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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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