Residency Manual шаблон PDF

AKRON GENERAL
MEDICAL CENTER
UROLOGY RESIDENCY
MANUAL
PHILLIP NASRALLAH, MD
RESIDENCY PROGRAM
DIRECTOR
Akron General Medical Center
Urology Residency Manual
Table of Contents
PREAMBLE AND MISSION STATEMENT .............................................................................1
ACGME CORE COMPETENCIES ............................................................................................2
GOALS/OBJECTIVES FOR CORE COMPETENCIES .............................................................4
SURGICAL COMPETENCIES ..................................................................................................6
GOALS AND OBJECTIVES FOR PGY-2 RESIDENT ..............................................................7
GOALS AND OBJECTIVES FOR PGY-2 RESIDENT PEDIATRIC UROLOGY ROTATION
...................................................................................................................................................8
JOB DESCRIPTION PGY-2 RESIDENT ...................................................................................9
GOALS AND OBJECTIVES FOR PGY 3 RESIDENT ......................................................... 10
JOB DESCRIPTION FOR PGY-3 RESIDENT ......................................................................... 11
GOALS AND OBJECTIVES FOR PGY 4 RESIDENT ADVANCED ROBOTICS AND
LAPAROSCOPIC SURGERY ROTATION (YOUNGSTOWN) .............................................. 14
JOB DESCRIPTION FOR PGY-4 RESIDENT ......................................................................... 15
JOB DESCRIPTION FOR PGY- 5 RESIDENT ........................................................................ 17
POLICY ON RESIDENCY WORK HOURS ............................................................................ 18
MONITORING WORK HOURS .............................................................................................. 19
MOONLIGHTING ................................................................................................................... 19
CROSS COVERAGE ............................................................................................................... 20
HANDOFF/SIGN-OUT POLICY ............................................................................................. 20
FACULTY JOB DESCRIPTION .............................................................................................. 21
MENTORING PROGRAM....................................................................................................... 22
RESIDENT SUPERVISION ..................................................................................................... 23
CLINIC DESCRIPTIONS ........................................................................................................ 24
CONFERENCES ...................................................................................................................... 26
CONFERENCE DESCRIPTIONS ............................................................................................ 26
RESEARCH ............................................................................................................................. 28
CRITERIA FOR SELECTION, EVALUATION, PROMOTION, AND DISMISSAL OF
- ii -
RESIDENTS ............................................................................................................................. 29
MEDICAL STUDENT ROTATIONS ....................................................................................... 31
VACATION AND CONFERENCE TIME ................................................................................ 33
EDUCATIONAL ALLOWANCE ............................................................................................. 34
WEGRYN AWARD ................................................................................................................. 35
RESIDENCY OFFICE .............................................................................................................. 36
RESIDENCY DIRECTOR RESIDENT EVALUATION FORM (SEMI-ANNUAL) ................ 37
NURSING & OR RESIDENT EVALUATION FORM (SEMI-ANNUAL) ............................... 38
CLINIC PATIENT EVALUATION FORM (RANDOM) ......................................................... 39
- iii -
PREAMBLE AND MISSION STATEMENT
The Department of Urology at Akron General Medical Center (AGMC) sponsors a fully
accredited urology residency program. This residency utilizes three teaching hospitals in Akron,
OH: Akron General Medical Center, Akron City Hospital (Summa), and Akron Childrens
Hospital (CHMC). The Graduate Medical Education Committees at both adult institutions
(AGMC and Summa) oversee the residency.
The mission of the urology residency program is to train qualified and board-certified urologists
for clinical practice. Mastery of the six core competencies (p. 2), as designated by the
Accreditation Council for Graduate Medical Education (ACGME), forms the blueprint for this
community-based training. The wide variety of clinical material under the direction and
supervision of the faculty provides the environment for this post-graduate education. This is
supported by an extensive core curriculum as well as a comprehensive conference schedule.
Participation in research as well as preparing presentations for regional and national meetings are
also integral parts of this educational endeavor.
This residency receives the support of Northeast Ohio Medical University (NEOMED; formerly
NEOUCOM), as well as the financial and educational support of the three participating
institutions. These institutions have a long and illustrious history in graduate medical education.
The urology residency program offers two PGY-1 positions in the residency program, which is an
affiliated residency program of NEOMED. Training encompasses the entire scope of urology,
including urologic oncology, male infertility, endourology, minimally invasive surgery, and female
urology and incontinence. Rotations also include the opportunity to perform urodynamic testing
and to do either clinical or basic science research. The pediatric experience is extensive and is
included in rotations during the PGY-2 and PGY-4 years. There is a strong exposure to
reconstructive urology, neurogenic bladder, in utero diagnosis of genitourinary (GU) anomalies,
inguinal anatomy and pathology, and all forms of urologic imaging.
The program consists of one pre-urology year in general surgery and surgical intensive
care/vascular surgery at AGMC and Summa. The subsequent four years consist of one month
training in nephrology and training in adult and pediatric urology. The program fulfills the
American Board of Urology requirements for five years of post-graduate training required for
board certification.
-1-
ACGME CORE COMPETENCIES

