UCLA Program Review

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UCLA Program Review

The goal of this post is provide applicants with updated information regarding our UCLA urology program. We are extremely proud of both our program and feel that our residents graduate ready to excel in all ways. We are a 6-year program with one year of general surgery and one year of research in the 4th year. We have recently expanded to 4 residents per year to match our growing volume and to provide better coverage for all of our affiliated institutions. The clinical training sites are extremely diverse, ranging from a tertiary referral and transplant center (Ronald Reagan UCLA), to two high-quality safety-net institutions (Olive View-UCLA and Harbor-UCLA), to one of the busiest referral VA’s in the country (West LA VA), and to a community hospital that offers a more private practice feel (Santa Monica-UCLA). Our residents learn to navigate and master each of these institutions. They learn to care for individuals and for broader populations. Our rotations at Ronald Reagan-UCLA are highly specialized and function almost as one-on-one fellowships. The Female Urology rotation as an R2 is spent with Dr. Raz and colleagues (Drs. Kim and Baxter), including clinic, conference, and operating room experience. The transplant rotation as an R5 is unparalleled in open and vascular operative experience. We are a high volume transplant center (>300 renal transplants per year) and residents typically log over 50 transplants during their rotation as a 5th year alone. Our Pediatric Urology rotation, as an R2, is led by Drs. Churchill, Lerman, and Singer, who are not only experts in pediatric urology, but also dedicated resident educators. Our General Urology service at Ronald Reagan focuses primarily on complex open and robotic oncologic cases. This service is led by two R6 chiefs and the R1. At Ronald-Reagan we have two dedicated Nurse Practitioners in Urology with >10 years experience combined. This is a benefit to both the service as well as the education of our residents who rotate with us as interns. This also helps our interns get to the OR more often. Our county experience offers our residents a very different practice model and patient population. At each county institution we have an R5 and a R3; an R2 will be added in July. This offers plenty of autonomy and experience as a junior and senior resident. The range and extent of pathology is immense. While these institutions are approximately 20 miles from our Ronald Reagan-UCLA campus, the commute is generally early in the morning and in the evening with minimal traffic and takes approximately 25 minutes each way. We also receive a gas stipend that has recently been increased to compensate for this commute. Despite the distance, these rotations, especially as a chief as an R5, are two of the most surgically rewarding rotations during our residency. At Santa Monica-UCLA, an academically active center for stones, oncology, general urology, and reconstruction, we have an R2 resident who works one-on-one with attendings. This offers early operative experience for open and robotic cases that would otherwise be chief level at different centers. This is typically cited as one of the most exciting and fulfilling rotations of the R2 year. Our interns spend one year as general surgery residents with 4 months of urology, 2 at Ronald Reagan-UCLA and 2 at the VA. Our R1s on the urology rotation at Ronald Reagan-UCLA are typically in the operating room 3-5 days per week and log ~20 cases per month. At the VA our R1s log fewer cases but see consult patients and have their own clinic time with attendings. Non-urology rotations are also split between Ronald Reagan-UCLA and the VA, and include acute care surgery, surgical oncology, liver transplant, CT surgery, ICU, vascular surgery, thoracic surgery, neurosurgery, pediatric surgery, and one month of night float. Hours are very reasonable. Most services have nurse practitioners and/or physicians’ assistants to help with the workload and operative experience ranges on a per rotation basis from excellent to moderate. Our research pursuits encompass every corner of urology. Each of our residents is paired with a research mentor who guides his academic and clinical career. Opportunities exist to work with established investigators in basic and translational research (Reiter, Aronson, & Garraway—prostate; Chamie & Chin—bladder; Belldegrun & Pantuck—kidney; Rajfer—andrology). Our health services research group is world-class. Our program is extremely cohesive and we frequently do things together outside of work. Drs. Litwin, Lerman, Bergman, and Singer are very responsive to resident feedback and constantly work towards improving our education and our experience during residency in general. When not at work, we live in one of the best cities in the US. Los Angeles is much more than just Hollywood (although we have that, too)—some of the best restaurants in the country, entertainment that is second to none, culture, and a variety of outdoor activities (hiking in the Santa Monica mountains, multiple beaches, wine tasting in Santa Barbara, skiing Big Bear, desert getaway in Palm Springs, etc).  Finally, the UCLA Urology family is steeped in tradition. Prior UCLA graduates chair many of the top-ranked urology departments across the country, lead national and international urologic committees, and pursue innovation in oncology and benign urology. Many of the “Greats” and “Rising Stars” have trained here as residents and fellows. Despite this rich history, we are always looking forward over the next horizon for ways to improve our Program, our Department, and the care we deliver to our patients. Our residents are the critical component necessary to improve the health of our patients and our community, one patient at a time. - Andrew Lenis (Urology resident), Steve Lerman (Program Director), and Jon Bergman (Associate Program Director). Please feel free to contact Jon (jbergman@mednet.ucla.edu) or Andrew (alenis@mednet.ucla.edu) for more information or with any questions.

Edited by: nicky on 05/11/2015 - 19:51 Reason: Updated by FeedsNodeProcessor