The University of Florida (UF) Urology Endourology/Minimally Invasive Surgery Fellowship is structured to provide a focused and balanced one year experience in advanced clinical training and research. During the year, trainees will spend time on clinical rotations, will be directly involved in the management of patients with various urologic diseases, and will be exposed to a broad spectrum of endourologic and minimally invasive surgical procedures including:
- PCNL, ureteroscopy
- Metabolic stone evaluation
- Mentors: Drs. Bird, Canales and Terry
- Laparoscopy and Robotics
- Prostatectomy, partial and radical nephrectomy, nephroureterectomy, cystectomy, pyeloplasty, adrenalectomy
- Transperitoneal and retroperitoneal approaches
- Da Vinci Xi and SP platforms
- Mentors: Drs. Brisbane, Canales, Su and Terry
- Advanced Imaging and Ablative Technologies
- Multiparametric MRI and micro-ultrasound
- Renal and prostate ablation
- Mentor: Dr. Brisbane
The clinical program is designed to provide the fellow with a practical knowledge of the most up-to-date methods of diagnosing and treating all types and stages of these urologic diseases. The fellowship faculty have significant experience in all aspects of endourology, laparoscopy, and robotic surgery, allowing for tailoring the training experience based upon each individual fellow’s strengths and perceived areas of needed improvement..
The fellow will have the opportunity to rotate and operate with each of the fellowship faculty throughout the year based on a schedule tailored to maximize the fellow’s clinical experiences both in the operating room as well as clinic environment.
In general, the fellow will have 4 operative and 1 research day per week. However, this may vary according to research projects chosen, fellow-specific planning with the involved faculty, and clinical needs of the department.
The fellow will have an integral role in the Department of Urology and will serve as a junior faculty member including taking an equal share of faculty call responsibilities. The fellow will have incremental and independent surgical responsibility under the guidance of the fellowship directors.
The fellow will also participate in our departmental weekly teaching conferences. He/she will also have a formal role in the didactic curriculum of the residency program by giving lectures on genitourinary disease as it pertains to endourology and minimally invasive surgery. The fellow will give Urology Grand Rounds at some point during their fellowship year on a topic of their choice.
The program further encourages collaboration of the fellow with residents on design, conduct, presentation and publication of research projects in which they have the opportunity to assume a mentorship role.
The fellow will have exposure to unique training labs to enhance laparoscopic and robotic skills. He/she will run weekly robotic (dry lab) and simulation labs and conduct a bi-monthly laparoscopic (wet lab) training lab along with other faculty members in conjunction with urology residents.
For endourology training, the fellow will gain experience in ureteroscopy and percutaneous nephrostolithotomy. Percutaneous access may be performed by Urology or in conjunction with the Division of Interventional Radiology and involve both antegrade and retrograde access approaches. The fellow will acquire a basic knowledge of the metabolic aspects of stone disease and its medical management of prevention through a multidisciplinary clinic alongside team members from the Division of Nephrology.
For laparoscopy/robotics training, the fellow will learn a variety of robotic and laparoscopic techniques including both conventional laparoscopy and robot-assisted laparoscopy for upper tract urologic surgery that includes adrenalectomy, pyeloplasty, partial nephrectomy, radical nephrectomy and nephroureterectomy. Training to perform robotic prostatectomy is multifaceted including didactic, video, simulation and step wise hands-on training on both the da Vinci Xi and SP robotic systems.
For ablation technologies, fellows have the unique opportunity to participate first hand in advance prostate imaging (UroNav and micro-ultrasound) for prostate cancer as well as focal therapy. Renal tumor ablation is primarily performed by the Division of Interventional Radiology for which fellows are encouraged to attend and observe.
Though it may vary from year to year, fellowship related procedures performed annually by the faculty include >175 percutaneous procedures, >300 ureteroscopic procedures, and >225 laparoscopic/robotic procedures.
An advanced understanding of the principles of clinical research is essential to an evidence-based practice of urology as well as the fellow’s efforts to advance the field through high quality and impactful discoveries. The fellow will gain further experience in this area by interacting at departmental research conferences and through interactions with individual mentors. The research experience will also provide the fellow with an ideal background for academic success.
Opportunities for clinical, translational and basic science research are available in the areas of endourology and mechanisms of stone disease, minimally invasive surgery, urologic oncology and new cutting-edge advanced imaging techniques for prostate cancer. During the year, fellows are expected to devise a research project under the guidance of fellowship faculty and carry their research to completion, culminating in their fellowship essay manuscript. This project should be of the quality to be published in a peer-reviewed journal.
