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Educational Goals The educational experience of the urology resident provides a foundation of basic clinical skills, scientific knowledge, and attitudes necessary for the development of competence as a practicing urologist. The appropriate clinical skills are emphasized by discussions of methodology and closely supervised on-the-job training intended to establish an attitude of confidence and a continuing life-long desire for learning. The facilities to develop these objectives are abundant and state-of-the-art. The urology service had 2,871 hospital admissions and approximately 24,000 outpatient visits in 2002 providing exposure to the complete spectrum of urologic disorders in adult and pediatric patients. In the course of their training, our urology residents perform over 3,000 surgical procedures representative of the principals of all types of urologic surgery. This large clinical volume places our program over the 90th percentile nationally for major adult and pediatric urology cases. The formal urology residency commences at the PGY-2 (Uro-1) level and is completed as a PGY-5 (Uro-4) chief resident. Specific educational goals include: Uro-1 - Become familiar with common urologic operative procedures and postoperative management of urologic patients.
- Develop competency with office-based diagnosis and treatment of common urologic conditions. This includes familiarity with urinalysis, urologic ultrasound/prostate biopsy, (TRUS Bx) cystoscopy, and urodynamics.
- Master urologic diagnostic procedures including cystoscopy, ureteroscopy, retrograde pyelography, and stent placement.
- Develop a basic knowledge of the pathophysiology and diagnosis of urologic disease states.
- Become competent in the management of common outpatient urologic problems and urologic emergencies.
- Develop competency in basic urologic surgical procedures such as scrotal and testicular surgery as well as the endoscopic management of urologic disease including ureteroscopic treatment of stone disease.
Uro-2 - Develop competency in the evaluation and management of common pediatric urologic conditions and familiar with common pediatric urologic procedures and postoperative care of pediatric patients.
- Develop additional competency in the endoscopic management of urologic disease including TURP.
- Demonstrate competency in ESWL and metabolic stone evaluation.
- Develop additional competency in open surgical procedures, demonstrating an ability to adapt basic surgical skills to a variety of urologic procedures with sound intraoperative decision making.
Uro-3 - Demonstrate a mastery of routine adult and pediatric urologic diagnosis and treatment.
- Demonstrate a high level of competency in open and endoscopic surgery.
- Develop the independent medical and surgical judgment necessary to enter the chief residency year.
- Develop diagnostic and management expertise in the subspecialty areas of urologic oncology, neurourology/female urology, and demonstrate competency in the evaluation and treatment of male infertility.
Uro-4 (Chief Residency) - Demonstrate competency in complex urologic operative procedures such as radical cancer surgery, reconstructive urology, and laparoscopy.
- Demonstrate the leadership ability, management skills, and interpersonal skills to independently operate a busy urologic practice.
- Function as an effective teacher to more junior residents.
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