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Our Program

Program objectives

The Urology Residency program is dedicated to providing residents with the basic science knowledge, clinical acumen, and surgical skills sufficient for the academic or private practice of urology at graduation. The program encompasses the scientific basis of urological pathophysiology and therapeutics, clinical diagnosis and management, surgical technique, and socioeconomic perspectives of the practice of urology.

The program emphasizes one-on-one interaction between the faculty and residents, fostering an apprenticeship style. A resident progresses at his or her own pace rather than by rank. Residents at all stages are involved in patient management from the first office visit through surgery and post-operative follow-up.

Residents are exposed to the continuum of urological care in diverse settings, including the inpatient service, consultation service, ambulatory surgical unit, outpatient clinic, and emergency and urgent care settings. Residents gain fluency in all major surgical cases under direct supervision of the attending surgeon.

Residents also acquire a robust understanding of the principles of clinical and applied research through monthly Journal Club discussions and independent scholarship.

Program structure

Two residents are accepted annually. As of 2019, all five years of urology residency will be under the auspices of urology. The first year currently consists of nine four-week rotations of general surgery and surgical disciplines, and four four-week rotations of urology. The Interns even when not rotating on Urology are considered to me members of the Urology team. There will be a total of ten residents in the program. Twelve  faculty members at DHMC and the VA provide a complete range of subspecialty urological training.

The program involves the Section of Urology and the Department of Surgery at Dartmouth-Hitchcock Medical Center (including Mary Hitchcock Memorial Hospital, Dartmouth-Hitchcock Clinic, Norris Cotton Cancer Center, Children’s Hospital at Dartmouth, and Geisel School of Medicine at Dartmouth), White River Junction Veterans Affairs Medical Center, and Concord Hospital. (Read more about our Facilities.)

Residents gain balanced exposure to general and subspecialty urology across the curriculum, including six months as a Senior Resident at the Veterans Affairs Medical Center. The final Chief year is spent at DHMC with six months as administrative Chief Resident. Robust experience in open, traditional laparoscopic, and robotic-assisted (da Vinci Xi Surgical System) laparoscopic surgical techniques is emphasized.

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