Back to Residency
The U-M Medical School Department of Urology Residency training program assigns residents using a preceptor format primarily based on subspecialty orientation. In addition, the two off-site rotations (VA Hospital and St. Joseph’s Hospital) have specific teaching value.
At the beginning of each rotation the section head or designee will discuss the aims and expectations for each training level. End of rotation evaluation with one-on-one feedback focusing on areas of weakness and strengths with future recommendations will be provided to each resident.
- Demonstrate the ability to diagnose and counsel patients regarding treatment options for common Urologic malignancies
- Confidently manage the perioperative care of patients with Urologic cancers undergoing surgical intervention incorporating existing care pathways and identify/manage post-operative complications promptly and appropriately
- Perform the common procedures in Urologic Oncology by the completion of the last rotations
- Demonstrate the ability to access, analyze and use sources available to ascertain scientific knowledge
- Assess the need for metabolic and/or surgical treatment of patients with urinary stones and formulate expedient evaluation and management plans for their care
- Formulate reasonable evaluation and management plans for patients with flank pain, hematuria and other upper urinary tract diseases, including upper tract tumors
- Perform cystoscopic procedures, ureteroscopy, percutaneous surgery and shock-wave lithotripsy
- Complete timely log of surgical cases
- Demonstrate the ability to access, analyze and use sources available to ascertain scientific knowledge
- Demonstrate the ability to access, analyze and use sources available to ascertain scientific knowledge
- Develop the differential diagnoses list, and an evaluation/management plan for common general urologic problems
- Perform endoscopic and outpatient procedures including prostate biopsies, flexible cystoscopy, vasectomy
- Perform transurethral prostatectomy including TURP, VLAP, TUBE and PVP for management of BPH
- Demonstrate the ability to identify common urodynamic findings
- Complete timely log of surgical cases and urodynamic procedures
- Perform sacral neuromodulation procedures, botulinum toxin injections, male urethroplasties, artificial urinary sphincter implantations, pubovaginal slings and urinary diversion surgeries
- Demonstrate the ability to access, analyze and use sources available to ascertain scientific knowledge
- Evaluate patients presenting to C. S. Mott Children’s Hospital, demonstrate mastery of the Pediatric Urologic history, physical, differential, and arrive at a diagnosis
- Demonstrate comprehension and competency in the surgical treatment of common Pediatric Urologic conditions such as vesicoureteral reflux, cryptorchidism, phimosis, paraphimosis, hypospadias and ureteropelvic junction obstruction
- Complete timely log of surgical cases and balance case variety appropriately
- Manage preoperative and postoperative Pediatric surgical patients including management of fluids, diet, constipation, weight-based medication dosing, and parent education
- Recruit the assistance of Child Life and Pediatric Nursing in the preoperative/pre-procedure and postoperative/post-procedure care of Pediatric patients
- Assess couples with the complaint of infertility, including ascribing a male/female or combined etiology to the problem
- Discern the cause of male sexual dysfunction, including organic and psychogenic causes, and formulate a plan that efficiently reaches a patient-goal oriented approach to a solution
- Screen for hypogonadism with history and blood testing and determine who is a candidate for hormone replacement therapy and which types of therapy are available
- Perform andrology procedures, including microsurgical varicocele repair, vasovasostomy and implantation of an inflatable penile prosthesis
- Complete timely log of surgical cases
- Demonstrate the ability to access, analyze and use sources available to ascertain scientific knowledge
- Organize and staff the VA outpatient clinics with faculty supervision on site for each clinic
- Perform the broad spectrum of urologic surgical procedures ranging from oncology, endourology, robotic, laparoscopic and general urology
- Gain experience with a more autonomous role in the management of the entire spectrum of urologic patients in the VA setting
- Develop administrative skills in patient care management in a more independent fashion
- Demonstrate the ability to diagnose and counsel patients regarding treatment options for common Urologic diseases
- Confidently manage the perioperative care of Veterans with Urologic disease undergoing surgical intervention and identify/manage post-operative complications promptly and appropriately
- Develop the ability to manage the entire spectrum of urologic conditions in an outpatient setting effectively employing the resources of a large, integrated health system
- Will complete timely log of surgical cases and urodynamic procedures
- Demonstrate the ability to access, analyze, and use sources available to ascertain scientific knowledge
- Perform endoscopic, robotic, laparoscopic and open cases
- Perform robotically assisted prostatectomy, partial nephrectomy and pyeloplasty
- Perform transurethral prostatectomy, including TURP, VLAP, TUBE and PVP for management of BPH
- Continue to work effectively with support personnel
- Post-Graduate Orientation Assessment:
- Incoming residents are required to complete the PGOA. This assessment is comprised of several stations/modules and assess important clinical care issues such as informed consent, interpretation of radiologic imaging, critical value interpretation, evidence-based medicine, sterile technique etc.
- Open
- Endoscopic
- Laparoscopic
- Robotic
- Goals of Training:
- Set up of the Davinci Robot
- Use the Robot from the console
- Troubleshoot the Robot during the case
- Be a first assistant
- Methods:
- Participate in the set-up, sterile draping, and activation of the robot for three Davinci cases. This will be accomplished by having the resident and or faculty member assist the nursing staff in the set-up prior to the Davinci case
- Review the written material and CD ROM regarding the Davinci Robot provided by Intuitive Inc
- Be a second assistant for two Davinci cases observing the first assistant and learning the laparoscopic techniques necessary from the first assistant. As a second assistant the resident/faculty member will learn docking of the robot arms, insertion of instruments, and manipulation of the robot arms
- Have progressive time at the console with a Davinci-accredited faculty member developing graded responsibility and performing various parts of the operation
- Learn how to disassemble the Robot
- Competency Evaluation:
- Under the supervision of the Davinci trained nurses the resident or faculty member will set-up the robot and perform lens application
- The resident or faculty member will attach the robot to the Davinci arms, insert the working arms and assist in a Davinci case as a first assistant with a previously trained physician observing as second assistant
- The resident or faculty member will disassemble the robot and store it after the Da Vinci case
- Goals of Training:
Expand your career trajectory in a high-volume academic medical center that also supports and excels in a wide range of basic science, translational and clinic outcomes research programs.
