EVMS' Urology Residency, established in 1965 by reconstructive urology pioneers Charlie and Pat Devine, is designed around a single service run by chief residents at Sentara Norfolk General Hospital and Children's Hospital of The King's Daughters. Residents round on inpatient consult and surgery patients and receive assignments based on their level of experience.
In addition to general urologic surgery, residents receive significant exposure to:
- laparoscopic radical prostatectomy
- radical cystectomy with continent diversion
- laparoscopic radical and donor nephrectomy
- pelvic reconstruction for incontinence/prolapse
- urethral reconstruction
- microscopic infertility procedures
Residents in the first two years rotate through Naval Medical Center Portsmouth 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." 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 have an ambulatory care clinic rotation for the residents through Urology of Virginia, where the resident spends the bulk of the day in the outpatient urology offices.
Our outpatient experiences were developed to enhance the half-day clinic at Sentara Norfolk General (one half-day per week) and the limited outpatient experiences at Naval Medical Center Portsmouth, as well as to broaden the populations residents serve. Once a month, residents will work with Dr. Brugh to evaluate complex infertility cases.
- Monday morning Interesting Case and X-Ray Conference: Residents present an upcoming case or cases which are particularly interesting with appropriate X-rays and lab values. Interesting and difficult cases in the hospital are discussed with regard to future management.
- Monday afternoon Core Curriculum: The core curriculum is a 24-month review of Campbell’s Urology. A resident, with attending assistance, will present certain topics using the American Urological Association Core Curriculum.
- Thursday morning Grand Rounds: The chief resident organizes this series, which varies from attending lectures, visiting professor lectures and morbidity and mortality conferences to pathology case review.
- White journal club: Residents meet monthly to review important articles in the Journal of Urology.
- Topic-oriented journal club: Once per month from September through May, a staff member or invited guest organizes a journal club focused on 8-10 important articles in topics such as oncology, benign prostatic hyperplasia, infertility and incontinence.
We also have a visiting professor four times per year, i.e., January, April, June and September.