice. During this time, the PGY3 resident will develop further clinical skills on endourology and also assists in major cases. In the near future, this rotation may be transferred to SBMC.
Third Year (PGY 4):
This year is spent between SBMC and HUMC in 6 month rotations. The emphasis is on (1) Continuing the development of your clinical skills, (2) Development of teaching and administrative skills as you advance towards your Chief Resident year. Participation as surgeon in all major surgical cases and guiding the junior resident (PGY 3) are key goals, as well as participating in clinical studies and honing of presentation skills.
At SBMC, you work one on one with the several attendings performing a wide range of cases but mostly laparoscopic, robotic and open cases. The site is led by Drs. Rahuldev Bhalla and Michael Lasalle. In some cases, you may need to assist the junior with pediatric or complicated endourology cases.
At HUMC, you mostly are involved with major cases but work with a range of residents not only from our program but with residents from the HUMC program and NY Med program.
Chief Year (PGY 5):
Your final year will round out your operative and diagnostic experience and you will gain administrative experience as Chief Resident. During this final year, you will be expected to perform most major operative cases independently with the assistance of the junior resident, but at all times under direct faculty supervision. In addition, the chief is expected to guide the junior resident during clinic and endoscopic and minor urologic cases. Junior residents under your supervision present case discussions and topical reviews at Grand Rounds. As Chief Resident, you will take an active role in assuring not only that you are receiving maximum benefit from your training, but also that you are making a strong, lasting, positive impact on the training experience of those who will follow. Responsibilities include but are not limited to: 1) Grand Rounds planning and preparation, 2) Leading monthly Tumor Board 3) Participate in ongoing program improvement in coordination with faculty.