General Surgery, Pre-Urology
This year of training is a rotating surgical internship with thirteen separate 4-week rotations. The rotations consist of four-months of urology, two-months of general surgery, and six months of surgical specialties. Interns are integral members of the surgical team and are directly responsible for patient care. Interns perform, under direct supervision, those surgical procedures that are commensurate with their skills and training. In addition to direct patient care, interns have protected time to participate in educational conferences.
Clinical Urology, U-1
The U-1 first year of clinical urology training consists of four months each of adult general urology services at the University Hospital and Veterans Administration Medical Center. The remaining 4 months are spent at Doernbecher Children's Hospital focusing on pediatric urology. The U-1 resident works closely with the U-4 and U-3 residents, fostering a close educational relationship. The U-1 resident gains experience with endoscopic and other diagnostic procedures, performing inpatient and outpatient urologic work-ups and select surgical procedures. The training objectives are to master urologic signs and symptoms, to become familiar with common adult and pediatric urologic diseases, to learn the appropriate selection and interpretation of urologic imaging tests, and to achieve proficiency in the functional and anatomic evaluation of the urinary tract and genitalia.
Clinical Urology, U-2
The U-2 second year of clinical training is divided into three four-month rotations, alternating between Kaiser Medical Center, University Hospital and Veterans Administration Medical Center. At Kaiser, the resident gets experience with patient care in the setting of a prepaid health care plan within an independent health care system. The primary objectives of the Kaiser rotation are to learn skills and standard practice habits from the attending urologists, to expand and consolidate endoscopy skills, and to gain further experience with open surgical procedures and with postoperative care. An independent resident clinic with emphasis on the evaluation of infertility patients rounds out the Kaiser rotation. The University Hospital rotation focuses on renal transplantation and reconstructive urology for two months and research for two months. About 130 renal transplants are performed each year and the resident has the responsibility for preoperative and post-operative care of these patients. There are frequent opportunities to deal with fluid and electrolyte problems, acute and chronic renal failure, immunosuppression, hypertension, infectious diseases, and other difficult medical problems. The residents will participate in approximately half of the renal transplantation procedures performed by Dr. Barry. They will be integral in the pre and post-operative care of these patients and coordinate this care with the abdominal organ transplantation team. In addition, the U-2 resident assists the faculty in the outpatient evaluations and operations performed on selected general urology patients, gaining experience in the surgical management of impotence, Peyronie's disease, urethral stricture disease, and urologic trauma.
Clinical Urology, U-3
The U-3 third year of training is divided into four months combined urology research and female pelvic medicine and reconstructive surgery experience, four months of pediatric urology and four months of training at Kaiser Medical Center. On the research rotation, the resident has freedom in designing feasible laboratory or clinical projects. Ongoing clinical projects can be completed during this time, and opportunities to develop special surgical skills or animal models for surgical problems can be arranged with the assistance of OHSU Animal Care. Participation in current clinical and laboratory research projects of the faculty are is encouraged. The research resident also performs male sterilization procedures (Vasectomies) for Planned Parenthood on a scheduled basis (1/2 day per month). The pediatric urology rotation consists of combined outpatient and operative experiences. The resident learns the orderly assessment of developmental, neurologic, and functional urologic problems, and learns appropriate management skills. The outpatient clinical experience includes pre- and postoperative care, but also emphasizes the long-term evaluation and treatment of permanent or dynamic urologic disorders. The female pelvic medicine and reconstructive surgery rotation combines clinical and operative experiences in urinary incontinence, pelvic organ prolapse, pelvic reconstructive surgery, and management of neurogenic bladder and complex voiding dysfunction. The experience is designed to familiarize future urologists with the female pelvic exam, urodynamic evaluations, and clinical procedures, as well as a combination of inpatient and outpatient surgical cases.
Clinical Urology, U-4
The U4 Chief Resident fourth year of training is currently divided into three four-month rotations on the urology services at the University Hospital and Veterans Administration Medical Center. The chief resident is responsible for the inpatient services as well as the teaching of junior residents, interns, and medical students who rotate on the urology services. This resident serves as a primary urologic consultant at either hospital, but continues to have support from the faculty. The chief resident has discretion over the assignment of surgical and clinical responsibilities to junior residents and interns. Additionally, the chief resident participates in the outpatient urology clinics, including urologic oncology. Administrative duties of the chief include call schedules and all arrangements relevant to the care of his or her clinic patients. It is expected that the resident will emerge from the chief residency year as a thoughtful, knowledgeable, and technically proficient surgeon who is well prepared to enter the next phase of his or her career. Some of our graduates choose to enter private practice upon completing the program, while others have gone on to additional fellowship training and academic careers. Our program is designed to provide you with a quality, well-balanced and comprehensive education. You will be trained in both open surgery and minimally invasive techniques, including the use of the Da Vinci robot. There will be opportunities to participate in research and scholarly activity. Overall, our goal is to provide a solid foundation in all aspects of urologic care, which will allow you to follow the career path of your choosing.