10 months adult clinical, two months children clinical

Residents will spend 10 months at Mass General in both inpatient and outpatient care of the adult urology patient and will be responsible for the inpatient unit on the O’Neil, Kerr or Leadbetter service. Residents serve as the operating surgeon for most open and endourologic procedures. They are also responsible for oversight of junior residents when on call and participate in medical student education. Residents gain exposure to inpatient consultation and is mentored in this by faculty and senior residents. Residents access support facilities for the benefit of patients.

During the clinical rotation residents will obtain a progressive increase in cognitive and clinical skills in urologic patient care. By the end of the year, residents should have completely read one of the urologic textbooks. This is an integral part of the curriculum designed so that the entire domain of didactic urology is covered in a two-year time period. As a result, residents are exposed to each subject in urology at least twice during their training.

Residents will be supervised in inpatient care and will participate in the teaching of junior urology residents, interns and medical students. They will attain proficiency in cystoscopic, diagnostic and therapeutic techniques; be exposed to all aspects of urologic pathology and will show competence in urologic imaging modalities.

In addition, residents will be introduced to advanced endoscopy, including ureteroscopic and laparoscopic diagnostic and therapeutic methods. 

Residents are expected to achieve the following:

  • Continued improvement in decision-making
  • Exposure to complex major operations
  • Conduct scholarly activity combined with outpatient urology
  • Show continued progress in communication, attitudinal, professional and ethical standards
  • Be capable of appropriately obtaining informed consent for most urologic procedures
  • Evaluate methods of treatment through assessment of the literature
  • Use information technology to optimize learning
  • Set learning improvement goals with the help of the in-service examination.
  • Be able to work effectively in a system-based practice to place patients appropriately and provide for appropriate care and support services.
  • Be proficient in computer-based documentation of patient care for both in- and outpatients
  • Understand quality of care measures and provision of quality care in a cost-effective manner
  • Understand methods of assessing patient safety, quality of care and outcomes

By the end of this rotation, residents are expected to have achieved the following:

Patient Care

  • Function independently for inpatient and outpatient care, with attending oversight
  • Demonstrate proficiency in all aspects of diagnostic and endoscopic urology
  • Demonstrate proficiency in the various imaging  modalities used in urology
  • Obtain informed consent for all urologic procedures
  • Demonstrate proficiency in computer-based documentation of patient care for both in- and outpatients

Medical Knowledge

  • Demonstrate adequate knowledge-base on the in-service examination by attaining a score above the 80th percentile

Practice-based Learning and Improvement

  • Evaluate methods of treatment through assessment of the literature
  • Use information technology to optimize learning and set learning improvement goals with the help of the in-service examination
  • Understand quality of care measures and provision of quality care in a cost-effective manner
  • Understand methods of assessing patient safety, quality of care and outcomes

Professionalism

  • Demonstrate continued progress in communication, attitudinal, professional and ethical standards

Systems-based Practice

  • Utilize the healthcare systems and support to optimize both home care and inpatient care

Pediatric Rotation

Residents spend two months at the MassGeneral Hospital for Children gaining experience in the diagnosis and treatment of pediatric urologic patients, including inpatient care, emergency room consults and outpatient clinical activity. Trainees are exposed to most pediatric urologic procedures and are able to perform simple pediatric urological procedures. Conference attendance is an integral part of this rotation. 

By the end of the rotation, residents are expected to have achieved proficiency in the following:

Patient Care

  • Care for inpatient pediatric urology patients
  • Perform simple diagnostic and surgical therapeutic pediatric urology procedures

Medical Knowledge

  • Demonstrate knowledge of all aspects of pediatric imaging
  • Summarize and describe application of knowledge gained from reading at least one-half of the standard urologic textbook by the end of the PGY-2 year

Interpersonal and Communication Skills

  • Communicate effectively with parents and children of all ages across a broad range of socioeconomic and cultural backgrounds

Systems-based Practice

  • Demonstrate awareness and responsiveness to systems of care in the pediatric in- and outpatient setting and the use of hospital support facilities

Back to Top