From the ACGME Program Requirements in Graduate Medical Education in Urology, effective
July 1, 2009:
The program must integrate the following ACGME competencies into the curriculum:
a) Patient Care
Residents must be able to provide patient care that is compassionate, appropriate,
and effective for the treatment of health problems and the promotion of health.
Residents:
must be provided with experience in direct patient care with increasing
levels of responsibility in patient management as they advance through the
program;
should have responsibility under supervision for the total care of the
patient, including initial evaluation, establishment of diagnosis, selection of
appropriate therapy, and management of complications;
must participate in the continuity of patient care through preoperative and
postoperative clinics and inpatient contact. When residents participate in
preoperative and postoperative care in a clinic or private office setting, the
residency director must ensure that the resident functions with an
appropriate degree of responsibility under supervision;
should be given responsibility based upon the individual residents
knowledge, problem-solving ability, manual skills, experience, and the
severity and the complexity of each patients status.
b) Medical Knowledge
Residents must demonstrate knowledge of established and evolving biomedical,
clinical, epidemiological and social-behavioral sciences, as well as the application
of this knowledge to patient care. Residents:
must have didactic instruction that includes the following core domains:
voiding dysfunction, female urology, reconstruction, oncology, calculus
disease, pediatrics, reproductive and sexual dysfunction;
must receive instruction in the following core techniques: endourology,
minimally-invasive intra-abdominal and pelvic surgical techniques (e.g.,
laparoscopy/robotics), major flank and pelvic surgery, perineal and genital
surgery, urologic imaging including fluoroscopy, interventional radiology,
and ultrasound, microsurgery;
must receive instruction in: bioethics, radiation safety, biostatistics,
epidemiology, geriatrics, infectious disease, renovascular disease, renal
transplantation, trauma, plastic surgery, medical oncology.
c) Practice-based Learning and Improvement
Residents must demonstrate the ability to investigate and evaluate their care of
patients, to appraise and assimilate scientific evidence, and to continuously
improve patient care based on constant self-evaluation and life-long learning.
Residents are expected to develop skills and habits to be able to meet the following
goals:
identify strengths, deficiencies, and limits in ones knowledge and expertise;
-2-
set learning and improvement goals;

identify and perform appropriate learning activities;
systematically analyze practice using quality improvement methods, and
implement changes with the goal of practice improvement;
incorporate formative evaluation feedback into daily practice;
locate, appraise, and assimilate evidence from scientific studies related to
their patients health problems;
use information technology to optimize learning; and,
participate in the education of patients, families, students, residents and
other health professionals.
d) Interpersonal and Communication Skills
Residents must demonstrate interpersonal and communication skills that result in
the effective exchange of information and collaboration with patients, their
families, and health professionals. Residents are expected to:
communicate effectively with patients, families, and the public, as
appropriate, across a broad range of socioeconomic and cultural
backgrounds;
communicate effectively with physicians, other health professionals, and
health related agencies;
work effectively as a member or leader of a health care team or other
professional group;
act in a consultative role to other physicians and health professionals; and,
maintain comprehensive, timely, and legible medical records, if applicable.
e) Professionalism
Residents must demonstrate a commitment to carrying out professional
responsibilities and an adherence to ethical principles. Residents are expected to
demonstrate:
compassion, integrity, and respect for others;
responsiveness to patient needs that supersedes self-interest;
respect for patient privacy and autonomy;
accountability to patients, society, and the profession; and,
sensitivity and responsiveness to a diverse patient population, including but
not limited to diversity in gender, age, culture, race, religion, disabilities,
and sexual orientation.
f) Systems-based Practice
Residents must demonstrate an awareness of and responsiveness to the larger
context and system of health care, as well as the ability to call effectively on other
resources in the system to provide optimal health care. Residents are expected to:
work effectively in various health care delivery settings and systems
relevant to their clinical specialty;
coordinate patient care within the health care system relevant to their
clinical specialty;
incorporate considerations of cost awareness and risk-benefit analysis in
patient and/or population-care as appropriate;
advocate for quality patient care and optimal patient care systems;
-3-
work in interprofessional teams to enhance patient safety and improve

patient care quality; and,
participate in identifying system errors and implementing potential systems
solutions.
The urology residency program utilizes the following methods to assess the residents
performance in the six (6) core competencies listed above:
Patient Care:
- Faculty Evaluation of Resident Performance
- Semi-Annual Evaluation with Residency Director
- Patient Evaluations of Residents (Clinic)
- Wednesday Conference/Journal Club Participation
Medical Knowledge:
- In-service Examination
Practice-based Learning:
- Participation in Research Projects
- Wednesday Conference/Journal Clubs Participation
- Medical Student Evaluations of the Residents
Interpersonal Skills/Communication:
- Nursing Staff Evaluation of Resident Performance
Professionalism:
- Completion of Institutional Requirements (Compliance, Medical Records, etc.)
Systems-based Practice:
- Participation on Hospital/Medical School Committees
GOALS/OBJECTIVES FOR CORE COMPETENCIES
Medical Knowledge:
1. To learn and comprehend the entire scope of urology as defined in the core curriculum
-4-
and as mandated by the RRC.

2. To embrace the concept that medical knowledge is an ever-changing entity and that
continuing education is their personal responsibility.
3. To accumulate knowledge sufficient to pass the qualifying examination of the
American Board of Urology.
Patient Care:
1. To care for patients covering the entire scope of urologic problems under the direction
of the faculty and to progress in levels of independence in patient management.
2. To achieve competence in the various urologic procedures to the point of being able to
practice independently.
3. To show judgment that has as its foundation the dictum: primum non nocere.
Professionalism:
1. To develop the attitude that as a physician, they are there first and foremost for the
patient.
2. To maintain the patients dignity and privacy at all times.
3. To assume responsibility for their continuing education throughout their entire career.
4. To recognize and avoid all instances of conflict of interest so that there is never a
question of impropriety.
Interpersonal Skills/Communication:
1. To master the art of communication within the health care system including physician-
to-physician, physician-to-patient, or physician-to-family.
2. To treat all members of the health care team with respect and dignity.
3. To master the techniques of proper documentation of all actions and recommendations
in every clinical setting.
4. To prepare and deliver didactic presentations to students, residents and faculty within
the department.
5. To prepare research for presentation at local, regional and national meetings and to
publish works that are worthy of dissemination.
Practice-based Learning
1. To develop techniques for self-analysis so that continued growth and improvement as
a practitioner is steady and unending.
2. To learn to critically evaluate the literature in order to maintain current competence.
To be wary of research that is poorly controlled or designed or whose conclusions
have no basis.
Systems-based Practice
1. To learn through exposure in multiple clinical settings (in-patient, ambulatory clinics,
emergency rooms) an inter-relationship of the various sides of medicine (patient care,
record keeping, insurance constraints on patients, billing, coding, overhead expenses).
2. To maintain focus on the entire patient and their needs and to solicit help whenever
appropriate.
3. To practice cost-effective medicine.
-5-
SURGICAL COMPETENCIES
At the May 2009 Urology Faculty Meeting, the surgical milestones were approved as
recommended by the residency director.
PGY 1 PGY 2 PGY 3 PGY 4 PGY 5

