Residency Program

 

 

 

MESSAGE FROM THE CHAIRMAN

Our four-year residency program in urology offers intensive clinical training with advanced academic orientation. The program gives residents an opportunity to:

  • become skilled clinicians.
  • develop the background for an academic career if they choose.

In either case, our goal is to train physicians who can provide leadership in a challenging specialty in an ever-changing practice environment. Our sub-specialized faculty are well recognized as experts in their field.

At Tulane Urology, new residents will have access to and receive advanced training at three major hospitals, including our own Tulane University Hospital and Clinic and two new, multi-billion dollar hospitals.  Visit our Facilities page for more information.

We at Tulane Urology are very involved in basic and clinical research. Our faculty has solid expertise in both basic urology and in all recognized areas of urologic sub-specialization. Thus, Tulane Urology residency offers an exceptionally complete preparation for the challenges of a lifetime of professional growth.

Approximately 25 percent of the applicants are invited for an interview, and no applicant is accepted without a personal interview. Our current RRC-ACGME full accreditation allows for two resident selections per year. We participate in the American Urological Association (AUA) Residency Matching Program.

We look forward to hearing from you.

Raju Thomas, MD, FACS, MHA
Professor and Chairman, Department of Urology

US MEDICAL STUDENTS INTERESTED IN SUB-INTERNSHIP WITH TULANE UROLOGY

If you are a medical student interested in a clinical clerkship (Sub-Internship) with Tulane Urology, please contact Demi Robert at 504 988-2794. You may also visit the Office of Student Affairs for more information on this program.

AN EXACTING PATH TO EXCELLENCE

Urology residency at Tulane is a fully accredited four-year program designed to provide an intensive academic and clinical experience. While its areas of concentration are necessarily complex, the program’s focus is clear: to work, to learn, and to grow in an environment of excellence. The first year of the residency program covers basic clinical urology. The second year is focused on Pediatric Urology and further maturation in endoscopic and open surgical skills. The third year focuses on advanced clinical urology. The fourth year is spent as a chief resident, with access to major surgical procedures. Teaching rounds – along with daily, weekly, and monthly conferences – enable residents to acquire necessary clinical skills reinforced by a practical frame of reference for academic study. The program’s emphasis on direct involvement and the wide variety of cases encountered in this major urban healthcare center produce a training regimen that is as rewarding as it is demanding. At Tulane, residents work closely with full-time faculty members in areas of subspecialization, ranging from pediatric urology to renal transplantation, including fertility, oncology, endourology, laparoscopic and robotic surgery, sexual dysfunction, urodynamics, infectious diseases, and microsurgical techniques. Throughout the program, breadth of interest is matched by depths of inquiry. The full-time faculty is augmented by a large, diverse and active clinical faculty. Additionally, several outstanding external visiting professors supplement the faculty each year. The residency program includes an elective basic sciences course at the University of Virginia during the first year and an ongoing basic science review at Tulane conducted by members of the basic sciences departments. Residents attend at least one major AUA seminar. The program also includes the annual Specialty Review in Urology course for chief residents. Any resident who has a paper accepted by a regional or national meeting or conference may attend that meeting at the expense of the department if the meeting is within the United States. Every effort is made to provide time, lab space, and faculty mentorship as needed to fulfill our departmental mission to foster basic and clinical research. Residency training at Tulane provides a solid foundation for a life’s work in either clinical or academic urology.

CURRENT RESIDENTS

Chief Residents

PGY 4 Residents


  

   

   

PGY 3 Residents

PGY 2 Residents

PGY 1 Residents

POLICY ON SELECTION

Qualifications:

Resident applicants are chosen based upon criteria established by the American Board of Urology. Tulane Urology Residency Program requires that the student graduate from an accredited Medical School, followed by completion of one year of general surgical training. It is expected of all resident applicants that the general surgical training be completed through the General Surgery Department at Tulane University. Prior research experience and requirements can be accommodated as per American Board of Urology guidelines. Following adequate completion of one year of general surgery, which Tulane University, Department of General Surgery will provide, an additional four years of urologic training is required.

