Millard Fillmore Suburban Hospital

If you choose our residency, rotations at Millard Fillmore Suburban Hospital (MFSH) will be a significant part of your training. This site will allow you to strengthen your knowledge of general adult female and male urology — with a focus on advanced endourology.

This site will enhance your training by providing you with in-depth experience in areas including:

• endoscopy
• extracorporeal shock wave lithotripsy
• female urology
• incontinence
• laparascopy
• microsurgery and obstructive and infectious diseases
• oncology
• percutaneous renal surgery
• robotic surgery
• urolithiasis

At this site you’ll be responsible for initial admission histories and physical exams of all urology and surgery patients and for consultations requested by other services.

With senior residents and our faculty attending physicians, you’ll review findings from evaluations and from laboratory, imaging and other studies, allowing you to gain proficiency and confidence in the diagnosis and management of urologic patients.

In your first year of training at MFSH, we’ll make sure you’re present at all surgical procedures, including robotic procedures.

During outpatient urology clinics, with the guidance of a faculty member, you’ll gain experience initiating a urologic evaluation. You’ll also learn the importance and techniques of long-term follow up.

You’ll spend a total of four months rotating through MFSH. Two of those months will be urology rotations; the other two months will be general surgery rotations.

As a third-year resident, you will continue to refine your skills in obtaining patients’ initial histories and performing physical exams.

Rounding daily with our faculty attending physicians will increase your knowledge of pre-, peri- and post-operative patient care. You’ll also hone your communication skills and learn all aspects of systems-based practice and professionalism.

You will be on first call for urologic emergencies and also for in-hospital urologic consultations from other services, allowing you to independently evaluate patients.

Also, with the guidance of our supportive faculty, you’ll increase your technical proficiency in ureteroscopy and endoscopic urologic surgery during our third-year MFSH rotation.

Through structured reviews of imaging, pathology and laboratory studies and patient interactions, you’ll expand your ability to manage patients with increasingly complex urologic disorders.

Further, you’ll continue to expand your technical skills by performing endoscopic, as well as “open” surgical procedures.

Expect to spend a total of 8 months on rotation at MFSH. You’ll spend four months in the hospital setting, and your remaining four months will be divided between the hospital and the ambulatory setting.

Ambulatory-focused rotations will include two days per week at the Buffalo Ambulatory Surgical Center, where you can expand your skills with basic urologic procedures.

During our MFSH ambulatory rotation, you will also spend a half day per week at the private offices of Western New York Urology faculty members. This training time is important; it familiarizes you with providing patient care in the office setting and teaches you about cost-effective urologic care. You’ll also gain greater experience working with nurses, physician’s assistants and laboratory personnel, as well as administrative personnel. Moreover, if your goal is to practice in a non-academic environment, learning the facets and realities of private-practice work can ultimately help you navigate your eventual transition from residency to private practice.

During your fourth year, you will be responsible for admission histories and physical exams of patients admitted to the urology service, and you’ll develop a proposed plan of management and review it with our faculty urologists.

Our MFSH site is where we’ll educate you on genitourinary malignancies. You can expect to be involved in the diagnosis, pre-operative, operative, post-operative and long-term management of patients with urologic malignancies.

As you acquire familiarity with complex surgical procedures and demonstrate technical skills, we’ll permit you to perform appropriate segments of robotic, laporoscopic endoscopic and surgical procedures — and our faculty will be there to guide you every step of the way.

As a fifth-year resident, your rotation at MFSH will complement the training we provide at Buffalo General Medical Center and the Buffalo VA Medical Center.

In this particularly important rotation, you will have the opportunity to experience urology as practiced in the community, a setting where many of our trainees choose to practice after completing our residency.

This site allows you to perfect your skills in ureteroscopy, nephroscopy, hand-assisted laparoscopy, female urology and the use of lasers. This rotation gives you valuable exposure to general adult urologic problems including urolithiasis, incontinence, neurourology and obstructive diseases. We also offer strong training in the domains of endoscopy and oncology at our MFSH training site.

What’s more, we integrate further training in robotic surgery into this rotation.

• PGY-1: 4 months
• PGY-3: 8 months 
• PGY-4: 4 months
• PGY-5: 4 months