Upon completion of the fellowship program, the trainee will be able to meet the standard requirements for certification by the Endourological Society for either endourology or robotics/laparoscopy or combined. The fellow will be expected to maintain an accurate and comprehensive operative log through the Endourological Society case log system and will review this with the program director on a routine basis.
Applicants must have completed an approved US residency training program in urology and must submit an application, a current curriculum vitae and a minimum of three letters of recommendation.
To receive fellowship certification with the Endourological Society, the fellow must:
- Submit a manuscript to the Journal of Endourology essay contest (go to https://www.endourology.org/fellowships/ for specific details).
- Minimum of three (3) publications in peer reviewed journals (go to https://www.endourology.org/fellowships/ for specific details).
- Write and have accepted either an animal protocol or IRB clinical protocol; then proceed to complete this protocol or play the lead role in initiating and moving it forward toward completion.
- Submit a case log to the Endourological Society at www.endourology.org as well as all teaching conferences/courses you are presented during your fellowship (go to https://www.endourology.org/fellowships/ for specific details).
- On satisfactory completion of the one year fellowship, the fellow will have a letter of endorsement from the director of the fellowship program sent to the Endourological Society in support of his fellowship certificate.
- Submit a listing of all publications, book chapters, videotapes that you produced during you fellowship year(s).
Official Program Training Dates
The endourology/minimally invasive surgery fellowship program is a one-year program that will begin July 1 of each academic year and will end June 30.
The clinical status of the fellow will be at a PGY6 level for the University of Florida.
Application to the Program
If you are interested in applying for the Fellowship Program, please visit the Endourological Society’s website, www.endourology.org to download and complete the application. After completion, you should forward either a paper copy or pdf copy of the application, along with your curriculum vitae and letters of recommendation, to the University of Florida at the following address:
Vincent G. Bird, MD
University of Florida College of Medicine, Department of Urology
Endourology/Minimally Invasive Fellowship
1600 SW Archer Road/Box 100247
Gainesville, FL 32610-0247
PDF may be emailed to: firstname.lastname@example.org
All questions and or comments should be emailed to Kathleen.Wolford@urology.ufl.edu.
Program Co-Directors (click hyperlink for faculty video introduction)
Vincent G. Bird, MD is Professor of Urology, Director of the Endourology, Chief of the Division of Minimally Invasive Surgery, and Director of the Urology-Nephrology Multidisciplinary Stone Clinic. Dr. Bird is strongly committed to the UF endourology fellowship program, in particular, with regards to the provision of a structured training program of progressively increasing responsibilities in both endourological stone surgery and renal laparoscopy. He also oversees the fellow’s metabolic evaluation of stone disease in the clinic. He provides mentorship for clinical research and manages a number of clinical databases that are part of an active clinical research program.
Wayne G. Brisbane, MD is an Assistant Professor of Urology. Dr. Brisbane’s clinical interests include the diagnosis and treatment of all stages of prostate cancer. His research interests involve the advanced imaging techniques related to prostate cancer diagnosis including MRI fusion technologies as well as micro-ultrasound, which is a high-frequency ultrasound technology that allows high resolution imaging of the prostate gland down to the prostate duct (70 micrometers). Lastly, he is involved in multicentered research trials involving the use of micro-ultrasound as well as focal therapy for prostate cancer.
Benjamin K. Canales, MD is Associate Professor of Urology and Director of Research within the department. His practice is based at the Malcom Randall Department of Veterans Affairs Medical Center. Dr. Canales is strongly committed to the UF endourology fellowship program, in particular, with regards to the provision of a structured training program of progressively increasing responsibilities in both endourological stone surgery and renal laparoscopy. He also maintains a basic science laboratory and conducts basic science research relating to the metabolic origins of urinary lithiasis.
Li-Ming Su, MD is Professor and Chairman and is strongly committed to the UF endourology fellowship program, in particular, with regards to the provision of a structured training program of progressively increasing responsibilities in robotics and minimal invasive surgery. He has a central role for the robotic assisted laparoscopic experience, with regards to prostate and renal surgery and also provides mentorship for clinical research.
Russell S. Terry, MD is Assistant Professor of Urology and Director of MIS Education and New Technologies. He manages a busy stone practice at UF which includes both the surgical and metabolic management of complex stone disease. He also maintains a practice at the Malcom Randall Department of Veterans Affairs Medical Center which is focused on minimally invasive urologic oncology.
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