Educational Goals and Objectives by Year

Educational Goals and Objectives by Year

PGY-1 (Surgical Internship)

The internship year is a standard one year rotating surgical internship with rotations on transplantation, critical care, general surgery, vascular surgery, and trauma among others. The interns are given typical duties to perform such as: initial history and physical exams, seeing floor and emergency department consults, and performing perioperative floor management. They take some in house call and some home call depending on the service. They attend General Surgery Conferences. PGY-1 (UROLOGY) residents are administered the American Urological Association In-Service examination in the Fall. Though In-Service examination scoring for PGY1 residents is not measured, it is required by the urology residency program. Participation in the examination is simply provided to familiarize the resident with the examination process. Their responsibilities are basically data gathering, learning to master medical records and IT systems, patient evaluation, medical management of surgical patients and basic surgical skills.


PGY-1 (Surgical Internship)

Educational Goals

a. Learn perioperative surgical care, critical care, and fluid and electrolyte management.

b. Learn basic surgical techniques.

c. Learn basic physical examination and history taking skills.

d. Learn basic data management.

e. Learn how to function as part of a clinical care team.

f. Learn principles in general surgery, vascular surgery and transplantation


Educational Objectives - By the end of the PGY-1 year the resident should be able to:

a. Perform basic initial evaluation of surgical patients.

b. Perform basic perioperative care for surgical patients in general surgery, vascular surgery, and transplantation

c. Provide critical care of surgical patients including lines, monitors, and ongoing evaluation.

d. Assist with minor and major surgical procedures.

e. Learn general surgical principles and participate in the general surgery in-service exam.

f. Start their personal operative log to be continued throughout training.

g. Perform as an effective part of the system-based practice of medicine.



PGY-2 URO-1 University Hospital and VA Hospital Junior Resident (both are 6 month rotations)

Both rotations are very similar but in different clinical settings. At this level the residents are given more responsibility to participate in surgery and clinics. They see urology consults in the hospital and emergency department. They prepare patients for ambulatory urologic procedures and begin to master basic urologic surgical skills such as endoscopy and genital surgery. They begin to assist in major urological procedures. They are given responsibility to help in student educational activities and are given instruction in all ACGME core competencies including medical knowledge, patient care, practice based learning and improvement, professionalism, system-based practice, and interpersonal skills and communication. In short they are expected to begin to learn how to function as a member of the urologic team and the larger health care system as a urologist.


PGY-2 URO-1 - University Hospital and VA Hospital Junior Resident

(Both are 6 month rotations and have the same goals and objectives)

Educational Goals

a. Learn basics of urologic diseases.

b. Learn basic skills of lower urinary endoscopy.

c. Learn basic skills of ultrasonography including transrectal ultrasound of the prostate and prostate biopsy.

d. Learn basic teaching skills for medical students and house officers.

e. Learn how to read and evaluate urologic literature.

f. Develop abilities to work with other members of the health care system.

g. Gain an introductory understanding of multidisciplinary urologic cancer care.


Educational Objectives - By the end of the PGY-2 year the resident should be able to:

a. Demonstrate knowledge of the basic principles of common urologic diseases.

b. Perform cystoscopy, bladder biopsies, and ureteral catheter insertion under supervision of attending staff.

c. Place urethral catheters in patients.

d. Dilate urethral strictures.

e. Perform basic ureteroscopy including diagnostic and therapeutic procedures including laser lithotripsy, upper tract biopsy, and fulguration.

f. Provide perioperative care for urology patients.

g. Provide inpatient and outpatient care for patients at the VA Hospital under supervision of attending staff.

h. Provide care for the patient with GU trauma including evaluation, monitoring, surgical care, and medical management.

i. Perform increasingly difficult surgical tasks such as scrotal surgery, minor urological procedures, abdominal wound opening and closing, and first assisting in abdominal and flank surgery.

j. Identify and develop a project for clinical research and one for system-based learning.

k. Continue to develop communication skills and coordination skills between members of the health care system.



