 Well, thank you so much for joining us today. My name is Dr. Michael Stifleman, and I'm the Chair of Urology here at Hackensack University Medical Center. What we're gonna do over the next hour is really try to bring you into our hospital the best we can. We've taken a lot of effort. We have cameras as well as our different faculty and residents throughout the hospital ready to share their experiences with you. And then at the end of the program answer as many questions as we can get to. What I'm gonna do now is just give you a very, very brief overview of our program using a short PowerPoint presentation. So we're gonna load that up now and I'm gonna share that with you. So as you see on the left of the screen, there is a diagram. It is our brand of Hackensack Meridian Health. And you may look at this and say it's very pretty and it's very colorful, but there's actually a lot of meaning behind that brand. And that brand stands for Orchestrating Excellence. And that's what this department is about and that's what this medical center is about. It's about orchestrating excellence, working together to be a high reliability organization. And one of the things you will walk away after spending five years at our hospital and our program is how to work as a teen and to orchestrate excellence because every patient is required that to happen. You know, I've been doing residency interviews for about 21 years now. And what I've learned is there are a lot of different ways of evaluating a residency program. I don't think there's any one way in particular is better than the other, but here are the sort of four check boxes that I hear a lot of residents and future residents ask about a program. They wanna know about the people. What are the people like at the program? What's the sort of camaraderie? What's this redecor there? How do they get along? Next, they wanna know about the clinical experience. That's a huge part of the program. Will they be able to operate? Will they be able to see different types of procedures? Explore different aspects of urology. They wanna know about research. What are those research opportunities? Many folks wanna go into some sort of fellowship training program and to do that, they need some research experience. And then finally, we hear this more and more as I've been interviewing residents. What is the work-life balance like? What's the location? So briefly, I'm gonna talk about each of these individually. The people of our department, obviously every department you visit, they'll say they're amazing, they're all friends, they're all great, and we are exactly the same. We're all friends, we're all great, and we have about 42 urologists. Next. We've got about 30 that come from our volunteer faculty that are very closely integrated within our department as well as 10 full-time FGP, full-time faculty group practice. We've been training residents for more than 20 years. So residents coming here to Hackensack for more than 20 years from programs as prestigious as UMD and J, as well as New York Hospital. We currently have six residents here. We've got four of our own HMH urology residents. We have a Rutgers residents that rotates every three months as a senior, as well as a New York medical resident from Westchester. So we have six residents onsite at any time, and sorry, next year that will be seven residents. We do have a plan to increase our complement of residents to two a year based on the volume, which I'll share with you. And then finally, extremely important is that we are part of a medical school. Hackensack Marine Health has its own School of Medicine. Those medical students rotate through our program for a two-week elective. We also have a four-week sub-internship setup, and we have just developed a one-year research program for medical students. Next. Our faculty cover all the different areas of sub-specialties within urology. We have oncologists, boarding dysfunction, people that focus on urinary reconstruction, people that focus on calculus and endo urology, pediatrics, and sexual dysfunction. There is not one area of sub-specialty in urology that doesn't either have a fellowship trained physician in that area or very, very large presence in that area. Our volume is outstanding, and I think this is one of the sort of the magic sauce of this program, and really the reason why so many programs want to send their residents to us, it's because of our volume. Wrap your head around this. We do over 1,000 inpatient surgeries every year. Okay? That is a huge number, especially when you're talking about only having one and at most two senior residents at a time. We do 2,500 outpatient surgeries every year, and our volume is growing. These are the numbers over the last two years, and as you can see, we are consistently growing by bringing new faculty in. Remember that number when you look at other programs. In terms of technology, I would argue we have some of the best technology in the world here at Hackensack University Medical Center. We have three XI robots, and a single port robot, an X robot in an outpatient setting. We have dedicated freestanding console with advanced simulation. We have all of our endoscopy is digital and the latest model, as well as having dedicated inpatient systoscopy suites. We have Moses lasers throughout, advanced PCNL technology, and we're about to build and embark on a three-quarter of a billion dollar new tower. Next. When you join us here, you will be working in this pavilion. It is called the Helena Theuer Pavilion, based on a very generous gift that she had just last week for this tower. This tower will have 24 brand new state-of-the-art operating rooms with interoperative MRI. Six of the 24 are dedicated to robotics. 