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Urologic Oncology Fellowship
Length: 2 years
Number of positions: 1
Fellowship Directors: Dr Maurice Anidjar and Dr. Simon Tanguay
DEPARTMENT OF SURGERY -DIVISION OF UROLOGY
APPLICATION FORM FOR UROLOGIC ONCOLOGY FELLOWSHIP
Name of Institution: 捆绑SM社区 -Department of Surgery -Division of Urology
Location: 捆绑SM社区 Health Centre (MUHC) and Jewish General Hospital (JGH)
Type of Fellowship: Urologic Oncology Fellowship.
Fellowship Directors: Maurice Anidjar, MD; Simon Tanguay, MD
Program Information
鈥� 2-year fellowship position: 50% research, 50% clinical training over a 2-year period.
鈥� Number of fellowship positions requested: one.
鈥� Academic affiliation: 捆绑SM社区 - Department of Surgery, Division of Urology.
鈥� Hospitals involved in training: 捆绑SM社区 Health Centre (MUHC) and Jewish General Hospital.
鈥� During the clinical year of the fellowship, the rotations will take place at both sites every 3 months, including 1-month rotation in medical oncology, radiotherapy, surgical pathology and interventional radiology (1 week in each discipline), to enhance the understanding of multidisciplinary care for urologic cancer patients in each site.
鈥� The 捆绑SM社区 Urologic Oncology Fellowship is designed to train individuals for independent academic careers in urologic oncology, including mini-invasive and robotic-assisted surgical procedures. The clinical training will be complemented by research work over a period of 2 years. As听an exception, in order to suit the individual needs of the applicant, a 1-year clinical and research fellowship could be allowed after common decision of the directors.
听Eligibility
Candidates for the 捆绑SM社区 Urologic Oncology fellowship must be committed to an academic research听career in uro-oncology, provide evidence of excellence in academic scholarship and have completed听a urology residency program.听 Candidates must be fluent in English and/or in French. Candidates must fulfill the general requirements of 捆绑SM社区 post-graduate fellowship eligibility criteria.
Mission
The main purpose of this fellowship is to train individuals to be innovators and experts in clinical and听surgical practices, research, education and advocacy, a step leading to leadership and being an academic reference in the urologic oncology field.
听The Clinical Mission
Clinical activities will comprise 50% of the fellowship. During this time, fellows will have exposure to a wide variety of oncologic disease states across a diverse patient population in the 2 Institutions, surrounded by 5 different professors. The fellow will attend and participate to uro-oncology clinics听with program faculty on a weekly basis. Clinical exposure will allow to integrateinto the initial diagnosis evaluation and treatment processes as well as post-treatment follow-up and disease relapse听be on surgical skills. One of the expertise of 捆绑SM社区 urology centers is mini-invasive and robotic assisted surgery for radical prostatectomy and partial/radical nephrectomy and specific expertise in听radical cystectomy and intraoperative urinary diversion (both ileal conduit and Studerneobladder).
DaVinci robots are in use in each Institution with a double console and simulator at the JGH for听training purpose.
The fellow will have the opportunity to take part in the major areas of urologic oncology procedures听by open, laparoscopic and robotic techniques. Surgical exposure priority will be given to the PGY4\5
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Fellow Duties and Responsibilities
The Fellow is responsible for attending weekly clinics related to urologic oncology and will听participate actively in all aspects of the in-patient clinical service including ward rounds, the consult听service for both site wards and emergency room. He is expected to actively participate in the care and听preparation of patients pre-and post-operatively.
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The Fellow is expected to contribute to the teaching of residents and students to get knowledge about听uro-oncologic surgical procedures as well as their indications, outcomes and possible complications,听organize weekly simulation training sessions on the DaVinci system and participate to the pig lab for听mini-invasive procedures.
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The Fellow will be performing a monthly review of the literature on a urologic oncology subject with听presentation to the 捆绑SM社区 urology residents under the supervision of a training faculty.
听In addition, the Fellow will be expected to actively participate in hospital based activities including听Surgical Teaching Rounds, Grand Rounds, Morbidity and Mortality conferences, Tumor Board,听combined Radiology Urology Rounds and Urology Resident teaching sessions when applicable.听The Fellow will participate to on-call coverage with residents In addition, research conferences will听be offered in order to enhance the fellow鈥檚 understanding of ongoing projects and general research听Fellows will attend selected conferences and seminars conducted within the 捆绑SM社区听Health System to enhance their expertise in clinical oncology, research ethics and responsibility, and听knowledge of basic science and clinical research on both sites.
听The fellow will also participate in the activities of the Rossy Cancer Network GU Site Group Team
Specific objectives include:
鈥� Exposure to complex surgical procedures in uro-oncology.
鈥� Development of advanced skills for mini-invasive/robotic procedures.
鈥� Evaluation and non-surgical management of common complications of uro-oncologic procedures.
鈥� Post-operative care of the patient undergoing uro-oncologic surgery.
鈥� Development of consultant skills for in-hospital patients.
鈥� Exposure to diagnostic cystoscopy.