PGY-3 URO-2 Norton Hospital Junior Resident (6 months)

This rotation is designed to introduce residents to both private and service patients in a private teaching hospital. The full time faculty and clinical faculty have patients in Norton Hospital and the residents are given the responsibility to perform more independently and to keep their own daily schedule. They will see patients in a variety of settings such as floor and emergency consults, clinics and private offices. They have some ability to choose which cases in which to participate. There is a strong endourology and laparoscopic experience and most ESWL is done on this rotation. This is their introduction to robotic surgery, female urology and incontinence. They will learn evaluation and management of incontinence. There is a strong ambulatory surgery component in this rotation.


PGY-3 URO-2 - Norton Hospital Junior Resident (6 months)

Educational Goals

a. Develop a more complex knowledge of urologic disease.

b. Assume more responsibility in surgical cases.

c. Learn basic laparoscopic principles.

d. Gain preliminary familiarity with robotic surgery of the urinary tract.

e. Gain expertise in incontinence and female urology diagnosis and management.

Educational Objectives

a. Develop basic laparoscopic and endourology skills.

b. Develop more advanced endoscopic skills such as TUR of prostate and more complex bladder tumors.

c. Perform outpatient urologic surgical perioperative management.

d. Perform ambulatory surgeries such as ESWL, cystoscopy, bladder biopsies, TURBT, ureteroscopy, vasectomies, TRUS/BX.

e. Develop understanding of basic urodynamic evaluation and interpretation.

f. Evaluate overall progress through urologic in-service examination.

g. Present and discuss cases in conference.

h. Perform more complex duties in patient care coordination and intra-service communication.

i. Present a case at the Kentucky Urological Society.


Norton Children’s Hospital Resident (6 months)

This rotation is the resident’s opportunity to learn pediatric urology in a free standing, full service children’s hospital. They will evaluate and work up patients in the ambulatory surgery service, outpatient clinics, spina bifida multidisciplinary clinics, private offices, floor and emergency consults. They will participate in all levels of pediatric urologic surgery. They will learn indications and uses of urodynamics in children. They will learn outpatient management of urologic disease. They will be closely supervised and work one-on-one with faculty. Their responsibility will grow as their skill and knowledge expands.


PGY-3 URO-2 - Norton Children’s Hospital Resident (6 months)

Educational Goals

a. Develop a more complex knowledge of urologic disease.

b. Learn basics in pediatric urologic disease and conditions.

c. Learn perioperative care in children with urologic disease

d. Learn basics of pediatric urologic surgery.

e. Learn basic laparoscopic principles.

f. Develop understanding of evaluation and management of outpatient urologic conditions in children.

g. Learn objectives and interpretation of urodynamics in children.


Educational Objectives

a. Develop basic laparoscopic and endourology skills.

b. Perform pediatric urologic procedures such as circumcision, scrotal/groin surgery, hypospadias, pyeloplasty and surgery for reflux.

c. Perform outpatient urologic surgical perioperative management.

d. Perform ambulatory surgeries such as ESWL, cystoscopy, ureteroscopy, and genital surgery.

e. Develop understanding of basic urodynamic evaluation and interpretation.

f. Evaluate overall progress through urologic in-service examination.

g. Present and discuss cases in conference.

h. Perform more complex duties in patient care coordination and intra-service communication.

i. Present a case at the Kentucky Urological Society Annual Meeting.



PGY-4 URO-3 Chief Resident at VA Hospital (6 months)

This is the resident’s first opportunity to run a service and direct the activity of junior residents and student activities. They have responsibility to organize clinics and to take more independence in evaluating and deciding on management options in the clinic. The will take a more advanced role in the operating room and will help assist junior residents in less complex surgical cases under the supervision of faculty. They will make management decisions about medical and perioperative care of urology patients both in and out of the hospital.


