Hopefully this answers some questions about Urology for osteopathic students. Urologymatch.com is an excellent source for info on Urology. I'll probably post this there also. Please understand that some of this is my own opinion, some is what I've heard on the interview trail, and some is from a conversing with a current resident in uro. Hopefully some others from this year's cycle will post their experience/advice.
1. Chicago – Extremely busy program, mostly open procedures but now doing rotations at Christ hospital with fellowship trained robotic surgeons, cysto room running all day with junior residents, autonomy, pathology like NO other program, seriously crazy number of cases, trauma, program expanding, full time peds and urogyn on staff, well known hospital, all that goes with county hospital, funding for 6 residents. Program Director has great vision for residents and program. Chief resident will do fellowship at NYU in Onc.
2. DMC – Have Dr. Santucci. Don't know much more, didn't spend any time there. Grand rounds combined with other Detroit programs. Heard program director is a foodie and will take you out to eat, super nice guy. Take 2-3 residents/year.
3. MSU – Lansing – Two services, one is private practice which is extremely busy, one is academic including program director who is peds. 80% of time at Sparrow, 20% at Ingham. Expanding OR at Sparrow and da Vinci Si coming to BOTH hospitals, recent grad became robotics chairman at hospital in Seattle fresh out of residency, unified residents, plentiful research opportunities, funding for 6 residents, roll model attendings. Tons of robotics - chief resident this year was doing skin to skin robotic prostates last year.
4. Einstein – Largest program, application in for dual accreditation, most attendings trained at Penn or Einstein. Only program with 2 years in general surgery. Residents are extremely intelligent, onc at Sloan Kettering, Peds at CHOP, 4 residents/year. Considered most "allopathic" DO program, have Dr. Metro, fellowship trained robotic surgeons, grads do well.
5. Charleston, WV – program growing and adding fellowship trained attendings, Cleveland Clinic transplant attending, hospitals 7 minutes apart, busy program, chill intern year, Peds in Columbus, residents are very close, PD is down to earth, 2 residents/year.
6. UNDMJ – Don't know much, program director is younger, sharp, heard very busy program, connections to MD Anderson (PD did fellowship there), heard lots of positives. 6 spots.
7. Mount Clemens – base hospitals, TONS of attendings, grand rounds with DMC, can't remember if they are getting 1 or 2 da Vinci Si robots, only 1-2 residents/hospital so you stay busy, 2 residents/year, have done very well in Urology Jeopardy and other competitions.
8. St. John's – newer program, old program director from Mount Clemens program… has been doing it for 20+ years, program takes 2 residents/year, this upcoming year most senior residents will be in 3rd year, fellowship trained robotic surgeon w/ da Vinci Si.
9. Grand Rapids – Very new hospital (4 yrs old), adding staff, possibly expanding to cover downtown hospital in Grand Rapids since no other urology program is there, PD has ties to Cleveland Clinic and previous resident there for fellowship, Peds rotation for 2 months at CHOP, 1 resident/year
10. Olympia Fields – Didn't spend any time there.
From an email Q/A with a current resident, my comments are in parenthesis:
1. Boards: Depends if you're applying DO or MD. Honestly, unless you're at the top of the class, have publications, and scored > 245 give or take on USMLE, I wouldn't waste time applying MD. As for comlex, if you're < 500, definitely take step 2 early, aim for minimum > 550, preferably closer or above 600. If on step 1 you got 550 +/- 10, your score is equivocal and if you're confident you can go up on step 2, take it early. But you'll land interviews with this score probably. If you got 590+ on step 1, I'd wait to take step 2 until after ERAS is sent out. That's the beauty of being DO, it's really about more than just boards. (A program director told me this year he won't consider people less than ~550.)
2. The best DO programs are Einstein, Cook County Chicago, MSU Lansing, and Detroit Medical Center in my opinion. As for programs that are DO friendly, NEOUCOM, Rochester, LIJ I know of people matching. Take a look at other posts to see what others have said.
3. Regarding two week audition rotations: Two weeks is generally enough for them to assess if you'll fit in and show them your knowledge base. If you're in the area of the programs, go to their journal clubs or weekly meetings if you can. You can get this info from a resident.
4. Books: Penn clinical manual is great b/c it reads like a text book and is thorough. It's a bit difficult to use from the quick 5 minutes in between cases aspect but for preparing for a rotation is great. Secrets is out of date, don't use it. Pocket guide to urology by Jeff Weider is the bible of urology that all residents use, however, it's pretty advanced. I used it on my second sub-I after I had a good foundation. I mainly used a small book called Urology for the house officer which was great as I was learning. First half of the book is on key presentations like what to do when you're called for acute urinary retention, hematuria, etc. Second half is selected topics like all the cancers, stones, bph, etc etc. It's more introductory, but concise and if you know everything in it to the best of your ability, you'll be great.
5. Research: Becoming very important for DO programs and has always been important for MD programs. Try to get a case report at least, or an actual project of course is better. Though a uro related project is ideal, any publication helps as they mainly want you to be able to publish during residency. Uro is a small community, knowing people helps with everything. Your audition rotation is by far the most important; it'll be rough because you constantly have to be "on." It's only one month though.
Let me know if you have any other questions.