50 new ICU rooms and 100 medical surgical beds. Every single bed after this tower is completed will be a private room throughout our institution. Every room will be private. Next. I'm gonna switch gears and talk a little about our research and it's a little bit of a small slide and I don't expect you to memorize it or necessarily be able to read it completely, though I hope you can see it on your computers. But what this is, it represents many, not all, but many of our research projects. We are very aligned with using the RedCap database. And as you can see here, we have thousands of patients in RedCap databases at our prospective. We focus on prospective collection of data, not retrospective, prospective. And all these databases are maintained by our residents as well as by data coordinators. And so at any time you want a question answered and you can go into a database which has already been pre-populated and get those questions answered. We have spent a tremendous amount of effort, time and money creating these databases. These databases focus on not just cancer, they focus on urinary reconstruction, they focus on female urology, they focus on ED and infertility, and they even focus on some COVID prioritization of surgery. Next slide. And what these databases allow us to do is to be extremely productive in research. And what this slide represents is in the blue, the abstracts that are published out of here every year and then the red, the peer reviewed publications that come out of Hack and Sack. As you can see early on, we spent a lot of effort and had a lot of success with abstracts and we presented anywhere between 22 to 26 abstracts a year around the world. These included societies such as AUA, the SUFU, the Society for Sexual Medicine, the Pediatrics, and we've published between six to eight papers a year. As you will notice this year, there was a change. With COVID, obviously we are not doing as much international presentation, we're not doing any, and the conferences themselves are getting much smaller. And so we've taken a shift. We focused a little bit away from working on abstracts and getting out there and presenting as in person to working on creating peer reviewed publications. As you can see here, this year alone, we have 21 peer reviewed publications from our faculty. And again, I want you to think about that opportunity for you when you apply to programs and how you would benefit from this. Next. There's some additional benefits. I'm just gonna put them up there. We talked about the freestanding simulation which is accessible 24 seven. We supply you with AUA updates, SASP bundles, any conference that you publish and get accepted to publication for an abstract, we send to you, we send you to that. We also will pay for courses. You have an interest in robotics or reconstruction or prosthesis. We will help pay for that. We have done extremely well over the last four years getting philanthropic dollars. We have over a million dollars raised and the vast majority of that money goes to the residents for education and for research. In addition, you get a tech allowance which includes phones, laptops, et cetera. Finally, next. I just wanna talk a little about work-life balance. Being in Northern New Jersey where you are, you have extremely diverse options for living. You can live in Hoboken. You can live in Franklin Lakes. You can really decide what sort of environment you wanna live in with you and or your spouse or family or loved ones. You have a tremendous amount of opportunity to food. We love food here at Hackensack University Medical Center in our department. It's one of our favorite things is ordering out from different restaurants. All ethnic diversity in terms of food are available here in Bergen County. You have hiking, mountain biking, fishing, cycling, all within a 20-minute car ride. And of course, eight miles away, you have New York City. So you get all the benefits of living outside of New York, the less cost of living, opportunity to get out and breathe a little bit, get out and hike and fish, but yet within eight miles, either via public transportation or your car, you can be in New York City and when Broadway opens, you can be there watching that Broadway show. Next. So in summary, I'm gonna lift this, I've gone over, but we have some incredible opportunities for you here at Hackensack University Medical Center. I share just a snippet of what's available here. And what I'd like to do now is really go around the horn and start showing you the different parts of the hospital. So I'd like to start with is two extremely, extremely talented surgeons, Dr. Mudahar Ahmed and Dr. Ravi Munver. They do a tremendous amount of teaching here. They have incredible surgical teaching philosophy and I'd like to share how you meet them as we bring you into one of our dedicated robotic ORs with Dr. Munver and Dr. Ahmed. Great. Thank you very much, Dr. Seifelman. So welcome to the operating room. The operative experience here at Hackensack University Medical Center is really one of the prize jewel of the residency program. Our residents receive unmatched surgical training in all aspects of surgical urology. And that's not to say that it's just one area. We could do diverse cases such as adrenalectomies, donor nephrectomies, robotic surgery and an all skew of minimally invasive surgeries. As a testament to the program, our residents really relate that their experiences among the best in the area. And why is that? It's the passion of our faculty. Our faculty are dedicated to teaching our residents. And that's not to say teaching by watching. It's really teaching by letting the residents experience the glory and benefits of surgical experience through hands-on training. So with that, I'm gonna turn that over to Dr. Ahmed who's gonna talk a little bit about the surgical experience that they receive at Hackensack University Medical Center. Thank you, Dr. Munver. Ravi mentioned almost everything that I was gonna mention, but this is a robotic state of art center. But not only robotic, as he mentioned, we do endo urology, we do female surgery, and then robotic is where we play the key role. And when it comes to robotic, Hackensack historically has been the forefront of robot. Starting in 2000, it was only the three hospitals in the entire country, I think, to acquire the robot. So just like that, we had ventured into SP, having the state of art center and having always the first to acquire, SP was acquired as one of the first hospitals in the United States. And since 2019, we have done almost every single robotic cases, various type, using the SP machine. And including cystectomy, including female surgery, including simple as cysticordication, partial nephrectomy. And when we say we do these cases, you'll also, when you come here, you'll