This document provides information about the UNC Urology residency program. It discusses that the program is located in Chapel Hill, NC near Raleigh and Durham. Residents work at UNC Medical Center and have rotations at other hospitals. The residency includes dedicated urology time, general surgery rotations, and mini-fellowships. Residents are involved in research, education, and have funding to attend conferences. The call schedule provides night and weekend coverage while allowing significant time off. The program aims to train residents through a variety of clinical experiences and prepare them for fellowship or private practice.

1. UNC UROLOGY 2020
RESIDENCY INTERVIEWS

2. WHERE ARE WE?
--
Chapel Hill, NC

6. **Most residents own their home
Downtown
Durham
(20 min)
RTP
(20 min)
South
Durham
(15 min)
ChapelHill
(10 min)

7. WHERE DO WE WORK?
--
UNC Medical Center

8. UNC Campus
• School of Medicine
• School of Public Health
• School of Nursing
• School of Pharmacy
• School of Dentistry
• Lineberger Cancer Center
• Biomedical Grad Programs
• Undergraduate Campus

9. UNC Medical Center
• 800 Bed Hospital
• Flagship UNC Hospital
• LARGE referral base from
ENTIRE state of NC
• Safety net hospital

10. New Surgical Tower - 2023

11. WHO ARE WE?
--
UNC UROLOGY

13. https://www.med.unc.edu/urology
/residency/

15. UNC UROLOGY
--
RESIDENTS

16. PGY5 - Chiefs
• Case Wood (MUSC)
• Kate Hacker Gessner (UNC)
• Brandon Garren (VCU)

17. PGY4
• Elizabeth Snyder (Stanford)
• Mark Ehlers (Wisconsin)
• Sol Hayon (Maryland)

18. PGY 3
• Hannah McCloskey (Baylor)
• Alysen Demzik (Northwestern)
• Christine Nikas (Pitt)

19. PGY2
• Katy Reines (UVA)
• Will French (Vanderbilt)
• Yousef Abu-Salha (UNC)

20. PGY1
• Obafunbi Abimbola (UNC)
• Michael Emmerling (Boston Univ)
• Kevin Neuzil (Vanderbilt)

21. UNC UROLOGY
--
FACULTY

22. Matt Nielsen, MD
Urology Department Chair (2020)
AUA QI and Patient Safety Chair
CMS expert Panel for Quality Measures
2017 Friend of Nursing Award Winner

23. Eric Wallen, MD
Program Director since 2011
Winner, AUA national teacher of the
year award in 2012
Chair of the ACGME review committee
for urology

24. Oncology
Eric Wallen, MD
Marc Bjurlin, DO*
Matthew Nielsen, MD Angela Smith, MD
Ray Tan, MD* David Johnson, MD*
*Fellowship: UCLA, NYU, UCLA

25. Davis Viprakasit, MD* Bradley Figler, MD*
Kristy Borawski, MD*
StoneDisease
ReconstructiveDave Friedlander, MD*
*Fellowship: Vanderbilt, UCSD, Washington, Duke

26. Matthew Raynor, MD*Matthew Coward, MD*
Andrology/Fertility
RoboticsGuru
*Fellowship: Baylor, UNC

27. Division of Pediatric Urology
Richard
Sutherland, MD*
Sherry
Ross, MD*
*Fellowship: Baylor, DC, Detroit
Tim
Bukowski, MD*

28. AdvancedPracticeProviders
Mary Dunn, NP Heather Schultz, NP
Sarah Stanley, PA
Leslie Lorbacher, NP
Micah McGowan, PA Meredith Crabtree, NP

29. RESIDENCY DAYTO DAY

31. • 6 months dedicated urology
• 4 months as primary urology intern
• Inpatient management
• 2 months as secondary “Apprentice” intern
• Peds, Clinic procedures
• 6 months of General surgery rotations
• Great surgery faculty
• Call Schedule
• One 24 hour in house every 5-7 days, every other weekend

32. – Benign urology & endoscopy
• Mini-Fellowship with Dr. V
• ~50 PCNL + Complex stone cases, TURBT, TURP
• Minor Peds Cases – Circs, orchiopexy, hernias
– Cancer
• Multidisciplinary Clinic
• Robotic Assisting / Consul time
• Orchiectomy/Hydrocele/Exposure to all cancer procedures
• Office procedures: TRUS, calypso/brachy, awake cystoscopy, prostate
biopsies

33. Research
• Protected Time: 4 months PGY2; Flex Time PGY3 / PGY4
• Education: ethics, formal QI training, grant writing, research meetings, didactics
• Assistance / Mentorship:
• Biostatistics, Databases: NCDB, SEER, SEER-Medicare, SEER-CAHPS, NSQIP, HCUP
• Meetings:
• Guaranteed: AUA, SESAUA, ACS
• Subspecialty: – Oncology, Pediatrics, Infertility / Men’s Health, Endourology

34. • Pediatrics
• 3 UNC Faculty + RN + scheduler (soon to be 4!) + NO fellow
• 2.5 days in OR + 2 days in clinic + 0.5 days administrative time
• Previous Case Logs:
» Major Cases = 67 cases /chief
» Exstrophy, augments, reimplants, pyeloplasty, nephrectomy, hypospadias):
» Minor Cases = 134 cases /chief
» Endoscopy, hydrocele,orchiopexy

35. Cancer - 3
• Main OR ( = console time)
• More independent endoscopic experience
• Cancer/multidisciplinary clinics
Consult rotation
• Add-on OR cases
• Interact with other services
• Minimal other conflicting obligations

36. • Hillsborough (UNC Community Hospital) – 12 miles from UNC
» Chief, senior weekend callpool
» 4 days OR, 1 dayclinic
» Reconstructive urology focus (including UNC TransgenderProgram)
» ROBOTS – Do not share with chiefs orfellow
» General urology – IPP/AUS, complex urethroplasty, penile plication, skin grafting,
simple prostates

