Graduate Medical Education - Residencies and Fellowships

 

 Overview

 
  • Program Director: CDR Matthew Christman, MC, USN
    Program Phone: (619) 532-7207 ​

    The Urology Residency Program at Naval Medical Center San Diego is a 6 year ACGME accredited program, offering residents a broad range of experience in general surgery and urology. The program includes two years in general surgery and four years in urology, with two residents per year level. The program prides itself in not only producing graduates who meet the standards of professional excellence adopted by the American Board of Urology, but also military surgeons ready to serve in today’s environment of high military operations tempo.

    The academic program begins at the staff attending level and down to residents, interns, and medical students. There are weekly conferences: Journal Club, Campbell's review, Pre-op Conference, core lectures, grand rounds, staff rounds, and Mortality and Morbidity. The supporting hospitals and outside rotations consist of the following: Kaiser, Rady Children’s Hospital, Sharp Transplant, and Scripps Mercy for general surgery. Rotations include pediatric urology, urology/gynecology, infertility, urology oncology, research, general urology, and outlying rotations at supporting hospitals, which also includes a transplant rotation.

    The Urology Residency Program prides itself on its commitment to research and academics. Each resident is expected to work continually on research during the course of the residency program. Additionally, residents are allowed a dedicated six month period during the program to focus on research. Every resident is required to have at least two published articles by the completion of the residency program. The faculty are actively engaged in research projects with the residents.

    We have achieved a 95% pass rate over the last decade on Parts I and II of the American Board of Urology exams. Over 50% of graduating residents have gone on to fellowship training, with many remaining active in academic medicine throughout their careers. Staff within the department specialize in male infertility, laparoscopy and minimally invasive da Vinci robotic surgery, pediatric urology, urologic oncology, female, genital and pelvic reconstructive surgery and general urology.

    Our facility incorporates state-of-the-art diagnostic and therapeutic equipment and technology to provide the highest quality medical and surgical care for patients of all ages. Services provided include select radiographic imaging, urodynamic testing, cystoscopic examinations of the bladder, robotic and advanced laparoscopic surgery, open surgery, prosthetics, extra-corporeal shock wave lithotripsy (ESWL), intravenous conscious sedation and minor surgery. The Urology Clinic contains 11 examination rooms, five x-ray suites, and ESWL room, one minor surgery operative room and a dedicated recovery room.

 

 Program History

 
  • ​October 7, 1946 – first certified by the Council on Education of the American Medical Association to conduct residency training for physicians in 10 special branches of medicine: dermatology, internal medicine, obstetrics-gynecology, ophthalmology, orthopedics, otolaryngology, pathology, radiology, surgery, and urology.

 

 Academics

 
  • ​Academic conferences are an integral part of the Urology teaching program and require the active participation of the urology staff and residents. Scheduled conferences are held on Monday’s from 1000 – 1530 and Friday mornings from 0715 – 0830.

    Academics include:

    • Preoperative Case Review Conferences
    • Urology Core Lecture Series
    • Genitourinary Pathology Conference (included in the Qualifying Examination (Part 1) of the ABU
    • Campbell’s/AUA Clinical Guidelines Review Conference
    • Combined Urology-Pathology Tumor Board
    • Genitourinary Radiology Conference
    • Quality Assurance and Improvement Conferences (M&Ms)
    • Journal Club
    • Research Conference
    • UCSD Grand Rounds
    • Urology Ward Rounds

    Additional Academic Events:

    • Visiting Professors: The Urology Department hosts several visiting professors, who are often national leaders in Urology, to spend a day or two in the department and often work alongside the urology staff and residents in the OR. This is an excellent opportunity for residents to meet and learn from some of the nationally recognized leaders in urology.
    • San Diego Urologic Society Dinner Meeting: The San Diego Urologic Society has a monthly dinner meeting with a presentation by a visiting professor. This is another opportunity for the residents to learn and interact with some nationally recognized academic urologists.
    • Basic Sciences Conference: It is highly recommended that all residents attend Dr. Jay Gillenwater’s Basic Science Conference hosted by the University of Virginia in Charlottesville. The conference, which is given over a one week period, focuses on review of basic science concepts for the junior urology resident.
 

 Curriculum

 
  • PGY-2: General Surgery Year

    • Two month rotation on General Surgery service at NMCSD
    • Two months rotation on the Surgical Critical Care Service at NMCSD
    • One month rotation on the Nephrology Service at NMCSD
    • One month rotation on the Interventional Radiology Service at NMCSD
    • Six months rotation on the Urology Department Service

    PGY-3: Junior Urology Resident

    • Nine month rotation on the Urology Department Service at NMCSD
    • Three month rotation at Kaiser Permanente Medical Center’s Urology Department

    PGY-4: Junior Urology Resident

    • Three month rotation in the Urology Department at NMCSD
    • Six month rotation in clinical research rotation at NMCSD
    • Three month rotation at Kaiser Permanente Medical Center’s Urology Department

    PFY-5: Senior Urology Resident

    • One month rotation in the Urology Department at NMCSD
    • Four month rotation at Sharp Memorial Hospital – Renal Transplant Service
    • Four months rotation at Kaiser Permanente Medical Center for a General Urology Service
    • Three month rotation at Rady Children’s Hospital – Pediatric Urology Service

    PGY-6: Chief Urology Resident

    • Ten month rotation on the Urology Service at NMCSD as the Chief Resident
    • Two month rotation at Kaiser Permanente Medical Center as a Chief Resident
 

 Faculty

 
  • CDR Matthew Christman, MC, USN
    Urology Residency Program Director
    Staff Urologist - Pediatric Urology
    Biography: Click to view Bio
    Publication History
     
