Rotation |
| PGY 3: During the first urologic year, the resident will experience four
months each of training at the Cleveland VAMC and MetroHealth Medical Center and two months each at the Cleveland Clinic Foundation and RBC/UHC. The purpose of
the first year is to acquaint the urology residents with many of the basic procedures and provide them with an introduction into oncology, urologic trauma,
and pediatric urology. |
| The pediatric urology rotation at RBC allows the resident to gain expertise in
diagnosis and evaluation of pediatric urologic abnormalities, as well as the radiologic studies involved in diagnosing and treating these abnormalities. All
hypospadias repairs, orchiopexies, circumcisions and endoscopic procedures are performed by the resident. In addition he/she will assist on all major open
cases. The exposure at MetroHealth allows the resident to understand the intricacies of treating the trauma patient and allow him or her to build on the
surgical intensive care experience gained during the first two years and apply that knowledge to the specific trauma patient. This rotation also provides the
resident with excellent exposure to stones and oncology. |
| The collegiate relationship between CASE/UHC and the Cleveland Clinic is
fostered by the exchange of residents during the first urologic year. The Cleveland Clinic experience allows the third year resident to rotate on two
services: laparoscopy and the renovascular/renal malignancy service. |
| PGY 4: The second urologic year is devoted to allowing
the resident to gain experience in a number of areas. The resident works with renal transplantation and all of the medical issues involved with care and
management of those patients. During this service, the resident acts as co-chief with a PGY- 4 from general surgery. The resident will gain valuable experience in performing cavaderic and living
related renal transplants and organ harvest. |
| In addition, the PGY 4 resident spends approximately four months at the newly
developed Erectile Dysfunction Clinic at the Cleveland VAMC. The fourth year resident also has the opportunity to rotate through associated disciplines such
as radiology, pathology, nephrology and geriatrics depending on their particular interests. There is also an optional 6 month research rotation during which the
resident completes a clinically or basically oriented project in oncology, impotence, urolithiasis, female or pediatric urology. |
| PGY 5: The third urologic year rotation includes rotations at UHC (8 months) and UHHS Richmond Heights (4 months). PGY-5 residents operate as surgeons on all cases. This allows the resident to become
familiar with major urologic procedures and provides a sense of independence as he or she moves on in urologic training. |
| During the rotation at UHC, the resident receives an
integrated experience in all forms of urologic disease management and treatment. There are dedicated services for onocolgy, erectile dysfunction, fertility,
stones, female urology and laparoscopy. |
| At Richmond Hospital, in addition to being responsible for inpatient care and consults, each day the resident spends time in the office with one of the attending physicians. This is a unique opportunity for
upper level residents to observe the practice of physicians in a community setting and to learn to perform many of the procedures in an outpatient surgery
setting. |
| PGY 6: The final year allows the resident to advance and become independent as he/she becomes chief of the services at MetroHealth
Medical Center (4 months), the Cleveland VAMC (4 months) and RBC (4 months). The rotation on the pediatric
urology service allows the resident to expand their experience with pediatric diagnosis, treatment and management. The chief resident acts as surgeon on all
major cases. At the Cleveland VAMC and MetroHealth, the chief resident runs his/her own clinic. This allows the resident, under the supervision of the
faculty, to evaluate, treat and follow the outcomes of his/her own patients. By the end of this year the resident will become competent and proficient in all
aspects of medical and surgical management of urologic oncology, erectile dysfunction, infertility, female urology, incontinence, pelvic prolapse,
pediatric urology, diagnosis, treatment and management options. |
Call:
 All night and weekend calls for PGY3-PGY6's are from home. |
| PGY-3: MetroHealth/Cleveland VAMC 10 per month with two weekends off call. RBC: 10 calls per month |
| PGY-4: 10 calls/month at MetroHealth/Cleveland VAMC (8 months) transplant rotation where call is split with the general surgery co-chief for cadaveric transplants (2 months). No calls for 2 months. |
| PGY-5: University Hospitals: five primary calls and 5 backup calls per month. Richmond Hospital: no call. |
| PGY-6: MetroHealth/ClevelandVAMC: 10 primary calls. RBC: no primary call. |
