SUNY Downstate Medical School/University Hospital Brooklyn (Sponsoring Affiliate)
Older than the Brooklyn Bridge, SUNY Downstate Medical Center has roots that date back to 1860, when a school of medicine was founded at the Long Island College Hospital. Now settled in the heart of East Flastbush, it is the only academic medical center in Brooklyn. The medical center serves a population over 2.3 million people, among one of the most diverse in the world. Your urologic surgery experience at SUNY Downstate Medical Center will expose you to pathology unlike many other institutions. The diversity of the underserved patient population exposes the young physician to unique situations from preventative medicine to significantly advanced clinical disease states. It is no wonder that more physicians who practice medicine in New York City received their training at our College of Medicine than any other medical center in the country.
A urologic surgery resident’s opportunity will encompass all aspects of general, oncologic, female, medical, and surgical urology. Operative experience will include open, laparoscopic, endourologic, and robotic assisted laparoscopic approaches. The hospital employs fellowship trained physicians in Urologic Oncology. A SUNY Downstate Medical Center urology resident is known for their open surgical skills. At University Hospital Brooklyn, the foundation of this training is obtained. The SUNY
Downstate Medical Center provides experience to the urologic surgery resident during their PGY-1, PGY-2, PGY-3, and PGY-5 years.
Brooklyn VA Medical Center
Dating back to the civil war era, the VA Health System was developed from federal hospitals and domiciliaries for the nation’s volunteer forces. Today, more than 60% of all medical residents obtain a portion of the training at VA hospitals. The VA Harbor Healthcare System: Brooklyn Campus provides the young urologic surgeon in-training with a procedure focused experience in clinical and operative environments. The resident has the privilege of treating men and women who have sacrificed for the country in active combat. Under the tutelage of fellowshipped trained urologic surgeons in Uro-Oncology, Andrology, Male Infertility, Microsurgery, Female Pelvic Medicine, and Reconstructive Surgery the resident gains a full breadth of the scope of urology. It is here the resident works one-on-one with the chairman of the program who is world renown for his research and advancement in the understanding of voiding dysfunction, urodynamic studies, and nocturia. Additionally, the resident will acquire distinct exposure to multidisciplinary Tumor Board conferences that includes professionals in: Pathology, Medical Oncology, Radiation Oncology, and Urologic Oncology.
The VA New York Harbor Healthcare System: Brooklyn Campus provides experience to the urologic surgery resident during their PGY-2, and PGY-4 years.
Kings County Hospital Center
Kings County Hospital Center has a rich legacy dating back more than 175 years ago. The original hospital was completed in 1837, which marked the beginning of one the largest municipal hospital in the United States. Known for its pioneering role in medicine, Kings County Hospital has staked claim to many “firsts”: it was the site of the first open-heart surgery performed in New York State; Kings County physicians invented the world's first hemodialysis machine, conducted the first studies of HIV infection in women, developed the clinical application of diagnostic peritoneal lavage, and produced the first human images using magnetic resonance imaging (MRI). In addition, Kings County was named the first Level 1 Trauma Center in the United States. In 2003 the United States Army created a training program at Kings County Hospital Center, which sees some of the highest rates of gunshot and stabbing victims, to train reservists in its unique emergency room.
The current hospital, which completed a 3 phase upgrade to a new building in 2006 includes 627 beds, includes cutting edge diagnostic equipment, and state-of-the-art treatment facilities. The urologic surgery resident will gain experience in high volume genitourinary trauma, uro-oncologic, and reconstructive pathology treated in open, laparoscopic, and endourologic surgical approaches. The hospital employs fellowship trained faculty in Female Pelvic Medicine and Reconstructive Surgery. Additionally, residents are integral in the delivery of extracorporeal shock wave lithotripsy for the treatment of urologic stone disease.
Kings County Hospital Center provides experience to the urologic surgery resident during their PGY-1, PGY-2, and PGY-5 years.
Childrens Hospital of Philadelphia
Perennially ranked as the nation’s top pediatric hospital, The Children’s Hospital of Philadelphia has recently embarked on an affiliation with the SUNY Downstate Medical Center Depart of Urology Residency. Since 1855, the nation’s first hospital devoted exclusively to caring for children, The Children’s Hospital of Philadelphia has lead the way with dramatic “firsts” in the development of innovations that have improved pediatric healthcare. Under the instruction from thought leaders in the field of pediatric urology, the urologic surgery resident gains exposure to unmatched clinical pathology.
The urologic surgery resident is provided housing by the program in affluent Rittenhouse Square in Center City, Philadelphia.
The Children’s Hospital of Philadelphia provides experience to the urologic surgery resident during their PGY-4 year.
Memorial Sloan Kettering Cancer Center
A world renowned private cancer center, Memorial Sloan Kettering Cancer Center has devoted over 130 years to patient care, research, and education. Located on York Ave, on the Upper East Side of Manhattan, MSKCC is ranked atop US News & World Report for cancer center care. Expectedly, the institution treats pathology from not only across the nation, but that transverses the world.