Basic Skills Endoscopy Endoscopy Inguinal surg Abd exposure
Instrument Instrument Bladder Pelvic
Knowledge Knowledge Scotal surg expos exposure
Prostate
Pre/post op care Pre/post op care Bx Female Female
Eval CMG TRUS TURP ESWL
Pre op
eval TURBT Vasectomy
CMG Pre op eval Lap
Lap Flank
Flank
The surgical checklist evaluation forms were approved by the faculty at the January 2010 Urology
Faculty Meeting. Please refer to the end of this manual for copies of surgical checklists.
-6-
GOALS AND OBJECTIVES FOR PGY-2 RESIDENT

The resident completing the first year of urologic training (PGY-2) should have the ability to:
Patient Care:
1. Perform accurate and thorough history and physical examinations on urology inpatients.
2. Assist on minor open surgical procedures.
3. Show competence in the use and assembly of all urologic endoscopic equipment. Familiarity with this
instrumentation is a necessity for the PGY-2 resident.
4. Evaluate Emergency Department consultations in cooperation with a more senior resident or attending (also
applies to Systems-based Practice competency).
5. Manage urology inpatients in pre- and post-operative care.
6. Evaluate patients in the ambulatory care clinics under the direct supervision of the chief resident.
Medical Knowledge:
1. Demonstrate basic science and clinical knowledge: identify and discuss pathophysiology of urologic disease,
intelligently discuss diagnosis, evaluation and treatment of common urologic disorders, apply knowledge to
solve clinical dilemmas, understand rationale for varied approaches to clinical problems.
2. Demonstrate up-to-date knowledge: seek new information in literature and cite when appropriate, ask
knowledgeable and well-informed questions.
3. Use knowledge and analytical thinking to address clinical questions.
Practice-Based Learning and Improvement:
1. Supervise and instruct medical students on basic urologic principles and common urologic diseases.
2. Demonstrate progressive growth in those basic surgical and patient management skills acquired in the pre-
urology year.
3. Track and analyze practice to identify areas for improvement: use systematic approach (chart or case analysis,
surgical logs) to track own practice, compare own outcomes to accepted guidelines and national or peer data,
reflect on critical incidents to identify strengths and weaknesses, monitor effects of practice changes and
improvements.
4. Engage in ongoing learning: determine how learning deficits or weaknesses can be addressed, seek feedback,
do extra reading and surgical practice when needed, seek information from literature, critically appraise
research evidence for applicability to patient care, use information technology to aid learning.
Interpersonal & Communication Skills and Professionalism:
1. Demonstrate responsibility for medical record keeping.
2. Relate to patients, faculty, fellow residents, medical students, and hospital staff in a professional manner.
3. Work effectively with other members of the healthcare team.
4. Accept responsibility and follow through on tasks.
5. Practice within the scope of his/her abilities.
6. Respond to each patients unique characteristics and needs.
7. Demonstrate integrity and ethical behavior.
1. Initiate the workup of urologic problems in a systematic and cost-effective manner.
2. Work to promote patient safety: identify system causes of medical error; anticipate and respond to patient care
problems, adhere to surgical protocols that ensure patient safety, accept input from patient care team.
3. Coordinate care with other health care providers.
4. Facilitate patient care in the larger healthcare community: understand different healthcare delivery systems and
medical practices, assure patient awareness of available care options, make appropriate referrals, assist with
arrangements and follow-up to ensure appropriate care.
5. Recognize the importance of cultural diversity in formulating treatment plans and in assessing therapeutic
outcomes.
-7-
GOALS AND OBJECTIVES FOR PGY-2 RESIDENT PEDIATRIC UROLOGY

ROTATION
In addition to the goals and objectives outlined for the PGY-2 year, residents rotating in pediatric urology are expected
to:
Patient Care:
1. Learn circumcisions/complications.
2. Gain endoscopic surgical experience.
3. Perform ER evaluations (also applies to Systems-based Practice competency).
4. Perform X-ray evaluations (Imaging).
Medical Knowledge:
1. Begin reading pediatrics in earnest.
2. Learn the various primary and secondary pediatric urology problems in ambulatory pediatrics:
o UTI
o Voiding Dysfunction
o Phimosis/Posthitis
o Inguinal pathology
o Reflux
1. Present topic for pediatrics paper.
2. Supervise and instruct medical students on basic urologic principles and common urologic diseases.
3. Demonstrate progressive growth in those basic surgical and patient management skills acquired in the pre-
urology year.
4. Track and analyze practice to identify areas for improvement: use systematic approach (chart or case
analysis, surgical logs) to track own practice, compare own outcomes to accepted guidelines and national
or peer data, reflect on critical incidents to identify strengths and weaknesses, monitor effects of practice
changes and improvements.
5. Engage in ongoing learning: determine how learning deficits or weaknesses can be addressed, seek
feedback, do extra reading and surgical practice when needed, seek information from literature, critically
appraise research evidence for applicability to patient care, use information technology to aid learning.
2. Relate to patients, faculty, fellow residents, medical students, and hospital staff in a professional
manner.
1. Familiarize him/herself with the hospital.
3. Work to promote patient safety: identify system causes of medical error; anticipate and respond to patient
care problems, adhere to surgical protocols that ensure patient safety, accept input from patient care team.
5. Facilitate patient care in the larger healthcare community: understand different healthcare delivery systems
and medical practices, assure patient awareness of available care options, make appropriate referrals,
assist with arrangements and follow-up to ensure appropriate care.
outcomes.
-8-
JOB DESCRIPTION PGY-2 RESIDENT

