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Urology Residency Program

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Message from Program Director

On behalf of the Faculty of the Department of Urology of New York Medical College/Westchester Medical Center, we welcome you to the candidate evaluation process and to learn about our department, its goals and missions for education and training. The COVID-19 pandemic has affected so many aspects of our lives in medicine that it is challenging to consider any aspect, from patient care to education to research that will emerge untouched. The pandemic has also illustrated, however, the great commitment and compassion of all in health care to overcome hardship, suffering, and difficulties to greet a better tomorrow. In many ways, this has always been the goal of the consummate physician, and it is with that vision we hope to contribute to the training of our community's next generation of urologists.

The practical implications of the COVID-19 pandemic have also affected the day-to-day planning of medical students including the desire to have hands-on experience with prospective programs through visiting sub-internships. Medical students have long relied on sub-internships as an integral component of their learning, their exposure to the many outstanding urologic leaders in the US, and of their residency application process.

As visiting sub-internships are not currently possible, we rededicate ourselves to providing you with web-based information  about our program as well as a scheduled Town Hall style meeting with our Faculty and current residents.
Please contact our Program Coordinator to be placed on a list of those wishing to participate in a Town Hall meeting soon as well as to receive timely mailings or emails about our training program. Select the “How to Apply” Tab above for more information.

The match process is certainly one that generates anticipation about beginning a career, but we also understand that the match process, its interviews, and commitments are also associated with considerable expense and anxiety. We hope that we can still provide you with an outstanding, holistic, and informative experience using virtual, web-based information. Our goal as faculty and mentors is to provide you with the support, guidance, and information required to make the most of your experience in a fulfilling, healthy, and enjoyable learning environment.

Download our Urology Manual for more detailed information on the program.


 
John L. Phillips, MD, FACS
Urology Residency Program Director
Professor Department of Urology
New York Medical College
19 Skyline Drive 1S-B45a
Phone: 914.493-7684 or 914-594-2440
Fax: 914.594.243

Email: John_Phillips@nymc.edu

Overview and Curriculum

The Urology Residency Training Program at Westchester Medical Center is a structured five-year post graduate curriculum designed to produce a practitioner of the highest caliber who espouses the professionalism, rigor, and tenets of the ideal physician in the urologic domain, promoting excellence in their health care environment, in the field of urology, and in their community. The program accepts two residents a year through the American Urological Association (AUA) match who have fulfilled all the necessary medical school requirements leading to the achievement of a Medical Degree (MD) or Doctor of Osteopathy (DO). The Sponsoring site of the program is Westchester Medical Center; three additional ‘Participating’ sites, Metropolitan Hospital Center (MHC), Lincoln Medical Center (LMC), and Hackensack University Medical Center (HUMC) provide unique learning experiences.

Each rotation is designed to occur at specific points along the educational pathway and provide surgical training consummate with certain residency years. All rotations are designed so that a junior and senior resident are assigned together in rotations to ensure each having a unique role, exposure, and experience at each site. Rotations on the Urology service are typically three months in duration. A research rotation is three  months and is an expected component of urology training. Residents are paired with a clinical or basic science mentor to provide guidance in manuscript publication. Publication is strongly encouraged, support is provided to the residents for attendance at the national meeting of the AUA when a resident’s abstract is accepted for presentation at the meeting or other domestic meeting of the resident’s choice. 

The Program is Full Accredited by the ACGME. Resident feedback, input, and design are solicited to optimize the residency educational training environment. Four one-week vacations are provided each year. Benefits are provided by Westchester Medical Center. 

Over the course of the five year program Residents’ encounters are as follows:

