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Our Advanced Practice Providers (APP)


Brian Adcock, RPA-C

Brian graduated as a Physician Assistant from Alderson-Broaddus University in 1984. He has maintained his national certification for physician assistants throughout his career. Brian has extensive experience in general surgery and urology having served in the Department of Surgery at Highland Hospital for 15 years. He has practiced in adult urology exclusively for the past 18 years. He is an experienced surgical assistant specializing in laparoscopic and robotic assisted laparoscopic surgery. His special interests within the field of urology are providing care for men with testosterone deficiency, erectile dysfunction and prostate cancer.

Bettina Broughton, RN, MS-ACNPC, RNFA

Bettina is a board-certified Acute Care Nurse Practitioner through the American Association of Critical Care Nurses (AACN). She received her Associates of Nursing Science from Monroe Community College in 2006, followed by her Bachelor of Nursing Science in 2008, master’s in nursing science in 2010, and Registered Nurse First Assistant in 2011, all from the University of Rochester, School of Nursing. She currently serves at the President of the Society of Urological Nurses and Associates’ (SUNA) local chapter and has co-authored multiple journal articles. Since her career start, Bettina has always practiced in urosurgical settings, and has been with the Center for Urology since 2014. She practices general urology and serves as an assistant to our physicians in the operating room, but offers specialty services related to penile injection therapy, pessary fittings, and testosterone replacement.

Brigette Smith, RPA-C

Brigette is a nationally certified and New York State registered physician assistant. She is a 2003 graduate from RIT's PA program. Brigette joined our practice in early 2008. Her focus is in adult urology. Originally from the finger lakes region she takes pride in serving her community.

Michelle P Cilento RPA-C

Michelle graduated from SUNY Fredonia in 1993 with a degree in Molecular Biology and went on to pursue her medical training in Physician Assistant at RIT completing in 1998. She was a surgical house officer at Unity hospital for many years as well as on staff at both Rochester General and Unity hospitals on the surgical PA team both in the inpatient and outpatient clinic settings but found her calling in urology specifically. She joined Center for Urology in 2011. She practices all aspects of general adult urology and believes spending time understanding each individual patient’s problems is key in order to provide their best targeted treatment. Her patient care philosophy is to treat every patient as she would want one of her family members to be treated.

Lindsay Short, FNP-BC

Lindsay attended St. John Fisher College where she earned a bachelor’s degree in Nursing. Following that she went on to receive a master’s degree in Advanced Practice Nursing at the University of Rochester. Lindsay is certified as a Family Nurse Practitioner by the American Nurses Credentialing Center. She has 10 years of experience as a Nurse Practitioner in urology. Her special interests include urodynamic studies and urinary incontinence.