Third Year Clerkship Rotation

Rotation Supervisor: Dr. Ryan Smith
Rotation Administrator:  Meghan Rover
Duration: 3 weeks
Report to: 4^th Year Urology Resident
Time to Report: 6:00am
Place to Report: 6 East, call Urology Resident On-Call (PIC#1586) with questions.
Typical Day: 6:00 am – 6:00 pm

Suggested Preparatory Reading:

1. American Urological Association Medical School Curriculum*
2. Review basic Genitourinary Anatomy (suggest Smith and Tanagho’s General Urology-online access available via library)
3. Hinman’s Atlas of Urologic Surgery-Available in Urology Resident Room (good review of surgical anatomy prior to cases)

Number of students per rotation: 1-2

Rotation Description: The student will learn pathophysiology, evaluation, and treatment for diseases of the urinary tract, male genital tract, retroperitoneal space and adrenal glands. The rotation allows students to have a broad exposure to urology, both office and operative. Students are expected to attend weekly conferences when available (generally Wednesday mornings). Students will round with the team on inpatients and participate in the outpatient evaluation and preoperative, intraoperative, and postoperative management of patients with urologic disorders. Students are evaluated based on performance in the clinic, operating room and on rounds. Completion of EPA 7 is required during the rotation (develop a well-formed, focused, pertinent clinical question based on patient care). This will be done as a topic presentation scheduled during your rotation (often Thursday morning of the second or third week via Zoom to maximize faculty/resident participation). There is no night call. Students typically round on one weekend morning on the first and second weeks of the rotation.

General Goals:

• Learn to perform a history, physical examination and office evaluation of patients with common urologic diseases under the direction of resident and attending staff: urologic oncology (renal tumors, transitional cell carcinoma, prostate cancer, testicular cancer and adrenal tumors); stone disease; incontinence and bladder dysfunction; urinary tract infections; bladder outlet obstruction and lower urinary tract symptoms; erectile dysfunction and male infertility
• Learn about and observe common diagnostic techniques used in the urology clinic: ultrasound, urinalysis, flow rate, urodynamics and cystoscopy
• Learn the indications for and reading of common uroradiographic evaluation: plain films, IVP, nuclear medicine, ultrasonography and CT
• Learn the fundamentals of pharmacologic treatment of common urologic conditions
• Observe common urologic surgical procedures such as radical nephrectomy, radical cystectomy with urinary diversion, radical prostatectomy, ESWL, ureteroscopy, TURP and TURBT.

For more information regarding this rotation, please see this document.