Department of Urology
Curriculum
 The residency is designed around a
single service run by the chief resident(s) at Sentara Norfolk General Hospital
(SNGH)
and Children's Hospital of The King's Daughters (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 daily 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
a three-month period where 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 SNGH (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 the 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:
- Monday morning basic science:
Residents take turns reviewing topics from embryology, nephrology,
physiology, anatomy and others.
- Monday afternoon X-ray:
Residents present interesting cases with X-rays with staff
radiologists and urologists are in attendance. On the first Monday
of the month, the conference becomes a multidisciplinary uro-oncology
conference, in which urology, radiation oncology, diagnostic
urology, medical oncology and pathology meet to discuss complex
oncology cases.
- Thursday morning didactic:
The chief resident organizes this series, which varies from didactic
attending lectures, visiting professor lectures and morbidity and
mortality conference to pathology case review.
The teaching curriculum has two journal
clubs:
- White/Gold journal club.
Residents meet monthly to review important articles in the
Journal of Urology and Urology.
- Topic-oriented journal club.
Once per month from September through May, a staff member or invited
guest organizes topic- oriented journal club to focus on 8-10
important articles on topics such as oncology, BPH, infertility,
incontinence, etc.
We also have a visiting professor at
least three times a year, i.e., January, June and September.
Top |
