Fourth-year residents rotate in pediatrics and transplant, the VA and in Concord. As before, the resident has increased responsibility assigned to them each time they rotate on a service.
While assigned to a particular team, residents attend clinic and operate with the attendings. Continuity of care occurs by seeing new patients in clinic, operating on patients and caring for them post-op, and then seeing patients return to clinic for follow-up.
Residents spend six months at the VA, overseeing the inpatient and outpatient urology service there. The resident is the operating surgeon under supervision on all cases.
Third-year residents do a three-month rotation in Concord, where they work with nine attendings. As in other locations, care is taken to ensure that continuity of care occurs by having the resident see patient in the ER or as consults, in addition to operating.
- Expand depth and scope of knowledge of urologic diseases.
- Develop problem-solving skills for diagnosis of urologic conditions.
- Gain experience in complex reconstructive surgery, including pediatrics.
- Expand surgical experience in pediatric urology and renal transplantation.
- Refine interpersonal skills with support personnel.
- Learn issues related to private practice of urology and managed care.
- Be responsible for the entire service at the VA.
- Gain additional expertise in a private-practice setting in both inpatient and outpatient care at Concord Urology and Concord Hospital.
- Demonstrate knowledge of fundamental principles of urologic disease and pathophysiology through didactic lectures and self study.
- Refine endoscopic, open and laparoscopic surgical skills.
- Evaluate fund of basic urologic knowledge through the in-service exam with an expected performance about the 50th percentile of the national average.
- 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.
- Supervise inpatient and outpatient care at the VA as chief of the service with faculty supervision.
- Compare academic practice at a multi-specialty clinic to a Veterans Medical Center.