Structure of Fellowship Program
CLINICAL ROTATION SCHEDULE
Clinical Urologic Oncology - 12 months
The University of Kansas Medical Center
The University of Kansas Medical Center is a 713-bed medical center and performs approximately 19,000 operative procedures per year. The Fellow will rotate with various Urologic Oncology Surgeons at the University of Kansas Hospital selecting cases that fit the fellow's interest. A rough outline of the assignments on the various days is presented. However, the fellow has the freedom to choose a different surgeon with whom to work based on the case available. There are seven urologic surgeons who specialize in all aspects of urologic oncology. Fellows will also be involved in collaborative cases with general surgery, gynecology, 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. (See case logs for number of cases in which the fellow participates each year)
The University of Kansas Cancer Center Clinic
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) of the clinical year. 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. It is associated with the University of Missouri at Kansas City Medical School (although there is no separate Urology Residency at Truman). 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 Hospital who serve a clinical rotation here.
Example Weekly Clinical Schedule
Urologic Oncology Didactics
Each month, approximately 2-4 Urologic oncology topics are presented during the department didactic series. These are chosen by oncology faculty and presented by staff, fellows and residents.
GU Tumor Board (Bi-weekly)
GU Tumor board consists of representatives from Urologic Oncology, GU Medical Oncology, GU Radiation Oncology, GU Pathology, 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.
Campus-wide Tumor Board (Weekly)
Fellows attend tumor board where a variety of cases are presented. The fellow is expected to provide input and expertise on all urology-related cases. This conference is well-attended and includes clinicians from satellite sites across the state of Kansas through direct attendance and with web-based programs.
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.
OKAT Review (2 months prior to OKAT)
Weekly review sessions are held with various members of the Urologic Oncology Faculty. Assigned reading lists are reviewed and faculty generate questions through the Socratic method.