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.
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