Resident Applicant Brochure

Introduction

The Department of Urology at Boston University School of Medicine offers a fully accredited postgraduate residency training program in the specialty of urological medicine and surgery, which is designed to prepare the resident staff to evaluate, understand, and manage both the medical and surgical aspects of all types of genitourinary disease. The clinical training program is rigorous and intense. It is also quite varied in terms of the spectrum of cases, patients, and situations encountered. The program strives to enhance the academic nature of this profession by creating a vigorous and enjoyable atmosphere to foster scientific curiosity.

The Boston University School of Medicine and the Department of Urology participate in the resident match. Each year two residents will enter the Program. Matched candidates will complete their first postgraduate year of training in the Department of Surgery at Boston Medical Center. They will then automatically matriculate to the Urology Residency Program. The Urology clinical program length is four years.

The institutions participating include Boston Medical Center, a combination of the East Newton Campus and the Harrison Avenue Campus (hereafter referred to as the “Main Campus”). Boston Children’s Hospital Medical Center provides pediatric urologic education. The Veterans Administration system is represented by both the Jamaica Plain and the West Roxbury Veterans Hospital. St. Elizabeth’s Medical Center serves as a rotation site for PGY4 residents.

Division of Urology Attending Staff

Boston Medical Center
Chairman:   Richard K. Babayan, M.D.
Residency Program Director:  Robert D. Oates, M.D.
Full-time Faculty : 
  Ricardo Munarriz, M.D.
  David S.Wang, M.D.
  Linda Ng, M.D.
  Mark H. Katz, M.D.
 

Children’s Hospital Medical Center
Chairman:  David Diamond, MD
Residency Program Director:   Bartley G. Cilento, Jr., MD,
Faculty:

Alan B. Retik, MD
Stuart B. Bauer, MD 
Carlos Estrada, MD
James Mandell, MD 
Joseph Borer, MD
Marc Cendron, MD
Hiep T. Nguyen, MD
Richard Lee, MD

Boston VA Health Care System
Chief :  Mike B. Siroky, MD
Faculty :
  Ralph Orlando, MD
  Price Kerfoot, MD
  Lori Lerner, MD

St. Elizabeth’s Medical Center
Chief: Ingolf Tuerk, MD, Ph.D.
Faculty:
Oneeka Williams, MD
David Staskin, MD
Alexander Pang, MD

Program Coordinator: Karen E. Clements

General Program Overview

As defined by the Accreditation Council for Graduate Medical Education (ACGME) Urology is a medical and surgical specialty involving disorders of the genitourinary tract, including the adrenal gland. Specialists in this discipline must demonstrate the knowledge, skill, and understanding of the pertinent basic medical sciences. Residency programs must educate physicians in the prevention of urologic disease, and in the diagnosis, medical and surgical treatment, and reconstruction of neoplasms, deformities, and injuries.

The entire Program is of sixty (60) months duration of postgraduate medical education. The first twelve (12) months is in the General Surgery Program of Boston University Medical Center. This Program is accredited by the ACGME. It comprises the pre-urology year. This is followed by forty-eight (48) months of clinical urology, including the final twelve (12) months of chief residency. During all urology training years, appropriate clinical responsibility is given, under supervision, at institutions approved as part of the Urology Residency Program.

Eligibility Requirements

Applicants for the Boston University Urology Training Program should have the following credentials: An expected M.D. Degree or ECFMG equivalent. Those applicants accepted to begin a urology residency at Boston University in July 2014 are required to complete their one year of general surgical training at Boston Medical Center (July 2013-June 2014)

The BUMC Urology Training Program is a fully accredited four year clinical training program with two residents accepted per year. Residents interested in research may elect to take additional fellowship training. Each resident will spend a total of 12 months at the Boston Veterans Administration Healthcare System Medical Center; 24 months at Boston Medical Center Main Campus; 6 months St. Elizabeth’s Medical Center; and 6 months at Boston Children’s Hospital Medical Center, Pediatric Urology. Therefore, 24 of 48 months will be spent by each resident in direct association with key personnel here at Boston University responsible for resident teaching. The faculty:resident ratio is 1:1.