The urologic surgery resident is involved in an incomparable role at Memorial Sloan Kettering Cancer Center. By the end of their residency, the young physician will have completed 2/3rds of a clinical fellowship in Urologic Oncology. Eight clinical months are spent in direct patient contact in clinical and operative settings. As a chief resident, the urologic surgery resident serves as an acting fellow, and cares for a disease-specific urologic oncology service under the tutelage the specialty’s thought leaders. Additionally, the urologic surgery resident is oft involved in starting or advancing clinical research utilizing the resources and databases provided by an industry leader in academic medicine.
Memorial Sloan Kettering Cancer Center provides experience to the urologic surgery resident during their PGY-3 and PGY-5 years. Housing is program provided to the chief resident during their acting fellow rotation at Memorial Sloan Kettering Cancer Center.
The Brooklyn Hospital Center
The Brooklyn Hospital Center dates back to the 1840s, and claims its position in history as Brooklyn’s first voluntary hospital. Located in Forte Greene, Brooklyn the hospital cares for a dense population in the surrounding neighborhoods. The established urologic practice sees a wide spectrum of urologic pathology. Preventative care and definitive treatments are provided utilizing latest advancements in medical technology. The urologic surgery resident is integral in the delivery of care in the clinical environment, and is enormously involved in open, laparoscopic, robotic assisted laparoscopic, and endourologic surgical approaches.
The Brooklyn Hospital Center provides experience to the urologic surgery resident during their PGY-1 and PGY-4 years.
New York Methodist Hospital
The New York Methodist Hospital, an acute-care teaching hospital located in Park Slope, Brooklyn recently began its affiliation with the SUNY Downstate Urology Department. As a member of the NewYork-Presbyterian Healthcare System, the hospital boasts access to top-ranking physicians and comprehensive resources. The facility is comprised of a high volume urologic practice, with a focus on minimally invasive surgical approaches. The budding relationship with the SUNY Downstate Medical Center Urology Residency includes the opportunity where the resident will obtain a bulk of their Robotic Assisted Laparoscopic and Endourologic surgical training while under the direction of fellowship trained physicians. Treatment approaches include urologic oncology, reconstruction, and urologic stone disease
New York Methodist Hospital provides experience to the urologic surgery resident during their PGY-4 year.
SUNY DOWNSTATE MEDICAL SCHOOL
HISTORY OF THE DEPARTMENT OF UROLOGY
The history of this department dates to 1856 with the founding of the Brooklyn German General Dispensary. The name was changed to the Long Island Hospital and Medical College on December 23, 1857. In 1930 the institutions were separated. Long Island College Hospital remained the same but the medical school was entitled the Long Island College of Medicine. In the early 1950s the campus of the medical school was moved to its current location and the name changed. It became the State University of New York College of Medicine at New York City. Subsequently, the name was changed to the SUNY Health Science Center at Brooklyn and again to its current name the SUNY Downstate Medical School.
As the art and science of urology developed, a urology division within the department of surgery was formed. However, in 1965 the then urology division chief, R. Keith Waterhouse, succeeded in forming an independent department of urology. Interestingly, when the medical school moved to the current location there was no hospital. Thus, the multiple affiliations that the institution and the department currently have are by design. It was never the intention of the administration to build a large monolithic university hospital. However, due to the efforts of the faculty a small university hospital was subsequently placed adjacent to the medical school. Its name is University Hospital-Brooklyn. It remains the smallest of hospitals in the department’s residency program.
Upon Dr. Waterhouse’s retirement in 1982, Dr. Richard J. Macchia was appointed as the ACGME program director and professor as well as interim chairman. He received final appointment as chairman in 1988.
Under Dr. Macchia’s leadership the department and our residency training program has undergone many changes reflecting the changes in medicine as well as in medical education. In 1982 a U2 rotation through the Memorial Sloan-Kettering Cancer Center(MSKCC) was initiated. The program at that time had four residents in each of three urology years as well as four residents in each of two pre-urology surgery years. Dr. Macchia changed the program to three residents in each year and added a fourth urology year. Several years ago, the configuration of the program was changed again reducing the pre-urology requirement to one year while maintaining the four years of urology training.
Dr. Macchia has also expanded the program from the original University Hospital/Kings County Hospital and Brooklyn VA Hospital to include other institutions. This was a reflection of the philosophy and original design of the medical school. This improved our cultural, social, financial, and faculty diversity. An important addition to the resident rotation was the invitation by MCKCC to send a urology-4 resident to that institution to function as a fellow for four months. We believe this invitation speaks highly of the quality of our residents and the training they receive in the PGY1 and first 3 urology years.
Our program has always been fully accredited by the ACGME.
The department has undergone significant changes since 2003, which have dramatically improved the quality of its educational program. These changes are outlined in section 5B of the PIF. Dr. Jeffrey Weiss joined the faculty as Professor of Urology in 2008, eventually assuming the role of ACGME Program Director in July of 2009 and Department Chair in June of 2010. Dr. Weiss instituted the new Urology Curriculum which involves core didactic lectures given by residents and faculty weekly on a 2 year rotation schedule. A formal organization of Downstate urology research activities has taken place under Dr. Weiss' guidance, with emphasis on voiding dysfunction, cancer in an underserved inner city population and urolithiasis. Dr. Brian McNeil was recruited to the department in January of 2011, the first fellowship-trained African American Uro-oncologist in the city of New York."
Many of our graduates have gone on to fellowship training. Several are internationally renowned in their field. Many former residents are now on the faculties of academic institutions from coast to coast. Two are ACGME program directors.