During the first 12 months of general surgery, all residents spend one month on the adult urology service.
During all years of training, residents participate in the day-to-day operations of the service, which include active involvement in the diagnostic evaluation of urologic patients, pre- and post-operative care. You accumulate surgical experience in both traditional open techniques and newer endoscopic/laparoscopic operations.
The first year of urology is designed to train you in the recognition of uropathology and fundamentals of evaluation and management. You will become familiar with urologic diagnosis, the basics of endoscopy, and the management of the urologic oncology patient. The first-year urology resident is trained in basic operative skills and, receives an in-depth experience with the common and uncommon urologic disease processes. The urology (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 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 preliminary-year of the Urology Residency Program at Mayo Clinic in Jacksonville 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 will be introduced to adult and pediatric office urology.
In your third through fifth years, you will 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 will be given as much independence in the management of patients as ACGME and Medicare guidelines permit. You will coordinate and manage all in-hospital activities of urology residents: rounding, consultations and emergency services. Equal emphasis is placed on endourologic and open surgical procedures.
You will be given considerable responsibility during your training. The large patient volume and wide range of urologic problems you will treat will enhance your experience.
Clinical conferences, seminars, journal clubs and one-on-one preceptorships are all an integral part of Mayo Clinic's Urology Residency Program. 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
- Resident in-service review, focusing on SESAP questions
- Pathology Reviews: Multi-head microscopy
- Imaging conference presented by and for residents and consultants; includes case presentations and reviews of excretory urograms, CT scans, ultrasounds and MRI's-staffed by GU 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 will 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.
Research projects involving human subjects must be conducted under the auspices of the Institutional Review Board. At this time, there are no urologic basic science laboratories on the campus at Mayo Clinic in Jacksonville. Yearly training in the ethical conduct of clinical trials is a mandatory experience for all staff and residents.
Your call schedule will vary by individual rotation. Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education. On average, you will be 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 will be given the opportunity to serve on administrative committees geared toward their particular areas of interest.
Case presentations in Clinical Pathologic Conference (CPC) style are an integral part of Urology Grand Rounds, Urology Imaging and Tumor Board conferences.
You will 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 will supervise junior residents in the clinic and operating room. You will also share administrative responsibilities. The chief resident may act as a teaching surgeon to the junior residents in less complex cases and will be 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 will be monitored carefully during the course of your residency training. You will be evaluated formally by your supervising faculty member after each clinical rotation.
In accordance with Accreditation Council for Graduate Medical Education (ACGME) Urology Residency Review Committee guidelines, you will meet with your program director at least twice annually to review your evaluations and discuss any issues of concern. In addition, you will regularly evaluate the faculty and program to ensure that your educational needs are being met. Your evaluations of the faculty and program will be conducted in a manner that ensures confidentiality.
You will 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. Thus, when you successfully complete the Urology Residency Program, job opportunities may be available at one of Mayo Clinic's group practices.
At the conclusion of your urology residency, you may wish to continue your graduate medical education at Mayo Graduate School of Medicine.
A post-residency training fellowship position is offered in a subspecialty area of urology. This fellowship emphasizes clinical training in all aspects of a particular subspecialty, but can be tailored to your specific career requirements and interests. The fellowship offered at Mayo Clinic is:
If you are accepted for the fellowship, you will continue to receive in-depth, daily, one-on-one training with a consultant. You also will have the opportunity to increase your own supervisory and administrative skills. Contact your faculty adviser for more information about this opportunity.