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Residents In This Section

First Year

First-year residents rotate on the three clinical services and in Concord. Every three months they rotate to another team. While assigned to a particular team, residents attend clinic and operate with the team's attendings. Continuity of care occurs by seeing new patients in clinic, operating on and caring for the same patient post-op, and then seeing patients return to clinic for followup.

First-year residents do a three-month rotation in Concord, where they work with eight attendings. As in Lebanon, we take care to ensure that continuity of care occurs by having the resident attend clinic as well as the OR.

Goals

  • Obtain foundation of knowledge in urologic disease, including basics of renal physiology, adrenal physiology, neurourology and urodynamics, infertility, embryology, pediatric urology, female urology, stone disease, general male urology, and oncology with emphasis on office urology and diagnostic procedures.
  • Gain experience in pediatric urology disease evaluation and management.
  • Learn basics skills of endoscopy of the lower urinary tract.
  • Gain experience in abdominal and flank cases.
  • Gain experience in percutaneous entomologic procedures.
  • Develop teaching skills to assist in the education of medical students and interns.
  • Initiate study of clinical research principles.
  • Refine interpersonal skills with support personnel.
  • Gain additional expertise in a private-practice setting in both inpatient and outpatient care at Concord Urology and Concord Hospital.

Objectives

  • Demonstrate knowledge of fundamental principles of urologic disease and pathophysiology through didactic lectures and self study.
  • Perform cystoscopy, bladder biopsies and ureteral catheter insertion.
  • Perform urethral dilation and direct vision urethrotomies.
  • Perform more complex lower urinary tract endoscopic procedures, such as TUR biopsies of the bladder.
  • Gain experience with ureteroscopy and laser lithotripsy.
  • Obtain experience and technical expertise in scrotal, inguinal, vaginal and other minor urologic surgery. Perform abdominal and flank wound opening and closing, and as the year progresses, perform an increasing amount of the case in major abdominal or flank cases.
  • Develop basic laparoscopic and robotic surgical skills such as instrument handling and knot tying.
  • Gain experience in pediatric urology with particular emphasis on procedures such as orchiopexy and hernia repair.
  • Provide pre- and post-operative care for urology patients.
  • Obtain skill in urologic trauma care, including the evaluation, monitoring, surgical care and post-operative care of acute trauma.
  • Identify and plan a clinical research project for the second year.
  • Evaluate progress of urologic knowledge through in-service examination with expected performance above the 50th percentile nationally.
  • Present a lecture at Urology conference.
  • Present and discuss cases at Radiology rounds, M&M conference and Tumor Board.
  • Work effectively with support personnel in urology.

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