Second Year | Urology Residency | Residents & Fellows | Dartmouth-Hitchcock
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Second Year

The second year will change in 2013. Until then, the rotation will continue as is, with the resident spending six months in research and six months on a clinical rotation that consists of transplant, ultrasound, urodynamics and pathology.

During the clinical rotation, the resident spends a half-day each week in clinic, where they see new general urology patients and follow patients whom they have seen previously. This clinic is supervised by an attending urologist.

The resident also spends a half-day per week going to transplant clinic, where they are involved in the workup of new patients and the followup of patients on whom they have operated. They participate in donor nephrectomy and in transplantation, particularly the neocystotomy.

The resident attends the elevated PSA clinic that is held 3-5 mornings per month, where they assess new patients and perform transrectal ultrasounds and prostate biopsies.

The resident learns how to perform and interpret urodynamics by participating in an adequate number of urodynamic studies.

Knowledge of GU pathology is increased by self study.

General goals

  • Focus on research, transplantation, ultrasound, urodynamics and pathology.
  • Expand depth and scope of knowledge of urologic disease.
  • Develop problem solving skills for diagnosis of urologic conditions.
  • Refine interpersonal skills with support personnel.

General objectives

  • Demonstrate knowledge of fundamental principles of urologic disease and pathophysiology through didactic lectures and self study.
  • 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.

Transplantation

Specific goals

  • Become familiar with the biology of histocompatibility.
  • Learn the process of donor and recipient selection, renal perfusion and preservation, and the procedure of transplantation.

Specific objectives

  • Obtain exposure to pre- and post-transplant patients in transplant clinic.
  • Perform donor nephrectomy and ureteroneocystotomy under the supervision of the transplant surgeon.

Radiology

Specific goals

  • Understand the role, techniques and complications of transrectal ultrasonography of the prostate and prostate biopsy.

Specific objectives

  • Perform transrectal ultrasonography and prostate biopsies under the supervision of attending staff.
  • Present a didactic lecture on a radiologic topic at GU Conference.

Urodynamics

Specific goals

  • Understand the indications for urodynamic studies.

Specific objectives

  • Perform and interpret a urodynamic study of a pediatric patient, a man with lower urinary tract symptoms, a woman with incontinence, and a patient with a neurogenic bladder.
  • Present a didactic lecture on a urodynamic topic at GU Conference.

Pathology

Specific goals

  • Obtain exposure to GU Pathology.

Specific objectives

  • Learn fundamentals of GU Pathology.
  • Present a didactic lecture on a pathology topic at GU Conference.

Research

Goals

  • Interpret, initiate, and complete basic urologic research.
  • Expand understanding of clinical research, including trial design, biostatistics, epidemiology and outcomes research.

Objectives

  • Interpret, initiate and complete a basic research project in urology, either based on laboratory research or outcomes research with a scientific mentor in urology or another Dartmouth researcher with special expertise.
  • Learn basic principles of study design and biostatistics through initiation of basic and/or clinical research.
  • Work effectively with research graduate and post-graduate students, laboratory technicians, managers and research colleagues.
  • Submit abstract to a regional and a national meeting.
  • Submit manuscripts for publication on at least one research topic.
  • Evaluate knowledge base by in-service exam with expected performance above the 50th percentile nationally.

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