be able to see how efficiently the cases are being done and how we also focus on cost. So you're going to learn efficiency and cost when we do these cases. It's not always about using the state of art, but using the state of art to reduce cost and reduce the time, operative time. And then, as Dr. Munver mentioned, that our philosophy is actually you doing the case. And even on SP, we're probably one of the very few in the country that we're letting our residents sit in the SP robot and do the cases. So you're not just watching, you're going to be sitting down to do the cases. And on my personal level, my philosophy is almost every case that we do here, that you'll sit at least half the duration of the case. So you'll progress, you'll start with one step, then you'll do the second step, then you'll go to the third step. And by the time your rotation is over, you'll pretty much do each part of every cases to a completeness. So this is an amazing center, amazing hands-on experience and excellent state of art. And when it comes to also SISTEC to me, we do basically all kind of diversion intercoporially. So you'll get to see that as well. And the other important thing is that we also have, as Dr. Stiegelman mentioned, we have good academic and private cooperation. So you'll get to see both world and you'll go to seek advice that may come handy in your career at a future level. I think I covered pretty much everything, but we could ask questions later and thank you. Great, so as you can see, the diversity of cases is really what we're about at Hackensack University Medical Center. We are enthralled by watching our residents grow over the years as a master's skill and become elegant surgical specialists. And nothing gives us more pride than watching our residents develop and go out into the community where they become the experts in their surgical area. So thank you very much for sharing this experience with us. And now we'll turn it over to Dr. Deborah Fromer, who is the Chief of Female Public Reconstructive Surgery. Hi everybody, welcome. So I'm just gonna talk a few minutes about our FPMRS program. We have a very busy operative outpatient clinical and academic program that really fulfills just about every quality that you'd wanna have in an FPMRS program in urology. So our operative experience for the residents, it's very high volume when it comes to even basic FPMRS surgeries like prolapse surgery and incontinence surgery. And we also do a good amount of more complicated FPMR cases such as urethral diverticulectomy, fistula repair and lower urinary tract reconstruction. Outpatient-wise, we have a state-of-the-art video urodynamic system and between Dr. Michelle Kim and myself, we do the bulk of neurourology in the hospital as well. This large outpatient experience that we have is fodder for the research that we do. We work very closely with the Medical Schools Center for Discovery and Innovation where we are working with microbiologists on the genetics of resistant organisms that cause urinary tract infections. We have a multidisciplinary approach to our research where we work with gynecology, infectious disease, transplant as well as neurology on many of our research opportunities. So I think it's a really great thing for urology program to have such a strong FPMRS component. Certainly having come from decades ago, a program that was not quite as strong, I feel very strongly that we train our residents in this particular field. And now, who am I introducing? We are introducing Dr. Deegan who is in our simulation lab. Off to you, Dr. Deegan. Thanks, Deb. Hey, everybody, I'm Mike Deegan. I'm the director of the Resident Robotics Training here at Hackersack University Medical Center. Let me, again, thank you for taking some time out on your weekend to see what we're about. And I'll tell you a little bit about the residency robotic teaching here. So first off, it's good to know we have SIMNOW technology. This is the most up-to-date and advanced simulator technology available for the robot. It's got more, it's sound like your regular backpack, which I'm sure a lot of you are familiar with in the OR. It's got more simulated exercises. It's got full-length surgery. Second, which I believe is the most important, is that I'm coming to you from our lap and robotic training lab. I'm not in the operating room, okay? So again, this is not a backpack sitting on a console in the operating room. You have access to this and the lap stuff 24 hours a day, seven days a week, 365 days a year. Very important in a program like ours where all of the robots running 12 to 16 hours a day and you're waiting for them to finish in the OR before you could even touch it to start doing some simulation. Third, we sat down with all the robotic surgeons here and we came up with the curriculum, which we think will make you extremely proficient on the robot. And I'm gonna get into that a little bit more in a minute. And finally, you're gonna finish your residency here with a certificate from Intuitive. This is the certificate you're gonna need to practice robotic surgery as an attending. So what are the objectives? One is we want you to understand the robot, all its components. We want you to be able to take the instruments in and out without any difficulty. We want you to understand patient positioning. We want you to understand patient poor placement and we want you to understand how to dock the robot. All of these very extremely important in having a successful outcome in the surgery. We also want you to know the advantages of using the robot. We want you to know which patients should have robotic surgery and which shouldn't. We don't want you to have any significant complications, you're gonna learn all that stuff here. And finally, we want you to be comfortable manipulating the robot instruments, the camera, the clutching to switch to different arms using the electrocordery and the suturing. So finally, what are the requirements? First off, you're going to complete the online robotic training with Intuitive. Once you've done that, it'll allow you access to the simulator which will allow you to start the different modules. We ask you to get about, not about, over 80% on the modules. Once you've finished all the modules we put together for