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Division of Urology
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Education: Residency Program

The Urology Residency Program is based at the American University of Beirut Medical Center. It has several academic relationships with external programs in the USA and Canada. It emphasizes increasing responsibility in every year. All four attending urologic faculty members have received their training, in total or in part, at U.S. programs.

Prerequisites
The program accepts one resident a year at the PGY-3 level. Prospective applicants must have completed at least two years of training in general surgery or a clinical specialty related to urology. We are currently evaluating candidates for the urologic residency program before starting their general surgical training (preliminary). Applicants are to submit a formal request on completion of their formal internship requirements.

Rotation 1st Year Resident (PGY-3)
The first year is spent entirely at AUBMC. The resident’s primary responsibility is to learn the basics of urological care. Together with the PGY-1 surgical resident rotating through the urology service, this resident will be responsible for patient management, including diagnostic evaluation.

2nd Year Resident (PGY-4)
This year is spent on the urological ward service (6 months) and in the urological research laboratories (6 months). There are a variety of projects which pertain to renal stone disease, reproductive biology, transplantation, transplantation immunology, experimental models of prostate cancer and prostatic physiology. A formal research relationship with the Department of Radiation Oncology and Immunology has been established. There are tremendous opportunities to collaborate with the basic science faculty at AUB Medical School. Residents will be guided in their choice of research projects, and will be involved in basic and clinical research. Traditionally, the research year is a productive one during which the resident would be expected to publish a number of articles.

3rd Year Resident (PGY-5)
This year is spent at AUBMC, where the resident is the “acting” Chief Resident on a busy private urological service with an average daily census of about 10 patients and outpatient visits of 20 patients. The residents at AUBMC will assist the private urologists in their offices in order to increase their experience in outpatient urology. Traditionally, more than 90 percent of all urological surgery performed at AUBMC, including transurethral surgery, has been done by residents under faculty supervision.

4th Year Resident (PGY-6)
The Chief Residents run the urology services at AUBMC. Together with a faculty member, they see all of the consults and schedule all of the surgery. They supervise the PGY-1 and PGY-3 residents, schedule conferences and arrange visiting professorships. Under faculty guidance, they will perform the major proportion of all operations performed on the service, including oncology, reconstructive urology and renal transplantation.

Our graduate residents are encouraged to obtain post graduate fellowship training to complete their education in urologic sub-specialties to better expand their dimensions in urology and future work opportunity. The past two residents have been sent for fellowship training at the Westruxburry VA Medical Center (affiliate of Harvard Medical School) in uro-dynamics and in neurology and to the Toronto Sick Children Hospital (in pediatric urology), respectively.

In the past six months, we have been able to secure the European Board of Urology in-service examination (a yearly exam that is sponsored by the European Board for European graduating residents) to be applied to our residency at AUB and to undergo the examination in Lebanon. This is an exam that is given yearly and is graded in percentile fashion, along with more than 540 residents of European programs. It is hoped that the EBU will also offer the European Board of Urology eligibility to AUB graduates; however, at present, the requisites for sitting for the European Boards include graduates from European Residency programs. The availability of the urologic in-service examination of the EBU is a great plus to our program at AUB as it will offer a yard stick for measurement of the education of our residents at each year of training. We have also contacted in the past month the Residency Review Committee in the United States (RRC-Urology) for offering the in-service examination of the American Board of Urology, which may allow for board eligibility of our residents following the completion of their training.

At present, our residency program in scope of education offered, the qualifications and responsibilities of the program Director and the urologic faculty members conforms with the program requirements for Residency Education Program in the US, as published by the RRC report for Graduate Medical Education Directory 1997-1998.

In March 2001, we were invited to meet the European Board of Urology (EBU) and present the case for allowing our residents to sit for the EBU exam. The meeting was very positive and promising and will probably result in EBU eligibility.

Division of Urology American University of Beirut Medical Center Department of Surgery