鈥� Knowledge on the indications and interpretation of radiologic investigations, namely prostate听magnetic resonance imaging, exposure to MR-targeted prostate TRUS biopsy and focal therapy听for prostate cancer, renal biopsy and needle ablation of small renal masses, organ/tumor US/CT guided biopsy.
鈥� Protecting fifteen percent of the total curriculum for clinical research activities, the Fellow will听have opportunities to develop projects involving education, performance measurements and clinicaloutcomes in urologic oncology that will be attested by peer-reviewed publications and听communications to QUA, CUA and/or international meetings.
听Program Faculty
Teaching staff include
Urologic Oncology
JGH: Dr Victor McPherson, M.D.听Maurice Anidjar, M.D., PhD
MUHC: Simon Tanguay, M.D.;听Armen Aprikian, M.D.;听Wassim Kassouf, M.D., Dr Rafael Sanchez Salas, M.D.
Medical Oncology Radiation Oncology
JGH: Michael Pollak, M.D., PhD, Tamin Niazi, M.D.;听Cristiano Ferrario, M.D., Boris Bahoric, M.D.;听Wilson Miller, M.D., PhD
MUHC:听 Fabio Cury, M.D.;听 Sergio Faria, M.D., Dr Ragu Rajan, M.D., Dr Ramy Saleh, M.D., Luis Souhami, M.D.
Genitourinary Pathology
JGH: Mona ElAdim, M.D.;听Adrian Gologan, M.D.
MUHC: FadiBrimo, M.D.
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Summary of clinical practice:
The clinical practice at the JGH focuses on robot-assisted procedures in urologic cancers, from听radical prostatectomy, complex partial nephrectomy to radical cystectomy with intra-operative听urinary diversion, bothileal conduit and ilealneobladder, to RPLND for testis cancer in selected听prostate biopsy and focal HIFU ablation of prostate cancer. The clinical practice at MUHC focuses听on robotic radical prostatectomy, open and robotic partial nephrectomy, laparoscopic radical听nephrectomy, radical cystectomy with various diversions, open RPLND and major complex cases. 听Major strengths:The teaching faculty is widely and internationally recognized for its excellence in the听field of urologic oncology and minimally invasive surgery from both a clinical and research听sufficient exposure to the surgical cases. The academic program is well organized and interaction听with surgeons, researchers, fellows, residents and students is very stimulating.
Roles of Teaching Faculty
Assess and instruct the fellow of relevant information to clinical practice and also assess:
-The fellow's clinical judgment, diagnostic and therapeutic skills;
-The fellow's surgical skills in order to perform an efficient and safe open, laparoscopic and robotic
procedure in complex cases;
-The fellow's capacity to consult with other physicians and allied health professionals,
-The fellow's contribution to effectively improve residents' knowledge in urologic oncology.
Surgical Volume
Yearly number of urologic oncology procedures at the 2 捆绑SM社区 institutions in 2012-2013-2014
The Research Mission
捆绑SM社区 offers outstanding basic science and clinical research opportunities for fellows in听urologic oncology, mainly in prostate, kidney and bladder cancer. The research experience is tailored听to the previous experience and future interests of each applicant.
Research Program Options
Clinical/Health Services and Quality of Care Research in uro-oncology.听Research Fellow will design at least one high value clinical or health services research endeavor, and听will be expected to initiate, complete and report in a peer-reviewed journal an independent clinical听research project. 捆绑SM社区 urology centers houses national data repositories as well as local IRB approved clinical databases that details prostate cancer, bladder cancer and renal cancer.
Basic Translational Research in uro-oncology.
Several active basic science laboratories are welcoming Research Fellows in urologic oncology on听both sites, at the MUHC Research Center and at the Lady Davis Research Institute at JGH. Prostate听and bladder cancer are the main foci of basic science research in both sites. The program is intended听to equip select physicians at the post-doctoral level with the necessary tools to pursue an independent听research career in the field of urologic oncology. The program could also be adapted to Research听Fellow at the PhD level. At the completion of the research program over the 2-year fellowship,听trainees will have the skills to : 1- formulate testable hypotheses focused on important questions or听problems in urologic oncology ; 2- develop laboratory-based skills to adequately test these听hypotheses, and 3- develop critical thinking skills required to interpret and analyze quantitative听laboratory data. Training in grant-writing techniques, presentation skills for optimal verbal and听written communication of research findings will be part of the training. The trainee will be exposed听to research seminars and expert presentations on both sites.
Basic/Translational Laboratories
LDI basic science laboratories: Dr Mark Trifiro, Dr Wilson Miller, Dr Michael Pollak, Dr Alan听Spatz
MUHC basic science laboratories: Dr Simone Chevalier, Dr. Jacques Lapointe, David Labb茅
MUHC Epidemiology and Health Outcomes: Dr. Alice Dragomir
The Education Mission
During the 2-year rotation throughout their clinical and research components, Fellows will integrate听foundational concepts in clinical teaching. The goal here is to provide the education tools for our听Fellows to be effective and thoughtful educators in their academic careers. Specific techniques and听tools in clinical education will help them to teach in the operating room and they will be advised to听attend teaching seminars at 捆绑SM社区.We hope this will prepare our Fellows to meet their听upcoming obligations as teachers and allow them to be distinguished clinician surgeons, researchers听and educators.