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Residents In This Section

Fourth Year - Chief Resident

Fourth-year residents rotate at DHMC for twelve months, with six months as chief. Attendings give the chief resident increased responsibility in caring for patients.

The resident is ideally the operating surgeon under supervision on the most complex cases. 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 followup.

Goals

  • Obtain proficiency in entire spectrum of pathophysiology of urologic disease.
  • Mature in surgical expertise as primary surgeon.
  • Demonstrate administrative skills and responsibility in organization of the service.
  • Refine interpersonal skills with support personnel.
  • Supervise entire resident team.
  • Refine teaching skills as a lecturer.
  • Refine interpersonal skills with support personnel.

Objectives

  • Master sophisticated aspects of urologic disease physiology, diagnosis, and decision making in preparation for the qualifying exam (Part 1) of the Urology Boards.
  • Organize teaching conferences within the Section in conjunction with the program director. Administer the conferences, including publicizing the conference on a weekly basis, assigning presenters for M&M and Radiology Conference, submitting a list weekly to Radiology of cases to be presented at Radiology Conference, and completing the records for M&M Conference and delivering them to the administrative assistant.
  • Develop resident call schedule and ensure that the schedule is maintained so that all residents are in compliance with the ACGME rule of one day off in seven over an average of 28 days.
  • Supervise inpatient care at DHMC as the chief of the service with faculty supervision.
  • Delegate responsibilities to junior residents as appropriate.
  • Submit at least one manuscript or chapter for publication on a clinical or basis science research topic.
  • Present a lecture at Urology Conference.
  • Present and discuss cases at Radiology Rounds, M&M Conference and Tumor Board.
  • Refine surgical skills in most complex cases with a particular emphasis on oncology and laparoscopy, including radical prostatectomy (open and lap), cystectomy with cutaneous and continent diversion, partial nephrectomy, IVC thrombectomy, retroperitoneal lymph node dissection, and reconstructive pediatrics.
  • Refine surgical skills in transurethral resection of prostate.
  • 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.

Specific goals at DHMC

  • The chief resident is responsible for the entire service. Although residents may be assigned to teams during certain rotations, the chief resident will oversee the assignment of cases to ensure that cases are assigned to an appropriate-level resident while still allowing junior residents to have some participation in complex cases.

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