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Beth Israel Urology Welcome from the Department
WELCOME The strength of Beth Israel's urology program lies in the diversity of
our faculty's interests, the large variety of clinical opportunities,
and the availability of the most sophisticated technologies currently
utilized by the urologic community. Residents train side-by-side with
attending urologists who have expertise in general urologic care, as well
as in highly specialized areas, such as infertility, microsurgery, sexual
dysfunction, calculus disease, benign prostatic hypertrophy, urologic
oncology, urodynamics, incontinence and pediatric urology. ABOUT THE DEPARTMENT
Presently, the department has five full-time faculty in addition to a
large active voluntary staff who employ all technologies currently utilized
by the urologic community. These include laser therapy, extracorporeal
shock wave lithotripsy (ESWL), laparoscopy and microsurgery. The department
is a leader in microsurgical reconstruction and laparoscopic procedures.
Its physicians perform a wide array of laparoscopic surgery, including
adrenalectomy, an exciting advancement for the treatment of adrenal tumors,
including biochemically functional tumors such as pheochromocytomas, aldosteronomas
and Cushing's adenomas. Reproductive Medicine Female Urology Benign and Malignant Prostate Problems Urologic Oncology CURRICULUM The urology residency experience is reinforced
with rotations at two affiliated hospitals. The resident's First year
is spent entirely at Beth Israel Medical Center, during which basic endoscopic
and operative urologic skills are obtained. Second-year residents spend
two months at Schneider Children's Hospital on Long Island on the pediatric
urology service. This rotation supplements Beth Israel Medical Center's
pediatric urology experience. The second-year residents also spend nine
months performing office and operative urology with the full-time staff.
One month is spent on the transplant service.
EDUCATIONAL OBJECTIVES PGY-1 – Preliminary Year – Urology residents are required to spend the Pre-Urology years at Beth Israel Medical Center. The Departments of Urology and General Surgery work together to assure that the teaching goals of each department are fulfilled. Each of the PGY-1 urology residents spends 1 month on the Urology Service as the surgical rotator. During this rotation, the resident begins to learn the basics of managing the urology patient. History taking, physical examination, and differential diagnosis are emphasized. The resident participates in the weekly clinic and conferences and is an integral member of the urology team. Two (2) months are spent in the Surgical Intensive Care Unit. Here the resident learns to manage the more seriously ill surgical patient. Under the supervision of the Attending Intensivist, physiology and multi-system treatments are stressed. During this year residents must demonstrate competence in fundamental surgical skills, understand the physiology as it relates to surgery, the response to surgery and healing. Residents must demonstrate competence in history taking, physical examination and the appropriate utilization of adjunctive laboratory tests. PGY-2 – Urology year 1 – The emphasis of this year is the development of the infrastructure necessary
to become an excellent urologist. The didactic schedule emphasizes basic
urology anatomy, physiology and the pathophysiology of disease processes.
The urology resident will gain expertise in urology history taking, physical
examination endoscopy and transrectal ultrasonography. Residents are taught
basic principles of microsurgery and urodynamics. By the end of the first
year residents are expected to demonstrate competence in: an understanding
of the physiologic basis for urologic disease, basic endoscopic skills
and basic operative skills to advance their urology training. The resident
is required to attend the Basic Science Urology course sponsored by the
University of Virginia at the completion of the Urology year 1. PGY-3 – Urology year 2 – The second urology year will emphasize ambulatory urology care and enable the urology residents to participate in the evaluation and management of urologic diseases in the ambulatory care setting. During this “tutorial” experience, residents will be have the opportunity to participate in the initial evaluation and management of patients, by spending an average of 8 weeks with each faculty member in the department of Urology. Residents will continue to participate in the care of these patients when surgery or hospitalization is necessary. When patients return to the ambulatory setting, the resident will be there to complete the educational cycle – evaluation, treatment and follow-up. The opportunity to participate in this process with the direct supervision of faculty members will enable the resident to develop a mastery of ambulatory urology during training and fully appreciate the significance of their interventions. Additionally, during this year residents will perform extracorporeal lithotripsy (ESWL) at an outpatient affiliated freestanding stone center. Residents will gain confidence and skill and demonstrate competence in all office based urologic procedures including, cystoscopy, vasectomy, transrectal ultrasound (with and without biopsy), urodynamics, percutaneous sperm acquisition techniques and extracorporeal shock wave lithotripsy. PGY-4 – Urology year 3 - During the third urology year, residents will have their formal exposure to pediatric urology. By staffing the pediatric urology clinic under the supervision of the pediatric urology attending, they will broaden the experience and confidence in the management of pediatric urology. The resident will also manage the adult and pediatric consultative services, enabling further development of the skills necessary to assess urologic maladies and outline the course of management and treatment. By the end of this pediatric urology experience the resident will demonstrate competence in the management and or evaluation of pediatric urologic diseases. The PGY-4 will participate in the surgical management of all patients seen by the resident in the teaching practice and consultative service. The resident will gain his/her first formal exposure to pediatric urology during PGY-3 during a two-month rotation to Schneider Children’s Hospital of the Long Island Jewish Medical Center. Two months will be spent at Memorial Sloan Kettering Cancer Center. This allows the resident to participate in the management of the most complex cases of urologic malignancy. This will supplement the excellent and growing uro-oncologic experience gained at Beth Israel Medical Center. The resident will participate in formal Quality Improvement activities by participating as the resident member of the Departmental QI committee on the last Thursday of each month and will be expected to oversee a QI project . PGY-5 – Urology year 4 – During the Chief year the resident gains greater surgical skill and clinical acumen. Additionally, the chief resident is responsible for orchestrating the educational program and fulfills administrative responsibilities. In addition, he is an integral part of the Curriculum Committee, highlighting areas of concern and those of benefit in the education of the residents. Each of these activities prepares the resident to enter the profession of Urology. The resident will demonstrate competence in the management of all urologic entities including: infertility, impotence, incontinence, voiding dysfunction, calculus disease and oncology. Surgical competence in open, laparoscopic and endoscopic surgery will be demonstrated. TEACHING
& SELF EDUCATION House officers are encouraged to attend national, regional and local
meetings. During the first year, the chief resident attends the annual
basic science urology conference at the University of Virginia, and attends
the annual national meeting of the American Urological Association (AUA).
