""

about | Maps & Directions | contact | admissions | faculty | alumni & development | library | Tech Support Center | dean's office | Policies & Procedures

department of urology

Residency Program

 

Training in the Urology Residency Program is expected to provide each resident with an excellent background in all aspects of adult and pediatric urology, as well as a foundation in research and academic urology which will give the graduating resident the ability to pursue private practice, a fellowship, or academic urology. Each graduate is expected to practice competently, independently, ethically and morally, providing the best urologic care.

 

Knowledge and competency in the following areas are expected:

 

1) Erectile Dysfunction: This includes the knowledge of the physiology of the erectile process, male sexuality, and the evaluation and management of male sexual dysfunction.

 

2) Urologic Oncology: This involves the understanding of basic tumor biology of renal, prostate, bladder, urethra, penis, ureter, testicle, adrenal and retroperitoneal cancers. This includes the diagnosis and evaluation of these tumors as well as their medical and surgical therapies.

 

3) Male Infertility: This includes the knowledge of the physiology and pharmacology of those factors relating to male infertility. This also involves the knowledge of the various tests used to assess these parameters, and the treatment of such entities.

 

4) Neurourology: This includes the knowledge of voiding dysfunction, including bladder storage problems, stress urinary incontinence, and interstitial cystitis. It also includes the reading and interpretation of urodynamics and the diagnosis of the problems occurring with the filling and emptying stages of micturation.

 

5) Infectious Disease: This involves the knowledge of those pathogens involved in upper and lower urinary tract infections, the indications for therapy, and side effects and possible complications from such treatment.


6) Adrenal Disease: This includes the knowledge of the physiology and pharmacology of the numerous zones of the adrenal gland and medulla, and the evaluation and treatment of disorders of this gland.

 

7) Urologic Trauma: This includes the evaluation and management of trauma to the kidneys, ureters, bladder, prostate and external genitalia. This also involves the general knowledge and management of other affected organ systems, infections, metabolic requirements, as well as cooperation and team approach with the other surgical services.

 

8) Reconstructive Urology: This involves the use of techniques of correcting damaged organs, partial removal and reconstruction, corrections of fistulas and damaged tissues, and the use of non-urologic tissues in the construction of continent reservoirs and conduits.

 

9) Renal Transplantation: This involves the knowledge of candidate selection, problems in managing renal failure, surgical techniques, transplantation biology and immunosuppressive drug therapies, and surgical complications and their management post transplant.

 

10) Calculus Disease: This involves the understanding of renal physiology and metabolism which leads to stone formation in the kidney, ureter and bladder. It also involves understanding the surgical management of these stones, using lasers and/or stone basketing via ureteroscopy, percutaneous nephrolithotomy, and extracorporeal shock wave lithotripsy (ESWL).


11) Pediatric Urology: This includes having a working knowledge of the embryology and etiology leading up to congenital defects in the urological system, the surgical management of numerous pediatric urological diseases and their potential post-operative complications, and the use of various radiologic imaging studies.

 

12) Renovascular Disease, Hypertension, and Renal Failure: This includes having a working knowledge of the numerous causes of hypertension, the effects on renal function, and the possible implications for urologic intervention.

 

13) Ethics, Morality and Compliance: The resident is expected to develop a strong code of ethics that he/she will use throughout their practice of urology. This involves patient care and interactions with the family, understanding the different cultural and socio-economic barriers that may occur, and realize that these will be different depending on different areas of the region in which he/she practices. In compliance, it is expected that the resident become familiar with the regulatory principles governing medical practice in urology and the various differences that may occur in different regions of the country.

 

14) Quality Assurance: The resident is expected to become familiar with how to produce the highest standard of care with the maximal conservation of hospital resources, with the lowest risk/benefit ratio.

 

15) Medical/Legal Aspects of Urology: The resident is expected to understand the numerous legal implications in the practice of urology, and how this interacts with giving the best patient care and adequate informed consent.

 

16) Urologic Imaging: The resident is expected to understand and utilize all the radiologic imaging used by urology including cystography, retrograde pyelograms, CT scans and MRI, ultrasounds, retrograde urethrograms, cavernosograms and vasograms.

 

17) New Technology: The resident is expect to read journals, attend conferences, and keep up with the latest in techniques and technology, especially those that are becoming more utilized in the current practice of urology, such as robotic laparoscopic surgery.