you, we'll have you attend a dry lab. Usually with the Intuitive rep and myself, we sit down, we go over some of the pitfalls, how everything works, how to get yourself out of trouble if you do find yourself in trouble in surgery. And we do that usually quarterly. Finally, you start at the bedside. So with all of this training, I want you comfortable with this robot before you even step foot in the OR. Now you're in the OR, you're going to do 10 assisted cases at the bedside. After you've done 10 assisting cases, you're going to do 20 cases on the robot, more than 50% of the case. After this is complete, you'll be proficient on the robot and we'll be able to sketch your certificate. So I think the take home points from resident robotic teaching here, one is we have the most advanced simulator available. Two is you have access to the simulator 24-7, 365, well, you know, not interrupted. And finally, when you're done here, you're going to be proficient on the robot. You're going to get a certificate that allows you to practice robotic surgeries and attending without needing any further training if that's the way you want to proceed. So that's it from robotic training. Thanks for spending some time with me. I'm going to send you guys up now to meet our residents. Hey, welcome. This is the residents room. I'm Nathan Chang, one of the residents on the P2Y3. Before I do a little bit of talking, I wanted to show you guys a little video we put together. Hey, everyone. It's Sarah showing you guys the view from our work room. Behind me, it's very sunny, but you can see the helipad right here. And here is the sky bridge that can lead us over from the main hospital to our ambulatory surgery center. This is Tenzin, our amazing nurse practitioner. She essentially can run the entire service herself. You know, she takes care of a lot of primary patients. Basically all the discharges. She communicates with all the attendings. She makes life extremely easy for us and she teaches all of us. If you want to be offered your room. Hello, hello. Hi, Nathan. Hi. Hello there. All right. You want to introduce yourselves. This is Vivian. She's our robotic coordinator. Hello. The operating room. Hi, Newtel. Hi. Hi. I'm Trowne. Hi. Hi, Megan. Can you tell me your interaction with our residents? You're always your residents. When I come in in the morning, I usually try to touch base with one of the residents. They've already done their morning rounds. And I like to just make sure that there was no issues with any of the patients overnight. And then all the patients are stable. We review the discharges for the day. And then we also will go over the admissions and the cases for the day. Also in case there's any patients in the ER or other units in the hospital, I like to know the names of the patients to make sure that we get them up on the urology floor. The nurses here are able to provide probably the best care for the patients. They all know how to ear a gig and they can answer foodie catheters and are really the eyes and the ears of the residents while they're in cases or off the unit. Hey, everyone. It's Sarah, your favorite intern here. I wanted to show you all the cool spots around the hospital. This one's my favorite. It's a vending machine with real Mountain Dew. The PJY3 here in Arkansas. In our third year, we have three afternoons, sort of three half days a week where we work here in the office instead of in the hospital running around. So it's kind of, it's a nice break, but it's also a good exposure for us to see patients in the office, to do in-office procedures and to work on research projects. For example, right now, we're gonna work on a research project with Dr. Seifman and we have all these resources where we've got these databases to work on and essentially it's just all these patients in this database that we just plug data from it and create these projects, so it's a good time. Two, Dr. Nizarboudia. First of all, I just wanted to say I really feel for all the applicants here because this is an extremely important part of your academic careers, but unfortunately because of the pandemic, you aren't able to do sub-Is, you're not able to go around and interview at the institution. So it's our job to really show you what we offer here at Hackensack, but it's also your job to do your due diligence and asking about the program to really get to know the program. So please, there's a question box here. Anytime you guys have a question, type it in and we'll address that at the end of the presentation. I wanted to bring up why I chose to rank this place so high is because it's a newer program. And like I said before, we really have to do our due diligence as applicants to find out what works for us and doing all these sub-Is, I was able to see certain good parts of different programs, certain parts that we worked on and I felt like coming to a new program would really help me facilitate that and build the program that I think is perfect for the program as well as for my own educational benefits. So Dr. Seifman and Dr. Koo were very excited to have somebody who wants to do that for the program. So if that's the challenge that you're willing to take, you know, this was the place for you. I don't want to speak too much on the case volume here because that could be beating to death, but I just wanted to bring up one example is at most programs, you know, there's a senior walking a junior through a procedure in and fortunately or fortunately, whatever, however you see it, it's not really possible here because if anyone given time, there's five ORs going at once. So if there's a senior walking a junior through a case, a room is uncovered. So, you know, we really have to spread ourselves out there to cover all these cases. Obviously we have extremely supportive faculty and ancillary staff like the nurses, 10s in our amazing APN. They really take a great interest in us and in our education, like Dr. Siferman said before, we have a pretty decent amount of funding for whatever we want to do. And for example, I found a course on reconstruction at the Cleveland Clinic last October and it's completely paid for. My trip there is completely paid for. My hotel there is completely paid for. You know, car picked me up from my apartment to go to the