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DEPARTMENT OF SURGERY
UROLOGY CLERKSHIP

MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE.  Two (2).

LENGTH OF ROTATIONS.  Two (2) to six (6) weeks.

WILL TAKE STUDENTS FOR TWO WEEKS ONLY?  Yes.

LEVEL OF STUDENTS ACCEPTED  Third or fourth year.

TIME OF YEAR OFFERRED.  Flexible start dates throughout the year, excluding December.

PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.

  • Yes.
  • Offered primarily to medical students with an Army obligation (HPSP and USUHS)
  • Students from other uniformed services and civilian students from mainland schools are welcome on a space-available basis from November to May (excluding December).
  • All students (except USUHS and University of Hawai'i) will apply using the Clerkship Application form.
  • USUHS fourth year students will apply using USUHS Form No. 1304.
  • The Student Coordinator will obtain permission from the appropriate clerkship official upon receipt of the application/form and will then inform the student of approval/disapproval via e-mail.

OBJECTIVES/DESCRIPTION OF CLERKSHIP.

  • Goals.
    • Obtain an understanding of the spectrum of urological diseases.
    • Learn to take a complete GU history, understand the diagnostic tests and the basics of managing urology patients.
    • Help to manage the inpatients and see outpatients under the supervision of a staff member.
    • Learn the basics of urological surgical techniques.
  • Specific Learning Objectives.
    • Perform a complete urological history and physical examination without missing any elements for an ICD-9 “level 5” evaluation.
    • Be able to accurately differentiate the causes of acute scrotum and explain the workup and treatment.
  • Accurately assess and manage the following urological emergencies:
    • Urethral trauma.
    • Placement of the difficult catheter.
    • Urinary retention.
    • Be able to accurately place sutures and tie knots during a circumcision and wound closure (running, interrupted, 2-handed ties).
    • Give a complete report of findings on a Renal Stone CT, CT-IVP and cystography.
  • A full description of the urology training program is found on the TAMC Internet under “Medical Education,” “Graduate Medical Education.” Medical students are a vital part of the training program and are given significant responsibilities as members of the team. Students are involved in all aspects of clinical care (inpatient and outpatient), surgery and academic conferences.

FREQUENCY OF CALL.  No call for medical students rotating on this service.

REQUIRED READINGS.

  • Smith’s General Urology or Urology for the House Officer.
  • Students will be required to read other assigned chapters for Campbell’s Club and AUA Updates.
  • Mandatory reading includes the articles in “Student Reading” binder (kept in the Junior Urology resident’s office).

OTHER REQUIREMENTS.

  • Attend all teaching conferences including the Monday Campbell’s Club, Wednesday academic conferences, and Friday In-Service Conference.
  • Participate in all program-sponsored events including the Hawaii Urologic Society meetings and Journal Clubs.
  • Students will give at least one 15-20 minute presentation on a urological topic of their choice.

HOW ARE STUDENTS EVALUATED?

  • Based on performance on the wards, outpatient clinic, teaching conferences, and the operating room.
  • Fund of knowledge, ability to gather information and synthesize an appropriate plan, work habits, interpersonal skills, and level of motivation will also be assessed.

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