University Of California, Irvine School Of Medicine, Department Of .
University of California, Irvine School of Medicine, Department of UrologySURGICAL EDUCATION CENTERMINI-FELLOWSHIPMinimally Invasive UrologicSurgery Training ProgramThe UC Irvine Surgical Education Center's minifellowship program in urology is the first and onlytraining program of its kind in the United States.There are only two attendees per week who workclosely with a dedicated instructor and other UCIrvine faculty in didactic and hands-on laboratorysessions along with observation of surgical proceduresin the selected module. The mini-fellowship programprovides a unique, one-week, focused training modulefor postgraduate urologists in the areas of ureteroscopyplus percutaneous urolithiasis surgery, percutaneous andlaparoscopic image-guided needle ablative cryotherapyof renal tumors, laparoscopic and robotic renal surgery,KTP laser treatment of the prostate, and robot-assistedlaparoscopic prostatectomy on an ongoing, weekly basis.We welcome your participation.Elspeth M. McDougall, MD, FRCSC, MHPEProfessor of UrologyAssociate Dean, Clinical Science EducationDirector, UC Irvine Surgical Education CenterDepartment of Urology333 City Blvd. West, Suite 2100Orange, CA 92868714.456.5371Copyright 2008 The Regents of the University of California. All rights reserved.
COURSEThis postgraduate mini-fellowshipcourse in minimally invasive urologicsurgery is a unique week-long educational experience designed for urologists. It is entirely devoted to the transfer of advanced endourological skillsfor performing all types of minimallyinvasive procedures in urology.Participation in the laparoscopy trainingmodules requires documentation ofcompletion of a basic laparoscopycourse.at the completion of the program aswell as a repeat of the skills testing.In addition, an attendee with aCalifornia license, may elect to bring apatient to UC Irvine Medical Center fora procedure within the module that theattendee is taking. In this case, the surgical procedure the attendee performswhile at UC Irvine would be done witha UC Irvine faculty member and wouldbe evaluated with a validated surgicalscoring system to provide the attendeewith a documented evaluation of thesurgical procedure, he or she performed.In addition, the director of the specificeducational program will provide eachattendee with a written summary thatverifies attendance and achievementof the course objectives.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, KTP laser therapy for theenlarged prostate, and Robot-Assistedlaparoscopic prostatectomy. Each module is five days long, and each participant is assigned to a specific preceptor.If you hold a valid California StateMedical Board license, complete andsubmit the application for temporaryUC Irvine Medical Center hospitalprivileges for the specific dates of yourattendance at the UC Irvine SurgicalEducation Center.The module includes didactic sessionswith the preceptor, pelvic trainerand simulator training, live animaland/or cadaveric hands-on laboratorysessions, observing several module specific surgery cases at UC IrvineMedical Center operating room, andassisting or performing minimally invasive procedures with the preceptor inthe attendee's operating room. Duringthe training program, each attendee proceeds through a series of skills testsand completes a questionnairepertaining to their individual surgicalactivities. Each attendee is requested tocomplete a multiple choice examinationIf you are planning to perform a procedure in a UC Irvine Medical Centeroperating room on one of your patientswith your proctoring preceptor, it isnecessary to submit a written summaryof the patient, all diagnostic radiographic films and a working diagnosis andplanned surgical procedure to the UCIrvine preceptor 4 weeks before yourplanned attendance in the mini-fellowship. You and your proctor can thendiscuss the case and the planned procedure. All surgical procedures must beconfirmed and approved by the preceptor before the Clinical Coordinator canproceed with surgical scheduling.2Your office will be requested to assistthe UC Irvine Department of UrologyClinical Coordinator with the authorization process for the surgical procedure.If you do not hold a valid CaliforniaState Medical Board license, you havetwo options.1) You may attend the mini-fellowship,and be involved only as an observer ofthe surgical procedures performed in theUC Irvine Medical Center operatingroom. You may be able to have theassigned preceptor or one of theendourology/laparoscopy fellows attendyour operating room and proctor one ortwo surgical cases related to your chosen mini-fellowship with you. The malpractice coverage at your medical centerfor the preceptor/proctor to participatein the surgical procedures with youwould be the responsibility of you oryour hospital.2) You may obtain a California StateMedical Board license, following whichthe temporary privilege application canbe submitted to the UC Irvine MedicalCenter credentialing office. This entireprocess will take approximately six tonine months to complete. The cost foryou to obtain a California State MedicalBoard License is approximately 1,200.
