Goals and Objectives
The urology program is designed to provide an educational experience in the prevention of urologic disease, the diagnosis and medical and surgical treatment of urologic abnormalities, reconstruction in neoplastic disease, and correction of deformities and injuries. The clinical experience provides exposure to all genitourinary diseases and conditions encountered in urologic practice. The actual hands-on experience is completely supervised and supplemented by an extensive didactic program that involves conferences that supplement clinical care, provide basic science exposure, and provide a comprehensive understanding of urologic disease processes. Resident clinical education and didactic education is further supplemented by surgical skills labs where repetitive processes can be practiced effectively. Attention is directed at incorporating patient care education, medical knowledge, practice based learning and improvement of personal communication skills, professionalism, and system-based practices into a combined curriculum. Weekly didactic sessions run 5 hours with mandatory attendance by residents and faculty.
The experience provided to residents in our program combine inpatient and ambulatory care at all facilities and is based on a graded system where a junior resident begins to learn basic endoscopic procedures such as cystoscopy, urethroscopy, uncomplicated urethroscopy and complicated minor and major surgery with gradation of experiences to the level of chief resident. One of the added benefits to our residents is the opportunity to follow patients throughout their residency. We have added supervised resident clinics starting in the first year of urology and allow the residents to develop a panel of patients they follow through their entire residency program. Residents follow patients from their initial evaluation through treatment and follow up with results over a four year period, which allows the residents to have an experience closer to what they will experience when they are in practice. This exposure allows them to understand which treatments work and which ones do not work well for their patients. They also have the opportunity to develop relationships with their patients, more closely mimicking what their practice will be like in the future. This is done in the framework of complete supervision.
We have developed a system whereby the residents rotate with faculty, but their clinic runs simultaneously with the faculty clinic. Again, this provides gradation of observation and treatment as junior residents are assigned fewer patients and as residents progress through the training program, they can see more patients in their clinic time and are allowed a greater autonomy as time goes on with their patient management. We have reevaluated the year specific requirements for our residents and have outlined them under the categories of the competencies.