Preceptor: Bobby B. Najari, MD, MSc, Bobby.Najari@NYULangone.org
Contact: Kesha Kaufman, Kesha.Kaufman@NYULangone.org
Telephone: (212) 562-3874

Prerequisites: None

Who should enroll in this elective?

Students who are considering Urology as a career

Clinical sites

Tisch/Kimmel Hospital, Bellevue Hospital, Veterans Administration Hospital

Description

This is an advanced 4-week elective that seeks to build on urologic knowledge and experiences gained in the pre-clerkship and clerkship years. It may be used to build upon experience from the 2-week Urology Introductory Elective. As an advanced elective, the student will be expected to serve at the level of a sub-intern. The student will gain a deeper understanding of the core principles, foundational knowledge, and essential skills relevant to the specialty through encounters with a diverse range of cases reflective of this specialty. Students will gain this experience through participation in inpatient and outpatient clinical sites, including opportunities in uro-oncology, pediatric urology, female urology, stone disease, male sexual function and fertility. During the 4-week advanced elective, students will get increased exposure to the care of patients with urologic disease through greater hands-on experiences. In particular students will have the opportunity to:

• Observe urologic procedures and assist in urologic surgery
• Participate in outpatient urologic care 
• Participate in the daily management of inpatient management of urologic patients.

Students will also join the departmental housestaff in all departmental didactics, as outlined below.

Objectives of the Elective

By the end of this elective, through daily contact with patients and didactics, you will:

1. Gain a deeper understanding of the field of urology, building on your pre-clerkship and clerkship experiences, through a broad exposure to urologic diseases
2. Expand your skills in inpatient and outpatient workup and management of patients with urologic diseases 
3. Learn about specialty-specific history and physical exams as well as the indications for, and complications of specialty-specific procedures
4. Begin to learn how to perform urologic procedures and surgery through greater degrees of hands-on participation 
5. Gain knowledge regarding treatment modalities used to treat urologic diseases
6. Gain insight into the interdisciplinary nature of this specialty and how our clinicians interact with other medical disciplines to provide comprehensive patient care
7. Ensure your choice of urology as a career 

Key Responsibilities of the student while on Elective

By enrolling in this elective, you have agreed to:

1. Participate in at least 35 contact hours of education each week
2. Provide communication of any excused absences to the Office of Student Affairs (excused absence form) and to the elective coordinator, in a timely fashion 
3. Arrive in a timely fashion to all locations to which you are assigned  
4. Participate in daily morning rounds and patient care with residents and attendings
5. Be an active participant in the care of patients being followed by the team, as dictated by the resident/attending
6. Attend all didactics provided for trainees, as outlined below
7. Prepare and present a chosen topic at the completion of the rotation
8. Take one nighttime call, and one weekend day call, as outlined below

Key Responsibilities of the preceptor/residents/faculty while you are on Elective

By accepting your enrollment in this elective, the department has agreed to:

1. Clearly communicate their expectations of you
2. Maintain a supportive clinical learning environment 
3. Ensure that you have access to a broad case mix and clinical experience  
4. Provide the education necessary for you to gain an understanding of the patients and pathology reflective of this specialty
5. Provide feedback on your clinical skills

Didactic Program

Every week, right after Grand Rounds, you will meet with the preceptor for an interactive medical student lecture on each of the following topics:

• Benign prostatic hyperplasia
• Kidney stones
• Erectile dysfunction
• Gross hematuria

Weekly Schedule

You will spend two weeks at Tisch, one week at the VA, and one week at Bellevue. Reach out to Dr. Najari one week prior for the order of your weeks and the contact information for the chief residents. Before the start of each week, please reach out to that hospital’s chief resident for coordinating where to meet the team.

Tisch

Monday	Tuesday	Wednesday	Thursday	Friday
6:45AM-7:30AM: Grands Rounds, Science Building, 1st floor, room 103 SR	6:30AM-7:30AM: Patient Rounds, KP11	6:30AM-7:30AM: Patient Rounds, KP11	6:30AM-7:30AM: Patient Rounds, KP11	6:30AM-7:30AM: Patient Rounds, KP11
7:30AM-8:30AM: Medical Student Lecture, Science Building, 1st floor, room 103 SR	7:30AM-5:00PM: OR, 6th floor of Tisch Hospital or HCC2	7:30AM-5:00PM: OR, 6th floor of Tisch Hospital or HCC2	8:00AM-4:00PM: Mentor Clinic, 222 E 41st St 11th Floor	7:30AM-5:00PM: OR, 6th floor of Tisch Hospital or HCC2
8:30AM-5:00PM: OR, 6th floor of Tisch Hospital or HCC2			4:00PM-5:00PM: Student Advising, Lamont Barlow VA 6005W
6:00PM-7:30PM: Resident Lecture Series, Science Building, 1st floor, room 103 SR

