During the third clinical year, the resident rotates thru both adult urology services at DHMC for three months each, rotates in Concord for three months, and has a three-month elective block. Electives have typically included protected block for supervised research, although other electives at approved sites may be pursued after discussion with the program director. Electives could consist of radiation oncology, interventional radiology, FPMRS with Gyn or other rotations.
During the three-month rotation in Concord, residents work with ten 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.
The resident again attends the elevated PSA clinic that is held three to five mornings per month, where they assess new patients and perform transrectal ultrasounds and prostate biopsies. They will do these studies with more independence compared to prior years.
The resident perform and interprets additional urodynamics by participating in an adequate number of urodynamic studies. They will do these studies with more independence compared to prior years.
Knowledge of GU pathology is increased by self study.
- 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.
- 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.
- Gain additional expertise in a private-practice setting in both inpatient and outpatient care at Concord Urology and Concord Hospital.
- Understand the role, techniques and complications of transrectal ultrasonography of the prostate and prostate biopsy.
- Perform transrectal ultrasonography and prostate biopsies under the supervision of attending staff
- Present a didactic lecture on a radiologic topic at GU Conference.
- Understand the indications for urodynamic studies.
- 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.
- Obtain exposure to GU Pathology.
- Learn fundamentals of GU Pathology.
- Present a didactic lecture on a pathology topic at GU Conference.
- Interpret, initiate, and complete basic urologic research.
- Expand understanding of clinical research, including trial design, biostatistics, epidemiology and outcomes research.
- 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.