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Student Affairs - Career Development - Urology

What Does Training Look Like?

Urology is a combination of office-based practices combined with major open surgical cases and the utilization of high-tech equipment, such as during laparoscopic and robotic surgical procedures.

There is a big push towards performing minimally invasive surgical procedures on the entire urinary tract. Graduates from Tulane Urology will gain a broad understanding of the diagnostics and therapeutics as it relates to traditional, as well as the use of cutting-edge, urologic technology. Tulane Urology has a long tradition of embracing the latest technology to facilitate patient care.

Urology residency lasts four years, after completing one year of General Surgery. Within the Tulane Urology department, we have two fellowships available: in (i) the field of urologic andrology and fertility (ii) endourology and robotic urologic surgery.

 
Subspecialties

Urology has several subspecialties, most of which require one or two years of additional fellowship training after completing a Urology residency. These include:
  • Andrology
  • Pediatric urology
  • Urodynamics/Incontinence
  • Endourology, laparoscopic, and robotic surgery
  • Urologic oncology
 
What Does a Typical Workday Look Like?

The typical workday during urologic residency involves patients in the Urology clinic, in the open surgical suite, the endourology/laparoscopic/robotics surgical suite, or being involved in outpatient procedures such as cystoscopy, urodynamics, and so forth.

The residents are assigned to different urological sub-specialty services, and based on the service in which he/she is assigned, the times spent in the clinic will vary. In a usual week, a resident spends at least 15 hours in an outpatient clinic setting. A typical work week comprises about 50 hours. The department strictly follows the RRC/ACGME work rules guidelines.

 
Important Qualities and Traits

In Urology, we look for applicants who desire training in minimally invasive procedures, and who have good hand-eye coordination, show interest in research activities, and are affable and professional. One difference in the urologic subspecialty is that many of our procedures are done with state-of-the-art endoscopes, as well as 3-D imaging surgical/robotic platforms. Such training is highly desirable, which bodes well for our graduating residents.
 
Shadowing Opportunities

Please contact the Residency Coordinator, Demi Robert , at 504.988.2794. She will arrange shadowing activities.
 
Research Opportunities

Our faculty is a very productive one – both in basic sciences and clinical research projects. Each faculty member can be approached individually, so as to filter out what would best suit one’s requirements and career goals.

Omer Raheem, MD, Msc.

Wayne JG Hellstrom, MD

L. Spencer Krane, MD

Asim Abdel-Mageed, PhD

Suresh Sikka, PhD

Jonathan Silberstein, MD

Raju Thomas, MD, FACS, MHA -- Chairman

Additionally, students may want to pursue research opportunities through the DeBakey Scholars Program. This program offers medical students the opportunity to pursue and complete a longitudinal, structured, closely supervised research experience culminating in a capstone presentation prior to graduation. For more information, contact Dr. Kenneth Mitchell.

 
Specialty Interest Group

2019 Officers

President: Joshua Pincus

Vice President: Joe Kim

 
Recommended T3 & T4 Coursework

We recommend that those in T3, especially early in T3, should spend an elective week or two on the Urology service, so as to familiarize themselves with the weekly schedules, the Urology clinic, and the procedures in the various areas of urologic surgery and diagnostics. Further, we recommend that those interested in urology take a sub-internship for a minimum of two months outside of Tulane.

 
Special Considerations When Applying for Residency

In Urology, which is relatively competitive, we look as USMLE scores, research activities within urology, medical school GPAs, the references from sub-internships, and their performance during electives at Tulane Urology. Presentations, publications, and research activities are given the highest merit.

Students wishing to match in a urology residency will need to apply to the American Urological Association (AUA) Match, as well as the National Residency Match Program (NRMP) Match.

 
Important Advice

Having a high Step 1 score, along with research activities, are considered to be the initial evaluation criteria.

Clerkships and letters of recommendation are added onto these in the decision making process.

Interviews and other application materials follow these in importance when deciding on residents.

 
How Many Programs Should I Apply To?

Available data suggests that a competitive candidate should apply to 30-50 programs. Urology is a very desirable residency training choice. The aging population, as well as the use of advanced technology procedures, have made it a highly sought after residency.