The PGY-2 resident in urology must have successfully completed a preliminary year as a general surgery resident. This
includes a rotation in the surgical intensive care unit (SICU). He/she is qualified for clinic, Emergency Department, and
floor duties under the supervision of more senior residents or attending staff. The PGY-2 resident must show
competence in all GU floor procedures (catheter insertions, urethral dilatations, suprapubic tube insertions) before
he/she can perform such procedures without more senior supervision.
PGY-2 residents, under the supervision of PGY-3 residents, PGY-4 residents, chief residents or teaching attending staff
members, have the following primary responsibilities:
A. Admitting history and physicals on all urology in-patients.

B. Work rounds on all hospitalized urology patients and consultations.
C. Responding to Emergency Department consultations.
D. Performing uncomplicated endoscopic surgical procedures.
E. Assisting on minor urologic open surgical procedures.
F. Primary call responsibility as assigned by chief resident. (Refer to p. 19 for the
Policy on Residency Work Hours.)
G. Evaluation and treatment of urology clinic patients.
H. Other duties as may be assigned by more senior residents.
I. Other duties as may be assigned by members of the attending staff.
J. Supervision of medical students.
K. Attendance at all educational conferences unless specifically dismissed by the
residency director or on vacation.
-9-
GOALS AND OBJECTIVES FOR PGY 3 RESIDENT

The resident completing the second year of urology training (PGY-3) should demonstrate the ability to:
Patient Care:
1. Perform accurate and thorough history and physical examinations on urology in-patients.
2. Perform uncomplicated endoscopic surgical procedures and have an in-depth understanding of the endoscopic
instrumentation.
3. Assist on open surgical procedures.
4. Perform minor urologic surgical procedures.
5. Evaluate Emergency Department consultations and initiate appropriate work-up (also applies to Systems-
based Practice competency).
6. Evaluate in-patient consultations and convey findings to more senior residents or attending staff in an accurate
and organized fashion (also applies to Systems-based Practice, Interpersonal & Communication Skills, and
Professionalism competencies).
7. Manage urology in-patients in all phases of pre- and post-operative care.
8. Evaluate patients in the ambulatory care clinics (also applies to Systems-based Practice competency).
Medical Knowledge:
1. Supervise and instruct medical students on basic urological principles and common urological diseases.
2. Demonstrate progressive growth in those basic surgical and patient management skills acquired as a PGY-2.
3. Track and analyze practice to identify areas for improvement: use systematic approach (chart or case analysis,
surgical logs) to track own practice, compare own outcomes to accepted guidelines and national or peer data,
reflect on critical incidents to identify strengths and weaknesses, monitor effects of practice changes and
improvements.
4. Engage in ongoing learning: determine how learning deficits or weaknesses can be addressed, seek feedback,
do extra reading and surgical practice when needed, seek information from literature, critically appraise
research evidence for applicability to patient care, use information technology to aid learning.
outcomes.
- 10 -
JOB DESCRIPTION FOR PGY-3 RESIDENT

The PGY-3 resident in urology must have successfully completed the preliminary surgical year as well as the first year of
urologic training. This resident is now qualified for all clinic, Emergency Department, and floor consultations as well as
procedures in which competence has been shown.
PGY-3 residents, under the supervision of PGY-4 residents, chief residents or teaching attending staff members, have
the following primary responsibilities:

C. Evaluation of in-patient consultations.
D. Responding to Emergency Department consultations.
E. Performing uncomplicated endoscopic surgical procedures.
F. Assisting on minor urologic open surgical procedures.
G. Primary call responsibility as assigned by chief resident. (Refer to p. 19 for the
Policy on Residency Work Hours.)
H. Evaluation and treatment of urology clinic patients.
I. Other duties as may be assigned by more senior residents.
J. Other duties as may be assigned by members of the attending staff.
K. Supervision of medical students.
L. Attendance at all educational conferences unless specifically dismissed by the
- 11 -

The resident completing the third year of urologic training (PGY- 4) should demonstrate the ability to:
Patient Care:
1. Perform accurate and thorough history and physical examinations on pediatric
urologic patients.
2. Evaluate in-patient pediatric urology consultations and initiate proper work-up (also applies to Systems-based
Practice competency).
3. Evaluate Emergency Department pediatric urology consultations and initiate proper management of
genitourinary problems. Special attention is given to the residents evaluation of acute scrotal pain and
swelling in the pediatric and adolescent patient (also applies to Systems-based Practice competency).
4. Perform common minor pediatric urologic surgical procedures with supervision. The resident must
demonstrate a comprehensive understanding of inguinal anatomy (also applies to Medical Knowledge
competency).
6. Perform more complicated urologic procedures with attending or chief resident assistance, and first-assist on
complex surgical cases.
7. Evaluate and treat adult and pediatric patients in the ambulatory care setting.
o Spend one day per week in pediatric ambulatory setting to achieve competency in evaluating:
o Voiding Dysfunction
o UTI
o Genital Anomalies
o Hematuria
o Spend one month on adult ambulatory rotation to achieve competency in evaluating:
o Female Incontinence/Voiding Dysfunction
o Diseases of the Prostate
o Hematuria
o Erectile Dysfunction
o UTI
8. Gain surgical experience in pediatrics.
o Inguinal
o Flank
o Pelvic
o Endoscopic
o Genital/Urethral Reconstruction
Medical Knowledge:
1. Supervise PGY-3 and residents rotating from other services.
2. Supervise and instruct medical students.
3. Complete a pediatrics paper.
4. Demonstrate competence in those surgical and management skills acquired as a PGY-3.
- 12 -
outcomes, especially as it pertains to the pediatric patient and family.
- 13 -
GOALS AND OBJECTIVES FOR PGY 4 RESIDENT ADVANCED ROBOTICS AND

