|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|
|Block – R3 (Uro2)||1||2||3||4|
|Rotation Name||Urologic Cancer - 1||Community||Pelvic Health & Reconstruction - 1||Myers Park: Endourology & Stone Disease|
|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|
|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|
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) with primary responsibility to either the consult service or the community Urology service based out of CMC-Mercy.
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 oversees the inpatient service at Mercy.
The Pelvic Health & Reconstructive Urology-1 rotation is based out of our pelvic health center at Mercy Hospital and will include significant exposure to those patients with urologic conditions related to neurologic conditions. 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.
During this year the resident increases their comfort level with basic surgical Urology while being exposed to more complex operations and disease states (PCNL’s, Laparoscopy, open surgery and unplanned intraoperative consults). Additionally, the private rotation exposes residents to a different population, volume and business perspective not seen in other rotations. The resident will build on their knowledge from the prior year and are expected to exhibit increasing independence in all the core competency domains. The resident will be assigned some supervisory responsibilities. Call will occur under a supervising physician and chief resident (when applicable).
Urology 3 (PGY-4):
The third year in Urology exposes residents to the advanced care of both adult and pediatric patients.
A 3 month rotation on pediatrics provides advanced exposure to all aspects of pediatric Urology as overseen by Dr. Mark Williams. The resident spends the remaining 9 months at either CMC-Main or CMC-Mercy.
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 rotation is based out of our pelvic health center at Mercy Hospital and will include significant exposure to those patients with urologic conditions related to neurologic conditions. It is a clinic, outpatient and operating room experience.
During this year the resident will build on their knowledge from this rotation during the PGY-3 year and are expected to exhibit increasing independence in all the core competency domains. The resident will be assigned additional supervisory responsibilities as compared to their previous year. Call will occur under a supervising physician.
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 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.