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2014 2015 Mini Fellowship Brochure

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Mini Fellowship Brochure
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  Department of Urology333 City Blvd. West, Suite 2100Orange, CA92868714.456.5371 Copyright © 2013 The Regents of the University of California. All rights reserved. UC I RVINE  S URGICAL  E DUCATION  C ENTER  Minimally Invasive Urologic  Surgery Training Program We welcome your participation. M INI -F ELLOWSHIP University of California, Irvine School of Medicine, Department of Urology The UC Irvine Surgical Education Center's mini-fellowship program in urology is the first and onlytraining program of its kind in the United States.The attendees work closely with a dedicated instructor and other UC Irvine faculty in didactic and hands-onsurgical laboratory sessions along with observation of surgical procedures in the selected module. The mini-fellowship program provides a unique, focused training module for postgraduate urologists in the areas of ureteroscopy plus percutaneous urolithiasis surgery; percutaneous and laparoscopic image-guided needleablative cryotherapy of renal tumors; laparoscopic androbotic renal surgery; and robot-assisted laparoscopic prostatectomy. Jaime Landman, MD Professor of Urology and RadiologyChair, Department of UrologyUniversity of California Irvine  This postgraduate mini-fellowshipcourse in minimally invasive urologicsurgery is a unique educational experi-ence designed for urologists. It isentirely devoted to the transfer of advanced endourological skills for per-forming all types of minimally invasive procedures in urology. Participation inthe laparoscopy training modulesrequires documentation of completionof a basic laparoscopy course, and for the robotic modules documentation of completion of a da Vinci ® robot basiccourse for technical skills.The training program comprises distinctminimally invasive surgery teachingmodules including, ureteroscopy / percutaneous urolithiasis surgery; needle ablative cryotherapy of renaltumors via laparoscopic or percutaneousaccess; laparoscopic and robotic renalsurgery; and robot-assisted laparoscopic prostatectomy and certification on theda Vinci ® robot. Each participant isassigned to a specific preceptor.The modules include didactic sessions, pelvic trainer and simulator training,live animal and/or cadaveric hands-onsurgical laboratory sessions, andobserving several module specific surgery cases in the UC Irvine MedicalCenter operating room. During thetraining program, each attendee pro-ceeds through a series of skills testsand completes a multiple choice exami-nation at the completion of the program. If you do ordo not hold a validCalifornia State Medical Boardlicense , you have two options. 1) Most surgeons elect this option. You may attend the mini-fellowshipand be involved only as an observer of the surgical procedures performed in theUC Irvine Medical Center operatingroom, along with participation in thedidactic and laboratory hands-on sur-gery sessions. 2) You may obtain a California StateMedical Board license, following whichthe temporary privilege application can be submitted to the UC Irvine MedicalCenter credentialing office. This entire process will take approximately six tonine months to complete. If you hold a valid California StateMedical Board license - If you elect to perform a procedure inthe UC Irvine Medical Center operatingroom on one of your patients with your  proctoring preceptor, you may completeand submit an application for temporaryUC Irvine Medical Center hospital priv-ileges for the specific dates of your attendance at the UC Irvine SurgicalEducation Center.Also, it is necessary to submit a writtensummary of the patient, all diagnosticradiographic films and a working diag-nosis and planned surgical procedure tothe UC Irvine preceptor four weeks  before your planned attendance in themini-fellowship. You and your proctor can then discussthe case and the planned procedure. All surgical procedures must beconfirmed and approved by the precep-tor before the clinical coordinator can proceed with surgical scheduling. Your office will be requested to assistthe UC Irvine Department of UrologyClinical Coordinator with the authoriza-tion process for the surgical procedure. C OURSE 2  L  EARNING O BJECTIVES 3 UC Irvine, Department of Urology offers a certificationprogram on the da Vinci  ®  robot within the roboticprostatectomy module forprocedural training. Prior to attending the robot certifica-tion course at UC Irvine, please submitdocumentation of having completed a basic da Vinci ® robot course for tech-nical skills. Also, please complete theda Vinci ® robot online tutorial ses-sions below and fax or email the cer-tificates/exam results to Cynthia Shell,education coordinator -- Tel: 714.456.5371Fax: 714.456.5062Email: cshell@uci.edu UC Irvine Robotic Curriculum It is required that you complete the UC Irvine Robotic Curriculum outlined below. You should complete Step 1 prior to comingto UC Irvine. Steps 2-3 will be scheduled into your program for completion while you are at the course. First Step: Online Training a. Go to the Robotic Course in the AUACore Curriculum (which is free to all AUAMembers) and complete the BasicFundamentals of Urologic Robotic Surgery module and pass the MCQ exam, 80% correct score, associated with this module.