Residents are physicians in training. They learn the skills necessary for their chosen specialty through structured didactic sessions, required reading and self-study. Our program is committed to and responsible for promoting patient safety in a supportive educational environment. As usch, all patient care activities are under the supervision of the attending urologists and more senior residents and fellows. As part of their training program, residents are given progressively greater responsibility according to their level of education, professional abilities and clinical experiences.
Responsibilities and Patient Care Activities
Residents are part of a team of providers caring for patients. The team includes an attending, other licensed independent practitioners, trainees and medical students. Residents may provide care in both the in-patient and ambulatory settings. They may serve on a team providing direct patient care, or may be part of a team providing consultative or diagnostic services. Each member of the team is dedicated to providing excellent patient care at all times. Each member of the team should clearly understand their role in order to provide professional and compassionate care to patients. The chief residents are responsible for directly assigning tasks and case load under the indirect supervision of the assigned hospital program delegates who provide an appropriate blend of supervised patient care responsibilities, clinical teaching, and didactic educational conferences. The program delegates and program director are dedicated to promoting educational experiences and clinical activities while at the same time discouraging excessive reliance on residents to fulfill non-physician service obligations.
Program Delegates are available at each of the 5 hospitals in the University of Washington hospital consortium as extensions of the Program Director and have local responsibility for the residents.
The specific role of each resident varies with his/her clinical rotation, experience, years of clinical training, the patient’s illness, and the clinical demands placed on the team. All residents are encouraged to assist in providing for the educational needs and supervision of any junior residents and medical students.
Urology residents undergo 12 months of General Surgery training before beginning their Urologic training.
These residents provide care for patients on the various Urology services and are assigned to a combination of the University of Washington Medical Center (UWMC), Harborview Medical Center (HMC), Seattle Children’s Hospital (SCH) and the Veterans Administration Medical Center (VAMC). They may work with –or in some situations, lead the Urologic Surgical team in providing care for patients in the in-patient setting (including ICU), ambulatory settings and the emergency department. They may provide consultative services, as well. All services are provided with the supervision of an attending physician.
Research Residents (PGY 4)
Research residents actually begin to design their 4th year during their PGY-3 year by planning their project(s) with a mentor and research liaison. These residents also decide their course of study by selecting a global experience in third world medicine with Internation Volunteers in Urology (IVU) or take a month to rotate on the UWMC transplantation service.
Senior and Chief Residents (PGY 5 – 6)
Chief residents are in their final year of clinical training. They may have inpatient and/or ambulatory responsibilities. They supervise and coordinate the teaching of junior residents, other medical practitioners and medical students. They work under the direction of the attendings, and in close coordination with the program delegates and program directorto achieve common educational goals and improve the resident’s training.
Resident Review And Promotion Process
The Urology Department of the University of Washington is committed to improving the quality of graduate medical education and clinical experiences for its urology residents. In order to achieve these goals, the 6 ACGME Core Competencies have been firmly incorporated into the program. The 6 Competencies are: Patient Care, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, System Based Practice, and Practice Based Learning and Improvement. (Definitions are available in detail at the ACGME web site (www.acgme.org). All residents are encouraged to review the Core Competencies, as each resident is responsible for knowing how they will be evaluated and promoted.
The urology residency program at the University of Washington uses a multi-rator, multi-assessment process to determine a resident's progressive involvement and independence in providing patient care. Residents are observed directly by the attending staff and their performance is discussed quarterly at an all-faculty meeting. Formative assessments are generally obtained every three months from supervising physicians, nursing and other staff, and peers. Annually, the whole faculty make a summative determination as to the trainees competency and the qualifications necessary to be promoted to the next level.
The University of Washington Department of Urology has established new online resident evaluation forms, according to the 6 core competencies required by the ACGME. These evaluation forms were designed to represent common areas taught in the field of Urology, including urologic oncology, pediatric urology, stone surgery, female urology, infertility, minimally invasive surgery and endoscopic surgery. They are to be used by attending surgeons, mid-level practitioners, nurses and staff at the 5 hospitals in the consortium of UW training hospitals.