  • Participate in safe, compassionate, and cost-effective patient care under a level of supervision commensurate with their achieved cognitive and procedural skills
  • Participate fully in the educational activities of their program and, as required, assume responsibility for teaching and supervising other residents and students
  • Fulfill the educational requirements of the training program established for Urology and demonstrate the specific urology knowledge, skills and attitudes to demonstrate the following:
    • Patient and family-centered care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
    • Medical knowledge about established and evolving biomedical, clinical, and cognate (e.g., epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.
    • Practice-based learning and improvement that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care.
    • Interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, and other health professionals.
    • Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
    • Systems-based practice, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system for health care and the ability to effectively call on system resources to provide care that is of optimal value.
  • Participate in institutional programs and activities involving physicians, and adhere to applicable laws, regulations, rules, policies, procedures and established practices of the sponsoring institution and all other institutions to which they are assigned.
  • Participate in institutional committees and councils, especially those related to patient care review activities and residency education.
  • Learn and apply reasonable cost-containment measures in the provision of patient care.
  • Policies and Procedures: In addition to program specific policies, residents are employees of WMC and are subject to all policies and procedures set forth by those entities including the GME Office of the WMC. Residents are expected to familiarize themselves with applicable policies available in the resident manual and the hospital intranet site.
  • A supervising urologist is responsible for every urology patient. The supervising urologist will either see the patient or discuss the case with the resident and write or co sign/attest all notes.
  • Urology residents are provided with rapid, reliable systems for communicating with supervising residents and faculty. Supervising physicians or supervising residents with appropriate experience for the severity and complexity of the patient’s condition are always available on site or by phone.
  • The responsibility or independence given to urology residents in patient care depends on each resident’s knowledge, manual skill, experience, the complexity of the patient’s illness, and the risk of the operation in accordance with the Clinical Competencies – Delineation of Privilege (DOP).

Program Components

Urology Residency Training

Five Years of Clinical Urology - Categorical Program

The first level of training as a Program Level 1 (PL1) resident will be in General Surgery for six months and Urology for six months. Our program is approved for a complement of two residents per year.

Block Schedule By Level

PL1

PL2

PL3

PL4

PL5

URO (6 Blocks)

MET

WMC RESEARCH

WMC PEDS

WMC

SURGERY

(6 blocks)

LHC

LHC

MET

HUMC

 

MET

WMC RESEARCH

HUMC

WMC

 

WMC

LHC

MET

LHC

4 - one (1) week block vacations per year

Sponsoring Institution

Westchester Medical Center (WMC)

The primary site exposes the Urology year-1 (PL2) and Urology year-4 (PL5) resident to advanced trauma, transplantation, robotic surgery, pediatric urology, and advanced endourology. The primary site is also the location for weekly Grand Rounds, didactic conferences, semi-annual evaluations, workshops and surgical skills labs, meetings with mentors, and the basic science research lab.

Metropolitan Hospital Center (MHC)

MHC serves as the major participating site for the Urology year-1 (PL2) and -3 (PL4) resident to learn excellent systems-based care in a busy urban and New York State DOH-designated ‘underserved’ medical environment. The residents are trained in urodynamics, ultrasound and prostate biopsy, and have their first exposure as a 1st and 2nd assist in major 'open' urologic and endourologic procedures.

Lincoln Hospital Center (LHC)

LHC serves as a participating site for the Urology year-2 (PL3) and -4 resident (PL5) and where they are exposed to open cancer surgery, laparoscopic techniques, and major pelvic reconstruction. The rotation blocks are organized such that the Urology year-2 resident has a three-month experience with the Urology-4 resident and a second three-month experience as the only urology resident at LHC. The schedule provides the unique opportunity for the 'junior' resident to be the ‘first assist’ resident under attending supervision.

Hackensack University Medical Center (HUMC)

The resident spends three months during their 3rd and 4th (PL4/PGY4 and PL5)/PGY5 years at HUMC where they gain a unique exposure to robotic surgery, female urology and incontinence surgery, and sexual dysfunction and andrology.

Didactic Experience

The residency reserves Thursday mornings for formal academic didactic exercises in a Grand Rounds environment. All residents are expected to attend Grand Rounds in person except where personal or clinical extenuating circumstances preclude such attendance. Conferences allow Zoom capability for residents to attend if unable to commute to the participating site. The year’s Grand Rounds calendar follows a 2-year schedule in which all 16 Core Curriculum domains of the American Urology Association Educational Program are covered. A one-hour lecture by Faculty or invited speaker is arranged; PowerPoints used are saved on the Departmental shared drive. Grand Rounds is also the forum for the presentation of retrospective or prospective cases by Faculty or residents followed by a domain- or disease-centered synopsis of the known literature on the subject. A monthly Morbidity and Mortality Conference, with mandatory attendance by all Faculty, is held where Quality and Improvement (QI) opportunities are identified for further research. The ‘5th Thursdays’ are devoted to basic science and resident research updates and presentations. Monday morning ‘Breakfast Club’ is used for the discussion of AUA updates under supervision of the Department Chair.

