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OVERVIEW OF OUR RESIDENCY PROGRAM

 

(Our Residents in the OR)

 

(Our Residents in the OR)

RESIDENTS 2013/14

      

(front row) Drs. Winer, Mack, Golombos and Skenazy
(back row)Drs. Bergman, Verges, Graham, Atallah, Tyler and Levy

 

 

Congratulations to our Graduates of 2012/13, Drs. Alexander Sankin, Mariam Imnadze and Fernando Cabrera- Piquer.  Well Done!!

The program is divided into two halves. Each resident is an assistant resident for two years and then chief resident for two years. Our residents currently rotate through our 7 integrated hospitals. These include the combined SUNY Downstate University Hospital Brooklyn (UHB/Kings County Hospital Center (KCHC) rotation, as well as VA New York Harbor Healthcare System, Brooklyn Campus, Long Island College Hospital (LICH), New York Methodist Hospital (NYM), The Brooklyn Hospital (TBH) and the Memorial Sloan Kettering Cancer Center (MSKCC), Children Hospital of Philadelphia (CHOP). This variety is important to the educational process since it exposes the residents to a range of patients with divergent characteristics and faculty with widely divergent philosophies. The alert resident can tap this rich resource: Several core faculty members are at each institution.

At the end of each rotation each resident is formally evaluated by each faculty member with whom he/she worked. Similarly, at the end of each rotation each resident gives his/her written evaluation of the rotation and the faculty. To help you assess your knowledge and to help me assess our program, each resident must take the AUA in-service examination each year. The minimum acceptable score is 30th percentile. This is also excellent preparation for the Part 1 examination of the American Board of Urology.

Promotion is not automatic and is determined by recommendation of the AEC to the chairman. I strongly encourage fellowship training for interested and deserving residents. Most of our graduates commenced fellowships and all current chiefs are planning upon similar prestigious fellowships. Many SUNY Downstate Urology residents have done such training and gone on to full-time academic positions in respected medical schools. A great number have achieved national and international prominence. There is not surprisingly strong demand in private practice for our well trained, confident residents.

Many of our former residents financially support the educational program for our current residents. The department also hosts a variety of social activities. In December there is a holiday party. At the end of each academic year there is a departmental dinner and academic awards ceremony. The purpose of this event is to honor the graduating residents and to also recognize those residents who have distinguished themselves academically during the preceding year. Our graduating residents are honored along with chief residents from other departments at the annual dinner of the Residents and Fellows Alumni Society . Dr. Macchia, our emeritus long time department chair, is a founding member of its Board of Directors.

DEPARTMENT OF UROLOGY DIDACTICS

There is an active intra and extramural didactic educational program to supplement thorough surgical training. A weekly department-wide conference is held which all residents and select core faculty attend. Each month one conference is devoted to pediatric urology, and another to cases involving patient safety and adverse events. One conference per month is dedicated to multi-disciplinary uro-oncology. A research conference is held monthly at LICH. Our journal club is held monthly, usually in the evening at the LICH conference room. The club is directed by our faculty. Other faculty members routinely participate. In addition, each hospital conducts its own series of educational activities, which may include general urology conferences and special conferences for uro-pathology, uro-radiology, and uro-oncology. Our didactic sessions not only provide academic education, but allows faculty educators and residents to gather for informal discussion before and upon completion of our conferences.

SUNY Downstate Department of Urology

Didactic Schedule Overview

TOPICS

Bladder CA Part 2 (Invasive Disease)

Urinary Diversion

PATHOLOGY Bladder

Transplant

Ureteral Phys/Pathophys (Obstruction/Reconstruction)

Biostatistics

Upper Tract Urothelial CA

Prostate CA Part 1 (Etiology/Diagnosis/Risk Stratification)

PATHOLOGY Prostate

Prostate CA Part 2 (Surgical Management)

Radiotherapy of Bladder/Prostate

Chemotherapy of Bladder/Prostate

Reproductive Physiology/Infertility

Erectile Dysfunction/Peyronnies

Priapism

STD's/Genital Dermatology

Geriatric Urology

Bladder Physiology (Innervation/Micturition)

Male Voiding Dysfunction/BPH Part 1 (Etiology/Diagnosis)

Male Voiding Dysfunction/BPH Part 2 (Management)

 

ANNUAL MEETINGS, CONFERENCES AND PRESENTATIONS

Our residents receive a stipend to attend the Basic Science in Urology conference held annually by the American Urological Association (AUA) at the University of Virginia (usually in the U-1 or U-2 year). Our library, which is the fifth largest medicalschool library in the country, has every textbook and journal in the English language pertinent to urology. It is housed in our $52 million dollar Health Sciences Education Building.

There is an active Section on Urology of the New York Academy of Medicine. Each year it conducts a series of valuable educational activities in which our residents participate. There are also 2 lectures per year by recognized authorities, a urology research fellows night and a lecture by the awardee of the Section's F.C. Valentine Medal for career achievement in urology. Resident stipends are provided by the department.

The New York Section of the AUA hosts the F.C. Valentine Residents Essay Contest and a Residents Debate Night each year. Our residents participate and have been recipients of awards.

Our residents have the opportunity to attend the annual meeting of the AUA. Those who have papers accepted for presentation receive a stipend from the department and have priority to attend. Approximately half of the residents attend each year. Please see our compilation of such in the recent abstracts and recent publications section.