airport. It was, you know, they really want us to go out there and find out what we're interested in and bring all this knowledge back to the program. So that's, you know, that's hack and sack. And obviously we're all really good friends and every program says that, but it's true. So I wanted to share the time with the rest of my co-residents to see what they wanted to say about the program. Wonderful. Hi everyone. I'm Sarah, the new intern from Kansas City and just graduated from medical college of Wisconsin. My number one thing about the program is, you know, even when you're an intern, you'll be in the OR in the first week. That's really, really great experience to start off with. And even before I started, I was involved in free research projects. So that'll be really setting me up for a great start for potential fellowship applications. Hi everyone, my name is Fahad. I'm the PGY2. I'm from Los Angeles. I went to medical school in Beaumont in Michigan and I came here. As Nate said, like it's a new program, but what I found is that it was a hidden gem when I came here for the interviews and it proved it to me. It's, I can see that it's truncating up there and what I love about it is the interest and the support that I get from the faculty. They really cares and they really want us to be the best here. Hi, I'm Misar, I'm the PGY4 and we're very excited to have a new resident who can join our team. It's a very exciting program. It's a great learning experience here. We're surrounded with great mentors and great surgeons and I like about the program, how it's structured, where you have different rotations, whether it's female or pediatric urology. It's a great rotation. Every rotation is a great rotation to learn. I was so excited to share them that I forgot to tell you about myself. I was born and raised in Los Angeles. I went to UCLA for college in USC for medical school. I also want to bring up, even though this is a new program in itself, they've been training rotators for 20 years, 20 plus years from NJMS of Rutgers and New York Medical College. Dr. Ahmed actually trained at NJMS and they all say that this is where they get their meat of their surgical experience. So this is an awesome place. Yeah, I mean, if you guys have any questions, I see some questions already, so that's good. But I'll turn it back to Dr. Steifman at the conference room. All right, so I think over the last 35 minutes or so, you got an opportunity to travel around the hospital a bit and to meet with some of our key faculty here. You got to see going to the OR, meet with Dr. Ahmed and Dr. Munver. You got to meet with Dr. Fromer, who runs our FPMRS program. Some other folks in the room I'm gonna have you meet is Dr. Shin is here. Dr. Koo is our program director is here as well. And what we like to do is really spend the next 15 or 30 minutes or so, whatever, how much longer you guys want to interact with us, answering questions for you and being very as forthcoming as we can to give you a sense of any of your concerns you may have or questions you have. The one thing I do wanna make before we get to that is you saw, we spent a lot of time talking about robotics over the last half hour. Probably the reasons we spend so much time is because we have one of the largest robotics program in the country and we have some of the greatest robotic surgeons and that's where everybody in New Jersey comes to us to learn about robotics also from the world. So we're very proud of that. But I wanna be very clear, we do a tremendous amount of other surgery. We have a huge volume of stone cases here. We have a big volume of infertility as well as ED cases here. We do do open surgery. There are many cases that we do not do robotically or we do as hybrid techniques like cable thrombus up into the aorta, I mean up into the atrium. So you will get those experiences as well. So yes, we did focus on robotics. I think that's a differentiator of ours. I think the fact that you actually sit and you do the surgery here is a huge differentiator of ours. But I wanna be clear, you will get the breath of all the other areas in urology and it's not the only thing you're gonna do here. And I know that's a question that was recently asked. I'm gonna, being that we're in the faculty room, there's a couple of questions I see here. What is the role of the fellows and how do they, is it a distractor from the rest of the program? So I'm gonna ask Dr. Munver to take that question. Dr. Munver has run one of the most successful endurology fellowship programs in the country for the last, I think 15 years and gets people from all over the country to come. So why don't you answer that for us? Sure, so I have two hats. One is to really focus on the residents over the five years that they're here and also focus on my fellow for the one year that the fellow is here. But the integral part of the fellow and the residents working together has been really a harmonious experience for the last 17 years of running a fellowship program. The fellow does some of the more complex parts of the operation while the residents do the most basic and initial parts of every robotic surgery that we do. When the residents master certain skills, they get to do more of the complex portions of the operations. So in essence, while the fellow is getting more comfortable with the complex parts of the operation in the beginnings, the residents are getting comfortable with the more basic parts. And once the fellow has mastered those operations, the residents get to do those more complex surgeries. And that's to say that I usually work with the more junior resident. So the residents that working in the beginning part of their experience. And that's mostly for the robotic surgeries. When they become senior residents, they work with Dr. Ahmed, Dr. Seifelman, and they get to do a lot more of the complex portions of the operations once they master the basic parts. In terms of endo-eurology, the residents do almost the entire operation. In fact, they do the entire operation guided by the fellow and with me as a backup. So it's really a hands-on experience. And if you talk to any of the residents here, they will tell you the same exact story that they get the majority of their training through hands-on experience in