PGY-4 URO-3 - Chief Resident at VA Hospital (6 months)

Educational Goals

a. Increase knowledge of general urologic disease.

b. Expand involvement in complex urological surgical cases.

c. Develop problem solving skills for diagnosis and management of urologic disease.

d. Develop initial skills at management of a service at the VA Hospital.

e. Increase teaching skills.

f. Increase understanding of health care system.

g. Present results of system-based learning project.

h. Learn advanced multidisciplinary management of urologic cancer.


Educational Objectives - By the end of the PGY-4 year the resident should be able to:

a. Manage common outpatient urologic conditions.

b. Perform as the chief resident at the VA Hospital.

c. Evaluate overall progress through urologic in-service examination.

d. Present and discuss cases in conference.

e. Submit at least one abstract to a national meeting.

f. Present a case at the Kentucky Urological Society.

g. Submit one manuscript for publication.

h. Assume a leadership role in Campbell’s Conference.

i. Assume a leadership role in planning some case conferences.

j. Refine interpersonal skills and system-based learning skills.

k. Participate in resident candidate interview process.

l. Attend the national meeting of the AUA.


Resident at Jewish /St. Mary’s Hospital (6 months)

During this rotation at a private teaching hospital the resident will participate with the full time and clinical faculty some of whom specialize in fertility, impotence, and transplantation. These experiences are not available at other teaching facilities within the University system. In addition, the rotation provides a considerable amount of complex urologic surgical experience and time in the geriatric urology clinics. We expect the rotation to provide geriatric urology and rehabilitation urology experience in both the inpatient and outpatient settings. At this point the resident is expected to act in a responsible manner and to organize their time to maximize this variety of teaching opportunities.


PGY-4 URO-3 - Resident at Jewish /St. Mary’s Hospital (6 months)

Educational Goals

a. Learn principles of infertility including evaluation and management options.

b. Develop basic skills in microsurgery.

c. Learn urologic care of renal transplantation.

d. Increase knowledge of general urologic disease.

e. Expand involvement in complex urological surgical cases.

f. Learn principles of Geriatric Urology and the multidisciplinary approach to these problems.

g. Learn urologic principles of rehabilitation medicine.

h. Develop problem solving skills for diagnosis and management of urologic disease.

i. Increase teaching skills.

j. Increase understanding of health care system.


Educational Objectives

a. Participate in evaluation and management of urologic conditions in transplant patients.

b. Participate in surgery for infertility and impotence.

c. Participate in Geriatric Urology Clinics and surgeries.

d. Participate in urologic consultation of rehabilitation medicine patients.

e. Evaluate overall progress through urologic in-service examination.

f. Present and discuss cases in conference.

g. Submit at least one abstract to a national meeting.

h. Present a case at the Kentucky Urological Society.

i. Submit one manuscript for publication.

j. Assume a leadership role in Campbell’s Conference.

k. Assume a leadership role in planning some case conferences.

l. Refine interpersonal skills and system-based learning skills.

m. Participate in resident candidate interview process.

n. Attend the national meeting of the AUA.



PGY-5 URO-4 Chief Resident at University Hospital (6 months)

This rotation carries with it the most administrative responsibility because of the size of the teaching service and presence of medical students. The resident is expected to organize the patient care and teaching aspects of the service. They are expected to supervise the floor work and emergency department and floor consultations under the supervision of the faculty. They are expected to learn the most complex and challenging surgical and medical care. They have responsibility to help with the teaching efforts of the Department and the selection of new residents. Teaching is an important part of their assignment and they are expected to learn how to develop and present a short medical lecture. They will participate in and help organize a multidisciplinary urologic cancer clinic at the Brown Cancer Center.


