Clinical Urologic Oncology - 12 months
Clinical Urologic Oncology - 12 months
The University of Kansas Health System
Our fellows train in a state-of-the-art academic medical center environment with our partners at The University of Kansas Health System. The fellow will rotate with various urologic oncology surgeons at the hospital, a 900-bed facility that serves as a destination for complex care and diagnosis. There are seven urologic surgeons who specialize in all aspects of urologic oncology. Fellows will also be involved in collaborative cases with surgical oncology, gynecologic oncology, vascular surgery, transplant surgery and cardiothoracic surgery. Autonomy is based on the skill level of the clinical fellow and is expected to increase throughout the year. The expectation is that the fellow will be able to direct residents through major oncologic cases by the end of the clinical year.
The University of Kansas Cancer Center
The KU Cancer Center is a free-standing cancer center with provider-based clinics. The fellow will work with a urologic oncology attending at the cancer center seeing patients and helping develop treatment plans for patients. Continuity of care is provided here from preoperative to postoperative care. Office based procedures including TRUS biopsy of the prostate as well as cystoscopies are performed by the fellow in this clinic. The expectation is that by the end of the clinical year, the fellow is able to determine treatment plans for complex urologic oncology patients independently. Additionally, the fellow will be familiar with ongoing investigator-initiated and industry-sponsored trials while identifying appropriate patients for enrollment.
The University of Kansas Cancer Center Medical and Radiation Oncology Clinics
The fellow works in a dedicated GU Medical and Radiation Oncology clinic one half day every week (alternating). In this clinic, the fellow will see patients with a variety of genitourinary malignancies. They become familiar with the different regimens of chemotherapy, targeted agents, and immunotherapies for the various GU cancers and the treatment related side effects. In radiation oncology clinic, the fellow will learn radiation planning and the intricacies of radiation physics. Fellows are expected to learn about and management of treatment related side effects. In both settings, the fellows will be expected to have knowledge of ongoing clinical trials and be involved with identifying appropriate patients for enrollment.
Truman Medical Center
Truman is a tertiary care medical center located on the Missouri side of Kansas City. It is a large inner-city 600-bed hospital with a wide variety of urologic oncology cases. The fellow rotates here and performs urologic oncologic cases with the staff at Truman (University of Kansas faculty). There is a greater deal of autonomy at Truman where fellows see patients in clinic, develop the treatment plan, provide surgical and in-patient care and follow up care in clinic. In addition, the fellow helps mentor and teach residents from the University of Kansas, who serve a clinical rotation here.
Weekly Clinical Breakdown
- 60% OR with urologic oncology faculty
- 10% Independent OR
- 10% Clinic with urologic oncology faculty
- 10% Independent clinic
- 10% Clinic with medical oncology and radiation oncology
The urologic oncology fellow performs call in the attending "call pool". This is approximately 1 in 16.
Urologic Oncology Didactics (Monthly)
Fellows will be lectured on a urologic oncology topic each month presented by faculty from urologic oncology, medical oncology and radiation oncology. These will include case presentations, indications conferences and didactic lectures.
Urologic Oncology Fellowship Journal Club (Monthly)
Fellows and fellowship director present journal club articles once per month.
GU Tumor Board (Bi-weekly)
GU tumor board consists of representatives from urologic oncology, GU medical oncology, GU radiation oncology, GU pathology, radiology, as well as residents/fellows. Additionally, clinical research staff and the GU oncology navigation team is present for all conferences. Fellows are expected to present cases encountered during clinic with urology, medical oncology and radiation oncology. He or she is also expected to identify appropriate clinical trials for the patient.
Research and Protocol Conference (Monthly)
The fellow attends "R+P" monthly along with the residents and faculty. Conference topics in the past have included "basic statistics," "REDCap" and "End Note." Additionally, each month we review all current research projects, needs and directions. We also use this forum to present research concepts to the department for refinement of aims.
Disease Working Group (Monthly)
The fellows attend the KU Cancer Center disease working group. All GU cancer center trials are discussed. We go over protocols, discuss new trial concepts and discuss the ongoing clinical trials.