AUA-CAU AUA-CAU Visiting Scholar Program Visiting Scholar Program

20062006Alessandro Tavares, M.D.Alessandro Tavares, M.D.

São Paulo, BrazilSão Paulo, Brazil

Toronto, OntarioToronto, Ontario

BackgroundBackground

The ABC Medical School provides one The ABC Medical School provides one of the top-5 best Urology Residency of the top-5 best Urology Residency trainings in Brazil.trainings in Brazil.Had finished my Urology traning at the Had finished my Urology traning at the ABC Medical School but still needed to ABC Medical School but still needed to get get new horizonsnew horizons into the into the Pediatric Pediatric UrologyUrology, my main interest inside the , my main interest inside the Urology. Urology. Currently very few high-volume centers Currently very few high-volume centers of Pediatric Urology in Brazil and very of Pediatric Urology in Brazil and very little funds to help people study little funds to help people study overseasoverseas

ObjectivesObjectives

To visit a high-volume referral center in Pediatric To visit a high-volume referral center in Pediatric Urology overseasUrology overseasTo be in contact with leading professionals in the To be in contact with leading professionals in the fieldfieldNetworkingNetworkingTo improve skills forTo improve skills for care of pediatric urologic patientscare of pediatric urologic patients teaching teaching researchresearch Communication in EnglishCommunication in English

MethodsMethods

AUA Visiting Scholar ProgramAUA Visiting Scholar Program

3 months @ North America, 3 months @ North America,

3 months @ South America3 months @ South America: integration : integration with other Latin America Centerswith other Latin America Centers

As a AUA scholar, it was very easy to be As a AUA scholar, it was very easy to be accepted for a rotation at the most accepted for a rotation at the most important Institutions in North and South important Institutions in North and South America.America.

Hospital for Sick Children- TorontoHospital for Sick Children- Toronto

Aug- Sept- Oct 2006Aug- Sept- Oct 2006Staff: Dr Anthoine Staff: Dr Anthoine Khoury, Dr Joao Luis Khoury, Dr Joao Luis Pippi-Salle, Dr Darius Pippi-Salle, Dr Darius Bagli and Dr Walid FarhatBagli and Dr Walid FarhatThe SickKids is a huge The SickKids is a huge Referral Center for Referral Center for Reconstructive Surgery, Reconstructive Surgery, Hypospadias repair and Hypospadias repair and minimally-invasive minimally-invasive surgery in Ontariosurgery in OntarioTickets, Housing and Tickets, Housing and Stipend provided by the Stipend provided by the AUAAUA

Housing, 10 min from the Hospital

SickKids Hospital, Toronto

Results: HighlightsResults: Highlights

Average Average 12 periods12 periods at the OR per at the OR per week (sometimes 2 or 3 week (sometimes 2 or 3 simultaneous OR!): simultaneous OR!):

could see almost all pediatric could see almost all pediatric urology procedure, from urology procedure, from orchidopexies to bladder exstrophy orchidopexies to bladder exstrophy management.management.

Clinics: 5-6 times a week,Clinics: 5-6 times a week, Special Multidisciplinary ClinicsSpecial Multidisciplinary Clinics::

Disorders of Sexual Development Disorders of Sexual Development (once a month)(once a month)Antenatal HydronephrosisAntenatal Hydronephrosis

Research meetingsResearch meetings: weekly, very : weekly, very insightful, gave me lots of ideas and insightful, gave me lots of ideas and taught me a lot about how to taught me a lot about how to produce and to analyse a scientific produce and to analyse a scientific paperpaper

Inside view of Sickkids HospitalInside view of Sickkids HospitalHumanized care of the Humanized care of the pediatric patientpediatric patient

Highlights: Course on Laparoscopy Highlights: Course on Laparoscopy in Pediatric Urologyin Pediatric Urology

HSC, October 2006HSC, October 2006

I was invied to join as a I was invied to join as a participant and as an participant and as an instructorinstructor

Hands-on : black box Hands-on : black box laparoscopic exercises and laparoscopic exercises and live surgeries in pig modelslive surgeries in pig models

Helped as an instructor for Helped as an instructor for the medical students of the the medical students of the University of TorontoUniversity of Toronto