RESIDENCY MATCH

Tulane accepts applications through the Electronic Residency Application Service (ERAS). Please register with ERAS to apply. For further information contact Ms. Demi Robert via e-mail at drobert@tulane.edu or by phone (504) 988-2794. Tulane Urology participates in the Residency Match program. One year of general surgery rotation in the Department of Surgery at Tulane is an expectation, followed by four years in the Department of Urology.

For more on How to Apply click here.

PRESENT ROTATIONS

Andrology, Infertility, and Urologic Prosthetics (for ED):

Tulane Urology has traditionally had a very strong presence in these areas. This section is led by Dr. Wayne JG Hellstrom. Residents get an unparalleled experience in Men’s sexual health and in basic and complex urologic prosthetic surgery when rotating through this section.

Endourology, Laparoscopy, and Robotic Surgery:

Tulane Urology has a long history of being on the cutting edge of minimally invasive urologic surgery, boasting a large series of percutaneous lithotripsy procedures, rigid and flexible ureteroscopy including endopyelotomy, the largest experience of urologic laparoscopy in the entire Gulf South, as well as the oldest and largest experience in urologic robotic surgery. At the present time, Tulane Urology offers outstanding training in robotic radical prostatectomy, partial nephrectomy, nephrectomy, and radical cystectomies. We have one of the largest series of robotic reconstructive cases. Sim labs and robotic sim procedures are part of the curriculum.

Urologic Oncology:

Led by Dr. L. Spencer Krane. Tulane Urology offers a robust and full range of clinical experience for the resident in this section. Residents train to be well-versed in advanced robotic, laparoscopic, and open surgical techniques. A wide array of research opportunities, advanced imaging, and clinical trails are also available.

Pediatric Urology:

Presently, this is exclusively delivered through Children’s Hospital under Program Director Dr. Joseph Ortenberg and three other pediatric urologists. Children’s Hospital is a premier pediatric facility and provides a full spectrum of pediatric urology, including robotic surgery.

Urodynamics and Incontinence:

This rotation is led by Drs. Pablo Labadie, Wesley Bryan and Ryan Glass. This RRC approved rotation gives the residents a complete training in matters related to urodynamics and incontinence. The anticipated future expansion of the faculty should further enhance the learning experience of our residents.

RESEARCH OPPORTUNITIES

Tulane Urology boasts over 3300 square feet of research laboratory space. This space includes a basic research area and Tulane Urology has state-of-the-art equipment, such as its own molecular biology laboratory (with equipment). There is also a specific clinical research office and though research is not mandated every effort is made to provide residents with necessary tools to fulfill any desire that the residents may have to embark on research and hopefully an academic career.

Features include:

  • A full service vivarium.
  • A small animals lab and a simulation center are also available on site.
  • Fully furbished molecular biology laboratories.
  • Collaboration with faculty in the Tulane University School of Public Health & Tropical Medicine for outcomes research.

Procedures

By the completion of urology training, our residents are capable of performing the procedures listed below.

Phallus: dorsal slit; circumcision; clitorectomy; excision of tumor/cyst; biopsy; partial amputation; complete amputation; insert non-inflatable, semi-rigid prosthesis; insert non-inflatable, rigid prosthesis; insertion of inflatable, single-unit prosthesis; insertion of inflatable, triple-unit prosthesis; excision of fibrosis corpora; chordelysis; repair injury; and Peyronie’s disease.

Urethra: biopsy; meatotomy; excision of caruncle; repair injury; drainage of urinary extravasation; hypospadias repair; macrosurgical closure of fistula; microsurgical closure of fistula; partial excision; urethrectomy; diverticulectomy – male; diverticulectomy – female; urethrolithotomy; excision condyloma; extract foreign body; external urethrotomy; internal urethrotomy; urethroplasty; repair urethro-vaginal fistula; repair transpubic injury; repair suprapubic injury; and repair perineal injury.

