Residency Program

Hospitals-IUPUI Campus

IU

VA

Cancer pavilion

Wishard Hospital

Riley

Research bldgs

Michigan Ave

10th st

Methodist

16th st

Monorail

University blvd

University Place and Conf Center

N

E IU Simon Cancer Center 2008

New Bed Tower2010

Medical School

Library

$745MNew Proposed Wishard 2013

Lab

Simulation Center

IU

RileyWishard

VA

Department of Urologyat Indiana University

High volume, high acuity care• Urologic cancer• Urinary reconstruction• Pediatric reconstruction• Minimally invasive surgery

Hospital ComparisonsHospital Beds Strengths

IU hospital 350 Oncology Urinary reconstruction

Riley hospital 230 Pediatrics

VA hospital 137 General urology

Wishard hospital 518 General urology

Methodist hospital 820 Stone disease Female urology

Adult Urology at IU Michael Koch - Oncology

(prostate, bladder) and reconstruction

Richard Bihrle- Oncology (testis and kidney) and reconstruction

Richard Foster- Oncology (testis and bladder) and reconstruction

Tom Gardner- Oncology (prostate and kidney) and research

Chandru Sundaram- Minimally Invasive Surgery

Stephen Beck- OncologyNew Additions in 2009 Timothy Masterson- Oncology C.R. Powell- Female Urology

and Reconstructive Surgery

US News and World Report2009

Adult Specialty Rankings Urology 16 Kidney Disease 38 Cancer 32

Methodist Campus Located 1.0 miles northeast of IU campus 800 bed tertiary care hospital Emphasis on endourology and stone disease Drs. James Lingeman, Larry Munch and Ron

Steele Urology of Indiana: Dr. Peter Knaap and

colleagues

Pediatric Urology

Richard Rink Mark Cain Martin Kaefer Kirstan Meldrum Rosalia Messeri

Riley Children’s Hospital 3rd largest children’s hospital in country New ROC completed in 2001 Dedicated GU clinic New inpatient tower in progress

VA Hospital Fully staffed daily Dedicated urology

clinic 2 clinics/week Chief resident run

Simon IU Cancer Center

Program Structure

Fully accredited by the ACGME 1/5 Program, 1 year general surgery at IU

followed by 4 years of urology take 4 residents per year from 2009 rotations at 5 institutions, all rotations are

3 months in duration and have 2 residents at a time

Preliminary year Must be done at Indiana University All GU interns rotate on urology for 3 months

Resident Rotations

1st third 2nd third 3rd third Uro-1 IU Riley Methodist

Uro-2 Riley* VA Wishard

Uro-3 Research Research Methodist*

Uro-4 IU* Wishard* VA*

* Chief resident responsibilities

Proposed Resident RotationsPGY 1 A A A B B B GS GS GS GS GS GSPGY 2 A A A WEST WESTWESTRI RI RI METH METH METHPGY 3 CLIN CLIN CLIN

FLEX (IU)

FLEX (IU)

FLEX (IU) VA VA VA WIS WIS WIS

PGY 4 RES RES RES B B B RI RI RI METH METH METHPGY 5 A A A WEST WESTWESTVA VA VA WIS WIS WIS

Proposed rotations with 4 residents per year Radiology : ultrasound and CT Urogynecology Increased exposure to clinics at IU

Fellows Pediatrics- 2 fellows, 1 clinical and 1 research GU oncology- 2 fellows, 1 clinical and 1 research Minimally invasive/laparoscopy- 1 clinical fellow

Resident Surgical Experience High surgical experience early in residency Resident directed surgical coverage Broad surgical experience in a wide variety of

settings Dedication to residents as first priority Balance between Laparoscopy and Open Surgery

Laparoscopic Robotic Surgical Volume at IU Hospital

Adult Surgery 2004-8INDIANA NATIONAL

235 residents,114 programs50th percentile 90th percentile

Cystoscopy 628 781ESWL 27 35Female incontinence 15 33Pelvic lymphadenectomy 56 56

