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Curriculum

The Urology Residency Program at Mayo Clinic in Rochester provides five years of postgraduate training, including one core year of surgery and four years of clinical urology.

During the twelve months of general surgery, you will spend two months on the adult urology service, participating in the day-to-day operations of the service. You will be actively involved in diagnostic evaluation of urologic patients, pre and post-operative care, assisting in the operating room with both minor and major open procedures, and participating in endoscopic and laparoscopic operations.

Clinical Training

The first year of the Urology Residency, you will become familiar with urologic diagnosis, endoscopy, urodynamic technique and theory, and the management of the urologic oncology patient; as well as acquire basic operative skills and in-depth experience with both common and uncommon urologic disease processes.

The second and third years of urology (PGY-3 and -4) provide intensive training in pediatric urology, endourology, female urology, infertility, erectile dysfunction, and urologic oncology. The rotation in urologic oncology offers 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
The first year of Mayo Clinic's Urology Residency Program is devoted to rotations in general surgery and a variety of subspecialties, including:

  • General Surgery and Colorectal Surgery
  • Urology and Vascular Surgery
  • Plastic Surgery and Pediatric Surgery
  • Emergency Room Care

This year provides you with a broad foundation on which to build the rest of your urology training.

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

Third Year

  • Endourology/Laparoscopy
  • Adult Urology
  • Uro-oncology
  • Pediatric Urology

Fourth Year

  • Female Urology - Senior Resident
  • Neuro-urology/Andrology - Senior Resident
  • Adult Urology - Senior Resident
  • Pediatric Urology - Senior Resident
  • Endourology - Senior Resident

Fifth Year

  • Chief Resident Associate
  • Uro-oncology
  • Chief Resident Associate
  • 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 fully 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.

Daily Activities

  • Formal hospital rounds Weekly Activities
  • 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
  • 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 and basic cardiac life support.

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 Mayo Medical School students and visiting students from other medical schools through bedside instruction and formal didactic lectures.

Regular Conferences & Seminars

  • Weekly imaging conferences presented by and for residents and consultants; include case presentations and reviews of excretory urograms, CT scans, ultrasounds and MRIs
  • Wednesday morning Pediatric Urology Conference with Urology, Pediatrics, Radiology and Nephrology participating
  • Weekly didactic lecture series presented by consultant staff from various disciplines
  • Monthly Genitourinary Multidisciplinary Cancer Conference

Call Frequency

Your call schedule will vary by individual rotation. 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. One of the chief residents also serves on the Library and Communications Committee, and one on the Mentor Committee.

Moonlighting

Extramural employment (moonlighting) at a facility not on the Mayo Clinic campus is permitted for those who hold a valid license to practice medicine. Residents are not required to moonlight. 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.

Program & Graduate Outcomes

Of the last five years of graduating residents:

  • 27 percent have completed or are completing a fellowship
  • 18 percent have joined the Mayo Clinic staff in Rochester
  • 9 percent are working in other academic institutions
  • 68 percent are in private practice

Board Passage Rates & Average Scores

The national pass rate for Mayo Clinic's residents taking the American Board of Urology Part I written examination is 100 percent.

Number of Residents in Program

The American Council of Graduate Medical Education has approved five residents per year.

Awards

Each year the residents have an opportunity to submit papers to the Minnesota Urological Society's "Kelalis Resident's Essay Competition." There are first and second place winners with cash prizes being awarded.

The Mayo Clinic "Current Perspectives in Urology" meeting held every other year requests that residents submit manuscripts with the winner presenting their paper and attending the meeting in Hawaii.

The Mayo Brothers' Distinguished Fellowship Award was recently awarded to one of the Urology residents. This Award provides a $2000 Traveling Scholarship for a one-week period of time.

The Pfizer "Scholars in Urology Grant Program" is awarded to a graduating resident each year. This program provides financial support for research and patient care for the purpose of furthering research in the field of Urology. A $1,500 grant is awarded directly to the Department of Urology in honor of the selected Urology resident.

The James H. DeWeerd Travel Award is awarded each year at the annual recognition dinner for graduating residents. This award assists the recipient in the costs of travel to attend recognized national or international teaching centers or treatment or investigative sites for a proposed education experience.

Various awards have been received by the American Urological Association and North Central Section, as well as the National Kidney Foundation of Minnesota.

Average Percent Employed

Of the residents who have completed the Urology Residency at Mayo Clinic in Rochester, 100 percent are employed in this field.

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 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.

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. The fellowships offered at Mayo Clinic include:

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.

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