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 Main/Inpatient Pediatric - 1 Outpatient Main/Inpatient Pediatric - 1 Outpatient
% Outpatient 0% 100% 50% 0% 100% 50%

 

Block – R3 (Uro2) 1 2 3 4 5 6
Site CMC-Main CMC-Mercy CMC-Main CMC-Mercy CMC-Main CMC-Mercy
Rotation Name Consult Mercy Consult Mercy Consult Mercy
% Outpatient 30% 60% 30% 60% 30% 60%

 

Block – R4 (Uro3) 1 2 3 4 5 6
Site CMC – Main CMC – Main CMC – Mercy CMC-Mercy CMC – Main CMC – Main
Rotation Name Pediatric - 2 Main Mercy Mercy Main Main
% Outpatient 50% 40% 50% 50% 40% 40%

 

Block – R5 (Uro4) 1 2 3 4 5 6
Site CMC – Main CMC – Main CMC – Main CMC – Main CMC – Main CMC – Main
Rotation Name Benign  Cancer Benign Cancer Benign Cancer
% Outpatient 10% 10% 10% 10% 10% 10%

 

PGY-1 (intern):

Each resident spends one year in general surgical training at Carolinas Medical Center. There are 10 months of general surgery rotations that include STICU, general surgery (and some its sub-specialties), pediatric surgery, vascular surgery and emergency medicine. 2 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 to develop a broad base 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 2 month blocks) with primary responsibility to either the consult service or the community Urology service based out of CMC-Mercy.

The Consult rotation provides the resident with valuable experience in coordinating and managing a diverse and large volume of daily consults that arise both in the operating room and clinic. Often this includes invaluable interaction with many of our Advanced Care Providers. Additionally, the residents assist with management of the resident run clinic and are expected to participate in a clinical or basic science projects chosen from a variety of opportunities and faculty mentors.

The community Urology experience 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.

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.

Urology 3 (PGY-4):

The third year in Urology exposes residents to the advanced care of both adult and pediatric patients.

A 2 month rotation on pediatrics provides advanced exposure to all aspects of pediatric Urology as overseen by Dr. Mark Williams. The resident spends the remaining 10 months at either CMC-Main or CMC-Mercy.

The rotation at CMC-Main focuses on advancing the residents experience in laparoscopy and complex endoscopy.  There is directed sub-specialty out-patient focus in addition to the resident run clinic.  Oversight of the benign and cancer service lines in conjunction with the Chief resident occurs during this time.

The CMC-Mercy rotation focuses on female pelvic health, neurourology and reconstruction. Performing and proficiency with urodynamics occurs during this time in addition to an extensive exposure to operative and clinical management of female (i.e. prolapse, voiding dysfunction, neurologic related conditions, refractory OAB) and male (erectile dysfunction, stricture disease, impotence, refractory LUT’s) urinary dysfunction.

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.

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