University of Texas Southwestern Medical Center Program

The Fellowship Program in Urogynecology and Reconstructive Pelvic Surgery (URPS) at UT Southwestern’s Department of Urology provides advanced training opportunities for residents aiming to specialize in the evaluation and treatment of female pelvic disorders. This program includes a comprehensive curriculum that integrates clinical practice and research in areas such as female incontinence, pelvic organ prolapse, and associated voiding dysfunctions

Program Structure

The program encompasses a two-year fellowship with only one position available annually, ensuring a robust and personalized training experience. Each fellow is expected to complete both clinical rotations and independent research projects that reflect their interests and career goals.1

Year One Rotations

During the first year, fellows participate significantly in clinical settings, working alongside esteemed faculty members in both the clinic and the operating room. They will gain invaluable experience in urodynamic testing, learn techniques for neuromodulation, botulinum injections, and carry out surgical repairs for common pelvic floor disorders. One month will also be dedicated to rotations on the Urogynecology service. This year is designed with ample protected time for the initiation of a required independent research project, alongside enrolling in a course focused on clinical trial design.1

Year Two Focus

The second year emphasizes advanced female pelvic medicine, tackling complex cases associated with incontinence, advanced pelvic prolapse, and rare disorders like vesico-vaginal fistula. The fellow also gains exposure to colorectal surgery and pelvic floor rehabilitation while continuing their research endeavors.1

Research Opportunities

Research is integral to the fellowship, with fellows encouraged to identify relevant questions in their first year, conduct IRB-approved studies, and eventually present their findings. The research experience is tailored to each fellow's interests, incorporating both basic science and clinical research methods. Prior projects have focused on neurology-related pelvic disorders, showcasing the program's versatility in research pursuits.1

Conferences and Collaborations

Fellow participation in regular conferences is essential, including weekly URPS meetings, journal clubs, and multidisciplinary meetings that enhance collaborative learning across specialties. These interactions provide exposure to various perspectives in the clinical management of pelvic floor disorders.1

Visa Support and Application Requirements

The program is committed to diversity and inclusion, willingly sponsoring visas for qualified international applicants, such as J-1 and H-1B visas, supporting fellows through the application process.1 The program is competitive, particularly favoring candidates who demonstrate a strong academic background and commitment to urology. Special application requirements may include limits on the year of graduation and specifics regarding standardized examination performance.1

Fellowship Competitiveness

According to the program’s requirements, candidates must exhibit substantial clinical experience, making it suitable for both DO and IMG candidates who meet set criteria. The significant program reputation and the structured training create an environment where fellows can thrive in both academic and clinical settings, positioning them strongly for future endeavors in urology.1

Conclusion and Living in Dallas

UT Southwestern is located in Dallas, a vibrant metropolitan area with diverse living options that cater to varying lifestyles. The medical center benefits from its strategic position within the DFW metroplex, ensuring access to extensive clinical resources and a wide patient demographic. Dallas offers a high standard of living with affordable options in contrast to many large U.S. cities. Residents can take advantage of cultural landmarks, dining, recreational opportunities, and major league sports events.1