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Curriculum

Since July 2019 our urology residency has been a 5 year categorical program. During the PGY-1 year, urology interns will spend 6 months on the urology service. The remaining 6 months are spent developing important skills on general surgery services such as colorectal surgery, surgical ICU, and trauma.

Urology Residency: Goals and Objectives

PGY-1

Urology Rotations (6 months):

  • MedStar Georgetown University Hospital
  • MedStar Washington Hospital Center

Rotation Goals:

  • To learn the clinical management of urologic patients and to perform level-appropriate urologic procedures.

MedStar Georgetown University Hospital

The first year resident learns basic management of urologic patients across all urologic disciplines. This rotation also offers a unique opportunity for the resident to partake in an intensive endourology experience with regular exposure to a variety of cases. There is also early exposure to robotics, urodynamics, reconstruction, and minor open surgical procedures.

MedStar Washington Hospital Center

This rotation offers the resident exposure to a variety of complex pathologies. MedStar Washington Hospital Center is a 915-bed hospital with a busy ER that has over 85,000 visits a year. As such, the level-1 trauma bay ensures exposure to diverse presentations of blunt and penetrating urologic trauma. This rotation gives the resident an opportunity to establish independence both in the operating room and on the hospital floor.

General Surgery Rotations (6 months):

  •  First year residents will spend 6 months on general surgery services including trauma, plastic surgery, colorectal surgery, and SICU.

 

PGY-2

Rotations (4 months each):

  • MedStar Georgetown University Hospital
  • MedStar Washington Hospital Center
  • Veterans Affairs Medical Center

Rotation Goals:

  • To learn the clinical management of urologic patients.
  • To learn the perform urologic procedures.

MedStar Georgetown University Hospital

The second year resident learns basic management of urologic patients across all urologic disciplines. The resident has a unique opportunity to partake in an intensive endourology experience  as well as gain exposure to robotics, urodynamics, reconstruction, and open surgical procedures. The resident also participates in clinic to learn outpatient decisions making. The PGY-2 residents is also responsible for the consult service. 

MedStar Washington Hospital Center

As the resident responsible for the consult service, this rotation offers the resident exposure to a variety of complex pathologies. MedStar Washington is a level-1 trauma center with 915-beds and a busy ER that has over 85,000 visits per year. The resident also manages the cystoscopy suite, gaining regular exposure to TURBTs, TURPs, and ureteroscopy. This rotation gives the resident an opportunity to establish independence both in the operating room and on the hospital floor. 

Veterans Affairs Medical Center, Washington, D.C.

The PGY-2 works alongside the chief at the VA. The resident runs weekly cystoscopy and prostate biopsy clinics and becomes skilled in performing these procedures. Additionally, they assist in all major cases and manage the consult service.

 

PGY-3

Rotations:

  • Children’s National Medical Center
  • Shady Grove Fertility
  • MedStar Georgetown University Hospital
  • MedStar Washington Hospital Center 
  • Elective (choice of General and Interventional Radiology, Infertility, or Urology clinic)

Rotation Goal:

  • To obtain exposure to urologic subspecialty areas early in residency. The urology resident rotations include exposure to all urologic subspecialties including pediatrics, reconstruction, infertility, stone disease, and oncology.
  • To establish residents’ comfort with level-appropriate urologic procedures.
  • To achieve a better understanding of radiology modalities and interventional radiology procedures.

Children’s National Medical Center

To gain early exposure to pediatrics, residents spend two months rotating at CNMC, one of the most respected children’s hospitals in the country. CNMC has a distinguished pediatric urology team who sub-specialize in a variety of disciplines including nephrolithiasis, spina bifida and complex reconstruction. There is also the unique opportunity to work alongside residents from George Washington University and Walter Reed. The CNMC rotation is rooted in academic pursuit. Residents partake in weekly didactics as well as a 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 population-based projects.

Shady Grove Fertility

Residents rotate at one of the nation’s top infertility centers. Residents learn the workup, diagnosis and management of male factor infertility. Residents learn how to perform a variety of andrology and microsurgical procedures such as vasectomy, testicular biopsy, varicocelectomy, and vasovasostomy.