LAPAROSCOPIC SURGERY ROTATION (YOUNGSTOWN)
The resident completing the third year of urologic training (PGY- 4) should demonstrate the ability to:
Patient Care:
1. Perform accurate and thorough history and physical examinations on urologic patients.
2. Evaluate in-patient urology consultations and initiate proper work-up (also applies to Systems-based Practice
competency).
3. Evaluate Emergency Department urology consultations and initiate proper management of genitourinary
problems.
4. Perform more complicated urologic procedures with attending or chief resident assistance, and first-assist on
complex surgical cases.
5. Perform complex laparoscopic procedures with attending physician as first assistant and primary surgeon. The
resident will progress through procedures by first performing basic tasks. After mastering these tasks he/she
will advance to more complex tasks with the ultimate goal of completing the entire procedure.
6. Gain surgical experience in general adult and pediatric urological surgery including a focus on:
percutaneous renal access
complex, flexible ureteroscopic procedures
scrotal / inguinal surgery
7. Perform daily rounds on post-operative patients and discuss patients with attending physician.
8. Arrive for surgery / rounds at or before 6:30am on Monday. The resident will spend the evening in the
provided call quarters at St. Elizabeth's Health Center and see emergent consultations during the evening. He /
she will round the following morning, assist in surgical procedures and be dismissed by the attending physician
after cases are complete to return to duties in Akron.
Medical Knowledge:
1. Supervise PGY-3 and residents rotating from other services.
2. Supervise and instruct medical students.
3. Complete a pediatrics paper.
outcomes, especially as it pertains to the pediatric patient and family.
- 14 -
JOB DESCRIPTION FOR PGY-4 RESIDENT

The PGY-4 resident in urology will have completed the preliminary surgical year as well as two years of urologic
training. This would qualify the resident for all clinic, Emergency Department, and floor duties at both the adult and
pediatric hospitals. This resident also will be qualified for urologic procedures of a more complicated nature including
lithotripsy, radiographic procedures, urodynamic procedures, and invasive endourology. All procedures must be in the
presence of the chief resident or attending staff unless clinical competence has been demonstrated and documented.
PGY-4 residents, under the supervision of the chief residents or teaching attending staff members, have the following
primary responsibilities:

C. Evaluation of in-patient consultations.
D. Responding to Emergency Department consultations.
E. Complex endoscopic surgical procedures.
F. Assisting on major urologic open surgical procedures.
G. Primary, supervisory, and Childrens call responsibility as assigned by chief resident.
(Refer to p. 19 for the Policy on Residency Work Hours.)
H. Evaluation and treatment of urology clinic patients.
I. Other duties as may be assigned by more senior residents.
J. Other duties as may be assigned by members of the attending staff.
K. Supervision of PGY-3 urology and rotating residents from other services.
L. Supervision of medical students.
M. Care and treatment of pediatric urology patients and the pediatric urology clinic
(with pediatric teaching attendings).
N. Attendance at all educational conferences unless specifically dismissed by the
- 15 -

The resident completing the fourth year of urology training (PGY- 5) should demonstrate the ability to:
Patient Care:
1. Perform advanced endoscopic procedures.
2. Perform major urologic open surgical procedures. Emphasis is placed on systematic and methodical approach
to all surgical procedures. The resident must show an in-depth understanding of anatomy (also applies to
Medical Knowledge competency).
3. Completely evaluate and manage in-patient urologic consultations (also applies to Systems-based Practice
competency).
4. Evaluate and direct all activity in the ambulatory care clinics. The resident must demonstrate a systematic
approach to patients in the ambulatory setting and demonstrate an understanding of efficiency and economy of
time with clinic patients (also applies to Systems-based Practice competency).
Medical Knowledge:
1. Evaluate history and physical examinations of junior residents for content and accuracy.
2. Supervise all residents during work rounds and conduct rounds in an efficient and educational manner.
5. Carry out administrative duties for the urology service to include:
a. On-call schedules
b. Vacation assignments
c. Conference planning
d. Journal club assignments
e. Surgical assignments
f. Curriculum development
outcomes.
- 16 -
JOB DESCRIPTION FOR PGY- 5 RESIDENT

The PGY-5 resident, or chief resident, in urology will have completed all the preliminary urologic training (3 years) as
well as the preliminary surgical year. This resident will have received a medical school teaching appointment (Instructor
in Urology). As such, this resident will serve at an attending level on work rounds, conferences, and in the outpatient
clinics. The chief resident must demonstrate current clinical competence in the performance of all urologic floor
procedures as well as more complex procedures that have been outlined in previous urologic training years.
PGY-5 residents, or chief residents, under the supervision of the residency director, department chairmen, and/or
teaching attending staff members, have the following primary responsibilities:
A. Administrative duties for the urology service to include:

1. Monthly call schedule (with residency coordinator).
2. First approval of junior resident paid time off.
3. Junior resident service rotation (approved by residency director).
4. Primary resident dispute arbitration.
5. Enforcement of department policies for resident staff.
6. Organization/content of Journal Club (with teaching attending).
7. Assignments to residents for teaching conferences and grand rounds (with teaching
attending moderator).
8. Curriculum development (with Academic Committee).
B. Direct supervision of all urology residents.
C. Supervision of admissions, work rounds and all consultations.
D. Advanced endoscopic surgical procedures.
E. Performing major urologic open surgical procedures (with teaching
attending).
F. Supervisory and Childrens call responsibility.
G. Administration, care and supervision of urology clinic patients.
H. Other duties as may be assigned by the residency director.
I. Supervision of PGY-4 urology and rotating residents from other services.
J. Supervision of medical students.
K. Attendance at all educational conferences unless specifically dismissed by the
- 17 -
POLICY ON RESIDENCY WORK HOURS
Resident Work Hours