37. Wake Med (Raleigh,NC) – 34 miles (Housing provided)
» Hospital employed urology group, 12 physicians(Hybrid)
» 4 days OR, 1 dayclinic
» Primary call 1 night / week, 1 weekend / month (onlyResident)
» Robotics, PCNL, Urethroplasty, IPP, PediatricUrology

38. • Alliance Urology (Greenboro, NC) – 52 miles (Housing provided)
» Multi-specialty private practice group, Fellowship Trained (13 MD Faculty)
» 4 days OR, 1 day clinic (½ day female urology clinic, ½ day resident clinic)
» Primary call 1 night / week, 1 weekend / month (onlyresident)
» Female urology (Slings, POP repair, RoboticSacrocolpopexy)
» Robotics, Cystectomy, Hand Assist Nephrectomy, TURP,IPP
» Full service: in house path, imaging, pelvic PT, VUDS = UrologyDisneyland

39. • Skin to skin
• Robots, open,
reconstruction
• Microscopic
surgery and
infertility – vas
reversals,
varicocele repair
Avg Chief 2018-2019 ACGME Min
Prostatectomy 114 25
Cystectomy 33 8
PCNL 95 10
Nephrectomy 119 30
Lap/Robotic 239 50
Open ~20%

40. UNC UROLOGY RESIDENCY
F.A.Q.

41. FELLOWS

42. • SUO Fellow – 2 (Research + Clinical)
• Infertility and Men’s Health – 1
• Act as junior faculty
• Increase resident case load

43. CALL

44. How is the call schedule? (amazing…)
• Junior Call (PGY-2 & PGY-3) – Q6 call
– Home call, First call for consults (inpatient and ER)
– Cover ONE HOSPITAL physically and Hillsborough over the phone
(transfer to main for issues)
– Every SIXTH weekend (Fri PM – Mon AM)
• Cover two 3-day holiday weekends per year
– All other weekends completely off

45. How is the call schedule?
• Senior Call (PGY-4 & PGY-5) – Q4 call
– Week at a time, every 3rd week, 4th weekend
– Provide wisdom / supervision for juniors
– Cover ONE HOSPITAL
– Intra-op consults, emergency cases
– Primary call at WakeMed/Greensboro

46. EDUCATION

47. Will I learn stuff?
Resident Driven Education
– Tuesday AM
• Core Curriculum
– Wednesday AM
• Grand Rounds
• M&M
– Thursday AM
• AUA guidelines
• SASP review
– Thursday PM
• Attending “chalkboard”
talks
• Radiology sessions
• Monthly journal club

48. ACADEMIC CONFERENCES

49. Will I have a chance to attend conferences?
• PGY2: SES-AUA
• PGY3: ACS
• PGY4: AUA
• Attendance for any conference
if you have something to
present
• Reimbursed for flight, hotel,
registration, meals.

50. VOLUNTEERING ABROAD

51. Elective International Experience: Malawi
– PGY5
– 2 week Adult & Pediatric operative and
clinical experience in Lilongwe, Malawi
for two PGY 5s
– Extend the UNC mission in Africa with
UNC general surgery, ID, anesthesia,
radiology

53. $ $ $ $

54. How much money do you make?
PGY-1
PGY-2
PGY-3
PGY-4
PGY-5
$54,663
$56,618
$58,656
$61,422
$64,168
+ Meal Allowance
~$120/mo
which includes…

55. Do you have to pay for educational stuff?
• Urology department pays for
– Campbell’s online access
– Campbell’s review online access
– AUA membership (PGY2)
– White coats
– Loupes
– iPad loan
• AND $500 / year as ‘book fund’

56. WELLNESS

57. We’re doing “well”

59. Formal Wellness
• UNC Taking Care of Our
Own Program
• Yoga for Thursday teaching
conference
• 12 sick leave days annually

60. VACATION/TRAVEL

61. • 3 weeks of vacation a year
• Bookend weekends = 9 days
• 20min from hospital to airport
• 3 hr drive to the mountains
• 2.5 hr drive to the beach
= 9 days

63. POST RESIDENCY

64. Private Practice vs. Fellowship?
• Usually about 50 / 50
– Oncology / Infertility / Reconstruction / Endourology
• Mentoring Program - Help make the decision
– One-on-one faculty mentor longitudinal partnership
– Navigate professional and personal decisions
(fellowship, private practice, life events)
– Meet quarterly (aka golf, lunch, ice cream)

65. Recent Alumni
– 2019 – 2020
• Urologic Oncology Fellowship, UW, Seattle, WA
• Male Reconstruction Fellowship, Univ. of Utah, SLC, UT
• Endourology Fellowship, Mayo Clinic in Scottsdale,AZ
– 2018-2019
• Private practice, Atlanta, GA
• Private practice, Richmond, VA
• Private practice, Annapolis, MD
– 2017-2018
• UNC Robotics Fellow + Masters of Health Administration  Private practice in Alaska!
• Attending, Wake Med
• Private practice, Orange County,CA
– 2016 – 2017
• Baylor – Men’s Health “Lipshultz” Fellowship  Private practice, Colorado Spring,CO
• UT Southwestern – Male Reconstruction Fellowship  Attending, Atrium Health in Charlotte,NC
• University College of London – Infertility Fellowship  Attending, University ofPittsburgh
2020 -2021
• Urologic Oncology Fellowship - UNC
• Private Practice - TBD
• US Navy - TBD

66. : The Big Picture
• Autonomy
• Resident/Faculty
Camaraderie
• Attendings on
national stage
• Work-life balance

69. Follow us on Twitter: @UNCUrology