Two months senior pediatrics, six months research and four months senior clinical

Residents will be exposed to all domains of pediatric urology at a senior level and will achieve proficiency of non-complex pediatric urologic procedures. Trainees will be involved in interdisciplinary uro-oncology. Residents will become proficient in endoscopic, percutaneous, laparoscopic and minimally invasive surgical procedures. At this time residents also function as the surgeon on complex, open and laparoscopic surgery. 

The resident will be able to demonstrate the following:

  • Independent decision-making for patient care with attending oversight
  • Cognitive and clinical skills at an advanced level in urologic patient care
  • A mastery of the communication skills, attitudinal and professional skills necessary to achieve the highest quality of patient care
  • Demonstrate the highest ethical standards
  • Be sensitive to cultural differences and patient diversity
  • Be capable of obtaining informed consent for all procedures
  • Possess excellent rapport with patients and their families
  • Be able to manage patients in the outpatient, inpatient and post discharge settings
  • Demonstrate the ability to place and provide for support of patients following their hospital stay.
  • Be able to work with support services and social services in the outpatient setting to provide proper care
  • Demonstrate proficiency in practice-based learning by using the literature to evaluate and improve outcomes. 
  • Display an ability to identify areas needing improvement in his/her learning and effective methods of addressing them

Pediatrics Rotation

Residents spend two months as the senior resident at MassGeneral Hospital for Children performing both inpatient and outpatient care to gain advanced skills on the floor and in the operating room. Residents also mentor junior residents rotating through this service.

By the end of the two-month rotation in pediatrics, residents are expected to have achieved the following:

Patient Care

  • Participate in all aspects of pediatric urology
  • Demonstrate proficiency in pediatric imaging modalities
  • Perform simple pediatric urologic procedures independently
  • Manage patients with continuity of care through preoperative and postoperative clinics and inpatient services
  • Place and provide support for patients following their hospital stays

Medical Knowledge

  • Demonstrate mastery of the entire section on pediatric urology in the standard textbook

Practice-based Learning and Improvement

  • Use the literature to evaluate and improve outcomes
  • Identify areas needing improvement in his/her learning and effective methods of addressing them

Interpersonal and Communication Skills

  • Demonstrate a mastery of communication skills with patients, parents, families and other professionals
  • Explain procedures and obtain informed consent effectively for all procedures

Professionalism

  • Demonstrate a mastery of attitudinal and professional skills
  • Adhere to the highest ethical standards
  • Act with sensitivity to cultural differences and patient diversity

Systems-based Practice

  • Work with support services and social services in the outpatient setting to provide proper care

Senior Urology Resident Rotation with Female Pelvic Medicine and Reconstruction Surgery (FPMRS) Faculty

During the PGY-4 year, urology residents will advance their knowledge of female pelvic medicine with the Female Pelvic Medicine and Reconstructive Surgery (FPMRS) faculty from the Department of Obstetrics & Gynecology. The field of FPMRS is rapidly growing, and joint training opportunities between Urology and OB/GYN subspecialties are available. Residents benefit from more exposure to the study of anterior pelvic female reconstruction, since many female patients present to urologists with lower urinary tract symptoms that require evaluation and repair. Nationwide, many FPMRS programs are jointly managed between Urology and Ob/Gyn subspecialties with great success. Participation of both sub-specialties significantly enhances the educational opportunities for trainees.

This four-month rotation includes the following:

  1. Clinic exposure – twice per month in the Mass General FPMRS Clinic, Supervised by rotating “service” attending (Drs. Wakamatsu, Weinstein, Von Bargen)
  2. Operating room – twice per month at Newton-Wellesley Hospital, supervised by Dr. Wakamatsu and Dr. Weinstein

Urology residents will learn how to identify and diagnose female pelvic disorders with particular emphasis on how the disorders affect the lower urinary tract symptoms in the female patient population. Through the education and exposure gained in the clinic setting, urology residents will distinguish between surgically and medically correctable entities. In the operating room, urology residents will learn the surgical techniques that anatomically correct female pelvic disorders.

The remaining part of this rotation addresses any deficiencies in the case log, including options for radiation oncology, the multidisciplinary oncology clinic, and observation of interventional radiology procedures. Trainees also participate in the urodynamics laboratory and the infertility clinic. Scholarly activity and outpatient medicine continues, along with exposure to major operative procedures. Residents participate in the on-call schedule and learn inpatient consultation skills.

By the end of the four-month rotation, residents are expected to be proficient in the following:

Patient Care
  • Manage all inpatients
  • Provide inpatient consultations for most urologic problems

Medical Knowledge

  • Apply knowledge in infertility and urodynamics to patient care

Interpersonal and Communication Skills

  • Communicate effectively with patients, peers and families
  • Explain procedures and obtain informed consent effectively for all procedures

Practice-based Learning and Improvement

  • Use the literature to evaluate and improve outcomes
  • Identify areas needing improvement in his/her learning and effective methods of addressing them

Professionalism

  • Demonstrate a mastery of attitudinal and professional skills
  • Adhere to the highest ethical standards
  • Act with sensitivity to cultural differences and patient diversity

Systems-based Practice

  • Work effectively in interdisciplinary uro-oncology
  • Work with support services and social services in the outpatient setting to provide proper care

The other six months are spent in scholarly activity and outpatient urology. During this time an experienced investigator mentors residents. The trainees meet with the Research Director at least monthly to determine progress and address any existing problems related to research. Residents continue to see patients in the outpatient clinic during this time and operate on minor index cases where they need to build volume.

By the end of this rotation, residents are expected to be proficient in the following:

Patient Care

  • Demonstrate advanced skills in outpatient urology
  • Complete an adequate surgical log in all minor index cases

Medical Knowledge

  • Demonstrate knowledge of fundamental statistical methods
  • Demonstrate knowledge of how to design an experiment/clinical study
  • Demonstrate knowledge of how to critically analyze data
  • Produce a scholarly paper for peer review or presentation

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