Description of Training
The Endourology & Laparoscopy Fellowship at The University of Toronto is a comprehensive 2-year program that provides clinical and research training in both endourology and minimally-invasive urologic surgery. As well as training in all aspects of contemporary endourology, fellows will be involved with the medical management of stone disease through the Provincial Kidney Stone Prevention Clinic, and will gain experience with advanced laparoscopic and robotic assisted laparoscopic procedures. These include nephrectomy, donor nephrectomy, nephroureterectomy, adrenalectomy, and robotic assisted radical prostatectomy, partial nephrectomy and pyeloplasty.
The Fellowship will consist of 2 years, with one year primarily clinically-oriented, and a second year primarily research-oriented.
Duration of Training
Fellows are required to have completed a recognized 5 or 6 year Urology Residency with the appropriate certification.
Annual Clinical Volume(approximate):
| Percutaneous procedures |
100 - 150 |
| Ureteroscopic procedures |
250 - 300 |
| Shock wave lithotripsy |
50
(out of 2500 treatments per year) |
| Laparoscopic procedures |
120 - 160 |
| Robotic Assisted Surgery |
80-100 |
Laboratory Facilities and Research Supervision
Clinical databases are available to allow prospective outcome studies on 2,500-2,800 shockwave patients per year, as well as all patients treated endourologically. Both basic science bench-space and a fully equipped animal vivarium are available. A Ph.D. is available to supervise specific projects, in areas ranging from biomaterials, infection, and metabolic stone disease. Supervision is also available for those wishing to pursue an M.Sc. in clinical epidemiology, and fellows are expected to participate in ongoing clinical trials, as well as in the development of new trials. Fellows are expected to submit abstracts to annual meetings and prepare manuscripts for publication.
Clinical Responsibilities
The Fellow will participate in a wide range of endourologic, laparoscopic and robotic assisted surgical procedures and round on these patients, with the senior resident, in the post-operative period. He or she will be involved with both the surgical and medical assessment of patients through the clinics at The St. Michael's Hospital Kidney Stone Centre. The Fellow will not be expected to take night or weekend call except for unusual circumstances.
Previous Graduates of the Fellowship Program
Interested Residents are encouraged to fill in and forward an application to Dr. R. John Honey at the above address.