LEARNING OBJECTIVESUreteroscopy and Percutaneous Renal Access forUrolithiasis Mini-FellowshipPlease note, for those participating in the Robot-AssistedLaparoscopic ProstatectomyMini-Fellowship, if your hospitalrequires you to have completed a daVinci Robot Training Course for credentialing at your medical center, youmust complete this course prior to the5-day mini-fellowship training program. The Robot-Assisted Laparoscopic Prostatectomy module onlytrains in the clinical aspects and not inthe full robot management training.*Please note that the robotic certification course is limited to two surgeonsper course. The tuition may be covered by the medical center at whichyour robot is located as an integralpart of the purchase price. However,it is your responsibility to determinewhether this funding is available toyou.1.Identify patient selection, indications and contraindications for ureteroscopy and/orpercutaneous 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.Percutaneous and Laparoscopic Image-Guided NeedleAblative Cryotherapy of Renal Tumors Mini-Fellowship1.Identify the patient selection criteria and indications and contra-indications forlaparoscopic or percutaneous cryoablative urologic surgery.2.Discuss the techniques, adjuvant techniques and instrumentation for laparoscopicor percutaneous cryoablative urologic surgery.3.Describe the cost considerations for laparoscopic or percutaneous cryoablativeurologic surgery.4.Review the identification, management, and prevention of complicationsassociated with laparoscopic or percutaneous cryoablative urologic surgery.5.Discuss the pre- and post-procedural care for patients undergoing laparoscopicor percutaneous cryoablative urologic surgery.6.Review the follow-up policies and outcome analysis for laparoscopic orpercutaneous cryoablative urologic surgery.For program availability, pleasecontact Cynthia Shell, UrologyEducation Co-ordinator.Office Tel: 714.456.5371*Depending on the laboratory schedule, if you would like, you can obtainyour robotic certification at the UCIrvine Surgical Education Center twodays prior to your scheduled roboticprostatectomy or laparoscopic/roboticrenal surgery mini-fellowship.3
Laparoscopic and Robot-Assisted Renal SurgeryMini-Fellowship1. Identify the patient selection criteria and indications and contra-indications forlaparoscopic renal 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 associatedwith laparoscopic or robot-assisted renal surgery.4. Discuss the pre- and post-procedural care for laparoscopic and robot-assisted renalsurgery.5. Review the follow-up policies and outcome analysis for laparoscopic and robotassisted renal urology.Robot-Assisted Laparoscopic ProstatectomyMini-Fellowship1. Identify the patient selection criteria and indications and contraindications forrobot-assisted laparoscopic prostatectomy surgery.ACCREDITATIONSTATEMENTThe University of California,Irvine School of Medicine isaccredited by the AccreditationCouncil for Continuing MedicalEducation to provide continuingmedical education for physicians.2. Discuss the techniques and adjuvant techniques and instrumentation for robotassisted laparoscopic prostatectomy surgery.3. Describe the cost considerations for robot-assisted laparoscopic prostatectomysurgery.4. Review the identification, management and prevention of complications associatedwith robot-assisted laparoscopic prostatectomy surgery.5. Discuss the pre- and post- procedural care for robot-assisted laparoscopicprostatectomy surgery.6. Review the follow-up policies and outcome analysis for robot-assistedlaparoscopic prostatectomy surgery.DESIGNATIONSTATEMENTThe University of California,Irvine School of Medicine designates this educational activity for amaximum of 44 category 1 creditstoward the AMA Physician'sRecognition Award.* Each physician should claim only those credits that he/she actually spent in theactivity.*While there are CME creditsdesignated for participation in thiscourse, this does not implycertification of skills acquisition.4
DISCLOSUREIt is the policy of the University ofCalifornia, Irvine School ofMedicine and the University ofCalifornia CME Consortium toensure balance, independence,objectivity, and scientific rigor inall CME activities. Full disclosureof conflict resolution will be madein writing via handout materials orsyllabus.California Assembly Bill 1195This activity is in compliance withCalifornia Assembly Bill 1195which requires continuing medicaleducation activities with patientcare components to include curriculum in the subjects of culturaland linguistic competency. Forspecific information regarding Bill1195 and definitions of culturaland linguistic competency, pleasevisit the CME web site atwww.cme.uci.edu.MINI-FELLOWSHIP PROGRAM FACULTYElspeth M. McDougall, MD, FRCSC, MHPEProfessor of UrologyAssociate Dean, Clinical Science EducationDirector, UC Irvine Surgical Education CenterRalph V. Clayman, MDProfessor and ChairCo-Director, UC Irvine Surgical Education CenterThomas E. Ahlering, MD, F.A.C.S.Professor of Urology and Vice ChairmanDuane J. Vajgrt, MDClinical ProfessorDepartment of RadiologyDepartment of Urology FellowsClinical Endourology and Laparoscopy FellowResearch Endourology and Laparoscopy FellowMinimally Invasive Surgery Education Fellow5