Applicants with one of the following qualifications are eligible for appointment to the Boston University Urology Residency Program:

Graduates of medical schools in the United States and Canada accredited by the Liaison Committee on Medical Education (LCME). Graduates of colleges of osteopathic medicine in the United States accredited by the American Osteopathic Association (AOA). Graduates of medical schools outside the United States and Canada who meet one of the following qualifications: (a) Have received a current valid certificate from the Educational Commission for Foreign Medical Graduates (b) Have a full and unrestricted license to practice medicine in a U.S. licensing jurisdiction. (c) Have completed a Fifth Pathway Program provided by an LCME-accredited medical school.

The Boston University Department of Urology seeks to encourage residency applications from all qualified individuals as per the stipulations above. There is specifically no discrimination on the basis of age, sex, ethnic background, religious beliefs, or sexual orientation. We are particularly interested in those with a track record of excellence in scholarly pursuits and academic endeavors. The Boston University Urology Residency Program participates in the Program administered through the American Association of Medical Colleges Centralized Electronic Residency Application Service (ERAS) Matching System. This matching system is available at http://www.aamc.org/audienceeras.htm.

Participating Institutions

The sponsoring institution is Boston Medical Center. This includes both the East Newton and Harrison Avenue Campuses. Participating institutions include the Boston VA Healthcare System at both the Jamaica Plain and West Roxbury campuses. In addition, Children’s Hospital Medical Center provides pediatric urologic education. The assignments at the participating institutions are of sufficient length to insure a quality educational experience. Residents rotate at Children’s Hospital Medical Center for six months. Residents rotate at the VA Medical Center for a total of twelve months. St. Elizabeth’s Medical Center serves as a rotation site for PGY4 residents for six months. There are no routine assignments to institutions distant from our sponsoring or participating institutions. Such affiliations, if ever required or beneficial to a particular resident, would be justified and a rationale provided in terms of the educational experience otherwise not available in our program. No single resident is assigned to a participating institution.

Educational Program

All of the attending staff at Boston Medical Center, the Veterans Administration Medical Center and St. Elizabeth’s Medical Center, feel quite strongly about teaching residents the medical and surgical aspects of Urology. They also believe in continued education for themselves, and constant improvement of their knowledge and operative skills. It has been the philosophy of the department to have fellowship trained experts to cover a wide range of urologic subdisciplines. In that regard, some of the faculty and their particular areas of expertise are listed below:

Richard K. Babayan, MD   -Urologic oncology, minimally invasive techniques, robotic surgery
Mark H. Katz, MD,   -Urologic oncology, minimally invasive techniques, robotic surgery                                  Ricardo Munarriz, MD   -Male and female sexual medicine and surgery
Linda Ng, MD   -Pelvic floor disorders and reconstructive surgery
Robert D. Oates, MD   -Male reproductive medicine and surgery
Mike B. Siroky, MD   -Neurogenic bladder disorders, urodynamic studies
David S. Wang, MD   -Minimally invasive techniques, robotic surgery, laparoscopic surgery
Ingolf Tuerk, MD – Laparoscopic and robotic surgery

Program Curriculum:
The educational philosophy of our department focuses on two prime objectives: the training of residents for the practice of clinical urology and, at the same time, instilling a sense of academic productivity and achievement. These goals are not mutually exclusive. A solid basis in the pathophysiology of urologic disease is necessary for the development of a clinical practitioner in urology. However, urology is a dynamic and ever-changing specialty that relies on scientific investigation and innovation to allow the specialty to continue to improve and evolve. Over the course of the last twenty-five years the management of urologic disease has evolved from an essentially open surgical specialty to a minimally invasive field that involves both medical and surgical aspects of disease treatment. Resident education therefore involves total care of the urologic patient, from the initial clinic presentation to the formulation of a treatment plan and on to follow up of outcomes.

