This two-week rotation will be with board certified urologists
in the outpatient setting during the PGYIII year. The purpose of the rotation
is to provide the family medicine resident with a focused experience in the
evaluation and management of a broad range of patients requiring urologic
services. It is expected that the resident will obtain clinical knowledge and
proficiency in the primary evaluation and initiation of an appropriate
management plan for common urologic disorders. The primary teaching method is
the evaluation and management of urological problems in the outpatient clinic
under the supervision of urology preceptors. The management of patients with
urologic conditions will be a continuous longitudinal experience throughout the
residency in the continuity clinics of the residents at the FMC, hospital and
emergency room settings. The resident will also be responsible for all
residency requirements including four half days of clinic at the FMC per week
and completion of reading assignments as required by the preceptor.
Goal I: To achieve competence in diagnosing and
managing common urological conditions as appropriate for the Family Physician.
Goal II: To achieve competence in recognizing and
referring complex urological disorders.
Patient Care
Goal
Residents must be able to provide patient care that is
compassionate, appropriate, and effective for the treatment of health problems
and the promotion of health. Residents are expected to:
Competencies
Be able to diagnose and treat common urological problems that present to the
family practice office.
Be knowledgeable of
basic GU procedures including foley catheter insertion, vasectomy,
post void residual assessment, catheterization of urinary bladder,
indications for imaging, digital rectal exam, and prostate screening
protocol.
Objectives
At the conclusion of this training, the resident should have the knowledge and
skills to manage common urological problems that are seen by Family
Practitioners and also recognize the need for proper referral and consultation
by a specialist for those that are beyond his/her capabilities.
Medical Knowledge
Goal
Residents must demonstrate knowledge of established and
evolving biomedical, clinical, epidemiological, and social-behavioral sciences,
as well as the application of this knowledge to patient care. Residents
are expected to:
Competencies
Rotational Emphasis
Longitudinal
Pyelonephritis
Cystitis
Prostatitis
Renal Calculi
Prostatic Nodules
Enuresis
Bladder Polyps
Impotence/erectile dysfunction
Carcinoma of Bladder
Hydrocele
Vesicoureteral Reflux
Prostatic Hypertrophy
Epididymitis
Hematuria
Outlet obstruction
Urinary tract infection
Incontinence
Testicular pain/torsion
Prostrate cancer
Objective
The resident will be able to diagnose and initiate a treatment plan for
patients who present with the above problems.
Practice- Based Learning and Improvement
Goal
Residents must demonstrate the ability to investigate and
evaluate their care of patients, to appraise and assimilate scientific
evidence, and to continuously improve patient care based on constant
self-evaluation and life long learning. Residents are expected to develop
skills and habits to be able to:
Competencies:
Identify strengths, deficiencies and limits in one's knowledge and expertise;
Locate, appraise and assimilate evidence from scientific studies related to
their patients' health problems
Objectives
The resident will be able to facilitate the treatment of the patient with
urological problems.
The resident will utilize resources in the office, literature, and
electronic resources to accomplish this treatment.
Systems Based Practice
Goal
Residents must demonstrate the ability to investigate and
evaluate their care of patients, to appraise and assimilate scientific
evidence, and to continuously improve patient care based on constant
self-evaluation and life long learning. Residents are expected to develop
skills and habits to be able to:
Competencies:
Identify strengths, deficiencies and limits in one's knowledge and expertise;
Locate, appraise and assimilate evidence from scientific studies related to
their patients' health problems
Objectives
The resident will be able to facilitate the treatment of the patient with
urological problems.
The resident will utilize resources in the office, literature, and
electronic resources to accomplish this treatment.
Professionalism
Goal
Residents must demonstrate a commitment to carrying out
professional responsibilities and an adherence to ethical principles.
Residents are expected to demonstrate:
Competencies
Accountability to patients, society, and the profession
Objectives
The residents are exposed to patients from a diverse patient population during
their urology rotation. They are expected to recognize needs and
expectations of the patients in the urology environment. This is measured
by direct observation of resident clinical interactions by the supervising
physician and is reported on the end of month evaluation.
The resident will demonstrate sensitivity towards patients with potentially
embarrassing diagnoses, for example, erectile dysfunction and incontinence.
Interpersonal and Communication Skills
Goal
Residents must demonstrate interpersonal and communication
skills that result in the effective exchange of information with patients,
families, and colleges. Residents are expected to:
Objectives
The resident, while working with the urology preceptor, will learn the role and
function of the consultant and the importance of communication with patients,
their families, and the primary care physician.
Teaching Methods
One on one teaching with the urology preceptor.
Assessment Method
At the conclusion of each resident rotation, the residency
coordinator sends a formative-type, rotation-specific performance evaluation
form to the rotations' supervising physician. When the completed
evaluation is returned, the resident physician and the resident's faculty
advisor review the evaluation and attest to reviewing it by signing/initialing
the form. Next, the program director reviews and attests to the
document. Once all three have reviewed and attested the evaluation, it is
included in the resident's permanent file.
Each resident is asked to evaluate the rotation and
supervising physician(s) at the end of the rotation. The resident's
faculty advisor and program director review the evaluation and attest to
reviewing it by signing/initialing the form. These evaluations are filed
together by resident year.
Level of Supervision
The urology
preceptor.
Educational Resources
Textbook purchased by the residency and entrusted to each
resident while participating on the rotation is as follows:
Handbook of Urology: Diagnosis and Therapy– Siroky, Oates & Babayan;
Edition 3, 2004
