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Curriculum

The Urology Residency Program at Mayo Clinic in Scottsdale provides four years of postgraduate training in clinical urology.

Clinical Training
The first year of the Urology Residency, you will become familiar with:

  • Urologic diagnosis
  • Endoscopy
  • Urodynamic technique and theory
  • Management of the urologic oncology patient
  • Basic operative skills
  • Common and uncommon urologic disease processes

The second and third years of the program (PGY-3 and -4) provide intensive training in:

  • Pediatric urology
  • Endourology
  • Female urology
  • Infertility
  • Erectile dysfunction
  • Urologic oncology

The rotations in urologic oncology offer significant exposure to patients with prostate, bladder or renal cancer.

The final year of urology consists of hospital and clinical rotations, including senior and chief resident assignments. This experience allows you to mature into a knowledgeable, confident and skillful urologic surgeon capable of independent thinking and conducting the most difficult of operations.

Rotations

The following is a typical urology residency rotation schedule. Each rotation lasts approximately three months.

First Year
During the first year of your residency, you will have rotations in office urology, adult urology and pediatric urology. You also will begin acquiring basic skills in both endourology and open urologic surgery.

Second Year

  • Endourology/laparoscopy
  • Adult urology
  • Vascular/transplant
  • Research elective

Third Year

  • Female urology
  • Neuro-urology/andrology
  • Adult urology
  • Pediatric urology

Fourth Year

  • Chief resident associate
  • Uro-oncology
  • Endourology/laparoscopy
  • Uro-oncology

Your PGY-3, PGY-4 and PGY-5 year rotations will be spent in clinical urology. You will assume increasing responsibility in caring for urologic patients, culminating in an appointment as chief resident associate in urology during the final year of your residency.

As a senior resident in PGY-4, you will carry out consultations on urologic patients and actively share in preoperative decisions about surgery. You will participate in urologic procedures, both open and transurethral, and in postoperative management in hospital and outpatient clinics.

You will be given considerable responsibility and independence during your training, which will be enhanced by both the large number of patients you will see, and the complicated nature of many of their urologic problems. Equal emphasis is placed on endoscopic, endourologic and open surgical procedures. The time allotted to each of these will vary according to your individual needs.

Didactic Training
Clinical conferences, seminars, small discussion groups, journal clubs and one-on-one instruction are all an integral part of Mayo Clinic's Urology Residency Program. The following list gives you an overview of the didactic portion of the program.

Weekly Activities

  • Formal hospital rounds daily
  • Imaging conferences presented by and for residents and consultants; include case presentations and reviews of excretory urograms, CT scans, ultrasounds and MRIs
  • Academic seminars and consultant lectures in basic science and allied clinical subjects
  • Pediatric urology conferences - on pediatric urology rotation
  • Radiology, nephrology and general surgery conferences monthly activities
  • Pathology lectures, case presentations and morbidity-mortality conferences
  • Journal clubs

Your didactic training also will include periodic reviews of surgical specimens, postmortem findings, instructive cases and urinary microscopy. You will have the opportunity to take courses in laser technique, laparoscopy, microsurgical technique, computer training, basic cardiac life support and writing for scientific publications. You will participate in the Merit Center 's Evidence- Based Surgical Practice Conference.

Case Studies
Weekly imaging conferences are presented by and for residents and consultants. These activities include case presentations and reviews of excretory urograms, CT scans, ultrasounds and MRIs.

Teaching Opportunities
You will have the opportunity to teach medical school students from Mayo Medical School and University of Arizona Medical School and visiting students from other medical schools through bedside instruction and formal didactic lectures.

Call Frequency
Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education.

Committee Assignments
Two residents serve on the Education Committee for Urology, which meets monthly.

Moonlighting
Extramural employment (moonlighting) at a facility not on the Mayo Clinic campus is discouraged. Time spent moonlighting must not interfere with your program requirements and academic performance at Mayo Clinic. The program director must provide written approval for residents to moonlight.

Book Allowance
A department book allowance has been established for each resident, which will provide a copy of "Campbell's Urology, Clinical Pediatric Urology" and "Glenn's Urologic Surgery."

All residents have 24/7 electronic access to the Mayo Library from all institutional workstations within the institution and from home.

Evaluation
To ensure that you acquire adequate knowledge and develop your technical skills, your performance will be monitored carefully during the course of your urology residency. You will be evaluated formally by your supervising faculty member after each clinical rotation. In addition, you will regularly evaluate the faculty and the program to ensure that your educational needs are being met.

Career Development
You will meet periodically with various faculty members, administrators and the training program director to discuss your individual career goals. Mayo Clinic recruits many of its staff physicians from its own training programs. Thus, when you successfully complete the Urology Residency Program, job opportunities may be available within the Mayo Clinic system.

Research Training
The Urology Residency includes basic science and clinical research. A large surgical database, excellent research support and experienced mentors are available to assist you with research projects.

Ongoing collaborations with investigators in anesthesiology, epidemiology, pathology, biomedical engineering, nephrology and radiology provide resources and support for research projects.

You are also expected to be active with data collection and manuscript preparation. You will present at least one scientific study at a national meeting and publish at least one article in a peer-reviewed journal.

Additional Training
At the conclusion of your urology residency, you may wish to continue your graduate medical education at Mayo School of Graduate Medical Education.

Several post-residency training fellowship positions are offered in subspecialty areas of urology. These fellowships emphasize clinical training in all aspects of a particular subspecialty, but can be tailored to your specific career requirements and interests.

If you are accepted for a fellowship, you will continue to receive in-depth, daily, one-on-one training with a consulting physician. You also will have the opportunity to increase your own supervisory and administrative skills. Contact your faculty adviser for more information about these opportunities.

Also see:

  • ART234904