Rotation
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| PGY 3: During the first urologic year, the resident will experience four months each of training at the Cleveland VAMC and MetroHealth Medical Center 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; as well as a strong background in clinical urology. |
| 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.
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| 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 has minimal clinical duties and so 8 months of this year are dedicated to producing research, either a clinically or basically-oriented project in oncology, impotence, urolithiasis, female or pediatric urology. During this time, the resident also has the opportunity to rotate through associated disciplines such as radiology, pathology, nephrology and geriatrics depending on their particular interests. |
| 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, 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 8 per month with two weekends off call. RBC: 8 calls per month |
| PGY-4: 8 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: 0 primary calls. RBC: no primary call. |