The AGMC Urology Residency Program complies with the ACGME guidelines on resident work
hours. These guidelines are listed below:
1. Duty hours must be limited to 80 hours per week, averaged over a four-week period,
inclusive of all in-house call activities and all moonlighting.
2. Time spent in the hospital by residents on at-home call must count towards the 80-hour
maximum weekly hour limit. The frequency of at-home call is not subject to the every-
third-night limitation, but must satisfy the requirement for one-day-in-seven free of duty,
when averaged over four weeks.
3. Residents must be scheduled for a minimum of one day free of duty every week (when
averaged over four weeks). At-home call cannot be assigned on these free days.
4. Intermediate-level residents [URO-1 and URO-2 or PGY-2 and PGY-3] should have 10
hours free of duty, and must have eight hours between scheduled duty periods. They must
have at least 14 hours free of duty after 24 hours of in-house duty.
5. Residents in the final years of education [URO-3 and URO-4 or PGY-4 and PGY-5]
must be prepared to enter the unsupervised practice of medicine and care for patients over
irregular or extended periods.
a. This preparation must occur within the context of the 80-hour, maximum duty
period length, and one-day-off-in seven standards. While it is desirable that
residents in their final years of education have eight hours free of duty between
scheduled duty periods, there may be circumstances [such as: required
continuity of care for a severely ill or unstable patient, or a complex patient
with whom the resident has been involved; events of exceptional educational
value; or, humanistic attention to the needs of a patient or family] when these
residents must stay on duty to care for their patients or return to the hospital with
fewer than eight hours free of duty.
b. Circumstances of return-to-hospital activities with fewer than eight hours away
from the hospital by residents in their final years of education must be monitored
by the residency director.
6. Duty periods of PGY-2 residents and above may be scheduled to a maximum of 24 hours
of continuous duty in the hospital. Programs must encourage residents to use alertness
management strategies in the context of patient care responsibilities. Strategic napping,
especially after 16 hours of continuous duty and between the hours of 10:00 p.m. and
8:00a.m., is strongly suggested.
a. It is essential for patient safety and resident education that effective transitions in
care occur. Residents may be allowed to remain on-site in order to accomplish
these tasks; however, this period of time must be no longer than an additional four
hours.
b. Residents must not be assigned additional clinical responsibilities after 24 hours of
continuous in-house duty.
c. In unusual circumstances, residents, on their own initiative, may remain beyond
their scheduled period of duty to continue to provide care to a single patient.
Justifications for such extensions of duty are limited to reasons of required
- 18 -
continuity for a severely ill or unstable patient, academic importance of the events
transpiring, or humanistic attention to the needs of a patient or family.
Under those circumstances, the resident must:
a. appropriately hand over the care of all other patients to the team
responsible for their continuing care; and,
b. document the reasons for remaining to care for the patient in
question and submit that documentation in every circumstance to
the residency director.
c. The residency director must review each submission of additional
service, and track both individual resident and program-wide
episodes of additional duty.
When monitoring work hours, the ACGME requires that averaging hours be done by individual
clinical rotation or by four-week blocks. Rolling averages are not permitted when monitoring
duty hours (ACGME e-Bulletin, April 2004).
MONITORING WORK HOURS
The standard workdays for AGMC urology residents are as follows:

