Fellowship in Pediatric Urology

Pediatric Urology group photo 2019

Pediatric Urology team, 2019

The Fellowship in Pediatric Urology has been accredited by the ACGME and the University of Colorado School of Medicine Office of Graduate Medical Education.

The Pediatric Urology Fellowship Program seeks to recruit the best candidates and provide them the educational foundation for a successful career. We seek to prepare our fellows for their lifelong educational and professional journey in Pediatric Urology by:

  • Sharing knowledge from the dedicated faculty
  • Developing surgical and patient care skills in an environment fostering progressive responsibility in patient management under appropriate supervision
  • Teaching that will help them appraise and improve their own patient care, assess and assimilate new scientific knowledge, and contribute through research to the science of the profession
  • Demonstrating interpersonal and communication skills necessary to effectively interact with patients, peers, and others
  • Promoting professional ideals and adherence to ethical principles
  • Preparing future Pediatric Urologists to effectively interact in an increasingly complex health care system
  • Graduates will be expected to sit for the subspeciality exam in Pediatric Urology, this requires the successful completion of a two year ACGME approved Pediatric Urology fellowship


Overall Goals of the Pediatric Urology Fellowship Program

The Pediatric Urology Fellowship Program seeks to recruit the best urology fellows and provide them the educational foundation for a successful career.  We seek to prepare our fellows for their lifelong educational and professional journey in Pediatric Urology by:

  • Sharing knowledge from the dedicated faculty
  • Developing surgical and patient care skills in an environment fostering progressive responsibility in patient management under appropriate supervision
  • Teaching that will help them appraise and improve their own patient care, assess and assimilate new scientific knowledge, and contribute through research to the science of the profession
  • Demonstrating interpersonal and communication skills necessary to effectively interact with patients, peers, and others
  • Promoting professional ideals and adherence to ethical principles
  • Preparing future Pediatric Urologists to effectively interact in an increasingly complex health care system

Specific Goals and Objectives — Year 1

Goals

The aim of the clinical care year is to prepare the fellow for a career either in Academic or Private Practice in Pediatric Urology. We are concentrating on producing ethically and morally considerate doctors who have excellent clinical skills and experience in their chosen field.

Objectives

At the end of this clinical year the fellows should be able to:

  • Perform general and disease specific history and physical examinations.
  • Order appropriate radiological investigations and interpret them, to make an accurate clinical diagnosis
  • Decide on the most appropriate treatment management for the child, including the timing of and nature of surgical intervention
  • Counsel and educate parents and patients about their medical condition and the treatment options available
  • Appropriately take a consent from families and provide appropriate information to the patient
  • Understand, perform and interpret Pediatric urodynamics
  • Perform competently most Pediatric Urological procedures, including but not limited too:
    • Penile Surgery – Circumcision, Hypospadias and Epispadias
    • Groin Surgery – Hydroceles, Hernia, Orchiopexy, Varicocelectomy, Exploration for Torsion
    • Kidney Procedures – Pyeloplasty, Heminephrectomy, Nephrectomy
    • Ureteric Procedures – Ureteric anastomosis, Ureteric Reimplant
    • Bladder Procedures – Bladder Augmentation, Appendico-vesicostomy, Bladder diverticulum, Urachal excision
    • Laparoscopic and Robotic Procedures – Orchiopexy, Nephrectomy, Heminephrectomy, Pyeloplasties
    • Endoscopic Procedures – Cystoscopy, Ablation Posterior Urethral Valves, Excision Ureteroceles,Ureteroscopy, treatment of stone disease
  • Manage patients with stone disease
  • Manage patients, with oncological problems including: Wilms tumor, Rhadomyosarcoma and Testicluar tumors
  • Understand the surgical management of renal transplantation
  • Manage pre-and post operative patients
  • Understand surgical complications and appropriately manage them
  • Critically review and evaluate newly presented and published research
  • Present at a National Meeting
  • Produce a manuscript for publication
  • Accurately code Pediatric Urology work for reimbursement
During the clinical year the Pediatric Urology Fellows will develop these competencies according to the six ACGME competencies.

