Number: (Oasis - S78b) 3103
Rotation Supervisor: Dr. Ryan Smith
Available: all Rotations
Duration: 2 weeks
Report to: Clinic Resident or Chief Resident
Time to Report: 6:00am
Place to Report: 5 West, call Urology Resident On-Call (PIC#1586) with
Typical Day: 6:00 am - 6:00 pm
Suggested Preparatory Reading: review of pertinent genitourinary anatomy
Number of students per rotation: 2
Course Description: The student will learn pathophysiology, evaluation,
and treatment for diseases of the urinary tract, male genital tract, retroperitoneal
space and adrenal glands. The selective allows students to have a broad exposure
to urology, both office and operative. Students are expected to attend weekly
conferences: a 5 pm Monday x-ray, M&M, pediatric, and journal club; a 7:45
am Wednesday basic science; and a 9 am Wednesday oncology conference. 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 by direct observation of history and physical examination skills, and
by discussions in the clinic, operating room and on rounds. There is no night
or weekend call.
- 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 and observe common diagnostic techniques used in the urology clinic:
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: radical nephrectomy, radical
cystectomy with urinary diversion, radical prostatectomy, ESWL, ureteroscopy,
TURP and TURB
- Acute Scrotum - The student will provide a differential diagnosis of conditions
that produce acute scrotal pain and/or swelling, select appropriate imaging
studies for confirming the diagnosis of acute scrotum, and determine which
acute scrotal conditions require emergent surgery versus elective surgery
or medical treatment.
- Urinary Stone Disease - Given a patient with urinary stone disease in the
clinic setting, the student will identify the appropriate imaging study for
diagnosis, explain the indications for urgent intervention, and discuss medical
therapies and surgical techniques for managing urinary stones that fail to
pass with observation.
- When presented with a patient with acute flank pain in the emergency
setting, the student will provide a differential diagnosis and explain
the appropriate laboratory and imaging studies necessary to make the
- The student will describe the five most common chemical compositions
of urinary stones.
- Urinary Incontinence - Given a patient with urinary incontinence, the student
will take a history, identify the symptoms and signs of various types of
incontinence (stress, urge, overflow, mixed, total), and describe medical
and surgical treatment options for management of stress and urge incontinence.
- Hematuria - When presented with a patient with hematuria, the student will
take a relevant history, describe common glomerular and non-glomerular causes
of hematuria, and identify imaging studies used in the workup of hematuria.
- Prostate Disease - The student will identify the predominant locations
in the prostate where BPH and prostate cancer develop and relate this fact
with the associated signs and symptoms of the two conditions. The student
will also be able to describe medical and surgical treatment options for
both BPH and prostate cancer.
- Renal Mass - The student will be able to provide a differential diagnosis
for a renal mass found incidentally on CT, and describe treatment options
for a mass suspicious for malignancy.