RPLND 38 4 13Penile surgery 35 32Percutaneous renal surgery

169 31 69

Prostatectomy, Radical 67 72Radical Cystectomy 38 18 35Total/Partial Nephrectomy

74 80

Scrotal Surgery 97 95TRUS Bx 189 137Transurethral prostate surgery

70 62

TURBT 84 70Ureteroscopy 244 130 224Urethroplasty 34 23 40Urinary diversion 46 15 41TOTAL ADULT 1913 1801

Pediatric Surgery

INDIANA NATIONAL 235 residents,114 programs

50 percentile 90% Bladder augmentation 3 1 4 Hydrocelectomy/hernia 25 29 Hypospadias 28 21 Orchiopexy 46 37 Pyeloplasty 11 5 11 Renal Surgery 8 2 7 Ureteroneocystostomy 48 21 44 Urinary Diversion 8 3 9 TOTAL PEDIATRICS 178 124

Adult Surgery: IU: 2005-2009Resident 1 Resident 2 Resident 3

% % %

FEMALE 14 7 31 44 21 21

RPLND 19 93 43 97 43 97

PCNL 163 99 171 99 154 98

Prostatectomy 60 38 94 68 86 62

Cystectomy 33 85 45 93 50 95

Renal surgery 49 9 83 51 124 83

Ureteroscopy 200 79 200 79 295 94

Urethroplasty 30 65 35 76 31 67

Urinary Diversion 38 86 37 85 21 60

Pediatric Surgery: IU:2005-2009Resident 1 Resident 2 Resident 3

% % %

Bladder augmentation 3 81 4 90 5 94

Hydrocele/hernia 23 38 26 44 41 72

Hypospadias 11 16 25 60 30 70

Orchiopexy 35 45 65 89 67 91

Pyeloplasty 6 75 19 98 14 96

Renal Surgery 1 27 9 94 7 89

Ureteroneocystostomy 41 88 62 95 77 98

Urinary Diversion 7 84 5 72 10 93

Total 129 52 215 89 251 94

Robotics Program 3 surgeons with robotics training at IU 25-30 cases per month currently Active resident participation/console time 2 daVinci S, HD robots at IU Hospital

Weekend Robotic TrainingSimulation Lab

Animal Lab

Moi University Kenya/IU Partnership Annual or biannual visits by residents/faculty

Conferences Garrett, Donohue and Wishard visiting

professorships Journal club (monthly) Morbidity and Mortality (monthly) Uropathology (monthly in board format) Uroradiology (weekly in board format) Didactic lecture series (weekly, resident and

faculty) Multidisciplinary cancer conference (weekly) Pediatric urology conference (weekly) Uro-oncology journal club (bi-monthly)

Research Program Martin Kaefer- molecular biology of urinary

obstruction Kirstan Meldrum- TNF in renal ischemia and

obstruction Tom Gardner- Adenoviral based gene therapy in

prostate cancer Ching-Hai Kao- Thomson Scholar in Prostate

Cancer Research, gene therapy for prostate cancer, prostate cancer promoters, AR function in HRPC

Clinical Research Databases in

Testis cancer Prostate Cancer Laparoscopic and Robotic surgery

All residents required to submit 2 papers for publication during residency

Expect all residents to present at regional and national urology meetings

Resident Support

Resident office equipped with computer, internet access

Educational materials (AUA computer based educational programs, SASP, AUA update series, etc)

Educational allowance for travel, books, etc. Chiefs and PGY3 attend review course Clinical support: Pre-op nurse, Hospital PA

What are we looking for? Team players Academic approach to medicine Hard working The right fit

Why Indiana University? Unparalleled surgical experience Broadly based program with early surgical exposure International, national, and regional referral base Growing department with expanding patient base and

strong hospital system Expanding research program with clinical focus General hospital systems which allow resident

independence (Wishard and VA) Resident focus Great city to live and work in

Colts

Racing Capital

Indianapolis 1.5 million population in a state of 7.5 million Thriving inner city with active convention

program Most residents live within 5 miles of campus Low crime Opera, symphony, Rep theater

Interviews Meet with chair and full-time faculty Residents available all day in shifts Lunch break Tour after interviews Relaxing evening tonight

Thank youand

Welcome