Prostate: trans-rectal ultrasound of prostate with needle biopsy; open biopsy; endoscopic incision and drainage of abscess; perineal incision and drainage of abscess; repair of recto-urethral fistula; prostatolithotomy; prostatolithotomy  – perineal; prostatolithotomy – suprapubic; prostatolithotomy – endoscopic; prostatectomy – transurethral; prostatectomy – cryosurgical; prostatectomy – retropubic, simple; prostatectomy – retropubic, radical, laparoscopic radical prostatectomy; prostatectomy – simple perineal; prostatectomy – radical perineal; prostatectomy – simple parasarcal; prostatectomy – radical parasarcal; prostatectomy – suprapubic; prostatectomy – perineal, transvesico-capsular; (Robotic radical prostatectomy) urologic laparoscopy (all procedures)

Bladder: punch cystostomy; open cystostomy; cystolithotomy; litholapaxy; electrohydraulic lithotripsy; repair of rupture; cystostomy for tumor excision; cystostomy for electrocoagulation; bladder tumor resection, endoscopic; bladder tumor biopsy, endoscopic; cystectomy, partial; cystectomy, radical; cystectomy, complete laparoscopic cystectomy; diverticulectomy; cystoplasty ileum; cystoplasty sigmoid; cystoplasty cecum; cystoplasty ileocecal; cystoplasty vesicostomy; cystoplasty repair of exstrophy; cystoplasty repair of fistula – vesico cutaneous; cystoplasty repair of fistula – vesico sigmoid; cystoplasty repair of fistula – vesico rectal; cystoplasty repair of fistula – vesico vaginal; bladder neck revision – endoscopic; bladder neck revision – open; insert artificial sphincter for incontinence; Marshall Marchetti; anterior vaginal repair; pereyra procedure; sling procedure; Leadbetter procedure; ileal conduit; neo-bladder and  Indiana pouch urinary reservoir.

Ureter: biopsy, endoscopic; open biopsy; repair ureterocele; meatotomy, endoscopic; open repair, ureterocele; ureterolithotomy; ureteral repair – lysis; ureteral repair – excision of ovarian lesion; ureteral repair – rectrocaval ureter; ureteral repair – ureteroneocystostomy, simple; ureteral repair – ureteroneocystostomy, ureteroplasty; ureteral repair – excision and anastomosis; ureteral repair – ureteroplasty; ureteral repair – uretero-ureterostomy; ureteral repair – uretero-calyceal anastomosis; ureteral repair – close uretero vaginal fistula; ureteral repair – close uretero intestinal fistula; ureterotomy for tumor; ureterotomy – partial; ureterotomy – complete; ureterostomy – in situ; ureterostomy cutaneous; uretero-enterostomy: ileal conduit; uretero-enterostomy: colon conduit;uretero-enterostomy: ureterosigmoidostomy; uretero-enterostomy: rectal bladder and sigmoid pull through; uretero-enterostomy: ileocecal pouch; uretero-enterostomy: ileocecal conduit; uretero-enterostomy: Koch pouch; uretero-enterostomy:Camay procedures; ureteroscopic tumor biopsy; ureteroscopic tumor removal; ureteroscopic stone extraction; ureteroscopic lithotripsy; cystourethroscopy ureteral calculus manipulation; and cystourethroscopy ureteral calculus extraction.  Laparoscopic procedures on ureters.

Kidney: exploration; repair of trauma; needle biopsy; open biopsy; drainage of perineal abscess; drainage of renal abscess; nephrostomy; pyelostomy; nephropexy; denervation of pedicle; closure of renal fistula; close reno-intestinal fistula; nephrolithotomy; abdominal transperitoneal nephrectomy; extra peritoneal nephrectomy; lumbar nephrectomy; thoraco-abdominal nephrectomy; partial nephrectomy; calycectomy; nephro-ureterectomy; nephroureterectomy with partial cystectomy; infundibuloplasty; excision or decortication of cyst (laparoscopic approach to these procedures); symphsiotomy; pyeloureteroplasty; renal vascular surgery; renal bench surgery; percutaneous nephroscopy; percutaneous nephroscopy – calculus extraction; and percutaneous nephroscopic lithotripsy.  All kidney laparoscopic procedures.

