Instructional Course - Requires Course Pass, Additional Registration Required

Instructional Course

060IC - Optimizing the Team Approach to Kidney Stone Clinic: The Urologist & Advanced Practice Provider (APP)

Monday, May 21
7:30 AM - 9:30 AM
Location: MCC WEST, 2010

This course will focus on optimizing care for the kidney stone patient provided collaboratively by advanced practice providers and urologists. The content aims are to provide evidence based care pathways for patients with ureteral and renal stones incorporating awareness of the AUA guidelines for the medical and surgical management of kidney stone disease. Relevant topics within these care pathways will be explored using case based presentations including utilization of medical expulsive therapy, criteria for a trial of stone passage, indications for urgent surgical intervention, and shared decision making regarding treatment options. The course will provide instruction in basic interpretation of common diagnostic imaging and 24 hour urine studies. In addition, we will discuss practice management strategies to integrate advanced practice providers into urology practice including novel initiatives such as telemedicine.

Learning Objectives:

Nicole L. Miller

Associate Professor of Urologic Surgery
Vanderbilt University Medical Center

Dr. Nicole Miller is an Associate Professor of Urologic Surgery at Vanderbilt University School of Medicine in Nashville, TN. She joined the department in 2007. She completed her M.D. degree at the University of Pittsburgh School of Medicine in 2000, and received her urology residency training at the University of Virginia. Dr. Miller went on to complete a 2 year fellowship in Endourology and Minimally Invasive Surgery at the Indiana University School of Medicine under the mentorship of Dr. James E. Lingeman. She specializes in the medical and surgical treatment of kidney stone disease as well as laser surgery for BPH. Dr. Miller’s research interests include the changing composition of renal calculi, the pathophysiology and etiologies of nephrolithiasis and BPH, and antibiotic selection for kidney stone treatment. She has been the major contributor of transition zone prostate tissues from men undergoing surgery for refractory BPH/LUTS as part of Vanderbilt University’s Biorepository in the Center for Benign Urologic Diseases (CBUD) and has co-authored work on this developing resource. She has served as course faculty member and moderator both nationally and internationally for the American Urological Association and Endourological Society in the area of surgical treatment of BPH and nephrolithiasis. Dr. Miller is an Editorial Board Member for the Journal of Urology, and Co-director of the Minimally Invasive Surgery and Endourology Fellowship at Vanderbilt University Medical Center. She was also a member of the recent AUA guidelines panel for the Surgical Management of Nephrolithiasis and is currently serving on the AUA Education Council.


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Amy E. Krambeck

Indiana University/ IU Health Physicians

Dr. Amy Krambeck is Michael O. Koch Professor of Urology at Indiana University School of Medicine in Indianapolis, Indiana. Her Urology residency was completed at the Mayo Clinic in Rochester, Minnesota in 2008. Subsequently, from 2008 to 2009 she participated in an Endourology fellowship at the Methodist Institute for Kidney Stone Research in Indianapolis, Indiana. From 2009 to 2016 she worked as an Endourologist in the Mayo Clinic Department of Urology and recently joined the staff at IU Health Physicians in July of 2016. Dr. Krambeck specializes in the surgical and medical treatment of stone disease and benign prostatic hyperplasia. Her research interests include the pathogenesis of stone disease and the treatment of urolithiasis during pregnancy.


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Christy B. Krieg

Ms. Christy B. Krieg, MSN, CUNP, has been actively employed in urology for nineteen years, currently at Indiana University Health in Indianapolis. She completed her Master’s Degree in family practice nursing in 2007 and began working as an NP in urology that year. In 2008, she completed the requirements to become a Certified Urologic Nurse Practitioner. She functions independently in her practice, seeing both new and established patients with a variety of conditions, though she has always loved managing stone disease. She is thankful to collaborate with an incredibly skilled and dedicated group of physician and advanced practice colleagues.
Previous lecture experience includes conference faculty for the Coalition of Advanced Practice Nurses of Indiana (CAPNI) and many years speaking about stone disease, BPH and obstructive uropathies at the national conference of the Society of Urologic Nurses and Associates (SUNA), where she also served as director of an eight hour general urology review course for four years.
She authored “The Role of Diet in the Prevention of Common Kidney Stones”, published in Urologic Nursing in 2005, plus the chapter “Urologic Signs and Symptoms” in the SUNA Core Curriculum of Urologic Nursing (2016); she also has a case study in peer review for Urologic Nursing.
As of this year, she will serve on three national and state boards: the Certifying Board of Urology Nurses and Associates (CBUNA), the AUA’s Advanced Practice Provider Education Committee, and the Indiana Urologic Association.
She is honored to have been invited by Dr. Nicole Miller to speak in this course, along with one of her collaborating physicians from Indiana University Health, Dr. Amy Krambeck.


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060IC - Optimizing the Team Approach to Kidney Stone Clinic: The Urologist & Advanced Practice Provider (APP)


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