Mon., Tues., Thurs., Fri.: 7am-5pm
Wed.: 6am-5pm
Sat: 7am-9am
Two residents (PGY 2-5) will be assigned each month to keep track of their hours (standard
workday and on-call). At the end of the previous month, the assigned residents will be notified to
record their work hours the following month in any format they choose. At the end of the month,
the recorded hours are to be submitted to the residency coordinator via the Residency Evaluation
System on the ACGME website.
The residency director and residency coordinator prospectively review the call schedule on a
monthly basis to ensure compliance with the guidelines for on-call hours listed above.
It is the residents duty to report to the chief resident the in-house activity from the previous night
of call. The chief resident has the authority to dismiss the resident or modify that days duty
hours. All such actions must be reported to the residency coordinator for purposes of
documentation. Should there be a disagreement regarding early dismissal or modification of
hours, the residency directors decision would be final.
MOONLIGHTING
The general rules concerning moonlighting are covered in the Akron General Medical Center
House Officer Manual. Urology residents must comply with these rules completely without
exception.
In addition to these general rules, the Department of Urology has specific rules concerning the
residents and outside remunerative activities. In accordance with the requirement that
- 19 -
moonlighting must be approved by the residency director, it is the standing rule that
moonlighting is not permitted for any urology resident. In the rarest of circumstances, the
residency director may permit limited moonlighting under the following guidelines:
CROSS COVERAGE
In the event that an unexpected absence for a resident occurs (pregnancy, illness, approved
personal absence), the policies of the ACGME still apply:
1. Residents must be provided with 1 day in 7 free from all educational and clinical
responsibilities, averaged over a four-week period, inclusive of call.
2. Duty hours must be limited to 80 hours per week, averaged over a four-week period,
inclusive of all in-house call activities.
3. No new patients may be accepted after 24 hours of continuous duty, except in outpatient
continuity clinics.
If the decreased complement of residents does not provide for adequate manpower, it is the
responsibility of the chief residents to contact the residency office and arrange coverage in
conjunction with the residency director and the residency coordinator. In keeping with
departmental policy, a strenuous night of call should result in that resident being sent home early
and documentation of that action on the appropriate form must be submitted to the residency
office.
HANDOFF/SIGN-OUT POLICY
The assigned resident to each respective hospital will cover their hospital until 5:00pm each
weekday and cover the weekends until morning rounds are finished.
The sign-out process begins with afternoon rounds when the junior and senior resident will both
participate in the process. When afternoon rounds are complete and all issues have been
addressed, it is the junior residents responsibility to contact the resident on-call for the night and
discuss all the patients at their respective hospital.
After sign-out, the junior resident on-call becomes responsible to cover all consults and answer
questions regarding urology patients. The junior resident on-call has a senior resident on back-up
call who is always available to answer questions as well.
The following morning it is the responsibility of the junior resident on-call to contact the residents
covering each hospital to discuss any new patients or issues that arose during the night.
Weekend coverage works in the same fashion. The resident making morning rounds at each
hospital will sign-out to the junior resident on-call. The following morning, the junior resident on-
call will then contact the resident making morning rounds at each hospital and discuss any issues
and new patients to the service.
- 20 -
FACULTY JOB DESCRIPTION
Qualifications
1. Board certified (or eligible) by the American Board of Urology. An eligible member must
become certified within three years of completion of residency or relinquish faculty
appointment.
2. Appointed in good standing to the staff of an institution participating in the program.
3. Ongoing commitment to medical education as evidenced by their:
a. Participation at Wednesday conference.
b. Participation at monthly journal clubs.
c. Participation in faculty meetings.
d. Participation in research activities, either clinical or basic science, and serving as a
resource to those residents engaged in investigation.
e. Clinical teaching in the operating room or on ward rounds.
f. Clinical teaching in clinic and ambulatory care settings.
g. Participation in the mentoring program.
Evaluation
Each faculty member will be evaluated by the entire resident staff on a yearly basis and the
composite information will be part of the faculty members file after discussion with the residency
director. As dictated by the ACGME, all faculty members must be evaluated on a yearly basis.
Responsibilities
The teaching faculty of the NEOMED Department of Urology are required to:
1. Be a role model for students and residents in the practice of urology.
2. Provide supervision in areas of patient care for residents and students.
3. Evaluate in a timely manner resident performance at each level of training and submit
the evaluation to the residency coordinator.
4. Engage in scholarly activity either by actively participating in research or by
encouraging and supporting residents in their research endeavors.
5. Demonstrate a commitment to their own continuing medical education.
6. Demonstrate competence in clinical care and teaching ability.
7. Demonstrate a strong interest in resident education as evidenced by resident evaluation
of faculty performance at conference, clinic, availability for teaching, OR teaching, and
outpatient teaching.
- 21 -
MENTORING PROGRAM
On November 13, 2008 the mentoring program was instituted for the Department of Urology in
anticipation of the upcoming seventh competency: surgical and technical skills. The faculty
members were all enlisted to participate in the mentoring program as a way of evaluating each
residents progress through the milestones of surgical competence.
The milestones were presented to the faculty and unanimously approved for each level of surgical
training. Achieving surgical competence for various cases is to be documented by the surgery
checklists that each resident is to present to the attending surgeon after a case. Resident
performance will be evaluated by the attending surgeon and this evaluation will be shared with the
residency director and the residents mentor. The mentor will be asked to meet with the resident
monthly and during that meeting a discussion of surgical progress is recommended as well as the
other elements of mentoring: the residents sense of accomplishment, his future plans,
expectations, performance evaluation in areas other than surgery, and any areas that the resident
finds troublesome.
- 22 -
RESIDENT SUPERVISION
The faculty is responsible for supervision of all residents in the Department of Urology. The
residents are evaluated by the entire faculty and these written evaluations are part of the residents
permanent files. Performance is discussed with the residents formally at the semi-annual review
with the residency director. There is a clear structure for supervision in all areas of training and
both faculty and residents understand this structure. The structured supervision also provides a
clear line of communication that can proceed in a step-wise fashion up to the residency director.
Ambulatory Care: The chief resident is the first line of supervision in the clinics. He assigns
patients to the junior residents and reviews their management. He also has his own patient
population. All surgery is cleared through the chief resident. There is always a faculty member
physically present in the clinics to aid in junior resident supervision or to offer advice to the chief
resident. Clinic sessions are not held without faculty supervision.
Inpatient Care: Residents make daily work rounds prior to the surgical schedule and discuss their
management with the patients attending physicians. The chief resident serves as attending for the
house service with the local education directors acting as faculty support for these patients.
Although the residents are responsible for orders and progress notes, their actions are discussed
with the attending physician daily.
Surgery: The Department of Urology has as its strength an abundance of surgical cases that are
the subject matter of resident training. All consortium hospitals require the attending to be
present for all cases. Faculty supervision is mandatory during the critical part of cases. The
faculty member may be in the department but not physically in the room for the remaining part of
the cases. Consortium hospitals do not allow an attending to run multiple rooms, so direct
supervision is the rule in all cases.
As described in the goals and objectives and job descriptions for each level of residency, the
resident is supervised in a progressive manner as he learns various urologic procedures.
Competency proceeds in an orderly fashion starting with instrumentation and endoscopy and
progressing through minor surgery up to major surgical interventions. Competency at each level
is documented and must be demonstrated before the resident is allowed to progress to the next
level of training. This evaluation and documentation form is part of the residents permanent file
and is done by the faculty.
Call Schedule: The call schedule is structured so that a junior resident is always on call with a
senior resident. This structure is never varied. The junior resident has the responsibility of
discussing any questionable cases with the more senior resident on call. There is also an open line
of communication to the patients attending physician (or a member of his group) who is always
available for consultation in emergency and after hours cases.
- 23 -
CLINIC DESCRIPTIONS
Adult Clinics
The urology clinics at both adult institutions (Summa and AGMC) have been privatized. This has
resulted in an improvement in the clinic ambience in that these outpatient facilities are run in a
fashion parallel to a private office. Patients appointments are more sensitive to the patients time.
Efficiency has improved and the experience has provided a more accurate exposure to office
urology for the residents. This experience supplements the exposure the residents gain by doing a
month-long office rotation during their fourth year.
Radiology, laboratory and endoscopic facilities are in the office suite or in close proximity. One
clinic remains geographically on the hospital campus (Summa) while the other is a satellite
location (AGMC).
The outpatient clinics are the main, but not only, exposure to ambulatory evaluation and care for
the urology residents. Besides providing such exposure, the goal is to establish ambulatory
methods and efficiencies for each resident, thus preparing him/her for private practice. Focus is
on patient education, methodical and efficient evaluation and conscientious follow-up. Accurate
record keeping is also emphasized, as is legible handwriting.
The ambulatory care setting serves as an opportunity to achieve competency in systems-based