GENERALINFORMATIONLocationUniversity of California, Irvine MedicalCenter, Building 55, 101 The City DriveSouth, Orange, California. Map andparking information will be included withyour registration acknowledgement.ParkingParking is available at UC Irvine MedicalCenter, Visitor's Parking structure, corner of The City Drive and Dawn Way(Medical Center parking garage on theleft side of Dawn Way as you drive in).AttireComfortable clothes and shoes (sneakers)are recommended, especially for thelaboratory sessions. And it is recommended that you bring a jacket or sweater,since meeting room temperatures are difficult to regulate to everyone's preference.Course ExpensesThe costs to the participants includecourse tuition, travel and accommodationexpenses to attend the 5-day courses. Ifyou have not received an acknowledgement within two weeks of your registration submission, please call Cynthia Shell,Department of Urology, 714.456.5371.FlightsIt is recommended that you book flightsto John Wayne Airport in Irvine or theLong Beach Airport. These airports areabout a 30-minute drive to the two hotelsnear the UC Irvine Medical Center.6Hotel AccommodationsPlease NotePlease make your hotel reservationsdirectly with the hotel. Both of thesehotels are walking distance to UC IrvineMedical Center.University of California, Irvine is notresponsible for airline or hotel reservations. Please confirm meeting registrationand hotel registration acceptance prior topurchase of non-refundable or penaltyairline tickets.Doubletree HotelPhone: 714.634.4500100 The City DriveOrange, California 92868Special UC Irvine Rate:Ask the Registration Desk to "key in"UCI Medical Center to retrieve the roomsat the UC Irvine Medical CenterCorporate Discount rate.Ayres InnPhone: 714.978.91683737 W. Chapman AvenueOrange, California 92868Special NeedsAmericans With Disabilities Act (ADA)The University of California, IrvineSchool of Medicine complies with theAmericans With Disabilities Act. Pleasecontact Cynthia Shell at 714.456.5371 orcshell@uci.edu by no later than twoweeks prior to your course. Every reasonable effort will be made to accommodate your special needs.Complete the applicationform and submit it to:Elspeth M. McDougall, MDAttention: Cynthia ShellDepartment of UrologyUC Irvine Medical Center333 City Blvd. West, Suite 2100Orange, CA 92868Tel: 714.456.5371Fax: 714.456.5062
UC IRVINE SURGICAL EDUCATION CENTER APPLICATIONFOR MINI-FELLOWSHIP TRAINING PROGRAMName: Last First InitialAddress:Daytime Phone Number:Fax Number: E-mail:Social Security Number (for CME Credits, last 5 digits only): -State of Medical License:Date (Monday) Requested to Start Mini-Fellowship:Requested Mini-Fellowship: (check one)Tuition URS/PCN Urolithiasis, upper tract TCC, UPJ and ureteral obstruction2) Percutaneous and Laparoscopic Image-Guided1) 3,500 3,500Needle Ablative Cryotherapy of Renal TumorsLaparoscopic and Percutaneous Access3) Renal Robotic and Laparoscopic Surgery 3,500Pyeloplasty, nephrectomy, nephroureterectomy, and partial nephrectomy Are you a pediatric surgeon, and would you like a pediatric urology didactic session? Advanced certification on the da Vinci robot is only required if you wish to study robot-assistedlaparoscopic pyeloplasty. Please contact Cynthia Shell, urology education coordinator, Tel: 714.456.53714) Robotic Prostatectomy 3,850This module has a prerequisite that you compete the da Vinci robot certification course. Does your medical center have a da Vinci surgical robot? Has your medical center agreed to pay for you to take the da Vinci robot certification course? Will you need to get robot certification? (see #5 if certification required) Date you completed the da Vinci robot certification course (Attach copy - certificate)5) If you require certification on the da Vinci robot, please contact Cynthia Shell, urologyeducation coordinator, Tel: 714.456.5371.Please enclose these required documents with your application form:1) Copy of state medical license with expiration date2) Copy of DEA certificate3) TB test or chest X-ray test results (current within 12 months of your coming to UC Irvine Medical Center)4) Document confirming that you have medical insurance5) Copy of certificate indicating completion of a basic laparoscopy course6) Verification of medical malpractice insurance7) If applicable, copy of certificate indicating completion of the da Vinci robot courseTotal Enclosed: Registration Fee (Two Convenient Ways to Pay Tuition)1)MAIL this completed form with your check payable to UC Irvine:Cynthia Shell / UC Irvine Medical Center / Department of Urology333 City Blvd. West, Suite 2100Orange, CA 92868Tel: 714.456.5371Fax: 714.456.50622)FAX this completed form with your credit card information to 714.456.5062 MasterCard Visa Discover American ExpressName on CardTelephone: Zip Code:Billing Address for Credit Card:Fax To: Cynthia Shell714.456.5062
It is the policy of the University of California, Irvine School of Medicine and the University of California CME Consortium to ensure balance, independence, objectivity, and scientific rigor in all CME activities. Full disclosure of conflict resolution will be made in writing via handout materials or syllabus. California Assembly Bill 1195
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