Residents also routinely attend special programs of the New York Section
of the AUA and the New York Academy of Medicine. They are encouraged to
present research papers at national meetings and are supported and funded
for their activities. RESEARCH
OPPORTUNITIES STAFF A Nott scholar and cum laude graduate of Union College in Schenectady, New York, Dr. Nagler earned his medical degree from Temple University School of Medicine in Philadelphia, Pennsylvania (Alpha Omega Alpha). He completed his internship and urology training at Columbia-Presbyterian Medical Center in New York City. He completed a fellowship in reproductive medicine at Columbia University College of Physicians and Surgeons and the Presbyterian Hospital of the Columbia-Presbyterian Medical Center. He also completed a management development course for physician executives at the Wharton School of the University of Pennsylvania. A reviewer for many journals, he has served on the editorial boards of a number of journals including Investigative Urology (Journal of Urology), Fertility and Sterility, Molecular Andrology, and Gynecologic and Obstetric Investigation, and Assisted Reproductive Review. He has published extensively in his area of expertise – male infertility. Dr. Nagler is a Fellow of the American College of Surgeons and the New York Academy of Medicine. He has been named to the list of the Best Doctors in New York six times by New York Magazine, and was named one of the Best Doctors in America as well. Dr. Nagler is a member of a number of professional societies including the American Medical Association, the American Fertility Society, The American Urological Association and The Society for the Study of Male Reproduction.
After graduating cum laude from Boston University, he continued in the Integrated Medical Program MMEDIC at Boston University School of Medicine. He completed his residency training in Urology at Boston University Medical Center under Dr. Robert Krane and then went on to complete a fellowship in Endourology/Minimally Invasive Urology with Arthur Smith at Long Island Jewish Medical Center in New York. Dr. Dinlenc has conducted extensive work on upper urinary tract replacement, ureteral physiology and Minimally Invasive/Laparoscopic urologic techniques. His publications include several chapters and many articles on the use of biomaterials in the reconstruction of the ureter, microwave thermotherapy, percutaneous tissue expansion, laparoscopic replacement if the ureter, urodynamics after bladder exstrophy reconstruction, percutaneous management of complex renal stones and percutaneous management of urothelial tumors. Dr. Dinlenc is a member of the American Urological Association and the Endourological Society, as well as, a reviewer for The Journal of Endourology.
Dr. Tareen graduated magna cum laude at Concordia College, MN. He then went on to receive his M.D. degree from the University Of North Dakota School of Medicine where he served as class president. He completed his urology residency in Akron, OH under Dr. Phillip Nasrallah and went on to complete a urologic oncology fellowship at New York University under Samir Taneja and Herbert Lepor. He has conducted extensive research in the area of prostate cancer focal therapy and minimally invasive nephron sparing surgery. He has authored chapters on complications of radical prostatectomy, intravesical therapy for bladder cancer, and hematologic complications of urologic surgery He is a member of the American Urologic Association and Society of Urologic Oncology.
He graduated summa cum laude from The Sophie Davis School of Biomedical Education at The City of New York. Dr. Shah received his Medical degree from SUNY Stony Brook School of Medicine. He completed his residency training at SUNY Downstate Medical Center and Subsequently, a fellowship in female urology, urodynamics and pelvic reconstruction with Dr. Shlomo Raz at UCLA. He brings to Beth Israel experience with a variety of techniques for the treatment of incontinence and pelvic floor abnormalities including urethral reconstruction, urinary diversion, artificial urinary sphincter and sacral neuromodulation. Dr. Shah is a member of the American Urological Association.
Dr. Grotas was a national merit semifinalist. After attending Dartmouth College where he double majored in Government and Biology, Dr. Grotas went to Robert Wood Johnson Medical School in New Jersey. Dr. Grotas did his surgical internship and residency at BIMC under Dr. Harris M. Nagler. He has received several awards including first prize for the Beth Israel House staff essay contest and poster contest and was an AUA Murphy Scholar in 2004 and 2006. He has published articles and abstracts on minimally invasive surgery, kidney stones, male infertility and three dimensional ultrasound and book chapters on radiologic imaging and on male infertility.
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| For further information about the program, inquires can be directed to: hnagler@bethisraelny.org | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||