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Endourology, Urologic Laparoscopy & Robotic Surgery

Two-year fellowship program recognized by the Endourological Society.
1st year: Research year with clinical experience.
2nd year: Clinical. Thus at any given time, there will be one senior and one junior fellow within the program.

The fellowship program will commence on the first of August of each year and terminate on the 31 st of July, twenty-four months later. This change is meant to enhance the fellows overall experience. This will let chief residents focus on Part I of their Boards. Also, since they are in a two-year fellowship program, they will qualify for Part II of the Boards which is taken during their senior year of the fellowship program.
Participate in the Endourological Society match program.

Raju Thomas, MD - Director,
Endourology, Urologic Laparoscopy & Robotic Surgery Fellowship Program

Tulane University Hospital & Clinic
University Medical Center of New Orleans (UMCNO)
Veterans Affairs Medical Center , New Orleans


  • To train and mentor academic endourologists, urologic laparoscopists and robotic surgeons.
  • To consolidate Tulane Urology's position as a leader in the field of endourology, endo-oncology, urologic laparoscopy and robotics and its reputation for minimally invasive urologic surgery.
  • To enhance overall resident and fellows experience in endourology and laparoscopy by increasing activity in both the clinical and academic arena.


  • L. Spencer Krane, MD
  • Raju Thomas, MD, FACS, MHA

Faculty members are well-versed and experienced in the principals and applications of minimally invasive urologic surgery and have substantial experience in endourology, basic and advanced laparoscopy and robotic surgery.


  • Wesley Bryan, MD, Clinical Assistant Professor
  • John Ryan Glass, MD, Clinical Assistant Professor
  • Pablo Labadie, MD, Clinical Assistant Professor

At the end of the Endourology/Laparoscopy/Robotic Fellowship the candidate will demonstrate competency in:

  • Pre-operative and post-operative care for patients undergoing endourological, urologic laparoscopic and robotic procedures.
  • Patient selection criteria.
  • Patient exclusion criteria for above-mentioned procedures.
  • Participation in all teaching conferences and be a mentor for the urology residents.
  • Be proficient in:
  • Ureteroscopic procedures for calculus and non-calculus indications.
  • Nephroscopic procedures for calculus and non-calculus indications.
  • Basic and advanced urologic laparoscopic procedures.
  • Basic and advanced urologic robotic procedures.

Tulane Medical School vivarium: Five lapaorscopic animal tables. Radiographic imaging available in the vivarium.

  • Laparoscopic simulation laboratory with computer enhanced work stations and pelvic trainers.
  • Two OR-1 endo-laparoscopic operating suites.
  • DaVinci robot.
  • Collaboration with faculty in the Tulane University School of Public Health & Tropical Medicine for outcomes research.
  • Departmental funds for research projects and authorized travel.
  • Well-equipped uro-radiology suites with highly experienced uro-radiologists.
  • Two in-house fixed lithotripter units (Donier-HM 3 and Medstone).
  • Two full-time Ph.D.s in the urology department.
  • Fully furbished molecular biology laboratories.
  • All required urologic and laparoscopic technology available under one roof.


Year One: Research Year

  • The junior/first year fellow will participate in ongoing research projects.
  • Coordinate and conduct prospective clinical trails under the mentorship of the faculty.
  • Coordinate and conduct basic science research projects.
  • Coordinate and conduct animal research along with the faculty.
  • Maintain database of all patients in ongoing research projects.
  • Keep the database on quality of life questionnaires in an ongoing manner.
  • Opportunities will be available for clinical hands-on patient care experience.
  • Be responsible for the ESWL procedures at MCLNO.
  • One half-day clinic at Tulane University Hospital & Clinic.

Year Two: Clinical Year
The senior fellow in the second year of his/her fellowship will be having the following schedule:

  • Scrub with faculty on all cases. If several cases are running simultaneously, the senior resident has to choose which will be most beneficial. In select cases the junior faculty will cover the other case.
  • Be available to cover cases as a junior faculty, at the VA and MCLNO campuses.
  • Since periodic review of the surgical logs will be made, priority as to ureteroscopic, nephroscopic, laparoscopic or robotic cases will be delegated on a priority basis to maximize experience.
  • Periodic evaluation of the fellow by the faculty will also ensure strengthening of case logs in any particular category of cases.
  • Have two half-day clinics at Tulane University Hospital & Clinic.

The senior fellow will be working as a junior faculty and will be independent in judgment-making on his/her patients. However, decision for surgical procedures and coverage for these will have to be obtained with one of the three above-mentioned faculty mentors.


  • Participate in weekly pre-op conferences (Wednesday a.m.)
  • Participate in bi-weekly combined (with LSU/Ochsner) Pyelogram Conference (1 st & 3 rd Wednesday p.m.)
  • Participate in monthly Journal Club (2 nd Wednesday p.m.)
  • Participate and organize monthly Death & Complications Conference (4th Wednesday p.m.)
  • Attend monthly faculty meeting, usually after Pyelogram Conference on the 3rd Wednesday of each month.
  • Have bi-weekly conferences with above-mentioned faculty to evaluate research projects and overall fellowship experience
  • Present topic-based didactic lectures to the department quarterly.

The fellows will be evaluated every six-months. These evaluations are held in January and July of each academic year. Any strengths and/or deficiencies will be identified and remedial measures instituted.

The methodology for evaluation is as follows:

The department uses a standardized questionnaire which will be completed by the relevant faculty. These are then collated and used for the counseling sessions. The areas of evaluation include medical knowledge, professional and personal behavior, input from nursing and OR staff, surgical and endoscopic skills, rapport with patients and family, teaching and mentorship skills, availability and promptness in conducting duties, etc.

After the counseling sessions the faculty will continue to monitor the areas that may be considered deficient or weak.


  • Faculty title: Instructor in the Department of Urology.
  • Benefits: Health, life, malpractice and disability insurance
  • Three weeks paid leave
  • Support to attend the SESAUA, AUA and WCE, if abstracts are accepted.
  • Travel to at least one major conference is expected.