Program Description

Program Outline

The Urology Residency program at UC San Diego comprises 1 year of general surgery and 4 years of urology. The resident complement has expanded to 3 residents per year, with three current urology residents for the PGY2 and PGY 1 years.

PGY-1

The rotations will be assigned by the General Surgery Program director. Each PGY1 will have rotations consisting of general surgery, intensive care, urology and a combination of additional surgical sub-specialties. Rotations rotate every 4 weeks. In the urology training years, the junior residents will be structured in 4 month rotations and the senior urology residents in 6 month rotations.

PGY-2

First-year urology residents will learn to take basic urologic history, perform physical exams, conduct and interpret radiographic tests, and perform basic clinic procedures such as urethral catheterizations and dilations, flexible cystoscopy, and transrectal ultrasound. They will assist on minor operative procedures with faculty supervision and direction. Additionally, they will participate in ER and inpatient consults under Chief/Senior Resident and faculty supervision. They take at-home call on a rotating basis within the work hours established by ACGME guidelines. Residents will attend all educational conferences for the department of Urology. Residents will rotate at Thornton Hospital in La Jolla, UCSD Medical Center in Hillcrest and the VA Medical Center (VAMC) in La Jolla.

PGY-3: Junior Resident at UCSD Hillcrest (4 months).

Junior residents on the Thornton Hospital and Hillcrest hospital services are responsible for inpatient morning and evening rounds, ED and inpatient consults under the supervision of the Chief Resident and Urology faculty. This year focuses more on endoscopic surgical cases and minor open surgical procedures under supervision of faculty. Structured specialty focused outpatient clinical experience and evaluations will be assigned to learn focused history taking, physical exam and assessment in the many sub specialties of urology. Residents take at-home call on a rotating basis during the work hours established by the ACGME and attends all educational conferences of the Urology Residency program.

PGY-3: Junior Resident at VAMC San Diego (4 months).

Responsibilities include inpatient morning and evening rounds under the supervision of the Chief Resident and Urology faculty. The Junior Resident is responsible for performing endoscopic and open surgical procedures, under supervision, at the VAMC. He or she is responsible for attending the VA Urology Clinic and performing outpatient evaluations and consultations. The Junior Resident also performs minor procedures under supervision, including cystoscopy, vasectomy, transrectal ultrasound–guided prostate biopsy, and multi-channel urodynamics. He or she assists Dr. Albo with the urologic evaluations in the Spinal Cord Injury Center of the VAMC San Diego and is also responsible for attending the TRUS and Biopsy Clinic under faculty supervision. The Junior Resident takes at-home call on a rotating basis within the work hours established by ACGME guidelines. The VAMC Junior Resident attends all educational conferences of the Urology Residency program in addition to the VA pre-op conferences Wednesday and Friday mornings. He or she is responsible for leading the monthly spinal cord injury multi-specialty conference..

PGY-3: Rady Children’s Hospital - Pediatric Urology Rotation (4 months).

The Children’s Hospital resident is responsible for morning and evening rounds under the supervision of the Pediatric Urology Fellow and the Pediatric Urology faculty. The resident attends Dr. Aligiri’s outpatient clinic and participates in surgery under supervision with the four pediatric urology faculty (Drs. Kaplan, Holmes, Aligiri, and Decambre). The pediatric urology resident attends educational conferences of the UCSD Division of Urology in addition to the educational conferences of the Division of Pediatric Urology. The pediatric urology resident is responsible for inpatient rounds on weekend mornings, on rotation with the pediatric urology fellow, but has no other after-hours call responsibilities.

PGY-4: VAMC Senior Resident (4 months).

During the Senior Resident rotation at the VAMC San Diego, the Senior Resident rounds daily with the junior resident and Chief Resident. The Senior Resident performs endoscopic, laparoscopic, and open surgical procedures under faculty supervision appropriate for the level of training. He or she takes at-home call on a rotating basis within the work hours established by ACGME guidelines and attends all educational conferences of the Urology Residency in addition to the VA pre-op conferences Wednesday mornings. The Senior Resident prepares case presentations for the VAMC Wednesday pre-op conference for the cases that he or she will participate in. The Senior Resident has greater responsibility and more complex duties regarding VA clinic outpatients and procedures than the Junior Resident.

PGY-4: UCSD Thornton Urologic Oncology and Voiding Dysfunction/Female Urology Rotation (4 months).

The senior resident will spend two days per week operating with the GU Oncology faculty (Drs. Kane, Derweesh, Kader, and JK Parsons) and one day per week in GU Oncology Clinic with Dr. Kane. The resident will spend one day per week operating with the Female Urology Group (Dr. Albo) and one full day per week in the Female Urology Clinic. The resident will round in the morning and evening at Thornton Hospital under faculty supervision and be responsible for daytime consults at Thornton Hospital. The resident will also conduct video urodynamic studies under the supervision of Dr. Albo at Thornton Hospital. The resident will take at-home call on a rotating basis within the work hours established by ACGME guidelines. The resident will also participate fully in the combined GU Oncology Tumor Board at the UC San Diego Moores Comprehensive Cancer Center, presenting patients when appropriate.

PGY-4: Urology Research (4 months).

The research resident dedicates 4 months to urology research. Since 2008, we have allowed research residents to work in a diverse number of basic science labs including Department of Urology, Department of Surgery, the UC San Diego Moores Cancer Center, or other affiliated laboratories of the UCSD School of Medicine. Residents may also choose to focus on clinical research projects under the supervision of a specified faculty member and approved by the program director and chair of the department. If residents choose a primary clinical research focus, we would like them to take a biostatistics or clinical trials certificate course to augment their experience.

PGY-5: UCSD Chief Resident (6 Months).

The Chief Resident at UCSD is responsible for the inpatient service at both the UCSD Medical Center in Hillcrest and Thornton Hospital under faculty supervision. He or she directs rounds and communicates with responsible faculty daily. The Chief Resident tracks consults and sees them with the on-call faculty member. The Chief Resident has a major supervisory role in directing the activity of the more junior residents. He or she has a choice of which surgeries to perform with the faculty, including robotic laparoscopic and open oncology cases at Thornton Hospital. The Chief Resident supervises junior residents in appropriate clinic procedures and open and endoscopic cases as directed by the faculty. He or she prepares for and presents an M&M conference monthly and attends all educational conferences of the residency program. The Chief Resident takes at-home call on a rotating basis within the work hours established by the ACGME guidelines. We attempt to give significant clinical autonomy in order to prepare the Chief Resident for fellowship or independent practice.

PGY-5: VAMC Chief Resident (6 Months).

The Chief Resident at the VAMC San Diego is responsible for the inpatient service at the VAMC under faculty supervision. He or she directs rounds and communicates with responsible faculty daily. The Chief Resident tracks consults and sees them with the on-call faculty member. He or she has the choice of which surgeries to perform with the faculty, including laparoscopic and open oncology cases the VAMC. During clinic the Chief Resident sees pre-op and post-op patients and counsels patients with complex problems, including newly diagnosed malignancies. The Chief Resident supervises the Junior Resident in appropriate clinic procedures and open and endoscopic cases as directed by the faculty. He or she prepares for and presents an M&M conference monthly, attends all educational conferences of the residency program, and takes at-home call on a rotating basis within the work hours established by the ACGME guidelines. We attempt to give significant clinical autonomy in order to prepare the Chief Resident for fellowship or independent practice.