    CDR Sean Stroup, MC, USN
    Chairman, Department of Urology
    Director of Urologic Oncology and Urologic Research
    Associate Professor of Surgery, USUHS
    Biography: CDR Sean P. Stroup serves as the Urology Department Head at Naval Medical Center San Diego. He is an Associate Professor of Surgery, USUHS and Director of Urologic Oncology and Urologic Research at NMCSD. Dr. Stroup also served as Chair of the Faculty Development Council at NMCSD and is enrolled in the Naval Postgraduate School Executive MBA program. Dr. Stroup graduated with AOA honors from Loyola Stritch School of Medicine. After serving as a Battalion Surgeon with the 1st Marine Division, USMC, he completed residency at NMCSD and a SUO Fellowship in Urologic Oncology at University of California, San Diego. Dr. Stroup is an active researcher in urologic oncology and has co-authored over 45 papers, 140 abstracts, 2 book chapters, and the American Urological Association Core Curriculum on Testicular Cancer and Prostate Infections. Dr. Stroup is an expert in urologic oncology including prostate, kidney, bladder, and testicular cancer, robotic surgery, and benign prostate disorders including BPH.
    Publication History
     
    CAPT Donald Crain, MC, USN
    Staff Urologist Reproductive Medicine and Surgery
    Assistant Professor of Surgery, USUHS
    CDR Chong “Jay” Choe, MC, USN
    Staff Urologist, Female Pelvic Medicine and Reconstructive Surgery
    Assistant Professor of Surgery, USUHS
    CDR Michael Santomauro, MC, USN
    Staff Urologist, Laparosocpy , Endoscopy and Robotic Surgery
    Assistant Professor of Surgery, USUHS
    LCDR Jack Zuckerman, MC, USN
    Staff Urologist, Male Reconstructive Urology
    Assistant Professor of Surgery, USUHS
    Participating Institutional Faculty:
    Evan Vapnek, M.D. – Renal Transplant and Adult Urology, Sharp Memorial Hospital, San Diego
    Barry Brown, M.D. – F.A.C.S., Surgical Director or Abdominal Transplant, Sharp Memorial Hospital, San Diego
    James Roberts, M.D. – Adult Urology, Sharp Memorial Hospital
    Eric Gerber, M.D. – Urology, Kaiser Permanente Medical Center, San Diego
    George Chiang, M.D. – Pediatric Urology, Rady Children’s Hospital, San Diego
     
 

 scholarly activity

 
  • ​Abdul-Muhsin, HM, L’Esperance JO, Fischer KL, Woods ME, Porter JR, Castle EP. Robot assisted retroperitoneal lymph node dissection in testicular cancer. Journal of Surgical Oncology. 2015 Sept 9. [Epub ahead of print]
    Fischer KL, Christman MS. Improving Clinical Productivity through a Shared Medical Appointment. Urology Practice. 2015 March; 2(2): 55-59.
    Gudeman, SR, Townsend, WH, Fischer KL, Walters RC, Crain, DS. Etiology of Azoospermia in a Military Population. Journal of Urology. 2015 Apr; 193(4): 1318-21.
    Marshall, MT, Berger JT, Abdul-Muhsin HM, Stroup SP, Derweesh IH, Woods, ME, Porter J, Castle EP, L’Esperance JO. “Robot-Assisted Laparoscopic Retroperitoneal Lymph Node Dissection for Non-Seminamatous Germ Cell tumor in the Post-chemotherapy Setting. Journal of Endourology and Videourology. 2016 May.
    Marshall, MT, Gudeman S., L’Esperance JO, Stroup SP. “Robot-Assisted Lararoscopic Retroperitoneal Mass Excision. Videourology. 2016, 30. Doi: 10.1089/vid.2015.0045.
    Martinez EJ, Zuckerman, JM, Henderson K, Edwards B, McCammon K. Evaluation of salvage male transobturator sling placement following stress urinary incontinence after failed transobturator sling. Urology. 2015 Feb;85(2):478-82
    McCammon KA, Zuckerman JM. Complications Following Atrificial Urinary Sphincter Placement After Radical Prostatectomy and Radiotherapy. PracticeUpdate website. Available at: http://www.practiceupdate.com/c/21350/1/3.
    McCammon KA, Zuckerman JM. Managing Complicated Male Incontinence. PracticeUpdate website. Available at: http://www.practiceupdate.com/journalscan/14168.
    Nork JJ, Berger JH, Crain DS, Christman, MS. Youth varicocele and varicocele treatment: a meta-analysis of semen outcomes.” Fertil Steril 2014, 102(2), 381-387.e6. DOI: 10.1016/jfertnstert.2014.04.049.
    Satkunssivam R, Santomauro M, Chopra S, Plotner E, Cai J, Miranda G, Salibian S, Aron M, Ginsbert D, Daneshamnd S, Sesai M, Gill IS. Robotic intracorporeal Orhtotopic Neobladder: Urodynamic outcomes, urinary function, and health related quality of life. Eur Urol: Jul 2015.
    Scarborough PL, Ferrara E, Storm DW. Should prenatal hydronephrosis that resolves before birth be followed postnatally? Analysis and comparison to persistent prenatal hydronephrosis. Pediatric Nephrology. 2015; 30: 1485.
    Current 2016 Quality Improvement Projects:
    Reducing variation in endoscope readiness for use by the Urology Department (Lean Six Sigma project)
    Optimizing Urology clinic procedure scheduling (Lean Six Sigma project)
    Catheter-associated urinary tract infection reduction (Command wide process improvement committee)