Medstar Georgetown University Hospital

The resident spends four months at MedStar Georgetown University Hospital during the PGY3 year, where time is primarily spent in the operating room participating in complex cases such as robotic prostatectomy, HOLEP and PCNL. This is complimented by ample time in the outpatient setting to learn how to evaluate, counsel and treat patients with these disease processes.  

MedStar Washington Hospital Center 

The resident spends four months at MedStar Washington Hospital Center as a PGY3. Two months are spent on a reconstruction rotation, working exclusively with urologists who are fellowship-trained in Female Pelvic Medicine and Reconstructive Surgery and Male Genitourinary Reconstruction and Trauma. During this rotation, residents learn the clinical diagnosis and management of pelvic floor disorders. The resident help perform procedures such as urethroplasty, prosthetic surgery, abdominal and transvaginal prolapse repairs, and procedures for the surgical management of incontinence. The remaining two months are spent participating in complex cases in urologic oncology, advanced stone disease and weekly resident clinic.

Elective

This year allows for an elective rotation in which residents can choose to have more intense exposure to performing and interpreting ultrasound, obtaining percutaneous access, and performing interventional radiology procedures, to rotate with faculty clinics learning more about office procedures, patient counseling, and other facets of the clinical practice of urology, or to spend additional time at Shady Grove Fertility for residents with specific interest in infertility.

 

PGY-4

Rotations:

  • Children’s National Medical Center
  • National Institute of Health
  • Medstar Washington Hospital Center

Rotation Goal:

  • To further establish residents’ comfort with the various subspecialties within urology, and to prepare the resident for future urologic practice.

Children's National Medical Center

Residents spend four months rotating at CNMC, one of the most respected children’s hospitals in the country. CNMC has a distinguished pediatric urology team who sub-specialize in a variety of disciplines including nephrolithiasis, spina bifida and complex reconstruction. There is also the unique opportunity to work alongside residents from George Washington University and Walter Reed.

The CNMC rotation is rooted in academic pursuit. Residents partake in weekly didactics as well as a 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.

National Institutes of Health

The four-month NIH rotation gives residents a truly unique opportunity to participate 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 adept in MRI-fusion prostate biopsy 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.  

Medstar Washington Hospital Center

The urology resident spends four months at MedStar Washington Hospital Center as a PGY4. Two months are spent on a reconstruction rotation, working exclusively with urologists who are fellowship-trained in Female Pelvic Medicine and Reconstructive Surgery and Male Genitourinary Reconstruction and Trauma. During this rotation, residents will learn the clinical diagnosis and management of pelvic floor disorders. The resident will also help perform procedures such as urethroplasty, prosthetic surgery, abdominal and transvaginal prolapse repairs, and procedures for the surgical management of incontinence. The remaining two months are spent participating in complex cases in urologic oncology and advanced stone disease and weekly resident clinic.

 

PGY-5- Chief Resident

Rotations (4 months each):

  • MedStar Georgetown University Hospital
  • MedStar Washington Hospital Center
  • Veterans Affairs Medical Center

Rotation Goal:

  • To establish residents’ comfort with advanced surgical technique in complex open and robotic surgeries. By the end of this year, the chief is expected to be capable of running a busy urology service and to be confident in the wide spectrum of urological surgery, office practice, and training junior residents in urologic technique.

MedStar Georgetown University Hospital

During this rotation, the chief resident takes ownership of the service, overseeing the management of consults and floor patients. The chief spends the bulk of the rotation in the operating room performing advanced oncologic procedures such as partial nephrectomy and robotic cystectomy with intracorporeal conduit creation as well as complex female and male reconstruction cases. The chief resident also oversees academic conferences such as M&M, resident didactics and Grand Rounds.

MedStar Washington Hospital Center

During this rotation, chief residents spend their time in the operating room performing advanced urologic surgeries such as robotic cystectomy, pan-urethroplasty, complex partial nephrectomy, and advanced open surgery. The chief resident oversees a weekly resident clinic and manages academic conferences such as tumor board, M&M, and indications conference.

Veterans Affairs Medical Center, Washington, D.C.

The chief resident works alongside a junior resident. During this rotation, the resident develops independence in various facets of urologic practice. At the VA, the chief establishes continuity of care by seeing patients in clinic, performing their work-up, booking them for surgery, completing the surgery, and managing them in the post-operative period.