a graduated fashion. And it's really a nice, again, harmonious relationship. What are some changes that you anticipate at Hackensack over the next three to five years, Dr. Koo? And are there any plans to increase beyond one resident a year? So changes over the next three to five years and plans to increase to run one resident? So for both questions, the changes, the nice part about it is that we have a very dedicated faculty and we meet with the residents regularly. So by annually, we're constantly revising and reviewing how to make improvements. So the changes are that we are trying to modify the education. So for example, we're getting them more involved in research early on. So this year, we're doing that so that we have research conferences quarterly. They're getting to be participating in research projects. So these are some of the things we're doing. We're also getting people for more outpatient experience early. And we're giving people more time for inpatient opportunities as well. In terms of the greater changes, we have developed a program now that we feel that we're well established enough to increase to a full complement. This is something that we've submitted to the Residency Review Committee. And we're hopeful, whether this year or next year, that we should be increasing to complement of two residents per year. What that allows us is to continue to develop a big program, but also allow us to develop more one-on-one teaching. So some of the examples are, along with a big service, we specifically have rotations where they're doing more one-on-one mentoring with female urology, male sexual health, pediatrics. So we want to think of it more as a mini fellowship for those rotations. And again, the main emphasis is it's a very interactive process where the faculty and residents are really working toward the same goal of how do we optimize the education throughout the whole process. Yes, how you doing? My name is David Chin. My area of expertise here is male infertility and sexual dysfunction. And that's what I bring to the program here to make sure that our residents learn that component, which includes all aspects of male infertility, sexual dysfunction, also micro-surgery. David, do you have any roles with any of the societies right now or any connections in terms of male infertility or reptile dysfunction? Well, currently, I'm the president for the SSMR, which is the Society for the Study for Male Reproduction. That's the AUA's male infertility specialist of specialty society. So that's a position that was elected by my peers here. And what really helps with that is that we also, right now, I'm involved with trying to get the programming what we're going to do for that for 2021 for the AUA. And it also allows that if you're interested in andrology or in sexual dysfunction, many of my colleagues are also the fellowship directors. And therefore, we will be able to plug you into those fellowships if you are interested in doing that. So another question came up, Dave, which is you could talk about the type of fellowship programs that residents who have left here have gone into. Now, remember, we don't have, we haven't graduated our own resident yet, and we only have our fourth resident. But we have graduated 21 years of residence through NJMS, through New York, from the New York Westchester campus. And tell us a little about your relationship of working with those residents and where they've gone and how you have helped or not helped them. Right, so this is a program where we're obviously very familiar with teaching residents and also more importantly to make sure those residents are set up for success for whatever they want to do, particularly with fellowships. And so with those, with the Rutgers residence, like in two in particular, have gone on to andrology fellowships. One is going to be going next the following year, and someone else has also finished one recently. We've also been very supportive in getting into the robotics fellowships if they needed, and their urology, female, pelvic floor reconstruction. And so this is an environment I think that we, I think we are all very connected with a lot of the people who are, I guess, the movers and shakers of the AUA. And I think that's what is one of the big advantages of being here is because we are not young, but we're not old, but we are in positions of leadership so that we can make sure that you are set up for success. Do residents rotate at any other sites besides Hackensack? Is there a VA? Where else do they get their experience, Harry? From in the PGY3 and PGY4 years, the residents will rotate three month rotation at Mountainside Medical Center, which is a smaller, more community base. And they work with a very well-established group of urologists. There are about four of them who have history of dedicated teaching experience. And this is more of an opportunity to get some more in-depth look at how community urologies practice, more of a closer to more of a one-on-one setting with a smaller group. So they spend outpatient experience, inpatient experience. And the idea is we send them the first year as a PGY3, so they'll get a good experience for three months. Now, with everybody being familiar, when they go back the second time as a PGY4, we want them to almost work like junior partners. So they're working at a higher level and this just gives a different perspective on the urology training that they wouldn't get from a university medical center. So before we move on to a couple other questions, I'd like to have Deb from her talk a little bit about the teaching outside of necessarily the hospital environment. I know that Deb and Dave have created sort of mini fellowship programs for the residents to come and spend time with them and tell us a little bit about how that's working, Deb, and what the resident can expect when they work with you. Sure, so I just started this with Nizar, our PGY4. And one of the main goals is to give our residents a really good urodynamic experience in the outpatient setting. So typically on a Wednesday, I will be doing five or six urodynamics, boom, boom, boom, one after another. Oh, that's my camera, hi guys. And so the goal is for the residents to know how to do urodynamics from start to finish and also to know