During the first 12 months (PGY-1) of general surgery, all residents spend one month on the adult urology service.
During all years of training in the Urology Residency, residents participate in the day-to-day operations of the service, which includes active involvement in the diagnostic evaluation of urologic patients as well as pre- and postoperative care. You accumulate surgical experience in both traditional open techniques and newer endoscopic and laparoscopic operations.
The first year of the Urology Residency (PGY-2) is designed to train you in the recognition of uropathology and fundamentals of evaluation and management. You become familiar with urologic diagnosis, the basics of endoscopy and the management of urologic oncology patients.
The first-year urology resident is trained in basic operative skills and receives in-depth experience with common and uncommon urologic disease processes. This PGY-2 year concludes with two months of pediatric training at Nemours Children's Clinic.
The second and third years of urology (PGY-3 and PGY-4) provide intensive training in endourology, female urology, urodynamics, infertility, erectile dysfunction and urologic oncology. Four months of the PGY-4 year are spent in the continuation of pediatric urology. Rotations in urologic oncology offer significant exposure to patients with prostate, bladder and renal cancer.
The final year of urology (PGY-5) consists of hospital and clinical rotations in adult urology and a chief resident clinic. This experience allows the resident-in-training to transition to practice and mature into a knowledgeable, confident and skillful urologic surgeon who is capable of thinking independently, carrying out complex operations and handling office-based tasks.
The first year of the Urology Residency at Mayo Clinic's campus in Jacksonville, Florida, is devoted to rotations in general surgery and a variety of subspecialties, including:
- General and laparoscopic surgery
- Colorectal surgery
- Vascular surgery
- Gynecologic surgery
- Renal transplantation
- Critical care medicine
This year provides you with a broad clinical foundation on which to build your urology training. During the second year of your residency, you are introduced to adult and pediatric office urology.
In your third through fifth years, you assume increasing responsibility in caring for urologic patients, culminating in an appointment as chief resident in urology during the final year of your residency.
As a chief resident, you are given as much independence in the management of patients as Accreditation Council for Graduate Medical Education (ACGME) and Medicare guidelines permit. You coordinate and manage all in-hospital activities of urology residents, such as rounding, consultations and emergency services. Equal emphasis is placed on endourologic and open surgical procedures.
You are given considerable responsibility during your training. The large patient volume and the wide range of urologic problems you treat enhance your experience.
Clinical conferences, seminars, journal clubs and one-on-one preceptorships are all an integral part of the Mayo Clinic Urology Residency. These include:
- Formal hospital rounds
- Outpatient clinic
- Outpatient cystoscopy clinic
- Urology Grand Rounds (current topics in urology)
- Resident didactic conference focusing on the American Urological Association Update Series and Annual Review Courses
- Pathology reviews: Multihead microscopy
- Imaging conference presented by and for residents and consultants, which includes case presentations and reviews of excretory urograms, CT scans, ultrasounds and MRIs (staffed by genitourinary and radiology consultants)
- Pediatric imaging and pathology
- Journal club
- Joint journal club (urology and radiation oncology)
- Genitourinary Tumor Board conferences with urology service case presentations
You also have the opportunity to take courses in laser technique, laparoscopy, computer training, microsurgical technique, and basic and advanced cardiac life support.
Residents are encouraged by their preceptors to conduct clinical research pertinent to their ongoing rotations. You may choose from a variety of ongoing clinical research projects in urology or initiate ongoing or retrospective clinical trials. At this time, there are no urologic basic science laboratories on the Jacksonville campus of Mayo Clinic.
Research projects involving human subjects must be conducted under the auspices of the Institutional Review Board. Yearly training in the ethical conduct of clinical trials is a mandatory experience for all staff and residents.
Your call schedule varies by individual rotation. Mayo Clinic follows the recommendations of the ACGME. On average, you are on call no more than every fourth night and every fourth weekend. Currently, residents take call from home, with the exception of the preliminary surgery residents.
Residents are given the opportunity to serve on administrative committees geared toward their particular areas of interest.
Case presentations in clinical pathologic conference style are an integral part of Urology Grand Rounds, urology imaging conferences and tumor board conferences.
You have the opportunity to teach Mayo Medical School students and visiting students from other medical schools through bedside instruction and formal didactic lectures. As chief resident, you supervise junior residents in the clinic and operating room. You also share administrative responsibilities. The chief resident may act as a teaching surgeon to the junior residents in less complex cases and is responsible for the organization and management of the inpatient service.
Urology Grand Rounds are held weekly and are designed to incorporate current topics in urology, genitourinary imaging and uropathology as well as management, morbidity and mortality conferences.
To ensure you acquire a thorough knowledge of urology fundamentals and develop superior technical skills, your performance is monitored carefully during the course of your residency training. You are evaluated formally by your supervising faculty member after each clinical rotation.
In accordance with ACGME Urology Residency Review Committee guidelines, you meet with your program director at least twice annually to review your evaluations and discuss any issues of concern. In addition, you regularly evaluate the faculty and program to ensure that your educational needs are being met. Your evaluations of the faculty and program are conducted in a manner that ensures confidentiality.
You meet periodically with various faculty members, administrators and the residency program director to discuss your individual career goals. Mayo Clinic recruits many of its staff physicians from its own training programs. Therefore, when you successfully complete the Urology Residency, job opportunities may be available at one of Mayo Clinic's group practices.
At the conclusion of the Urology Residency, you may wish to continue your graduate medical education at Mayo School of Graduate Medical Education.
A post-residency training fellowship position is offered in urologic oncology at Mayo Clinic's campus in Rochester, Minnesota. This fellowship emphasizes clinical training in all aspects of urologic oncology, but can be tailored to your specific career requirements and interests. For more information, see Urologic Oncology Fellowship (Minnesota).
If you are accepted for the fellowship, you continue to receive in-depth, daily, one-on-one training with a consultant. You also have the opportunity to increase your own supervisory and administrative skills. Contact your faculty adviser for more information about this opportunity.