URO




                           UROLOGY - Parkland
                           GOALS AND OBJECTIVES


ROTATION COORDINAT...
URO



Urology is an integral part of the comprehensive and continuous care provided by family
physicians. Residents must ...
URO



       j. Use of urologic antibiotics and those medications that affect the autonomic
                 nervous syst...
URO



        l. Urinary retention
        m. Male infertility
        n. Prostatitis
        o. Urinary tract stone dise...
URO



3.     Didactic: Urology is a regular part of the family medicine noon conferences and
       grand rounds. Several...
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Urology.doc

  1. 1. URO UROLOGY - Parkland GOALS AND OBJECTIVES ROTATION COORDINATOR Amer Shakil, MD 6263 Harry Hines Blvd. Dallas, TX 75390-9067 214-648-1399 214-648-1085 (fax) ROTATION FACULTY Jenna Wimberly, MD Department of Urology 5323 Harry Hines Dallas, TX 75390-9110 ROTATION CONTACT Amanda Holland Education Coordinator 214-648-2450 214-648-4789 (fax) CALL FREQUENCY No call VACATION No vacation allowed in this 2 week ROTATION DAYS/HOURS Monday - Friday 7:30 am – 12:30 pm MON TUE WED THUR FRI AM URO URO URO URO URO PM FMC Conference FMC FMC FMC Residents spend 20 hrs (five ½ days) per week on Urology rotation. All this time is in outpatient clinics located in Parkland hospital. In addition they spend 16 hrs (four ½ days) in the FMC and 4 hrs (½ days) per week for family medicine didactic sessions per week. INTRODUCTION Revised May 20, 2009 (dd)
  2. 2. URO Urology is an integral part of the comprehensive and continuous care provided by family physicians. Residents must be able to diagnose and manage urologic problems as well as perform necessary ambulatory procedures. Residents must also be aware of and be able to manage the psychosocial impacts and preventative aspects of genitourinary problems. EDUCATIONAL GOALS At the completion of the rotation the resident should be able to: Patient Care 1. Perform a urologic history and physical exam, order appropriate tests and procedures, and establish a diagnosis and treatment plan for urologic problems. 2. Refer cases to urology appropriately on a case by case basis. Communication 1. Discuss urologic care with patient and family in a practical and caring manner. 2. Discuss and document urologic care with staff, colleagues, residents, fellows, and faculty in an effective, efficient, and professional manner. Medical Knowledge 1. Have a working knowledge of urologic issues such as: a. Genital anomalies (hypospadias, undecended testis, etc.) b. Voiding dysfunction in children c. Neurogenic bladder d. Urinary tract infection e. Urethral discharge f. Hematuria (microscopic and gross) g. Urinary incontinence h. The acute scrotum i. Genitourinary tract cancer j. Obstructive uropathy k. Ureteral reflux l. Urinary retention m. Male infertility n. Prostatitis o. Urinary tract stone disease 2. Have a working knowledge of urologic procedures such as: a. Perform urologic history and physical b. Urinalysis, urine culture c. Urethral catheterization d. Urethral dilatation for stricture e. Cystourethroscopy f. Prostatic examination g. Use of prostatic specific antigen (PSA) h. Circumcision i. Interpretation of medical imaging studies common in pediatric and adult urology Revised May 20, 2009 (dd)
  3. 3. URO j. Use of urologic antibiotics and those medications that affect the autonomic nervous system for voiding dysfunction k. Vasectomy Practice-Based Learning 1. Resident must show use of EBM to improve patient care. Systems-Based Practice 1. Coordinate urologic care to improve patient care by utilizing resources of Parkland Hospital and the Dallas community. Professionalism 1. Works together with staff and consultants to improve patient care, decrease cost, promote wellness, provide patient education, and prevent disease. 2. Practice ethical, reasonable medical care for all. 3. Be free of substance abuse addiction. 4. Follow all the policies of the program at Parkland Hospital and respect the policies of CMC and UTSW. EDUCATIONAL OBJECTIVES At the completion of the rotation the resident can: Patient Care 1. Perform a urologic history and physical, order appropriate tests and procedures, establish a working diagnosis and start a treatment plan. 2. Refer urologic cases appropriately. Communication 1. Discuss urologic care with patient and family in a practical and caring manner. 2. Discuss and document urologic care with staff, colleagues, residents, fellows, and faculty in an efficient, effective, and professional manner. Medical Knowledge 1. Have a working knowledge of urological issues such as: a. Genital anomalies (hypospadias, undecended testis, etc.) b. Voiding dysfunction in children c. Neurogenic bladder d. Urinary tract infection e. Urethral discharge f. Hematuria (microscopic and gross) g. Urinary incontinence h. The acute scrotum i. Genitourinary tract cancer j. Obstructive uropathy k. Ureteral reflux Revised May 20, 2009 (dd)
  4. 4. URO l. Urinary retention m. Male infertility n. Prostatitis o. Urinary tract stone disease 2. Have a working knowledge of urologic procedures such as: a. Perform urologic history and physical b. Urinalysis, urine culture c. Urethral catheterization d. Urethral dilatation for stricture e. Cystourethroscopy f. Prostatic examination g. Use of prostatic specific antigen (PSA) h. Circumcision i. Interpretation of medical imaging studies common in pediatric and adult urology j. Use of urologic antibiotics and those medications that affect the autonomic nervous system for voiding dysfunction k. Vasectomy Practice-Based Learning 1. Solve urologic problems using EBM to improve patient care. System-Based Practice 1. Coordinate urologic care and improve patient care by utilizing resources in the Parkland Hospital system and Dallas community. Professionalism 1. Demonstrate being able to work together with staff and consultants to improve patient care, decrease cost, promote wellness, provide patient education, and prevent disease. 2. Practice ethical medical care. 3. Demonstrate responsible behavior with consultants and their patients. 4. Follow all policies of the program at Parkland Hospital and respect the policies of CMC and UTSW. METHODOLOGY Educational experience in urology will be provided in both a block and a longitudinal basis. 1. Rotation: Residents will have a required half-month urology rotation consisting of four half-days per week in the urology clinic. Instruction will be provided by the urology staff. 2. FMC: Residents will see urology problems during all three years at the FMC. Instruction will be provided by clinic staff with appropriate consultation. Revised May 20, 2009 (dd)
  5. 5. URO 3. Didactic: Urology is a regular part of the family medicine noon conferences and grand rounds. Several urologic topics are presented each cycle. FAMILY MEDICINE CLINIC The resident will be in FM clinic 4 half-days per week EVALUATION PROCESS The resident will be evaluated by the urologic preceptor using the standard evaluation form. Satisfactory completion of the rotation will be determined by the director of the family medicine residency program in consultation with the preceptor. READING LIST 1. Smiths Urology 2. Tanangho & McAninch: Urology Revised May 20, 2009 (dd)

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