how to interpret them because for a lot of residents, even for the first couple of years, urodynamics is like this big black box. So we hope to give them those skills. And then the other thing is the outpatient, female urology, neuro-urology perspective, which you also don't get a lot of hands-on training for the first couple of years of your inpatient urology experience. So that is also something that we aim to teach our residents during this time. And now, will they interact with your patients or are they just sort of sitting by the side? No, they are interacting with the patients. And I mean, the goal is to get them to ultimately do the procedures by the, you know, towards halfway through their little mini fellowship that they spend with me. So, you know, there's a question about HOLAP. And are we doing any HOLAP here for BPH, just kidding, it's from Christopher Warren. I'm going to ask Dr. Udavara Abha to answer that. Yeah, so that's an excellent question. You know, HOLAP is just one of the technology in term of laser. You know, you have all the green light laser, Dr. Rabi Manver does significant size green light laser. And he does them pretty successfully. A lot of our private attending does whole bunch of green light laser in here. Wide varieties of sizes of prostate. So, you'll get enough of those endoscopic management of prostate BPH, as well as QRP. We have some of our senior attendants, like Dr. Binet and Terry, who I learned that QRP from. He does excellent QRP. So, you'll get wide varieties. Specifically HOLAP, some of us do HOLAP, but we don't do quite a bit of HOLAP, but we do more green light laser than HOLAP. But it's a similar idea. Then, when it comes to other form of treatment, like robotic, Dr. Sajjumman, he does through the bladder with the multiport, which very few people don't even describe it very well. And reproducible. And now we're also starting to do with this single port, through the bladder, inframbilical, and just insufferate the bladder and do the entire case with a single port robot and remove the aeronoma that way. And so you'll get to see a wide range of BPH treatment from QRP to robotic simple prostate. I think you'll get enough experience in wide varieties that you could pick that up and use in your practice. That's great. Thank you so much. We're gonna move over to the residents now. And there are a few questions that I'm gonna ask the residents to address because I think they will be able to answer this better than anybody. One of the questions is about patient population. So we go back to the resident room and you can talk about the different types of patient populations you see here. Is it diverse or is it very uniform? Another question was regarding the call schedule. And let me see what other questions. The call we want you guys to answer. Patient population. And we talked about the fellows already. The residents carry their own patients during clinic hours. We'll get back to that when we come back here. So let's have the residents sort of talk about the call experience, what the patient population is and whatever else you guys wanna add. So we're gonna bring it back over to the resident room. All right, hi again. So I'm gonna be talking about the call schedule for us. We are currently about six residents. So we're taking about a Q5 call. Our call usually, the intern usually is in house call, which means they're in the hospital for 24 hours. It usually happens about two times a month for the interns. And then for PGY2 and above, it's usually a home call where you finish work, go home and then you can answer the pager from home and then you come in for emergencies and stuff like that or you need it to come right now. So the cause, as I said, is Q5 with every five days. But since we have some of the residents rotate at outside hospitals, so when they go to the other hospital, so we become like a five residents so we get a Q4 call. So I would say it's about a Q4 and a half on average. It's really like we usually have great support before like we sign out and then when we get the pager, we hold a call and we manage it from there. Regarding the population, I'll have Nate talk about this. So in terms of the patient population, it's a pretty good mix. Bergen County itself is an affluent area, so we do have middle class and above patients who are getting a lot of the care here, but there are other areas around hack and sack that are a little bit lower income and so we have patients who are underrepresented, minority patients who may not be getting the care to get regularly who come in with advanced pathologies and we take care of them. Even if they don't have insurance to come to the emergency room, you get that kind of exposure to a different mix of patients. So it's a pretty good experience in terms of seeing everybody. We're often using the translator to talk to patients because of this diversity of patients. And I'll just talk about how many patients we have on the list. So in general, our list is 20 to 30 patients. About 10 of those are our primaries. What's really nice here is most of our patients are going home post-op day one. We have high turnover for our primaries and then our consults are 10 to 20 each. Yeah, definitely. We have like, I think we have a great dynamic. We're friends before we were coworkers. So we really like have a great dynamic communication. We kind of like in the front of the beginning, we were understanding each other and we were able to communicate with each other very well. And I think this is key in a good program. We go out whenever we have chance. We also, we get like the faculty-sponsored I was going to say how we go to like their houses sometimes after personality and then like, yeah, lately was like last week. So we do have a lot of activities outside of hospital. Absolutely, yeah. Yeah, and Barbara's absolutely great with everything. About four times a year, she sets up for us to have a nice fancy dinner together. So we're going out over Labor Day weekend to a nice place in Jersey. Yep, all right, back to you guys. All right, well listen, we're coming up to the hour mark in which we said we'd like to end within an hour of this and give you the opportunity to enjoy the rest of your day. The one last thing I wanna do is just kind of go