Residents spend several months during each year of training at MedStar Washington Hospital Center. MWHC is a 915-bed level-1 trauma center, located 4 miles east of GUH in the vast medical complex along with the DC VA, Children’s National Medical Center and the National Rehabilitation Center.
MWHC offers residents unique exposure to complex open surgery and urologic trauma and reconstruction, with some of the highest volumes of robotic prostatectomy and urethroplasty in the area. Because of its partnership with Kaiser Urology and several private practice urologists, residents are exposed to a high volume of cases and a variety of surgical approaches.
The rotation at MWHC provides a high degree of autonomy at all levels of training, including a resident clinic headed by the chief resident.
Residents spend 6 months rotating at CNMC, one of the most respected children’s hospitals in the country. CNMC has a distinguished pediatric urology team of 9 faculty who sub-specialize in a variety of disciplines, from nephrolithiasis to spina bifida and complex reconstruction.
The CNMC rotation is rooted in academic pursuit. Residents partake in weekly didactics as well as weekly multi-disciplinary radiology rounds. They also have an opportunity to become involved in a variety of research endeavors, ranging from clinical trials to large database-oriented projects.
The 4-month NIH rotation gives residents a truly unique opportunity to partake in the care of some of the most rare and complex pathologies in urologic oncology. Utilizing the most innovative and advanced surgical techniques, residents work with the NIH urology team to treat hereditary kidney cancer, prostate cancer, and advanced bladder cancer patients.
In addition to learning advanced surgical skills (such as multi-tumor robotic and open partial nephrectomies), residents become very proficient in MRI-fusion prostate biopsy techniques and are exposed to focal therapy for prostate cancer, robotic cystectomies for advanced bladder cancer, and other innovative cancer treatment modalities. The rotation offers endless opportunities for becoming involved in cutting-edge research.
Shady Grove Fertility is one of the nation’s leading and busiest fertility centers. Residents spend one month on this rotation working with two fellowship-trained reproductive urologists to gain exposure to the complete clinical evaluation and medical and surgical treatment of male factor infertility. In addition to seeing new, follow-up, and post-operative patients in the outpatient clinic, residents will learn fertility-oriented procedures in the operating room, including microsurgical varicocelectomy, microsurgical reproductive tract reconstruction (vasovasostomy, vasoepididymostomy), various surgical sperm extraction techniques (percutaneous, surgical, and microsurgical), as well as vasectomy. Clinical research opportunities exist for those residents who are interested in further exploration of the subspecialty.
Residents spent 4 months of their junior and chief years rotating at the DC VA. The VA rotation offers a tremendous amount of autonomy to the residents both in their junior and chief year. The autonomy extends beyond the operating room to the busy VA clinic, and weekly procedure days for prostate biopsy and cystoscopy.
Residents on this rotation are expected to take ownership over their patients’ care from clinic, surgical planning, operation, post-operative care, and follow-up. In this way, the VA rotation helps train independent decision-making and autonomy—a vital skill set for every resident.