Scrotal Contents: incision and drainage of abscess; excision of lesion of cord; hydrocele; excision of lesion of tumor; vas ligation; epidiymotomy; epididymectomy; microscopic ligation spermatic veins; macroscopic ligation spermatic veins; microscopic vaso-vasotomy; macroscopic vaso-vasotomy; hydrocelectomy; spermatocelectomy; reduction, torsion testicle; excision, torsion hydatid; excision, lesion of tunica vaginalis; excision lesion of testis; orchiectomy, simple; orchiectomy, radical; orchiotomy; repair injury to testis; testis biopsy; insert testicular prosthesis; and excision of skin lesion.

Miscellaneous: hernia repair-inguinal; hernia repair-lumbar; hernia repair-ventral; exploratory laparotomy; pelvic exenteration, anterior; pelvic exenteration, complete; biopsy retroperitoneal tumor; excision of retroperitoneal tumor; retroperitoneal node dissection; colostomy; closure of evisceration; inguinal lymphadenectomy, superficial; inguinal lymphadenectomy, deep; pelvic lymphadenectomy; and gastrostomy tube placement.

Diagnostic and Endoscopic Procedures: urethroscopy; cystoscopy; ureteroscopy; nephroscopy; ureteral catheterization; ureteral catheterization with pyelogram; ureteral catheterization – differential function; pyelogram, intravenous; pyelogram, percutaneous; nephrostogram; nephromogram; percutaneous nephrostomy placement; loop-o-gram; cine-pyelogram; urethrogram – retrograde; cystogram; cystourethrogram; cystometrogram; ureteral pressure profile; Whittaker test – percutaneous; Whittaker test – open; and cavernosogram, all diagnostic and therapeutic urologic laparoscopic procedures on kidney, ureter, bladder – intra-abdominal; Fluorourodynamics; Whittaker test – percutaneous; Whittaker test – open; and cavernosogram, urologic laparoscopy; percutaneous renal access; and robotic da Vinci procedures (bedside and console).

Adrenal: exploration; excision of cyst; open and laparoscopic adrenalectomy or partial adrenalectomy; adrenalectomy, bilateral; and radical adrenalectomy.

Goals and Objectives

  • To provide state-of-the-art training to all our residents in the art and science of urology. Our foremost intention is to recruit intelligent, qualified individuals and to train them into excellent urologic surgeons (open surgical and endoscopic).
  • To provide an environment that is stimulating to academic achievements. Our goal is to stimulate at least 10-15% of our resident pool to pursue a career in academia, and pursue further fellowship training.
  • Provide a milieu that encourages both basic and clinical research. This enhances the academic process and productivity of the faculty and residents.
  • To provide adequate supervision of the residents during their entire training process. With the rapid proliferation of technological innovations within urology, such supervision is critical to the growth of the residents.
  • To have top-notch faculty who are sub-specialized in each urologic sub-specialty. With technological innovations and procedures rapidly dominating the urology landscape, it is important that specialized faculty be available for teaching, research, and academic achievement.
  • To provide state-of-the-art technology for patient management. This directly results in increased patient referrals, which directly benefits our teaching and clinical research programs.
  • To work in unison with community urologists in the two-state area of Louisiana and Mississippi to further enhance our department as a Center of Excellence for urological referrals. This, once again, brings in difficult cases for management, further enhancing our status and resident experience.
  • To stay current with the changing healthcare environment so as to be proactive in patient management, outcome analyses, and thus be ready to deal directly with managed care products.

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You Can Also Call Tulane Urology at

504.988.5271