ROTATION: Urology
PRECEPTOR(S): Drs. Brian P. Butler, Thomas A.
Ferber and Daniel Higgins
DURATION: 2 - 4 Weeks
1. GOALS/OBJECTIVES
OF ROTATION:
--- Develop
proficiency in the evaluation and management of common urological disorders to
include: benign prostatic hypertrophy; recurrent urinary tract infections;
prostatitism and its manifestations; impotence, infertility, phimosis,
localized infections, priapism, and testicular torsion; incontinence in the male
and female; urinary tract calculi; hematuria; and screening for prostate
cancer.
--- Understand
the family physician's role in the treatment and triage of these disorders.
--- Develop proficiency in the prostate exam, prostatic massage, urinalysis, analysis of prostatic fluid, catheterization, urologic physical exam, and when possible, vasectomy.
--- Better
understand how FP's can effectively work with urology consultants.
--- Discuss
urologic radiology, PSA, and urodynamic testing.
2. EXPECTATIONS
OF ROTATION:
--- The resident is expected to attend urology
clinic at least 10 half days when in clinic at WFPC.
--- Commitment interest and attendance on the
part of the resident will result in markedly increased teaching and valuable
procedural experience.
3.
SUGGESTED PREPARATION/REFERENCES:
--- Lange's textbook on urology is suggested text.
4. WORKUPS/WRITE-UPS:
--- In clinic the residents will sometimes see
the patients ahead of time and present them to the preceptor. No write-ups are expected.
5. PROCEDURES:
--- Urology is an excellent rotation to acquire
procedural competency in several areas.
These include: The Prostate Exam,
Prostate Massage, Urinalysis, analysis of prostatic fluid, catheterization of
males and females with and without strictures (i.e. filiform and followers),
recognition of scrotal abnormalities, and vasectomy.
6. AVAILABLE
EDUCATIONAL EXPERIENCES/CONFERENCES:
--- The resident will be encouraged especially
to attend the oncology review where urologic cases are presented.
--- They're also expected to attend A.M.Report,
All Staff Conference, Educational Conferences etc.
7. CALL AND SHARED CALL:
--- The resident
should be on call for Urology every night including 1 weekend. This has been an under-utilized opportunity
in recent years and residents miss the chance to see urologic emergencies such
as testicular torsion, which they are unlikely to see in another context.
--- Call may be combined with clinic call. Call in this case means ER call not calls on
patients.
--- Resident should tell preceptor they would
like to be notified of emergencies so they can see them in the ER with the
Urologist.
8. WEEKEND
REQUIREMENTS:
--- Residents should make themselves available
for one weekend call.
9. VACATION/TIME
OFF:
--- One week per 4 week rotation.
10. CRITERIA FOR
SUCCESSFUL COMPLETION:
--- The resident
will demonstrate an active interest in learning about urologic problems, attend
urology clinic, and make themselves available for call with the Preceptors.
Revised: 6/1/05 – PHG:lmc