Program Level of Training

PGY-1/PL1

The resident will rotate through a variety of General Surgery rotations with the expectation of learning the perioperative management of complex surgical patients. Typical rotations include: Trauma, ICU, Surgical Oncology, Minimally Invasive Surgery, Vascular Surgery, General Surgery, Transplant Surgery, and Urology.

PGY-2/PL2

The resident will spend six months each as the junior resident at Westchester Medical Center and Metropolitan Hospital Center. At Metropolitan Hospital the resident learns to manage a busy inner-city clinic and develop the knowledge base to perform appropriate preoperative evaluation of presenting symptoms and postoperative follow up. The clinic has its own dedicated cystoscopy, urodynamics, and prostate biopsy procedure rooms. At Westchester Medical Center the junior resident is actively involved in working up complex consultations and gains significant exposure to ureteroscopy, inguinal/scrotal cases, and assisting in robotic surgeries. All Urology-1 residents are sent by the program to the AUA Basic Sciences Course in Charlottesville, Virginia.

PGY-3/PL3

The resident spends three months at Lincoln Hospital as an Acting Chief Resident learning to run a service. During this rotation the resident is primarily in the operating room gaining significant exposure to open and endoscopic surgical techniques as either first assistant or surgeon for radical prostatectomy, nephrectomy, percutaneous nephrolithotomy, retroperitoneal lymph node dissection, slings, sphincters, and penile prosthesis. A three-month rotation in the laboratory setting helps to begin a research interest and topic for publication. A second, three-month rotation at Lincoln Hospital provides a unique opportunity for the Urology-2 resident to work with the Urology-4 resident. The goal of this second block is to provide a venue for soon-to-be graduates to have dedicated time to take junior residents through a variety of cases. An additional three months is allotted for additional research, clinical float, or, if arranged at least six months ahead of time, an outside rotation at a recognized training center. Mentors are provided to allow for a productive experience in both clinical and basic science (bench and animal) projects.

PGY-4/PL4

Six months are spent at Metropolitan Hospital as Chief Resident. As Chief Resident, the resident is expected to be exposed to all areas of urology. The Chief Resident is expected to oversee the service, overseeing the management of each case and discussing surgical modalities or alternatives with the patient and faculty in order to provide the optimal care. A three-month rotation dedicated to robotic and laparoscopic surgery is spent at Hackensack University Medical Center. Three months are dedicated to one of the largest pediatric urology practices in the country. The pediatric urology rotator will gain high volume experience in all areas of pediatric urology from hypospadias to robotics to exstrophy. All URO-3 residents are sent by the program to the entirety of the American Urological Association Annual Meeting.

PGY-5/PL5

Six months are spent at Westchester Medical Center as Chief Resident. The Chief Resident is expected to coordinate educational conferences, teach junior residents in addition to gaining significant exposure as the surgeon to complex open, laparoscopic/robotic and endourology cases. Three months are spent on a dedicated laparoscopy/robotics rotation at Hackensack University Medical Center. Three months are spent at Lincoln Hospital Center with the expectation of taking the junior resident through cases involving all areas of urology from vasectomy to prostatectomy.

Program Outcomes

The program has had a 100% board pass rate since 2003 producing 25 of 25 residents who became board-certified by the American Board of Urology (ABU). Of the 25 residents, 12 have had additional training in fellowships. Since the graduating class of 2000, residents have practiced in 14 states including: California (7); Colorado (1); Connecticut (1); Illinois (2); Massachusetts (1); Minnesota (1); Nevada (1); New Jersey (3); New York (10); Pennsylvania (1); North Carolina (1); South Carolina (1); Texas (2); Utah (1).

Two residents are in full-time faculty positions, 22 in full-time community or non-teaching positions, and one in part time academic/teaching positions.

Graduates have written or co-written: 41 Peer Reviewed Publications; 14 Book Chapters; 7 publications in non-print media; 2 nationally distributed surgical videos; for the national meeting of the American Urological Association (AUA), 62 meeting abstracts and videos; and 13 manuscripts at 53 national and international meetings since 2008.

Three graduates hold current leadership positions in the American Urologic Association and one graduate is a chairman of a urology residency program.


Current Residents


Nikhil Gopal, MD (PL4 – PGY5) Chief Resident
BS: Tufts University
MD: Tufts University School of Medicine 
Anticipated Graduation Date: June 30, 2021