General Description of Department
The clinical faculty is comprised of 18 Urologists and 6 Associate Faculty in Medical Oncology and other specialties. In addition to the research performed by these Faculty members, the Department has 7 Research Faculty (Ph.D. or M.D./Ph.D.). Our residency program is 6 years in duration, with one research year. The University of Michigan is a program site for both a Specialized Program of Research Excellence (SPORE) in Prostate Cancer as well as an O'Brien Urology Research Center - the only Hospital in the nation to have both. We currently have fellows in Urologic Oncology & Minimally Invasive Urology, as well as Female Urology. A da Vinci robot is installed in the University of Michigan Main Operating Room and is used routinely for radical prostatectomy.

General Description of Fellowship Program
We have combined our Oncology and Endourology/Laparoscopy Fellowships into a single combined Fellowship lasting 3 years, which includes 12 - 18 months in Research. This Fellowship will prepare the Fellow to be a leader in Academic Urology. Of note, because the Research portion of the Fellowship is NIH-funded, only U.S. citizens or permanent residents are eligible. At the completion of the fellowship there would be certification by both the Society of Urologic Oncology and the Society of Endourology.

Description of Core Clinical Program
The clinical activities comprise 18 - 24 months of the fellowship, depending upon which Research option is elected (see below). The first 9 - 12 months are spent under the guidance of Drs. Hafez, Lee, Wood, and Montie. All aspects of clinical oncology are covered. The fellow will scrub one day per week on laparoscopic (robotic-assisted) radical prostatectomies, with the goal of complete training in this procedure by the completion of this segment of the Fellowship. The subsequent 9 - 12 months are spent under the guidance of Drs. Roberts, Faerber, and Wolf, participating in any and all endourologic and laparoscopic cases. During the clinical portions of the Fellowship it is imperative that full participation of the residents in operative cases be maintained. We apply graded responsibility for the cases in which the fellow participates, such that at the beginning of the year the faculty member will be taking either or both the fellow or the resident through the procedure and by the end of the year the faculty member will be monitoring as the fellow takes the resident through the case. The fellow is given staff privileges, and ½ day per week of an independent clinic. In this capacity the fellow will evaluate, manage, and perform Oncologic and Minimally Invasive cases independently, with only as much oversight as is requested.

Clinical Volume(actual calendar year 2003 figures)

Percutaneous procedures	71/year
Ureteroscopic procedures	420/year
Laparoscopic procedures	276/year
Radial procedures	261/year
Cystectomies	92/year
Nephrectomies	216/year

Description of Core Research Program
There are broad opportunities for collaboration within the Department, Medical School, and University. There are 2 M.D. Faculty members in our Department with primary focus on outcomes research, and there is one Ph.D. Faculty member with primary focus on Biostatistics and Epidemiology. We have a close collaboration with the Department of Biomedical Engineering in the School of Engineering. There are 2 main options for Research during this fellowship, with enrollment in one of our NIH-funded training grants.

• MPH degree - during the first year of fellowship, the Fellow takes classes in the School of Public Health towards a Master's Degree in Public Health, with emphasis on Clinical Outcome Research. Additional independent clinical research performed during the subsequent two years of clinical surgical experience completes the requirements for an MPH degree. This option prepares the Fellow for a career in Academic Urology with expertise in Clinical Outcomes Research.
• Basic Science research - Following a more traditional academic fellowship program, there would be 18 months of basic science research in one of the many laboratories of Urology and Associated Faculty. This would be followed by 18 months of clinical surgical experience. This option prepares the Fellow for a career in Academic Urology as a Clinician-Scientist.

Miscellaneous
Entry into the Fellowship is through the Society of Endourology Match, which occurs in June the year before entry into the program. To apply for the position, please follow the instructions for application found at http://www.endourology.org/fellowship/index.html#form. The fellow may be asked to take phone calls when one of the Program Directors is out of town, but the fellow is not on the formal call schedule. Up to 4 weeks of vacation may be taken.

Fellowship Directors
Urologic Oncology
James E. Montie, M.D
Professor and Chairman of Urology
University of Michigan

Minimally Invasive Urology
J. Stuart Wolf, Jr., M.D.
Associate Professor of Urology
University of Michigan