 


Overall Goals and Objectives for Pediatric Urology Research

The Pediatric Urology Research Fellowship Program will begin after the completion of the Accredited first year clinical fellowship program. This is the second year of a two-year program. We seek to prepare our fellows for their lifelong educational and professional journey in Pediatric Urology by:

  • Sharing knowledge from the dedicated faculty
  • Developing surgical and patient care skills in an environment fostering progressive responsibility in patient management under appropriate supervision
  • Teaching that will help them appraise and improve their own patient care, assess and assimilate new scientific knowledge, and contribute through research to the science of the profession
  • Demonstrating interpersonal and communication skills necessary to effectively interact with patients, peers, and others
  • Promoting professional ideals and adherence to ethical principles
  • Preparing future Pediatric Urologists to effectively interact in an increasingly complex health care system

Specific Goals and Objectives — Year 2

Goals

The aim of the research year is to prepare the fellow for a career either in Academic or Private Practice in Pediatric Urology. We are concentrating on producing ethically and morally considerate doctors who have excellent clinical skills and experience in their chosen field.

Objectives

The fellow will be on a twelve-month rotation at Children’s Hospital Colorado. The fellow will be mainly involved in research and the fellow will have one day of clinical work.  By the end of this year the fellow will be able to:

  • Design a specific laboratory based research project, and/or Design a clinical research project
  • Collect and correctly analyze data from a research presentation
  • Present using Power point at least one project at Grand
    • Rounds
    • Present using Power point one project at a National Meeting.
    • Produce and submit a manuscript for publication
    • To transition into an independent practioner

    The learning objectives for the Research Year are:

    • To develop a research question
    • To design a research study
    • To complete a research study
    • To present the study in a scientific manner

    During the clinical section of the research year, the Pediatric Urology Fellows will develop these competencies according to the six ACGME competencies.


    Current Research

    Clinical studies include:

    • Racial differences in care provided for infants born with prenatally detected hydronephrosis
    • Complications following commonly performed pediatric urology procedures
    • Transitional care for spina bifada patients into adulthood

    Laboratory Studies include:

    • Effect of bladder obstruction on bladder development
    • Cross talk and sensitization of bladder and bowel neural pathways
    • Urine biomarkers for urinary obstruction

    Pediatric Urology Team

    The Pediatric Urology Team is a group of dedicated health care professionals who provide exceptional care for pediatric and adolescent patients with urologic dysfunction. Please click on the names below to see their individual bios.

    The Pediatric Urology team has a very full practice including general pediatric urology clinics, specialty clinics, surgical cases, teaching, and research. Click here to view a block schedule of the Pediatric Urology providers.


    Fellows

    2021-2023 - Kristen Meier, MD

    2020-2022 - Nina Mikkilineni, MD

    2019-2021 — Dan Han, MD

    2018-2020 — Sarah Hecht, MD

    2017-2019 — Jonathan Walker, MD

    2016-2018 — Amanda Saltzman, MD

    2015-2017 — Alonso Carrasco Jr., MD

    2014-2016 — Brian T. Caldwell, MD

    2013-2015 — Erin C. Grantham, MD

    2012-2014 — David J. Chalmers, MD

    2011-2013 — Amy Hou, MD


    How to apply to the Pediatric Urology Fellowship

    Applications are now being accepted for Pediatric Urology Fellowship beginning July 1, 2022.

    Applications should be e-mailed to the Program Director, Nicholas Cost, at urology.urology@childrenscolorado.org.

    Deadline for applications is March 1, 2021.

    One-day interviews are scheduled on April 16 and April 30, 2021. The evening prior to each interview, there is an applicant group event (April 15 and April 29, 2021).

    Interested applicants are expected to register for the Pediatric Urology Fellowship Match through the American Urological Association. Our AUA Pediatric Fellowship Program Match Number is #00000611.


    AUA Pediatric Urology Fellowship Match Dates/Deadlines

    AUA Registration — November 13, 2020

    Registration Deadline — March 10, 2021

    Rank List Begins — May 17, 2021

    Rank List Deadline — June 8, 2021

    Match Results Released — June 25, 2021


    Additional information on the match can be found on the AUA website.

    If you need additional information or have questions regarding the Pediatric Urology Fellowship, please contact the Program Director, Nicholas Cost, at nicholas.cost@childrenscolorado.org.