Medical Education
Block – R2 (Uro-1) 1 2 3 4 5 6
Site CMC – Main CMC – Main CMC – Main CMC – Main CMC – Main CMC – Main
Rotation Name Inpatient Pediatric - 1 Outpatient Inpatient Pediatric - 1 Outpatient
% Outpatient 10% 45% 70% 10% 45% 70%
 % Inpatient 90% 45% 20% 90% 45% 20%
 % Research 0% 10% 10% 0% 10% 10%

 

Block – R3 (Uro2) 1 2 3 4
Site CMC-Main CMC-Mercy CMC-Mercy CMC-Main
Rotation Name Urologic Cancer - 1 Community Pelvic Health & Reconstruction - 1 Myers Park: Endourology & Stone Disease
% Outpatient 30% 50% 30% 30%
 % Inpatient 70% 40% 60% 60%
 % Research 0% 10% 10% 10%

 

Block – R4 (Uro3) 1 2 3 4
Site CMC – Main CMC – Main CMC – Main CMC-Mercy
Rotation Name Pediatric - 2 Urologic Cancer - 2 Myers Park Pelvic Health & Reconstruction - 2
% Outpatient 45% 30% 40% 30%
 % Inpatient 45% 70% 60% 60%
 % Research 10% 0% 0% 10%

 

Block – R5 (Uro4) 1 2 3 4
Site CMC – Main CMC – Main CMC – Main CMC – Main
Rotation Name Chief Benign  Chief Cancer Chief Benign Chief Cancer
% Outpatient 20% 80% 20% 80%
 % Inpatient 70% 10% 70% 10%
 % Research 10% 10% 10% 10%

 

PGY-1 (intern):

Each resident spends one year in general surgical training at Carolinas Medical Center. There are 9 months of general surgery rotations that include STICU, general surgery (and some its sub-specialties), pediatric surgery, vascular surgery and emergency medicine. 3 months of the first year are spent in Urology. Resident rotations are selected through discussion amongst the general surgery program director, Dr. John Greene and the Urology program director, Dr. Stephen Riggs.

Urology 1 (PGY-2):

During their first Urology year residents spend time in 3 core rotations focused on in-patient, out-patient and pediatric Urology. This year is designed to give residents exposure to all aspects of Urology in order for them develop a broad based of knowledge needed to begin their transformation through graduated responsibility from trainee to independent provider. Close faculty to resident interaction occurs during this year with a surgical focus on endoscopic skills and perioperative management.

During this year residents perform a large number of procedures in the clinic such as cystoscopies, TRUS and biopsies (MRI guided and without), vasectomies and ultrasound. At the end of this year the resident is very adept at the basic care of Urology patients in the clinic and perioperative setting.

Urology 2 (PGY-3):

This year seeks to build on the large Urology base developed during the prior year. Residents spend time (in 3 month blocks) on various rotations.

The Urologic Cancer - 1 rotation is located out of the Levine Cancer Center at CMC-Main. It will provide a high volume exposure to all aspects of urologic cancer. It is a clinic, outpatient and operating room experience.

The Community rotation is based out of CMC-Mercy which is located close to CMC-Main. This important endeavor exposes residents to a busy private practice both in the clinic and operating room. In addition, to these responsibilities the PGY-3 has genreral urology responsibilies at CMC-Mercy.

The Pelvic Health & Reconstructive Urology - 1 rotation is based out of our pelvic health center at Mercy Hospital and includes a diverse exposure to reconstructive and pelvic floor conditions in urology. It is a clinic, outpatient and operating room experience.

The Endourology & Stone Disease roation has a focus on Myers Park clinic in addition to endourology and stone disease. The residents are exposed to the medical work up and management of stone disease in addition to more complex stone surgery and general urologic surgery and management.

Urology 3 (PGY-4):

The third year in Urology exposes residents to the advanced care of both adult and pediatric patients which builds upon the prior years experience and occurs over 4 rotations.

Pediatric - 2 (3months) provides advanced exposure and opportunity to all aspects of pediatric urology.

The Urologic Cancer - 2 rotation is located out of the Levine Cancer Center at CMC-Main. The resident will be given increased responsibility, supervisory responsibility and autonomy as compared to that of their PGY-3 years. It is a clinic, outpatient and operating room experience.

The Myers Park rotation focuses on general and consult urology that consists of clinic, in-patient and operating room experience.

The Pelvic Health & Reconstructive Urology - 2 rotation is based out of our pelvic health center at Mercy Hospital and will include an advanced exposure to reconstructive and pelvic health urology.

Urology 4 (PGY-5):

The chief year is based out of CMC-main and consists of oversight and a heavy operative experience on either the benign or cancer service. By this year, the resident has gained significant experience and exposure in order to provide a lot of oversight to the entire service and lower level residents.  Operative experience focuses on advanced laparoscopy, complex endoscopy and open procedures with an eye toward developing autonomy as well as teaching responsibilities to lower level residents.

Although this year is deeply entrenched in the operating room there is Clinic responsibility/ oversight to the resident clinic and some cancer clinic especially as it relates to preoperative evaluation and pathology follow up/ discussion in order to be involved in the full continuum of care.

Through oversight and coordination of entire team the goal is for the resident to complete their transition from dependent to independent Urologic Surgeon as well as from student to teacher.

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