Endourology Fellowship

Clinical Experience

The UK College of Medicine Urology Department is a tertiary referral center with a large mix of complex cancer and stone patients. The variety of advanced laparoscopic and robotic surgery exposes the fellow to the breadth of urologic surgery, including:donor/simple/radical/partial nephrectomy, retroperitoneal partial nephrectomy, pyeloplasty, adrenalectomy, radical prostatectomy, simple prostatectomy, sacrocolpopexy, etc. UK currently has three dual console DaVinci Xi robotic machines as well as an SP machine.  There is also an additional Xi machine at the VA.  

The fellow will have the opportunity to participate in multidisciplinary metabolic stone care and participate in the surgical care of stone patients with shockwave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy. The endourology faculty at UK obtain their own percutaneous access for PCNL cases using fluoroscopy, ultrasound, and endoscopic assisted techniques.  

The fellow can additionally gain experience with the medical and surgical management of BPH including robotic simple prostatectomy, thulium vaporization of the prostate, and TURP.

Fellows will primarily train with the endourology and urologic oncology faculty members including Drs. John Roger Bell, Jason Bylund, Stephen Strup, Andrew James, and Patrick Hensley.  However, they are free to work with any of our other faculty members as time allows.  

Fellowship Goals

The goals for our fellowship primarily revolve around the fellowship requirements laid out by the Endourological Society depending on the training pathway the fellow chooses.  We aim to provide an experience where the fellow can augment their prior MIS training.  Fellows are also expected to be able to mentor residents in both surgical and non-surgical settings.  Our fellowship experience provides an excellent way to transition from the role of trainee to independent practice in whatever setting they choose.  

The fellow also functions as a junior faculty member (clinical instructor of urology) with clinical, research, teaching, and administrative responsibilities. They will supervise residents in the operating room, in the urology clinic, and while serving as the attending on call. Annual salary and benefits are consistent with a clinical instructor.

There will be no primary call for the fellow. The fellow will take attending-level call in a shared pool with other faculty members.

Educational Resources and Expectations

Fellows will have 24/7 access to our simulation center which includes laparoscopic and DaVinci training simulators.  The fellow is also closely involved with resident and medical student education.

Research

Research requirements as laid out by the Endourological Society will be required for all fellows.  The fellow is welcome to join with faculty members on their research projects or initiate projects of their own design and choosing.  The fellow will be expected to present this research at academic meetings. Access to local and national databases are provided as is access to statistical analysis, a medical illustrator, video editingassistance, and poster/document printing.