M. Wirth Department of Urology, Technical University of Dresden
Department of Urology Indiana University - IU School of...
Transcript of Department of Urology Indiana University - IU School of...
Hospitals-IUPUI Campus
IU
VA
Cancer pavilion
Wishard Hospital
Riley
Research bldgs
Michigan Ave
10th st
Methodist
16th st
Monorail
University blvd
University Place and Conf Center
N
E IU Simon Cancer Center 2008
New Bed Tower2010
Medical School
Library
$745MNew Proposed Wishard 2013
Lab
Simulation Center
Department of Urologyat Indiana University
High volume, high acuity care• Urologic cancer• Urinary reconstruction• Pediatric reconstruction• Minimally invasive surgery
Hospital ComparisonsHospital Beds Strengths
IU hospital 350 Oncology Urinary reconstruction
Riley hospital 230 Pediatrics
VA hospital 137 General urology
Wishard hospital 518 General urology
Methodist hospital 820 Stone disease Female urology
Adult Urology at IU Michael Koch - Oncology
(prostate, bladder) and reconstruction
Richard Bihrle- Oncology (testis and kidney) and reconstruction
Richard Foster- Oncology (testis and bladder) and reconstruction
Tom Gardner- Oncology (prostate and kidney) and research
Chandru Sundaram- Minimally Invasive Surgery
Stephen Beck- OncologyNew Additions in 2009 Timothy Masterson- Oncology C.R. Powell- Female Urology
and Reconstructive Surgery
Methodist Campus Located 1.0 miles northeast of IU campus 800 bed tertiary care hospital Emphasis on endourology and stone disease Drs. James Lingeman, Larry Munch and Ron
Steele Urology of Indiana: Dr. Peter Knaap and
colleagues
Riley Children’s Hospital 3rd largest children’s hospital in country New ROC completed in 2001 Dedicated GU clinic New inpatient tower in progress
Program Structure
Fully accredited by the ACGME 1/5 Program, 1 year general surgery at IU
followed by 4 years of urology take 4 residents per year from 2009 rotations at 5 institutions, all rotations are
3 months in duration and have 2 residents at a time
Resident Rotations
1st third 2nd third 3rd third Uro-1 IU Riley Methodist
Uro-2 Riley* VA Wishard
Uro-3 Research Research Methodist*
Uro-4 IU* Wishard* VA*
* Chief resident responsibilities
Proposed Resident RotationsPGY 1 A A A B B B GS GS GS GS GS GSPGY 2 A A A WEST WESTWESTRI RI RI METH METH METHPGY 3 CLIN CLIN CLIN
FLEX (IU)
FLEX (IU)
FLEX (IU) VA VA VA WIS WIS WIS
PGY 4 RES RES RES B B B RI RI RI METH METH METHPGY 5 A A A WEST WESTWESTVA VA VA WIS WIS WIS
Proposed rotations with 4 residents per year Radiology : ultrasound and CT Urogynecology Increased exposure to clinics at IU
Fellows Pediatrics- 2 fellows, 1 clinical and 1 research GU oncology- 2 fellows, 1 clinical and 1 research Minimally invasive/laparoscopy- 1 clinical fellow
Resident Surgical Experience High surgical experience early in residency Resident directed surgical coverage Broad surgical experience in a wide variety of
settings Dedication to residents as first priority Balance between Laparoscopy and Open Surgery
Adult Surgery 2004-8INDIANA NATIONAL
235 residents,114 programs50th percentile 90th percentile
Cystoscopy 628 781ESWL 27 35Female incontinence 15 33Pelvic lymphadenectomy 56 56
RPLND 38 4 13Penile surgery 35 32Percutaneous renal surgery
169 31 69
Prostatectomy, Radical 67 72Radical Cystectomy 38 18 35Total/Partial Nephrectomy
74 80
Scrotal Surgery 97 95TRUS Bx 189 137Transurethral prostate surgery
70 62
TURBT 84 70Ureteroscopy 244 130 224Urethroplasty 34 23 40Urinary diversion 46 15 41TOTAL ADULT 1913 1801
Pediatric Surgery
INDIANA NATIONAL 235 residents,114 programs
50 percentile 90% Bladder augmentation 3 1 4 Hydrocelectomy/hernia 25 29 Hypospadias 28 21 Orchiopexy 46 37 Pyeloplasty 11 5 11 Renal Surgery 8 2 7 Ureteroneocystostomy 48 21 44 Urinary Diversion 8 3 9 TOTAL PEDIATRICS 178 124
Adult Surgery: IU: 2005-2009Resident 1 Resident 2 Resident 3
% % %
FEMALE 14 7 31 44 21 21
RPLND 19 93 43 97 43 97
PCNL 163 99 171 99 154 98
Prostatectomy 60 38 94 68 86 62
Cystectomy 33 85 45 93 50 95
Renal surgery 49 9 83 51 124 83
Ureteroscopy 200 79 200 79 295 94
Urethroplasty 30 65 35 76 31 67
Urinary Diversion 38 86 37 85 21 60
Pediatric Surgery: IU:2005-2009Resident 1 Resident 2 Resident 3
% % %
Bladder augmentation 3 81 4 90 5 94
Hydrocele/hernia 23 38 26 44 41 72
Hypospadias 11 16 25 60 30 70
Orchiopexy 35 45 65 89 67 91
Pyeloplasty 6 75 19 98 14 96
Renal Surgery 1 27 9 94 7 89
Ureteroneocystostomy 41 88 62 95 77 98
Urinary Diversion 7 84 5 72 10 93
Total 129 52 215 89 251 94
Robotics Program 3 surgeons with robotics training at IU 25-30 cases per month currently Active resident participation/console time 2 daVinci S, HD robots at IU Hospital
Conferences Garrett, Donohue and Wishard visiting
professorships Journal club (monthly) Morbidity and Mortality (monthly) Uropathology (monthly in board format) Uroradiology (weekly in board format) Didactic lecture series (weekly, resident and
faculty) Multidisciplinary cancer conference (weekly) Pediatric urology conference (weekly) Uro-oncology journal club (bi-monthly)
Research Program Martin Kaefer- molecular biology of urinary
obstruction Kirstan Meldrum- TNF in renal ischemia and
obstruction Tom Gardner- Adenoviral based gene therapy in
prostate cancer Ching-Hai Kao- Thomson Scholar in Prostate
Cancer Research, gene therapy for prostate cancer, prostate cancer promoters, AR function in HRPC
Clinical Research Databases in
Testis cancer Prostate Cancer Laparoscopic and Robotic surgery
All residents required to submit 2 papers for publication during residency
Expect all residents to present at regional and national urology meetings
Resident Support
Resident office equipped with computer, internet access
Educational materials (AUA computer based educational programs, SASP, AUA update series, etc)
Educational allowance for travel, books, etc. Chiefs and PGY3 attend review course Clinical support: Pre-op nurse, Hospital PA
Why Indiana University? Unparalleled surgical experience Broadly based program with early surgical exposure International, national, and regional referral base Growing department with expanding patient base and
strong hospital system Expanding research program with clinical focus General hospital systems which allow resident
independence (Wishard and VA) Resident focus Great city to live and work in
Indianapolis 1.5 million population in a state of 7.5 million Thriving inner city with active convention
program Most residents live within 5 miles of campus Low crime Opera, symphony, Rep theater
Interviews Meet with chair and full-time faculty Residents available all day in shifts Lunch break Tour after interviews Relaxing evening tonight