Residents and fellows of the Emory Department of Urology benefit from exposure to the vast and diverse patient populations distributed among the following clinical sites. Our clinical programs are presided over by eminent faculty, propelled by progressive treatment technologies, and are often high volume referral services ranked in the upper tiers of their particular specialties.
An adult, tertiary/quaternary care facility, Emory University Hospital (EUH) has 751 licensed beds. Staffed by 1,516 Emory School of Medicine faculty physicians, EUH includes 120 ICU beds and a Serious Communicable Diseases Unit where ongoing research, training, and preparedness for challenging infectious diseases continues since the first Ebola patients in the U.S. were treated there in 2014. Patients in fiscal year 2018: 24,138 inpatient admissions and 200,457 outpatient service visits.
EUH is long known for services in transplantation, cardiology, cardiac surgery, oncology, neurology/neurosurgery, and orthopaedics. EUH is a "Magnet" hospital, a designation earned by only 6% of U.S. hospitals for nursing excellence from the American Nurses Credentialing Center. EUH has one of the highest case-mix indexes (a measure of complexity of illness treated) of any hospital in the country.
For the eighth year in a row, U.S. News & World Report ranked EUH the No. 1 hospital in Georgia and metro Atlanta in its 2019-2020 Best Hospitals Guide.
An acute care facility in the north metro area, Emory Saint Josephs Hospital (ESJH) has 410 beds. It has 522 Emory medical faculty physicians, 476 private practice physicians, 226 Kaiser Permanente physicians, and 15 Emory Specialty Associate physicians. Noted especially for cardiac care, ESJH provides training to physicians from around the world in robotic surgery for valve repair and is a primary location for cardiac rehabilitation. The hospital is noted also for cancer, neurologic, vascular, gastrointestinal, respiratory, and orthopaedic care and is ranked among the top 25 hospitals nationally for joint replacement by the Centers for Medicare and Medicaid Services.
ESJH has 66 ICU beds and is a "Magnet" hospital, recognized for its nursing excellence by the American Nurses Credentialing Center. Patients in 2018: 14,657 admissions and 123,524 outpatient service visits. Community services include free health screenings and in-kind donations to local organizations supporting the homeless and indigent.
ESJH was the first hospital in Georgia to acquire daVinci robots. Robotic urology procedures routinely performed at the hospital include prostatectomy, partial nephrectomy, pyeloplasty, ureteral reimplantation, nephrouretectomy, robot-assisted laparoscopic retroperitoneal lymph node dissection, and retroperitoneal mass excisions.
The prostate cancer program of Winship Cancer Institute is also located at ESJH, and offers such treatments as robotic surgery, low does rate (LDR) and high dose rate (HDR) brachytherapy, external beam therapy, and chemotherapy infusion.
U.S. News & World Report ranked ESJH the No. 2 hospital in Georgia and metro Atlanta in its 2019-2020 Best Hospitals Guide.
A tertiary care facility, Emory University Hospital Midtown has 529 licensed beds, 86 ICU beds, and a level III neonatal ICU with 48 beds. EUH Midtown is staffed by 1,428 Emory medical faculty, 388 private practice physicians, and 269 Kaiser Permanente physicians. Patients in fiscal year 2018: 22,750 admissions (including 4,623 deliveries) and 273,790 outpatient service visits.
EUH Midtown has a high case-mix index and is well known for services in cardiology, cardiac surgery, gastroenterology, neurosurgery, cancer, orthopaedics, and emergency medicine. Women's services include prenatal and postnatal education, bone density testing, mammography, and obstetrics, with specialization in high-risk pregnancy.
Adam Lorentz, MD, leads the urology service at EUH Midtwon.
Part of Grady Health System and among the largest public hospitals in the Southeast, Grady Memorial Hospital has 640 licensed beds and an annual service volume of 30,929 admissions and 639,169 outpatient services. Grady is staffed by 774 Emory medical faculty, who supervise 368 Emory residents and fellows. Together, these Emory physicians provide about 80% of care at Grady, with the other 20% provided by Morehouse School of Medicine and Grady-employed physicians.
The hospital has a regional perinatal center for high-risk mothers and babies, a neonatal intensive care unit, a diabetes center, a teen center, the Georgia Poison Center, a rape crisis center, a regional American Burn Association-accredited burn center, a sickle cell center, a comprehensive treatment program for HIV/AIDS, a premier Level I trauma center and surgical intensive care unit, a stroke and neuroiscience center, and the Georgia Cancer Center for Excellence.
Emory Urology residents often serve as primary physicians for inpatients and outpatients at Grady, using diagnostic and therapeutic protocols established by the department, and work in consultation and with supervision by members of the faculty. Open and laparoscopic surgery, endoscopic and percutaneous surgery, radical pelvic surgery, trauma surgery, and urethral reconstruction are often performed. Residents have much autonomy at Grady, learn to manage resources creatively, and deal with broad social issues that affect the surgery patient.
Located near the main Emory campus, the Atlanta VA Medical Center (VAMC) is a category 1A, Joint Commission-designated tertiary care facility that provides an array of comprehensive medical, surgical, and geriatric specialty services, as well as state-of-the-art diagnostic testing. The facility is staffed by 328 Emory physicians providing the majority of patient care. The hospital has 466 hospital beds, including 273 medical/surgical beds, 120 community living center beds, a 61-bed domiciliary, and 12 psychosocial residential rehabilitation beds. Annual patient totals: 8,361 admissions and 1,949,505 outpatient service visits.
Muta Issa, MD, is the chief of urology at the Atlanta VAMC, and a professor of the Emory Department of Urology.
The urology resident experience at the Atlanta VAMC encompasses endoscopic and open OR cases, inpatient and ER consults, outpatient consults, return patient evaluations, urodynamics evaluations, working in the SICU, and instruction in the various aspects of conducting research. The urology section at the hospital has state-of-the-art digital Integrated Endourology Suites (IES), which allow for remote monitoring and supervision of residents. Having access to this advanced technology enhances resident training in complex endourological procedures without compromising patient safety and outcomes.
Emory and Children's Healthcare of Atlanta (CHOA) are partners in patient care, research, and education in the Emory + Children's Pediatric Institute. CHOA's hospital system offers many services, including an emergency department and cardiac and transplant centers. Emory urology residents do pediatric urology rotations at two of CHOA's campuses: CHOA at Egleston and CHOA at Scottish Rite.
CHOA at Egleston is located on the Emory campus, and is the largest and most comprehensive pediatric hospital in Georgia. Annual patient totals: 11,657 admissions and 333,158 outpatient service visits. The hospital is staffed by 302 Emory faculty physicians, with Emory clinicians providing 95% of care.
CHOA at Scottish rite is located in North Atlanta. Annual patient totals: 14,317 admissions and 384,899 outpatient service visits. All Emory pediatric physician faculty have admitting privileges there.