Education: Pediatric Urology Fellowship: Program Overview

Program Overview

Our two-year Pediatric Urology Fellowship program includes one year of research and one year of clinical training.

Research Program

Fellows spend their first year working on a combination of basic science research and clinical research. In general, fellows dedicate 50% of their research time to basic science and the other 50% of their time to clinical research.

Basic science research is directed by Douglass B. Clayton, MD. Fellows work closely during the year with  Maria Hadjifrangiskou, PhD and her team.  Dr. Hadjifrangiskou is a world-renowned expert in bacteriology, and her lab provides invaluable experience with mechanistic studies of UTI pathogenesis and microbiology.

The other portion of the year is dedicated to clinical research. Clinical research is ongoing in the department, and projects are tailored to the interest of the individual fellow. Prior to the start of first year of fellowship, a generalized plan for clinical research will be established based on fellow interest, allowing for early productivity once the year begins.

Clinical Program

Fellows spend their second year leading our busy, hospital-based clinical service. The team consists of the second-year fellow, a senior resident (PGY-4), and junior resident (PGY-2), residents rotate every three months. The fellow provides back-up call to residents two weeknights per week, and two weekends per month.  During those backup calls, the fellow participates in evaluation and management of hospital consultations as well as operative call cases.

The Vanderbilt Pediatric Urology program completes more than 17,000 outpatient visits a year for more than 2,400 cases. Our robust volume provides exceptional training at the hospital, in the operating room, and in our clinics. One half-day per week, the seconed-year fellow participates in a supervised outpatient Fellow Clinic. The fellow is responsible for workup and management of their own patients, performs outpatient procedures, and follows those patients to the operating room when indicated. We have many multidisciplinary clinics which the fellow is encouraged to participate, including:

  • Spina bifida clinic 
  • DSD clinic 
  • Stone clinic 
  • Reconstruction clinic

Fellows are exposed to a broad range of care and treatment protocols and attend and participate in many workshops and conferences including:

  • Multidisciplinary didactic conferences
  • Research conferences 
  • Radiology conferences
  • Morbidity and mortality conferences 
  • Clinical case conferences

These conferences enrich the clinical experience.


Fellows see patients at the main Vanderbilt Urology Clinic while faculty travel to seven sites connected to the Monroe Carell Jr. Children’s Hospital at Vanderbilt:

  • Vanderbilt Children’s Urology, Nashville 
  • Vanderbilt Children’s Urology, Chattanooga 
  • Vanderbilt Children’s Urology, Cookeville 
  • Vanderbilt Children’s Urology, Jackson 
  • Vanderbilt Children’s Urology, Murfreesboro 
  • Vanderbilt Children’s Urology, Spring Hill 
  • Vanderbilt Children’s Urology, Memphis 

The majority of surgical cases will be performed at the Monroe Carell Jr. Children’s Hospital for Children’s main campus, Fellows have the opportunity to operate at our pediatric outpatient surgery center in Murfreesboro, if they so choose.

Global Health

Guatemala with Pediatric Urology

Group Picutre

The Moore Pediatric Surgery Center is located in Guatemala City and has 12,000 square feet of space. The Center functions as an independent surgical hospital. The facility has three modern operating rooms, five PACU beds, 20 recovery beds, a nursing station, and a stocked pharmacy. While visiting teams do bring some of the medications needed for their specific protocols, the pharmacy is equipped with the anesthetics, analgesics, and antibiotics necessary for surgery and the treatment of potential complications. The hospital also has a conference room, administrative offices, waiting areas, laundry facilities, a kitchen, and 24-hour security.

The Moore Center provides an independent space and organizational structure for visiting surgeons, local providers and patients to coordinate operative and perioperative care. It is managed by The Shalom Foundation’s local Guatemalan staff of administrators, physicians, nurses, and ancillary service personnel. This staff provides critical consistency in the practice that occurs at The Center as various visiting surgical teams rotate through.

Since 2005, Monroe Carell Jr. Children's Hospital at Vanderbilt has been sending surgical teams to Guatemala City to provide surgical care to children who are in desperate need. Over 1,100 surgeries have been performed during 24 mission trips. 271 of those 1,100 surgeries were completed by our Urology teams. On average, our Pediatric Urology team travels to the Moore Center every 2 years.  The Pediatric Urology Team will return to The Moore Center in February of 2021.