PGY 2 residents learn basic management skills of the urologic patient, master basic technical skills, e.g. cystoscopy, diagnostics, etc., and acquire fundamental urologic knowledge and understanding of the urologic literature.
PGY 3 residents continue the mastery of urologic skills with advanced responsibility in patient management. During the rotation at Children’s Hospital they learn basic management of the pediatric urologic patient and the surgical skills required in pediatric urology.
PGY 4 residents gain the initial responsibility of a Chief Resident with advanced surgical techniques and preparation of case presentations and conferences at both Boston Medical Center and St. Elizabeth’s Medical Center (six months each rotation).
PGY 5 residents serve as “Chiefs” while honing advanced surgical skills and decision making. Chief residents supervise and instruct junior residents and medical students with greater autonomy and responsibility for patient management decisions.

UROLOGIC RESEARCH
Research Laboratories:

Laboratories for research are available in two locations in the Department of Urology. The primary research lab is located in the Center for Advanced Biomedical Research at Boston University School of Medicine. This laboratory is a world class smooth muscle physiology lab which has done extensive research primarily focused on male and female sexual function/dysfunction. The Director for the Laboratory for Sexual Medicine Research is Dr. Abdul Traish and the Associate Director is Dr. Noel Kim. The Research Laboratory focuses on the physiology of male and female sexual function and dysfunction. The contemporary research ongoing involves development of a diabetic model and the assessment of the vaginal physiologic changes specifically in estrogen receptors and sex steroid hormonal changes to pelvic nerve stimulation and vaginal arousal. We have also ongoing studies in male animals with and without orchiectomy to assess the role of sex steroids in penile erection. In addition, we perform research for pharmacologic agents that are used clinically in sexual medicine. We encourage the participation of residents and have had several publications in peer reviewed journals from residents who have spent time in the Research Lab. We have had continuous NIH funding for the last 20 years but at the present time our funding comes from NIH funding, patient donation and pharmaceutical company sponsored. In addition, this lab has been the site for research activity for six AFUD scholars over the years, including our current sexual medicine attending, Dr. Ricardo Munarriz.

The Urology Laboratories at Children’s hospital are located on the 4th and 11th floors of the Enders Research Building. They consist of over 6000 sq. ft. of dedicated research space and are fully equipped for tissue engineering, molecular and cellular biology, including facilities for mammalian cell culture, large animal surgery, conference room, and research administration. Three Department of Urology faculty (two MDs and one Ph.D scientist) act as principal investigators (PI) and direct a range of experimental projects related to the genitourinary system and urologic pathophysiology. The research conducted by the Urology Department is funded by a number of extramural sources, including the National Institutes of Health, the American Foundation for Urologic Disease, CaPCURE, and corporate sponsors. All three are principal investigators of NIH RO1 grants. Numerous collaborative studies are performed with the other laboratories engaged in molecular and cellular biological investigation housed within the Enders building and in neighboring institutions (Harvard Medical School and the Harvard-affiliated hospitals) located in the Longwood Medical Area. Core facilities for DNA sequencing, peptide and oligonucleotide synthesis, imaging, electron microscopy, and antibody development are housed in the Enders building and are available for our use. The laboratory serves as a teaching facility for urology fellows and residents. Recent publications from the laboratory have appeared in Cancer Research, Proceeding of the National Academy of Sciences, Kidney International, Journal of Cellular Physiology, DNA and Cell Biology, Investigative Radiology, Advances in Experimental Medicine & Biology, Journal of Urology, and Lasers in Surgery and Medicine.

The research facility located at the Boston V.A. Hospital is under the directorship of Dr. Kazem Azadzoi and Dr. Mike Siroky. Twelve hundred square feet of research space is assigned to Urology. In addition, a 1600 SF animal surgical suite is available with modern physiologic recording equipment. There are two full-time laboratory technicians. The focus of the laboratory is smooth muscle physiology and pharmacology as it relates to bladder and prostate function as well as corporal smooth muscle function. Dr. Azadzoi is responsible for instructing residents and fellows in research techniques and methods.

Primary teaching affiliate
of BU School of Medicine