Ep. 331 Transitioning an Independent Practice to an Academic Urology Program with Dr. Javier Castillo
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What is the main topic discussed in this episode?
This week.
On the back table podcast. But imagine if we can prevent someone with urinary retention, for example, prevent them going to the ER, having renal failure, UTIs, having a folie in place. You know, that that's not only beneficial for the patient, but for the uh like healthcare system. That's potentially billions of dollars saved in expenses and ear visits, folies. antibiotics. So it's a it's a pretty ex uh exciting uh world integrating AI with urology. It's pretty interesting. So that's something that we took to the AUA and uh we're pretty proud about it.
Hello everyone and welcome back to Backtable Urology, your source for all things urology. You can find all episodes on Apple, Spotify, YouTube, and on Backtable.com. Uh, this is Jose Oche Silva's your host this week, and today we have a spare special guest, Dr. Javier Castillo, was my co resident back in the days. It's been what 12 years now. So we finished Residency twelve, uh twenty fourteen. Back in Puerto Rico, Javier went to his hometown of Ponce, where he has a very successful practice. And in the past couple of years, he started a residency program along with other UROs in the area. And we'll go into that, but today we're gonna talk about multiple things. Essentially, what professional growth looks like 10 to 15 years into practice, how it
Experienced surgeons continue to evolve and integrate a residency into an established urology practice. So Javi, nice.
To have you here. Thanks for the invite. I can't believe it's been more than ten years already since we were in the trenches together, you know? And those residency days where no no no no one really respected the ACGME duty hours or anything like that. So things have changed.
So so yeah yeah, definitely we'll we'll go into that. Briefly, I mean, can you talk about your early days of in practice? How did the early early years look like?
Yeah, so when we uh finished up our residency, I went directly into uh general practice, general urology practice. So I was just ready to to go into the field. So I went in directly into private practice here in my hometown of Ponce, which is uh a city in the uh south side of Puerto Rico. There were uh not m not many urologists there, about five or six urologists when I started out. So th there was a big uh very big need for for urology. I just established uh a community practice. about ten years ago and uh It was difficult at the at the beginning because you're you're used to residency, you're used to uh not having to deal with the business side of things. It's a very humbling experience when when you have to uh deal with payers, not not only with complications, but with insurance companies and and suddenly you have to deal with employees and human resources, hospital administration.
So it's a very humbling experience, but it's one of of explosive growth. More more than, you know, y you have your surrogate experience and you wanna implement that quickly. But you have to deal with all these other things as well. So y it's a lot of patience, it's a humbling experience, but it's it's uh it's been an awesome ride. So I mean definitely you have a very subscribed
Successful practice. You're very busy down there in Ponce. And then suddenly what happened? I mean, who had the idea? Let's do an academic program. I know that there was a need, but definitely trying to incorporate an academic center into an already busy practice.
What motivated Dr. Castillo to launch a urology residency program in a private practice?
How how was that process?
Yeah. So the the brainchild behind that, you know, I have to give credit to Dr. Ruiz Deya. He was the uh the brainchild behind that. We started out so there's a little bit of a backstory there. So when I got to Ponce, my dad was a logist. He he passed away before I started. So there was kind of a a base there. So I had to kind of like restart the engines on on the practice. You know, he had passed away about well about one year ago uh prior To us graduating. So I had to open the doors to the practice, wipe the dust off the uh stethoscopes, and and get the uh get everything going. So eventually, uh about two to three years after starting our private practice, we started uh a group practice.
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Chapters
8 chapters
1
What is the main topic discussed in this episode?
0:05–4:02
2
What motivated Dr. Castillo to launch a urology residency program in a private practice?
4:02–7:30
3
How does Dr. Castillo balance teaching in the OR with maintaining surgical efficiency?
7:30–13:22
4
What strategies are used to integrate residents into clinic and hospital workflows?
13:22–15:56
5
How does the practice decide between different BPH treatment options for each patient?
15:56–25:19
6
What steps were taken to build a research culture and launch AI‑driven uroflow projects?
25:19–33:29
7
How does the AI uroflow monitoring project improve patient follow‑up and outcomes?
33:29–48:28
8
What shared‑decision‑making process is used for BPH case work‑up and patient goals?
48:28–1:04:23
Speakers
1 identifiedMore from BackTable Urology
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