Goals
The Goal of the Pediatric Ambulatory rotation during the 2nd year of Urology Residency Training is to develop a basic knowledge in the Medical and Surgical end of the treatment of children with urologic disorders. Additionally, the resident will acquire fundamental surgical skills and assist in pediatric urological surgical procedures. The rotating resident will develop and further expand on research principles as related to children’s urologic disease. Objectives
Patient Care
Resident will develop the ability to perform pediatric evaluation/management in an outpatient setting.
Rotating Resident will assist in Evaluation/management of pediatric inpatient consults.
Resident will further assist in the care of pediatric inpatients.
Resident will develop basic knowledge of the pediatric urodynamic evaluation and assist in the performance of those procedures.
Rotating resident will participate in MYELO clinics and be able to evaluate and manage patients with neuropathic bladder.
Rotating resident will develop the ability to evaluate and manage children with voiding disorders as seen in STEP UP clinic.
The resident will demonstrate the ability to interview patients and/or their families in an empathetic and respectful manner using open ended to directed questions which results in the acquisition of an accurate and complete history of their urologic disorder.
The resident will perform a thorough physical examination with appropriate focus on the urologic system and be able to communicate these findings effectively to supervising faculty and residents, as well as in the EMR. Skill sets
Outpatient pediatric surgery procedures – Able to demonstrate the ability to complete:
Newborn clamp circumcision
Meatotomy
Separation of fixed labia
Foreskin manipulation to include division of skin bridges
Office sedation Demonstrate the ability to perform complex video urodynamics to include:
Fluoroscopy
Complex CMG
Abdominal pressure recording
Complex uroflows
Pelvic EMG Surgical Skills – Demonstrate the ability to assist in complex GU procedures as well as minor surgical procedures to include:
Pediatric Circumcision
Hydrocele repair
Orchiopexy
Cystoscopy, including retrograde pyelogram
Ureteroscopy, including lithotripsy
Cystolithotripsy
Subcutaneous deflux injections
TUCI Medical Knowledge
Resident will begin to amass basic fund of pediatric urology by reading specific literature, such as Campbell’s, Kelalis/King, AUA updates and Pediatric Urology Dialogues.
The resident will provide timely and appropriate medical care (including successful performance of phlebotomy, placement of peripheral and central IV lines, placement of urethral and SP catheters and other invasive modalities) required for the treatment of urologic patients in the hospital under the supervision of the Chief Resident and faculty.
During the pediatric rotation the resident will demonstrate independent reading skills and interact in a professional and organized manner with the pediatric urologist such that the resident acquires the required understanding of pediatric urology. The resident will attend regular urologic radiology conferences and demonstrate the ability to accurately interpret urologic US, CT and MRI scans. Additionally the resident will acquire a working knowledge base about the physics of each of the imaging modalities and therefore successfully apply that knowledge to the use of these modalities in the diagnosis and treatment of patients. It is expected that the rotating resident will present interesting ANC challenging pediatric cases at these conferences. The resident will demonstrate a complete knowledge regarding the technique of pediatric procedures, and understanding of the technology and be capable of determining the risks and benefits of all approaches.
The resident will attend all scheduled core competency sessions throughout the year including the monthly Department of Urology sessions, the lectures scheduled through the Office of Medical Education and any additional sessions considered necessary by the faculty mentor or program director. Interpersonal and Communication Skills
The first year resident will function successfully as a member of the house staff in the role of collecting accurate information regarding the status of pediatric inpatients, ETR patients, and in-patient consults and communicate such information in a timely and professional manner to more senior residents and faculty.
The resident will interact in a professional manner will all nursing and other support staff.
The resident will demonstrate the ability to obtain informed consent any pediatric urologic procedures. Practice Based Learning and Improvement
Resident will be expected to research and present a pediatric urology topic for the resident lecture series.
Rotating resident will begin to develop a pediatric topic for clinical research that will be expanded on during the rest of their residency.
Attend Pediatric conferences and help in their completeness.
The resident will demonstrate the ability to acquire basic knowledge about urologic disorders and physiology by regular attendance at conferences and through independent reading of standard textbooks, including Campbell’s Textbook of Urology and other such books as determined in conjunction with the faculty.
The resident will acquired the ability to abstract medical records and to collect appropriate information into clinical databases.
The resident will regularly attend research conferences and interact successfully with both basic science and clinical investigators. Professionalism
The resident will conduct routine self-evaluations regarding all manners of clinical and interpersonal experiences and expect to review such evaluations with their faculty mentor. Systems-Based Practice
The resident will perform a thorough physical examination with appropriate focus on the urologic system and be able to communicate these findings effectively to supervising faculty and residents, as well as in the EMR.
The resident will demonstrate the ability to promptly and accurately document all interactions with patients and their surrogates in the EMR including an understanding of all documentation guidelines for billing and compliance.
The resident will demonstrate an understanding of the economic consequences of each treatment modality, as well as the patients experience during the recovery from each of these procedures.
The resident will complete HIPPA and IRB training courses and demonstrate an understanding of the ethical and professional considerations for conducting human subjects research. Evaluations
The resident will expect to receive formative feedback on a prompt and ongoing basis from the pediatric urologist, other faculty, and the program director.
The resident will receive summative feedback at the end of this ambulatory rotation from the faculty supervisor. | 
