Kerr Service

The first four months of this year are spent as Chief Resident on the Kerr Service, overseeing the care of patients and supervising the junior residents and serving as the administrative resident.  During this time trainees are the operating surgeons for most procedures, developing advanced skills in open, endoscopic and female urologic surgery.

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

Patient Care

  • Demonstrate proficiency in open and endourologic surgery
  • Provide inpatient and outpatient care

Medical Knowledge

  • Demonstrate knowledge in post- and pre-operative management of patients

Practice-based Learning and Improvement

  • Demonstrate an ability to assess patient outcomes

Systems-based Practice

  • Demonstrate leadership skills that allow them to direct the appropriate care of patients

Communication and Interpersonal Skills

  • Serves as the administrative resident to coordinate the resident call schedule

 Professionalism

  • Continued demonstration of the highest ethical standards


O’Neil Service


The next four months of this year are spent as Chief Resident on the O’Neil Service, where they supervise the junior residents.  During this time trainees are the operating surgeon for most endourologic and endoscopic procedures, developing advanced skills in open and laparoscopic surgery. Trainees also function as the administrative resident, coordinating conferences and the daily assignment of residents to operative cases.

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

Patient Care

  • Demonstrate proficiency in endourologic and endoscopic urology
  • Perform many laparoscopic and open procedures

Medical Knowledge

  • Demonstrate complete knowledge of didactic urology and imaging

Practice-based Learning and Improvement

  • Demonstrate an understanding of quality of care issues and cost-effective care

Systems-based Practice

  • Demonstrate a basic level of leadership and administrative skill

Communication and Interpersonal Skills

  • Serves as the administrative resident, effectively organizing conferences and call schedules (Kerr Chief and O’Neil Chief)

Leadbetter Service

During the last four months, residents serve as the chief resident of the Leadbetter Service. As the operating surgeon on open and advanced laparoscopic surgery, trainees provide senior consultation for inpatients on the Leadbetter Service. Trainees participate in the educational process of grand rounds and in the education of junior residents and medical students. Residents also review surgical cases booked from the resident clinic to ensure that the correct information has been gathered and the procedure is appropriate. 

Residents will demonstrate the following:

  • A complete knowledge of didactic urology
  • An understanding of different health care systems and how they apply to various patients
  • Administrative and leadership skills
  • Exceptional communication, attitudinal and professional standards as well as ethical standards
  • Be able to manage patients effectively in the system of health care
  • Demonstrate excellence of teaching
  • Present his/her scholarly activity at peer reviewed forums
  • Understand quality of care issues and administration of this care in a cost-effective manner.
  • Knowledge about patient safety issues and ability to conduct a safe practice
  • Ability to assess and understand assessment methods of evaluating patient care activities, his/her learning and patient outcomes

By the end of the Chief Resident year, residents are expected to be proficient in the following:

Patient Care

  • Demonstrate proficiency in open and laparoscopic surgery
  • Provide effective and timely consultation for all urologic diseases
  • Provide inpatient and outpatient care and support
  • Demonstrate proficiency in use of diagnostic and urologic imaging modalities

Medical Knowledge

  • Demonstrate a comprehensive medical knowledge base in urology

Practice-based Learning and Improvement

  • Understand quality of care metrics and how to assess and enhance them
  • Demonstrate knowledge of methods of assessing patient care and safety issues
  • Demonstrate acceptable skills in educating patients, families, students, residents and other health professionals

Interpersonal and Communication Skills

  • Demonstrate exceptional interpersonal and communications skills

Professionalism

  • Demonstrate compassion, integrity, and respect for others

Systems-based Practice

  • Manage patients in the health care system, calling on other resources as needed to provide optimal health care
  • Demonstrate leadership and administration skills at the level of a beginning urologist
  • Provide high quality of care in a cost-effective manner

Assessment and Evaluation

Proficiency in the 6 ACGME competencies will be assessed and evaluated by the following means:

  • Patient Care: Throughout the residency there is a graded responsibility for patient care culminating in overall oversight for in- and outpatient care with attending supervision.  Compassionate, appropriate and effective care is assessed during quarterly faculty reviews (written reports), faculty meetings, mortality and morbidity conferences, 360º evaluation (to include nurses, secretaries, social workers) and family comments (patient satisfaction)
  • Medical Knowledge: The full base of urologic knowledge and its applications to patient care is evaluated by in-service exams, conference performance, and global, competency-based evaluations by faculty
  • Practice-based Learning and Improvement: Gained from quality of care activities, along with interactive and active assessment by the chief practice nurse of patient care.  Residents will also have the opportunity to study outcomes for new procedures.  Laparoscopic skills are initially gained in the Lap Skills Lab. These aspects are assessed by mortality and morbidity conference and 360º evaluations.  Literature reviews help define areas for additional improvement
  • Interpersonal and Communication Skills: Assessed by faculty written evaluations and 360º evaluations
  • Professionalism: Continually assessed by patient surveys, faculty global evaluations, and 360º evaluations
  • System-based Practice: Involves using the systems for patient scheduling, documentation and patient-related social placement services, among others. Reports are generated for the Chief of Service, and individual resident performance noted. Faculty global assessments and 360º evaluations are also conducted.

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