Bellevue

Monday	Tuesday	Wednesday	Thursday	Friday
6:45AM-7:30AM: Grands Rounds, Science Building, 1st floor, room 103 SR	6:30AM-7:30AM: Patient Rounds, Bellevue	6:30AM-7:30AM: Patient Rounds, Bellevue	6:30AM-7:30AM: Patient Rounds, Bellevue	6:30AM-7:30AM: Patient Rounds, Bellevue
7:30AM-8:30AM: Medical Student Lecture, Science Building, 1st floor, room 103 SR	7:30AM-5:00PM: OR, Bellevue 11th Floor	7:30AM-5:00PM: OR, Bellevue 11th Floor	8:00AM-4:00PM: Mentor Clinic, 222 E 41st St 11th Floor	7:30AM-2:00PM: OR, Bellevue 11th Floor
8:30AM-5:00PM: OR, Bellevue 11th Floor			4:00PM-5:00PM: Student Advising, Lamont Barlow VA 6005W	2:00PM-5:00PM: Pediatric Clinic Bellevue, Amb. Care Bldg, 3rd Fl, Area 3B
6:00PM-7:30PM: Resident Lecture Series Science Building; 1st floor; room 103 SR

VA

Monday	Tuesday	Wednesday	Thursday	Friday
6:45AM-7:30AM: Grands Rounds, Science Building, 1st floor, room 103 SR	7:00AM-8:00AM: VA Patient Rounds	7:00AM-8:00AM: VA Patient Rounds	7:00AM-8:00AM: VA Patient Rounds	7:00AM-8:00AM: VA Patient Rounds
7:30AM-8:30AM: Medical Student Lecture, Science Building, 1st floor, room 103 SR	8:00AM-5:00PM: VA Ambulatory Clinic 11th Floor	8:00AM-5:00PM: OR, VA 5th Floor	8:00AM-4:00PM: Mentor Clinic 222 E 41st St 11th Floor	8:00AM-5:00PM: OR, VA 5th Floor
9:00AM-5:00PM: OR, VA 5th Floor			4:00PM-5:00PM: Student Advising, Lamont Barlow VA 6005W
6:00PM-7:30PM: Resident Lecture Series, Science Building, 1st floor, room 103 SR

Method of Evaluation

Evaluation is to be done by the urology faculty and residents, based on clinical performance, fund of knowledge, histories and physicals, interest, response to instruction, behavior and interpersonal relationships, professional demeanor and reliability and maturity on a scale ranging from outstanding to inadequate. By midnight Friday evening send me an email to Dr. Najari identifying one attending and one resident with whom you worked closely with during the week that can evaluate your performance. These should be different people every week.

Feedback

Every week, right after Grand Rounds, you with Dr. Najari to discuss how things are going.
  
Also, please plan on meeting with Dr. Lamont Barlow on Thursdays at 4PM for student advising. His office is 6005W on the 6th floor of the VA. Please email him to confirm the dates and times.

Assignments

During the first week or two, in consultation with the chiefs, please identify an interesting case to present at Grand Rounds. This should be a 15 minute presentation that will be presented Monday morning at Grand Rounds. The presentation should be reviewed with an attending prior to Grand Rounds.

Mentors

You will be assigned an attending who you will spend time in clinic or the OR once each week during the month. Please email them to coordinate this day of the week. You are still expected to round with the hospital team that morning even if you are in clinic.

Call

You will be expected to take one daytime call at Tisch during one single weekend day of the month, and one overnight call during the week. Please coordinate with the Tisch chief for the specific days. You must absolutely follow the same rules for duty hours that apply to the residents. You cannot do anything clinical during the day following your overnight call.

Meeting with Program Leadership

During your weeks at Tisch, if possible, you should spend a day in clinic with the Chairman, Dr. Lepor. Please coordinate this with the Tisch chief. During your week at Bellevue, please arrange a time to meet with the Program Director, Dr. Kanofsky.
 

Scheduling Information

Duration: 4 weeks

Months offered: All year

Student point of contact before start of elective: Email Dr. Bobby Najari, Bobby.Najari@NYULangone.org

On day 1, students report to: Chief Urology resident at 6:30A, KP11

Students per elective block: 4

Note: For this specific elective, visiting student applications will be processed through AAMC’s Visiting Student Learning Opportunities (VSLO) program. The VSLO Application Service (aka VSAS) enables students to browse and apply for this elective.