There are many other urologic activities in the N.Y. area. These are brought to the attention of the residents by a weekly email calendar of events. Every effort is made to provide time for them to attend.

In addition to their clinical activities, the faculty conducts research in a variety of areas. Our residents participate in our research or initiate their own. Each year our faculty and residents present our papers at the national AUA meeting, at the Section on Urology of the American Academy of Pediatrics meeting, and at other meetings. Our work is published regularly in peer-reviewed journals. Our research may be purely clinical or in coordination with basic scientists in our medical school. Recently Dr. Weiss has initiated a joint research group with Dr. Jerry Blaivas, adjunct SUNY Downstate Professor, and Dr. Matthew Rutman, Assistant Professor of Urology at NYPH/Columbia Campus. Meetings are held at least monthly and include SUNY Downstate residents, medical students, faculty and research assistants. International collaborations are in progress and have resulted in numerous abstracts and presentations at major meetings such as the AUA, EAU, ICS, SUFU and AUGS.

In the past, two of our medical students were awarded first prize in the laboratory division of the National Medical Student Research Forum for their participation in my androgen receptor project. Medical students presenting urologic research have won our school-wide research competition, represented SUNY Downstate at the statewide competition, and presented at the New York Academy of Medicine. Our residents regularly win prizes in the F.C. Valentine Residents Essay Contest involving 120 residents from all 16 ACGME approved programs in the geographic area of the New York Section - AUA.

The Department of Urology is committed to the advancement in all aspects of the profession of Urology through excellence in education, scholarly activity, research, clinical care and community service.


To Apply for the Residency and Applying for a 4th Year Elective

Residency Application Process:

Entry into our urology residency requires a minimum of one year of ACGME approved general surgery training at SUNY Downstate to be completed prior to the actual urology residency.

If you have already graduated medical school, you have two options depending on your situation. Either complete an additional one year of surgery here or apply for a position that may open up by virtue of illness, withdrawal, or non-renewal of contract. The latter situation is unlikely. If you do select the latter, your pre-urology year must have been served as a regular resident in a general surgery program approved by the Accreditation Council for Graduate Medical Education (ACGME). You must then augment your application by including the results of Parts II and III of the USMLE tests and your general surgery in-service examination scores.

All positions are allocated through the AUA RESIDENCY MATCHING PROGRAM FOR UROLOGY. You must register with it 713-622-2700 or 800-282-7077 ext 86. The urology match is completed before the deadline for filing for the surgery match. The AUA website is www.aua.net.org.

All applications are via ERAS - the Electronic Residency Application Service. Its website is: www.aamc.org. 

Promotion from general surgery to urology is not automatic, but dependent on satisfactory performance.

If you wish to apply to the Department of Surgery, even if you do not match in urology, make a separate application to it in addition to your application to urology. Contact Ms. Natasha Sagal (Natasha.Sagal@downstate.edu) in the Department of Surgery at 718 270-3302.

If you wish to obtain a copy of the SUNY Downstate Medical School Bulletin, I suggest that you call or write to the admissions office at 718-270-2446.

WEBSITE
www.downstate.edu/urology

The Interview Process:

Every application to our program is carefully reviewed to determine who is to be offered an interview.  This is difficult because there are so many qualified applicants.  We get hundreds of applications.  We can offer interviews only to approximately 35-40 applicants.  Therefore, even well qualified students may not be offered an interview.

We evaluate all information available to us:  rotation evaluations, Dean’s letter, rank in class, USMLE1 score, letters of recommendation, research productivity, fit, interviews, and the results of the ranking by the residents’ subcommittee for those who did rotate with us.  Each member of the selection committee following the interview independently scores each student on a scale of 10-1 with 10 being the highest.  We discard the highest and lowest score from each evaluator.  We then average the rest and reach a numerical score.  We then develop a rank list based strictly on the score.  We then discuss that ranking and see if we agree or need to make minor adjustments.

We are all well aware how important this process is to each applicant.  It is a very stressful time for you and for us.  We attempt to be as fair as we possibly can.

You may be invited for an interview by the Academic Executive Committe (AEC), which also functions as the resident selection committee. Several current residents are available to answer your questions. A site visit to Memorial Sloan Kettering Cancer Center is part of the interview process. Interviews are ordinarily held in November and/or December, but special arrangements can be made by contacting me. These special appointments usually involve only one faculty member, not the entire selection committee. Our deadline for applications will be posted further along in the academic year.  Please recheck for deadline.

If you have any questions, please call our Academic Coordination Office. Contact persons are Ms. Wynclette Knight (Wynclette.knight@downstate.edu), at 718-270-1732. Our fax is 718- 270-3848.

Ang for a 4th Year Elective

Directions:

  1. Contact our Academic Coordination Office. Contact persons are Ms. Wynclette Knight (Wynclette.knight@downstate.edu), at 718-270-1732. Our fax is 718- 270-3848.
  2. If you are from another medical school also contact the Registrar's office 718-270-1875 and request the forms which must be completed to be accepted for a rotation at SUNY Downstate.
  3. If anyone says you cannot take our elective for any reason, speak to me personally. I will try to accommodate every qualified applicant.

 

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