The OHSU Department of Urology at OHSU is pleased to offer a one-year Reconstructive Urology Fellowship with emphasis on gender-affirming genital surgery and health care for board-eligible or board-certified Urologists, beginning in July 2020.
The primary objective of the OHSU Urologic Reconstructive and Gender-Affirming Surgery Fellowship is to develop the unique clinical and surgical skill set required for expert management of genitourinary reconstructive problems with strong emphasis on gender-affirming genital surgery. Combined with the surgical principles of the field of genitourinary reconstruction, the fellowship will be one of the first programs in the United States to offer dedicated surgical training in this area.
A fellow will spend her/his time with Dr Dugi and other faculty in the operating room typically 4 days a week, observing, assisting, and actively performing all portions of relevant cases. Fellows will share their experience with urology residents and will balance their surgical learning experience with that of the residents, as appropriate. Fellows will gain increasing autonomy and responsibility for leading a case and teaching a resident as they progress through the year.
Fellows will spend their time with different faculty performing gender-affirming surgeries, as well as other reconstructive urologic surgeries. How this exposure is balanced will depend on fellow interest, previous exposure in prior training, surgical skill, as well as clinical demand. Exposure to other reconstructive surgeries is important for a well-rounded training experience and to gain greater insight and knowledge about reconstructive principles.
We anticipate that on average one day a week will be spent in an outpatient clinical setting/research/administrative time. Exposure to outpatient management is critical in building comfort and sensitivity with a vulnerable, underserved, and frequently traumatized patient population.
As this field is very collaborative with other specialties, fellows will have extensive exposure to other disciplines. Fellows will be expected to attend all meetings of the OHSU Transgender Health Program, including monthly committee meetings, monthly multi-disciplinary case reviews, etc. Fellows will attend and be expected to present research and clinical teaching presentations at national and international meetings, in particular the WPATH/USPATH/EPATH meetings, and the annual AUA meeting. Fellows may be asked to give teaching presentations within OHSU and locally, as well.
Fellows will be expected to participate in research and quality-improvement projects related to reconstructive urologic and gender-affirming care. This will include IRB preparation/maintenance, data gathering and evaluation, writing, and revision. We have administrative and medical statistical analysis support available.
Dr. Jens Berli, Plastic & Reconstructive Surgery, who leads our Phalloplasty program, plans a fellowship training program for Plastic Surgeons in gender-affirming surgery as well. We envision a formal "exchange" period where the Urology and Plastic Surgery fellows would rotate for 2-3 months with the other service and act as the fellow for that service. This is particularly important in learning about phalloplasty procedures, and learning surgical skills unique to a plastic surgery experience.
Fellows will make daily patient rounds and act as a point of contact for residents in the residents’ management of patient care. This may include rounding on weekends at times.
As board-eligible and licensed urologists, Fellows will take call as OHSU faculty at a frequency consistent with other OHSU Urology faculty and be responsible for clinical care as a result of those duties. Fellows may also be called upon to periodically staff patient consults seen and worked-up by the residents. This is important in developing autonomy needed for future practice, as well as financial support of the fellowship position.
Interested applicants should submit applications through this site or via e-mail to Alan Lines at firstname.lastname@example.org.
Admission is contingent upon completion of an ACGME accredited urologic training program.
The applicant must have a letter of support from their urology training program director recommending them for the fellowship and attesting to the candidate's successful completion of the urology training program. Two additional letters of recommendation are required.
The applicant should have passed all 3 steps of USMLE and must obtain a full Oregon State license prior to starting fellowship.
Internal Number: IRC77387
About Oregon Health and Science University
The Department of Urology at OHSU is committed to providing the highest quality, state-of-the-art care for adult and pediatric urology patients. Our physicians are recognized leaders in their fields, have advanced fellowship training in urological subspecialties, and are expert, high-volume surgeons. We consider it a privilege to be able to offer this care to our patients and continually strive to provide it with a personalized, patient-centered and compassionate focus. We also take pride in our contributions to new discoveries through research, and embrace our important role in training the next generation of top urologists.Our vision is to provide the highest quality clinical care for all urologic conditions, to further urologic knowledge through innovative research and to provide the highest quality education to the physicians of tomorrow. We strive to:•Be recognized as one the nation’s leading treatment and research departments•Exceed the expectations of our patients with the quality of care we provide•Provide the best possible learning experience for medical students, urology residents and fellows.
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