University of Toronto, located in downtownToronto

AAP Meeting, Atlanta, GAAAP Meeting, Atlanta, GA

Attended the 2006 American Attended the 2006 American Association of Pediatrics Association of Pediatrics (AAP) meeting, section on (AAP) meeting, section on Urology, sponsored by the Urology, sponsored by the AUA.AUA.Great meeting!!Great meeting!!The same room fits all the The same room fits all the most important Pediatric most important Pediatric Urologists of America and Urologists of America and EuropeEuropeAll major papers on Pediatric All major papers on Pediatric Urology are being presented at Urology are being presented at the Plenary Session, at the the Plenary Session, at the same roomsame roomFor me, a MUST SEE event For me, a MUST SEE event from now on!from now on!

Dinner for staff and former Fellows of the SickKids at Atlanta

I felt very honoured to be invited to this dinner

University of TorontoUniversity of Toronto Urology Update Course Urology Update Course

October 2006October 2006

Was my last Was my last activity at activity at TorontoToronto

High-quality High-quality event, excellent event, excellent lectureslectures

HSC Staff, Fellows, AUA Scholar and Dr Anthony Atala

Santiago, ChileSantiago, Chile

3 month rotation (Nov-Dec-Jan)3 month rotation (Nov-Dec-Jan)Also a high volume center in Pediatric Also a high volume center in Pediatric UrologyUrologyHelped me grow up further into the Helped me grow up further into the Pediatric Urology Pediatric Urology Economic conditions closer to the ones in Economic conditions closer to the ones in Brazil, and the solutions found by the Brazil, and the solutions found by the Chilean doctors for some problems will Chilean doctors for some problems will help me a lot at my work inhelp me a lot at my work in my country my country

Santiago - HighlightsSantiago - Highlights

Communitary work at a small townCommunitary work at a small town (Curico) (Curico)

the team from Santiago spent the the team from Santiago spent the weekend there and treated 10 children weekend there and treated 10 children from the townfrom the town

Very rewarding, both the people and the Very rewarding, both the people and the doctors from Curico were very thankful doctors from Curico were very thankful and were awesome as hosts.and were awesome as hosts.

Back to BrazilBack to Brazil

I was I was hired as staffhired as staff at the Urology at the Urology Department of he ABC Medical Department of he ABC Medical SchoolSchoolWork at a new public Hospital, Work at a new public Hospital, which is the main which is the main Referral CenterReferral Center for 7 cities in the Great Sao Paulo for 7 cities in the Great Sao Paulo metropolitan area (this is a metropolitan area (this is a industrial region with around 3 industrial region with around 3 million people)million people)Currently involved with Currently involved with medical medical assistanceassistance, but also with , but also with teachingteaching (medical students, junior and senior (medical students, junior and senior residents) and residents) and researchresearch (clinical (clinical and experimental)and experimental)Hope to Hope to difuse the knowledgedifuse the knowledge and and vision of the world I acquired during vision of the world I acquired during my AUA visiting Scholar Programmy AUA visiting Scholar Program

Santo Andre State Hospital, Brazil

ConclusionsConclusions

Thank you and congratulations to the AUA for the initiative of Thank you and congratulations to the AUA for the initiative of providing this scholarship to Latin America, in colaboration providing this scholarship to Latin America, in colaboration with the CAUwith the CAU;;Benefits experienced after the Scholar Program include Benefits experienced after the Scholar Program include improved care of patients and teaching of young doctors, but improved care of patients and teaching of young doctors, but also, not less important, also, not less important, passionpassion and and enthusiasmenthusiasm in in performing my work and sharing experience and ideas with performing my work and sharing experience and ideas with others. others. I strongly believe that the good things I I strongly believe that the good things I experienced during my 6 months abroad can be multiplied experienced during my 6 months abroad can be multiplied through my contact with others and that this can make us through my contact with others and that this can make us improve health and quality of life in Latin America.improve health and quality of life in Latin America.Maybe the most important thing that studying abroad can Maybe the most important thing that studying abroad can provide are the friends that we make.provide are the friends that we make.

I’m sure that these will last for a long time and that we I’m sure that these will last for a long time and that we will be working together in the the same direction trying to do will be working together in the the same direction trying to do a good job!a good job!