around the horn here with the faculty and let each of our faculty members in a very loud voice. So we'll make sure we capture it on our microphone. Just end with any one or two sentences or thoughts you wanna leave the potential residents with. So we'll start with Dr. Deegan. You guys again, thanks for spending an hour with us. I think you've seen what we offer here. Again, I'm thinking end of urology robotics and training you guys. If you have any other questions, I think Barbara's information is there. We'd be happy to talk to you some more. We'll be shooting us an email. Super. Dr. Mudar Ahmed. Thank you for spending that Sunday afternoon. And we talked about great training and this and that. One thing I wanna let you know that I did my residency part of the New Jersey Medical School here at Hackensack. And one thing that was really important to me is the work environment. Here in Hackensack, each room's are private for the patient. Patients are happy because of the nice environment. A lot of time you walk into the room, even in the difficult situation, they're nicer to you. So when you have a nice environment, it's easier for the residents to work day in, day out. I think that's a very important point when you go and interview in other places to keep that in your mind. How are the patients' environment? How is your work environment? This is the key. Super. Thank you. Thank you so much. Dr. Fromer? That's an excellent point and I just wanna add on that because I trained in an inner city hospital and I was amazed when I came here that the nurses were so nice and were like, oh, here's your patient, Dr. Fromer. Let me bring you over to meet your patient. And it was just a very high-energy experience. One other thing that has not been talked about and I wanna highlight a major asset to our program is Barbara. Can you pan over to Barbara? Barbara runs the program. She has been very key for applicants, for current residents. And I think that she makes everyone's life, including our own, a lot better with all of her effort. So kudos to Barbara and thank you for organizing this. Oh, thank you very much. You know, I just would add, you know, they say, you know, to every great program is a great resident coordinator. And I would say we have the, I've worked again in many hospitals. There is no one who's gonna take care of you, who's gonna make sure you do things on time, who's gonna just treat you like one of their own brother or sisters as Barbara and we're fortunate to have her. And as you interact with her more and more through this process, you will see that as well. So thank you. We're gonna keep moving around the room. I'm gonna start with Dr. Munver now at the head of the table there. And Ruby, have a couple final words you wanna say. Thank you. So, you know, applicants always ask us, you know, what is this like? It's a new residency program. It's really not a new residency program. We've been training residents for over 20 years. It's a real residency program with a new name. And the reason why we are doing this is because we're so passionate about the education that we wanted to cater the program to make it one of the best in the ever again, the best in the country. And I think that those residents that come here and train with us and see the program will agree that we have a world-class faculty, we are passionate, we're dedicated. So we look forward to the opportunity to work with you. Dr. Shen. One of the things I just wanted to make sure to touch on I think there's a question about teaching philosophy and really what I think myself as well as everyone in the room is that we are committed to make you the best person, the best surgeon, the best urologist when you leave this training program. And we do that because when we, when you're operating, when you're actually operating on the console or when they're with us in clinic doing our procedures, there's feedback. There's feedback in not only finding out how are you doing but also how you can improve and will we continue further to the next step. And so that's what I really like about this program here. I think our residents will say that is that we are committed to make you the best. And that's, I think what makes us, distinguishes us from everybody else. Dr. Koo. Same thing, a lot of echoing the sentiment here is, is really, we want you to get a sense that we are very dedicated, passionate about what we do. And we're, when we select and recruit you all we're really looking for somebody who can come in and become part of our program so that we not only are involved in educating you but we want you to stimulate us and push us to our best at the same time. And we're really continuing to build this team and we're really excited about the growth. So I'm gonna finish it up. Which brings me to another story. I remember when I was at Columbia training in the 90s. I won't mention names, but one of the resident coordinators came in and said, this place is about a spree to core. It's about you versus us. I will tell you, we have the exact opposite philosophy. This is about working together. I'm gonna go back to this trademark of ours, which is the orchestra and the way we started this day. And it is an orchestra. Your training involves a tremendous amount of effort for many people. It's not just the doctors that you work with and the surgeons. It's the secretaries that you interact with. It's our rescue coordinators that you interact with. It's the nurses on the floor. It's the nurses in the OR. It's your PA, it's the MPs. It's an orchestra. It's a group of people working in concert together to give you the tools that you need to be an amazing physician. And that's what this is all about. And that I think I wanna end with that. I wanna thank you for your time. I wanna thank you for joining us. Please let your fellow residents or future residents know that we're gonna host this up on our website sometime this week. We're gonna tweet that out. We'll also send that to you. We do wanna get as much traction as we can regarding this. It is a tough time, as Dr. Chang said, with the COVID. But I do wanna again thank you for taking your time to spend it with us. And I wish you all a great day. And from Hackensack University Medical Center, wish you all the best. Thank you.