PGY-5 URO-4 - Chief Resident at University Hospital (6 months)

Educational Goals

a. Become proficient in the pathophysiology of urologic diseases.

b. Mature in surgical skills to the level of primary surgeon.

c. Learn administrative skills and responsibility to run a teaching service.

d. Supervise resident team and organize student activities.

e. Develop speaking and organizational skills necessary to be a medical speaker.

f. Learn practice issues such as coding, compliance, regulatory, legal and ethical aspects of urology.

g. Learn advanced interdisciplinary cancer management with radiation oncology and medical oncology.

h. Learn advanced GU trauma management.


Educational Objectives

a. Master all aspects of urologic conditions and disease including pathophysiology, evaluation and management.

b. Prepare successfully for Part 1 of the ABU Qualifying Exam.

c. Organize teaching conferences for the department including Journal Club and the resident lecture series.

d. Participate and help organize multidisciplinary cancer conferences.

e. Develop and enforce the resident call schedule.

f. Supervise and lead medical student activities and teaching on service.

g. Present a case at the Kentucky Urological Association.

h. Submit at least one manuscript to the meeting of the Southeastern Section of the AUA.

i. Attend the meeting of the Southeastern Section of the AUA.

j. Refine surgical skills in the most complex cases such as radical prostatectomy, cystectomy and various forms of diversion, partial nephrectomy, reconstructive pediatric procedures and adult reconstruction.

k. Evaluate overall progress through urologic in-service examination.

l. Evaluate and discuss the comparative aspects of academic and private practice opportunities.

m. Express proficiency in all ACGME core competencies including medical knowledge, patient care, practice based learning and improvement, professionalism, system-based practice, and interpersonal skills and communication.

Chief Resident at Norton Hospital (6 months)

This rotation involves supervising the junior resident and students on service with the help of the full time and clinical faculty. The volume of surgical cases is remarkable and there is a variety which includes complex urologic cancer, complex stone disease, complex female urology and incontinence, and general urology. The Chief is expected to participate in the Departmental educational functions and the selection of new residents. They will develop skills in robotic surgery and advanced laparoscopy and endourology. They have ability to direct their daily participation in various urologic activities.



PGY-5 URO-4 - Chief Resident at Norton Hospital (6 months)

Educational Goals

a. Become proficient in the pathophysiology of urologic diseases.

b. Mature in surgical skills to the level of primary surgeon.

c. Learn and develop robotic surgical skills.

d. Learn administrative skills and responsibility to run a teaching service.

e. Supervise resident team and organize student activities.

f. Learn advance urodynamic evaluation and analysis.

g. Learn advanced female urology and incontinence evaluation and management.

h. Develop speaking and organizational skills necessary to be a medical speaker.

i. Learn practice issues such as coding, compliance, regulatory, legal and ethical aspects of urology.

j. Learn advanced interdisciplinary cancer management with radiation oncology and medical oncology.


Educational Objectives

a. Master all aspects of urologic conditions and disease including pathophysiology, evaluation and management.

b. Prepare successfully for Part 1 of the ABU Qualifying Exam.

c. Organize teaching conferences for the department including Journal Club and the resident lecture series.

d. Participate and help organize multidisciplinary cancer conferences.

e. Develop and enforce the resident call schedule.

f. Supervise and lead medical student activities and teaching on service.

g. Present a case at the Kentucky Urological Association.

h. Submit at least one manuscript to the meeting of the Southeastern Section of the AUA.

i. Attend the meeting of the Southeastern Section of the AUA.

j. Master advanced surgical procedures in incontinence and female urology.

k. Refine surgical skills in the most complex cases such as radical prostatectomy, cystectomy and various forms of diversion, partial nephrectomy, reconstructive pediatric procedures and adult reconstruction.

l. Evaluate overall progress through urologic in-service examination.

m. Evaluate and discuss the comparative aspects of academic and private practice opportunities.

n. Express proficiency in all ACGME core competencies including medical knowledge, patient care, practice based learning and improvement, professionalism, system-based practice, and interpersonal skills and communication.