Endourology, Robotics, and Stones (Urological Laparascopy)

Description of Training

The Laparoscopy, Robotics, and Endourology 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, will have the opportunity to work with the Provincial Kidney Stone Prevention Clinic, and will gain experience with advanced robotic-assisted and laparoscopic procedures, including nephrectomy, donor nephrectomy, partial nephrectomy, nephroureterectomy, adrenalectomy, pyeloplasty, and radical prostatectomy.

The Fellowship consists of 2 years, with one year primarily clinically-oriented, and a second year primarily research-oriented. With the depth of exposure provided by this fellowship, graduates will have the necessary clinical, surgical, and research skills to pursue an academic career in advanced urologic robotics, laparoscopy and endourology.

The Fellowship is internationally accredited by the Endourological Society. Applications are processed through the Endourological Society as part of a match process (see www.endourology.org for details).

Duration of Training

Fellows are required to have completed a recognized 5 or 6 year Urology Residency with the appropriate certification.

Clinical Volume

Approximate number of cases per year:

Percutaneous procedures – 100
Ureteroscopic procedures – 250
Shock wave lithotripsy – 50-100 (out of 2500 treatments per year)
Laparoscopic procedures – 100-120
Robotic procedures – 50

Laboratory Facilities and Research Supervision

Clinical databases are available to allow prospective outcome studies on 2,500 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 a 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 become involved in a variety of ongoing research projects and clinical trials, submit abstracts to meetings for presentation, and prepare manuscripts for publication.

Clinical Responsibilities

The Fellow will participate in a wide range of endourologic and laparoscopic 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. Fellows are expected to become involved in the teaching and training of urology residents and medical students, and will have some at home on-call obligations. Interested Residents are encouraged to fill in and forward an application to Dr. R. John Honey (honeyj@smh.ca) and/or Dr. Kenneth Pace (kenneth.pace@utoronto.ca). http://www.endourology.org/fellowship/flwshp_detail.php?id=47

Program Director

John D’A Honey
University of Toronto, Division of Urology
St. Michael’s Hospital
61 Queen St. E., #9103
Toronto, Ontario M5C 2T2
E-mail: honeyj@smh.ca

Program Co-Director

Kenneth Pace
University of Toronto, Division of Urology
St. Michael’s Hospital
61 Queen St. E., #9103
Toronto, Ontario M5C 2T2
E-mail: kenneth.pace@utoronto.ca

Previous Graduates of the Fellowship Program

1998 – Dr. Peter Incze
1999 – Dr. Michael Weir weirmj@hotmail.com
2001 – Dr. Kenneth Pace kenneth.pace@utoronto.ca
2002 – Dr. Solieman Bilgasem
2003 – Dr. Peter Cybulski peterbillie@sympatico.ca
2004 – Dr. Joel Dagnone joeldagnone@hotmail.com
2005 – Dr. Brian Blew bblew@ottawahospital.on.ca
2006 – Dr. Luke Fazio lukefazio@hotmail.com
2007 – Dr. Alexandra Perks alixperks@hotmail.com
2008 – Dr. Trevor Schuler ts9@ualberta.ca
2009 – Dr. Emma Bromwich emma.bromwich@virgin.net