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Pediatric

McGill Pediatric Urology Fellowship

Length: 1 year clinical fellowship
Number of positions: 1 per year
Hospital involved in training: Montreal Children's
Faculty: Drs. Roman Jednak, Mohamed EI-Sherbiny, Gianpaolo Capolicchio and Alex Brzezinski
Objectives: Upon completion of the fellowship, the fellow is expected to have achieved several learning objectives which will be achieved through exposure to both operative and outpatient pediatric urology.

 In addition, the fellow will be expected to actively participate in hospital based activities including Surgical Teaching Rounds, Trauma Rounds, Morbidity and Mortality conferences, Tumor Board, and combined Nephrology/Urology and Urology Resident teaching sessions when applicable. Specific learning objectives include:

  • Proficiency in common urologic surgery of the genitourinary tract in children.
  • Exposure to more complex surgical procedures in children with exstrophy complex, genital ambiguity, and neurogenic bladder dysfunction.
  • Development of basic skills for pediatric laparoscopic procedures.
  • Evaluation and non-surgical management of common clinical urological problems including urinary tract infections, hydronephrosis, vesicoureteral reflux, and dysfunctional voiding.
  • Evaluation and medical management of the patient with neurogenic bladder (eg. spina bifida).
  • Evaluation and surgical management of the patient with urologic trauma or acute scrotal
  • Interpretation and clinical application of urodynamic investigations.
  • Post-operative care of the patient undergoing urologic surgery.
  • Development of consultant skills for in-hospital patients.
  • Familiarity with the indications for an interpretation of radiologic investigations.
  • Development and appreciation for a multidisciplinary team approach to the evaluation and care of patients with neurogenic bladder, genitourinary malignancies, nephrologic conditions and ambiguous genitalia.
  • Pre-operative urologic evaluation of the renal transplant patient.

Clinical and Teaching Responsibilities: Fellows are responsible for attending all urology clinics (General Pediatric Urology, Spina Bifida, Voiding ysfunction). They will participate actively in all aspects of the in-patient clinical service including ward rounds, the consult service for both wards and the emergency room, and on-call duty. They are expected to actively participate in the care and preparation of patients pre- and post-operatively. Surgical procedures will be divided with the intention of meeting resident training objectives. b) The Royal College objectives of training in Urology (Version 1.1 (2009), Editorial revision 2012) will be adhered to with respect to index surgical cases. All category A cases will be given resident priority according to level of training (PGY3, PGY 4, or PGY 5. With respect to category B cases specifically bladder augmentation, the operative experience will be shared with allocation of specific parts of the procedure according to complexity. Laparoscopic pyeloplasty in children above the age of 10 will be given CHIEF (R5) resident priority. Laparoscopic pyeloplasty in children below 10 will be given fellow priority. All laparoscopic pyeloplasties performed on adults at the adult sites by MCH staff will be allocated to the CHIEF (R5) residents on rotation at the MCH at the time. The remaining category B cases will be given fellow priority. Hypospadias will be a dedicated fellow case.

Eligibility: Candidates for the fellowship must be graduates of a recognized Medical School and must have completed their urology residency at a recognized University. Candidates need to be fluent in English and/or French.

Funding: For information regarding salary amount and acceptable sources of funding please visit the link at http://www.medicine.mcgill.ca/postgrad/admission_fellowships.htm