URN Minimally Invasive Urologic Surgery Fellowship focusses on the novel Robotics / Image Fusion Guided Therapies and GU Oncology track adapted to the everchanging healthcare arena. The fellow shall expect career enhancement breakthroughs in their Oncological thinking, Surgical Skills, in-Office Fusion procedures: biopsies and treatment plus Clinical research. On top of our extensive surgical volume, the fellow will gather expertise on IRB, Investigator research initiatives and design, participation in randomized clinical trials for Bladder, Prostate and Renal Cancers.  Interested candidates will gain exposure and gain knowledge on:

1. Robotic Procedures – 1 year (over 250 robotic cases/year) on all 3 active platforms (XDV5, SP, Xi) characterized as: Robotic Prostatectomies (40%) – Simples or Radical; Robotic Renal Procedures (40% ) – Radical, Partial, Cryoablative, Stone and Reconstructive; with the remainder Robotic procedures (20%) consisting of Robotic Pelvic Reconstructive and Bladder (Partial and Radical Cystectomies)
2. In office MRI/US Fusion procedures on over 900 Transperineal Fusion Biopsies/ Yr and over 400 Transperineal fusion procedures for cancer using Cryoablation, laser and IRE as energy forms
3. International Exposure: Our fellows will have the opportunity for a two-week rotation at our partnership with the Lyx Institute in Madrid, where they gather further experience on Laser enucleation procedures, HIFU and Robotics as well.
4. Personal Growth and Medical Economics: Our exclusive partnership with the Tony Robbins Institute will empower our fellows on personal growth where they can focus and unleash their potential as they embark on a successful and prosperous career avoiding burnout.
5. Compensation: Over 95 percentile of current Endourological Society and SUO fellowship programs

In addition, the fellow will serve as junior attending on our affiliated hospitals and will be active on invasive urologic surgical procedures: such as percutaneous renal surgery, and ample endourological cases on his/her operating room days.

The applicant will/must have completed an ACGME approved residency in urology and be eligible to sit for part I of the American Board of Urology qualifying examination. Urologists who have passed part I of the American Board of Urology Qualifying Examination and are licensed to practice medicine in the United States are also eligible for consideration in the program. International graduates from non-ACGME Urology programs, must have completed the program or be in active practice may apply if they have ECFMG certification and passed USMLE Step, have appropriate VISA status and gain approval from the FL Board of Medicine.

1. SCOPE OF TRAINING Specialized training in Urologic Oncology, Robotics, minimally invasive urologic, and image/guided fusion surgery , the fellow will cover these and most aspects of endourologic surgery at: Mercy Hospital where we have over 8 robots and Jackson Health System, and Coral Gables Hospitals. Most guided therapy for prostate and some renal procedures will be primarily office-based, as will be Bladder Procedures using new novel intravesical installation of novel devices. MRI reading and planning will be supervised by the Fellowship director and expert Radiologists. The subspecialty training in Robotics urologic surgery will provide sufficient experience for the trainee to acquire advanced skills in each of these areas. By the end of the clinical training our expectation is that the fellow will be able to conduct most prostate and renal cases with surgical time under 75 minutes. The fellow will staff deemed appropriate by the program director as a junior attending for URN/NOVA Southeastern University Clinically Affiliated Urology Specialist Group (USG). The fellow may develop a focus in a particular area of minimally invasive/endourological surgery during their year.
2. EDUCATION & RESEARCH PROGRAM The clinical status of a fellow is that of a junior attending member of USG. The fellow will have graded surgical responsibility and will be responsible progressively for more and more of the operative care of patients. The fellow will also be responsible for the preparation of tumor board conferences and participate in clinical research. It’s expected that the fellow will submit and present clinical research at The World Congress of Endourology and Technology and the AUA national meeting as well. There are multiple opportunities for interdisciplinary collaboration Radiation Oncology, Pathology, Radiology and Medical Oncology.

Yearly Clinical Volume – Potential Exposure