The educational philosophy is that of a progressive education of physicians with an expressed goal of the pursuit of a urology career and who desire to become competent and caring urologists capable of the independent practice of Urology and Urologic Surgery. Specifically, the goal is to develop Urologic Surgeons who are not only skilled in the clinical practice of urology in a caring and compassionate way, but who also possess the motivation and technical skills necessary for the requisite lifetime learning required to maintain those skills, learn new techniques and procedures and develop insight into research methodology. It is also the philosophy to impart a sense of responsibility for teaching and a dedication of service to others through community service, all in the atmosphere of collegiality and the recognition of the resident physician as a member of a diverse team concerned with the delivery of health care.
Clinical Urology Years:
Urology is a four-year program, which provides for clinical instruction and research experience.
Goals and Objectives: Urology 1
This year is split equally between MedStar Georgetown/Sibley, MedStar Washington Hospital Center and the Veterans Affairs Medical Center. Four months are spent rotating at each institution. Each URO-1 resident rotates with a different chief resident at each site.
The goal of the first year of urology is to provide the resident with a solid foundation of the approach to the care of the urologic patient, by introducing the resident to a wide spectrum of urologic diseases through evaluation and management that is based on laboratory data and imaging studies. The resident will be introduced to technical skills and endoscopic instrumentation and its application in diagnostic procedures and therapy. The first year will provide a basis for the management of the evidence-based practice of medicine.
Goals and Objectives: Urology 2
This year is split equally between MedStar Georgetown/Sibley, MedStar Washington Hospital Center and the National Institutes of Health. Four months are spent rotating at each institution.
NIH – Research Rotation
The goal of this rotation is to expose the resident to clinical research, innovative and state-of-the-art surgical procedures and an introduction to rare diseases that occur in the urologic patient.
MedStar Georgetown/Sibley & MedStar Washington Hospital Center – Urologic Surgery
The goal of the URO-2 urologic surgery experience is to extend the residents' competency in complicated endoscopic surgery of the upper and lower tract. The resident will receive progressive responsibility in the management of urologic patients, and training in major open cases to enhance open surgical skills. The resident will learn techniques in the medical evaluation and the surgical management of calculus disease, including an introduction to laparoscopic surgery. The resident will be introduced to urologic oncology. Finally, the URO-2 resident will learn how to perform consultations from the Emergency Department and inpatient units.
Goals and Objectives: Urology 3
The URO-3 resident spends 3 months on the Children's National Medical Center Pediatric Urology service under the direction of Dr. H. Gil Rushton. In addition, the URO-3 resident spends 3 months on the INOVA Fairfax Hospital Pediatric Urology service under the direction of Dr. David Gibbons, which includes clinics and urologic surgery cases at MedStar Georgetown University Hospital.
The goal of this rotation is to acquire an understanding of the principles of pediatric urology diseases and to gain competence in operative experience of the pediatric patient.
Two months are spent in the URO-3 year at the MedStar Washington Hospital Center's Transplant Surgery service under the direction of Dr. Seyed Ghasemian.
The goal of this rotation is to learn competencies in organ and, specifically, renal transplantation as well as to learn competency in laparoscopic surgery.
Two months are spent in the URO-3 year at the MedStar Washington Hospital Center's UroGynecology service under the direction of Dr. Cheryl Iglesia.
The goal of this rotation is to learn competencies in female reconstructive surgery, the evaluation and management of urinary incontinence and urodynamics of the male and female patient.
Office Urology Practice
The program director will meet with each resident in advance of this block and determine a schedule for the block based on the private office schedule. Each resident spends 2 months on this rotation, which can be spent at any of the locations (MedStar Georgetown University Hospital, MedStar Washington Hospital Center, Children's National Medical Center).
The goal of the office urology rotation is to provide a unique opportunity to learn fundamental principles of practice management, as well as the care of the private patient, through outpatient urologic office settings. A diverse patient population of various backgrounds and problems will provide clinical material for this experience.
Goals and Objectives: Urology 4
The final year of training is again equally distributed in four-month rotations to MedStar Georgetown/Sibley, MedStar Washington Hospital Center and the Veterans Affairs Medical Center.
The goal of the final or chief year of training in urologic surgery is to develop competency in complex endoscopic and open surgical cases, technical competency on all major cases, and polishing management and administrative skills necessary to become an attending physician. The resident will become an accomplished professional by the end of the chief year.