Resident Experience - PGY 2

Post-graduate Year 1 | Year 2 | Year 3 | Year 4 | Year 5

PGY 2:

The junior urology resident has several sources of teaching available to them including faculty, staff, senior residents, and clinic personnel who are well-versed in outpatient urology with rotations at Hermann Hospital, LBJ Hospital, and MD Anderson. By the end of Year 2, the resident will have a good working knowledge of urology including evaluation of patients in clinic, on wards, in the ER, and a consultative situation. Surgical skills will include scrotal/inguinal surgery, endoscopic diagnostic, and surgical procedures under supervision. Surgical exposure for extirpative surgery including kidney, bladder, prostate, and scrotal contents. Surgery for incontinence and reconstruction should be well understood as to goals, outcome, complications, and follow-up. Basic information and skills to base surgical practice, pre and post-operative care, goals of treatment pathophysiology of common and exotic diseases and complications. Surgical assisting will be an important skill which will help in the later stages of surgical training.

Clinic:

Residents will master patient interview, processing data obtained by interview, physical examination and diagnostic formulations under supervision. Techniques of urethral and bladder instrumentation, ultrasound of kidneys, bladder, urethra, prostate, and ureters; as well as interpretation of standard urologic radiographic studies including CT scans, MRI's, plain films, IVP's, voiding cystourethrograms, retrograde urethrograms, and cystograms. Simple and complex videourodynamics, and interpreting urodynamic studies, endoscopy and therapy for collagen injection therapy. Clinical skills and ability will be of focus, adequate physical examinations to arrive at diagnosis and treatment will be mastered this year. Independent reading in urology including textbooks and journals will be essential.

Wards:

PGY2 responsibilities on the wards include recognizing problems specific to urologic patients as well as more general problems. Mastering complies series of activities essential to smooth function of the ward. The pgy2 must act as an intermediary between the pgy1 and the rest of the urologic team. He/She is the back up and knowledge source for these individuals.

Consultations:
Under supervision of the chief resident, PGY2's will see patients in the ER and elsewhere. The resident will see the patient themselves, or ask for help or guidance up the chain of urologic command.

Operating Room:

PGY2's are expected to know each patient's diagnosis, understand the pathophysiology of the disease process which brings the patient to the operating room, grasp the precise reason why a particular procedure is being done or performed. Introduction to open urologic surgery as an observer and participant. Without in-depth knowledge regarding the patient, diagnosis, disease process, or own personal situation operative skills cannot occur. Seeing the patients in clinic and participating in the formulation of the diagnosis, plan for treatment, and be able to forecast the expected outcome will be important in gathering information. Clinic follow-up is essential to thorough understanding of the interaction of the patient's disease with the treatment predicted on a diagnosis.