(http://www.auanet.org/eforms/elearning/robotic_surgery/module1.cfm) b. Complete the online training on this web site - www.daVinciSurgeryCommunity.com - on the particular robot you will beworking with clinically. If there's no certificate printout, take a photo of the screen showing scores and send this to Cynthia Shell. c. Also, complete one of the four AUABasic Robotic Procedure modules and pass this MCQ exam: AUAon-line Prostate:Transperitoneal module in the Basic Procedures section of the AUAUrologic Robotic Surgery Course and pass the post-moduleexam with 80% correct. (http://www.auanet.org/eforms/elearning/robotic_surgery/module2.cfm) The online training should be completed prior to your laboratory hands-on simulator skills training. Second Step: SimulatorSkills Training During your course at UC Irvine Medical Center, we will plan to hold 4-5 hours of inanimate hands-on skills training with theMimic robotic simulator and our teaching robot in the Surgical Education Center. This will provide you with practice regardingfunctions of the robot and an understanding of clutching in instrument management. Third Step: Animate/Cadaveric Robotic Training Following completion of the skills training above, we will then provide the animate and cadaveric training portion of the curriculum. Robot-Assisted Laparoscopic Prostatectomy Mini-Fellowship 1.Identify the patient selection criteria and indications and contraindications for robot-assistedlaparoscopic prostatectomy surgery.2.Discuss the techniques and adjuvant techniques and instrumentation for robot-assisted laparoscopic prostatectomy surgery.3.Describe the cost considerations for robot-assisted laparoscopic prostatectomy surgery.4.Review the identification, management and prevention of complications associated with robot-assisted laparoscopic prostatectomy surgery.5.Discuss the pre- and post- procedural care for robot-assisted laparoscopic prostatectomy surgery.6.Review the follow-up policies and outcome analysis for robot-assisted laparoscopic  prostatectomy surgery. Laparoscopic and Robot-Assisted Renal Surgery Mini-Fellowship 1.Identify the patient selection criteria and indications and contra-indications for laparoscopicrenal and/or robot-assisted renal surgery for renal cancer and ureteropelvic junction obstruction.2.Discuss the techniques and adjuvant techniques and instrumentation for laparoscopic and robotic renal surgery.3.Review the identification, management and prevention of complications associated with laparoscopic or robot-assisted renal surgery.4.Discuss the pre- and post-procedural care for laparoscopic and robot-assisted renal surgery.5.Review the follow-up policies and outcome analysis for laparoscopic and robot-assisted renal urology.  4 Purpose/Need forActivity To transfer advanced endourological skills for  performing all types of minimally invasivesurgical procedures in urology. Target Audience This postgraduate mini-fellowshipcourse in minimally invasive urologicsurgery is designed for urologists. Partici- pation in the laparoscopy training modulesrequires documentation of completion of a basic laparoscopy course. Accreditation Statement The University of California, Irvine School of Medicine is accredited by the AccreditationCouncil for Continuing Medical Education to provide continuing medical education for  physicians. Designation Statement The University of California, Irvine School of Medicine designates this live activity for amaximum of 44  AMA PRA Category 1Credits TM  . Physicians should claim only thecredit commensurate with the extent of their  participation  in the activity.*While there are CME credits designated for  participation in this course, this does notimply certification of skills acquisition. Disclosure Statement It is the policy of the University of California,Irvine School of Medicine and the Universityof California CME Consortium to ensure bal-ance, independence, objectivity, and scientificrigor in all CME activities. Full disclosure of conflicts and conflict resolutions will be made prior to the activity in writing via handoutmaterials, insert or syllabus. Percutaneous and Laparoscopic Image-Guided NeedleAblative Cryotherapy of Renal Tumors Mini-Fellowship 1.Identify the patient selection criteria and indications and contra-indications for laparoscopic or percutaneous cryoablative urologic surgery.2.Discuss the techniques, adjuvant techniques and instrumentation for laparoscopic or percutaneous cryoablative urologic surgery.3.Describe the cost considerations for laparoscopic or percutaneous cryoablative urologic surgery.4.Review the identification, management, and prevention of complications associated with laparoscopic or percutaneous cryoablative urologic surgery.5.Discuss the pre- and post-procedural care for patients undergoing laparoscopic or percutaneous cryoablative urologic surgery.6.Review the follow-up policies and outcome analysis for laparoscopic or  percutaneous cryoablative urologic surgery. Ureteroscopy and Percutaneous Renal Access forUrolithiasis Mini-Fellowship 1.Identify patient selection, indications and contraindications for ureteroscopy and/or  percutaneous renal access for intrarenal surgery.2.List the instrumentation, techniques and adjuvant techniques, content validity andcost considerations for ureteroscopy and percutaneous renal access intrarenalsurgery.3.Discuss the diagnosis, management and prevention of complications associatedwith ureterorenoscopy and percutaneous renal access as they apply to urolithiasis.4.Discuss pre- and post-procedural care for ureterorenoscopy and percutaneous renalaccess intrarenal surgery.5.Discuss follow-up care and metabolic analysis for stone treatment followingureteroscopy and percutaneous renal access intrarenal surgery.
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