| Urology Residency |
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IntroductionCharlie and Pat Devine, pioneers in reconstructive urology, founded the Urology Residency Program in 1965, prior to the start of EVMS, and became a program of EVMS when it started operations in 1974. Past chairmen include Charlie Devine, M.D. (1965-1990), Paul F. Schellhammer, M.D. (1990-2000), and Gerald H. Jordan, M.D. (2000-2003). Donald F. Lynch, M.D., was appointed chairman in January 2004. Kurt McCammon, M.D., is the program director of the residency, appointed July 1, 2006. The Urology Residency of Eastern Virginia Medical School follows a one-plus-four format—one year of general surgery followed by four years of urology. The program is fully accredited by the ACGME. One position per year is available through the American Urological Association match program, and one position from the Department of Defense. Fellowship programs are available in Adult and Pediatric Genitourinary Reconstructive Surgery and Endourology/Laparoscopy. General DescriptionThe Department of Urology is under the direction of 20 attending staff urologists, of whom four are fellowship-trained in oncology, two in endourology/laparoscopy, four in reconstructive/female urology, three in pediatric urology, and one in male infertility. Sentara Norfolk General Hospital (SNGH) and the adjoining Children’s Hospital of The King’s Daughters (CHKD) serve as the primary teaching centers for surgery, inpatient care and conferences. Residents rotate through Portsmouth Naval Hospital, which is a new facility and currently has four full time staff, one fellowship-trained in oncology, and one in renal transplantation. With the large faculty of 20 active teaching members, plus six community faculty members, residents have access to the full array of urologic procedures. Residents generally finish well above the 50 percent in index procedures, and for over 20 years have had a 100 percent pass rate for the American Board of Urology. In addition to general urologic surgery, residents receive significant exposures to laparoscopic radical prostatectomy, radical cystectomy with continent diversion, laparoscopic radical and donor nephrectomy, pelvic reconstruction for incontinence/prolapse, urethral reconstruction, and microscopic infertility procedures. Recent chief resident case logs are provided for review during interviews. Please see the Teaching Hospitals page for more information. CurriculumThe residency is designed around a single service run by the chief resident(s) at SNGH and CHKD. Residents round on inpatient consult and surgical patients at the two hospitals in the morning and meet with the chief resident(s) at 7 a.m. Assignments are made on a daily basis to cover the spectrum of procedures scheduled at the various hospitals and are made to match the resident’s experience with the complexity of the case, i.e., junior residents cover minor open cases and basic endoscopy, mid-level residents cover advanced endoscopic cases and some major cases, and senior residents cover major open and laparoscopy cases. At various times in the year, junior residents spend several weeks rotating with nephrologists, diagnostic radiologists and radiation oncologists. Residents in the first two years rotate through Portsmouth Naval Hospital clinics. The schedule often permits residents to travel to surrounding affiliated hospitals to gain additional index case experience. Our single-service design has some advantages over strict “rotations” in that residents have flexibility in their daily assignments so they can balance their case logs and their personal interests, especially in their chief year. Outpatient urology takes place at the Sentara Ambulatory Care Clinic each Thursday morning for adult care, and Monday afternoons at CHKD for pediatric urology. We recently established an ambulatory care/clinic (AC/C) rotation for the residents. This is comprised of a three-month period wherein the resident spends the bulk of the working day in one of the three main outpatient urology offices (Hague office, Kempsville office, Virginia Beach office). This rotation provides much needed educational experience in the outpatient setting. The outpatient experiences were developed to enhance the half-day clinic at Sentara Norfolk General Hospital (1/2 day per week) and the limited outpatient experiences at the Naval Medical Center, Portsmouth. These two clinics have educational limitations in terms of populations being served, which is enhanced by the addition of the office clinics (Hague, Kempsville and Virginia Beach). Once a month, residents rotate at the EVMS Jones Institute for Reproductive Medicine to evaluate complex infertility cases. Once a week, residents rotate at Lake Taylor Hospital to evaluate urologic issues with long-term care, spinal-cord care and geriatrics. The teaching curriculum has three weekly meetings:
The teaching curriculum has two journal clubs:
We also have a visiting professor at least three times a year, i.e., January, June and September. Clinical research is encouraged and available for all residents. We maintain an active oncology database program. All residents present research topics at the Spring Tidewater Urology Meeting. We support travel to regional and national meetings to present abstracts accepted for presentation. Other meetings supported include the Basic Science Review in Charlottesville for PGY3 residents, and the AUA review courses for chief residents preparing for Part I Board examinations. There is no allotted time for resident basic lab research. However, the department has an active affiliation with the Department of Microbiology and Molecular Cell Biology and has a multidisciplinary prostate cancer center—the Virginia Prostate Center. Three previous residents have taken time before or after residency to perform basic science research in these laboratories. Residents receive standard EVMS stipend and benefits
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for their PGY- level, and three weeks leave plus holidays. General surgery call is in-house, while urology call is from home, covering SNGH, Sentara Leigh Hospital and CHKD. We are in full compliance with the 80-hour work week requirements and are phasing in the competency requirements from ACGME.