practice of urology. This is the first exposure of the residents to billing and coding practices.
Interaction with the billing secretary in each office is encouraged. Communication with referring
physicians is an important goal/objective of this experience.
The adult urology clinics are essentially the domain of the chief residents. A chief resident is
always present during clinic sessions and oversees the outpatient care provided to patients by the
junior resident staff. The chief resident participates on all decisions for surgery and discusses the
management plans for the remaining clinic patients.
An attending staff member is always in clinic but may not directly participate in the evaluation and
management unless requested by the chief resident. That attending will staff any surgery
scheduled from clinic.
The chief resident, as part of his/her own service in association with the attending who has staffed
the clinic and the junior resident, follows all patients admitted from the clinic.
- 24 -
Pediatric Clinic
The residents participate in a privatized clinic at Akron Childrens Hospital. The pediatric
urology clinic day is Tuesday. Residents see patients independently, but a pediatric urology
attending is available for consultation. Radiology, endoscopy and laboratory facilities are
available within the hospital. The pediatric clinic also provides ambulatory training for pediatric
and family practice residents. This experience provides instruction on outpatient pediatric urology
practice with the major emphasis on:
a. Appropriate history and physical exam as part of a focused genitourinary work-up.

b. Parent education for the childs condition.
c. Appropriate and cost-effective testing.
d. Accurate and thorough documentation in the office record.
The residents and attending pediatric urologists also see patients together on a preceptor model
on non-clinic days if surgery is not scheduled. The clinic provides a variety of parent education
materials. Emphasis is on communication with and instruction of parents and families.
The PGY-4 resident follows all clinic patients as inpatients and participates in the follow-up visits
to the ambulatory facility.
- 25 -
CONFERENCES
Resident attendance at all conferences is mandatory. The only exceptions are vacations,
meetings, or emergent patient responsibility.
Attendance is recorded for both residents and faculty at the weekly Wednesday conference and
monthly journal club. These records are part of the yearly review for faculty by the residency
director. A member of the teaching faculty must regularly attend Wednesday conferences and
journal clubs in order to maintain teaching status. Attendance is reviewed with each faculty
member at the yearly evaluation with the residency director.
CONFERENCE DESCRIPTIONS
Core Curriculum Conference is every Wednesday at 7am and attendance by the residents is
mandatory. Attendance is taken. Faculty members are required to volunteer as moderators for
topics of specific interest. The schedule for topics covers a 24-month period. The list of topics
encompasses the entire breadth of urology, as well as other pertinent topics including geriatrics,
practice management, medico-legal issues, and topics outlined in the ACGME list of core
competencies. The list of topics is developed by the academic committee, which includes the two
directors of research, the residency director, the two chief residents, and the local education
directors. Included in each session is a list of board-like questions to familiarize the residents with
this format.
Grand Rounds/Imaging Conference is the primary teaching conference of the residency

program. This is weekly on Wednesday at 8am. The resident staff presents current or recent
cases to the fellow residents and faculty. Discussion of the appropriate work-up and management
is the focus of this conference. All residents must attend and all faculty members are strongly
urged to attend. One or two attendings will be assigned as faculty moderators for each scheduled
conference to ensure some participation. Attendance is taken for both residents and faculty. A
short didactic presentation by a resident reviews the current literature of interesting or unusual
cases. Questions from the floor attempt to mimic oral board format. In addition, the residents
interpret imaging studies from current or recent cases.
M & M Conference is held monthly. The residents present all complications and/or deaths to the
general urology staff. If necessary the department chairs convey written action to the attending
physician involved.
Journal Club is held on the 3rd Monday of the month. Residents are assigned 5-10 articles, all of
which are open for discussion. Attendings rotate as faculty moderators of journal club.
Pediatric Radiology/Urology/Nephrology (RUN) Conference is held on the 1st Wednesday of

the month at Childrens Hospital. All cases from Childrens Hospital are presented to the entire
faculty of both urology and radiology. Nephrologists also attend. Residents are asked to read the
imaging studies; faculty provides discussion.
Pathology Conference is a half-hour session held monthly after M&M conference. A senior
- 26 -
pathology resident reviews pathology slides with the residents and attending faculty. The goal of
the pathology conference is to educate urology residents in the essentials of urologic pathology
and to prepare graduating residents for national board examinations. In addition, Dr. Ray Clarke,
Chairman of Pathology at Summa, is available for individual tutoring sessions on a case-by-case
basis.
- 27 -
RESEARCH
It is recognized by the Department of Urology that scholarly activity and investigation are an
integral part of the education of the urology resident. For this reason the Department of Urology
has designated a Director of Adult Urology Research and a Director of Pediatric Urology
Research. The major function of these two positions is to provide guidance and organization to
all research activities in which the residents participate. Dr. Raymond Bologna is the Director of
Adult Urology Research and Dr. Daniel McMahon is the Director of Pediatric Urology Research
for the urology residency program.
The directors of research will meet on a regular basis with all residents and review ongoing
projects. The director also has the duty of approving any potential projects that may occupy
resident time and energy. Residents in urology are expected to provide a timely update to the
director on all ongoing projects. Each resident is required to complete at least one urology
project during his/her training in order to be permitted to attend the AUA Annual Meeting during
the PGY-4 year. Residents will be encouraged to submit their research work for presentation at
regional and national meetings. Financial support is available for the attendance at such meetings
should the research be accepted.
- 28 -
CRITERIA FOR SELECTION, EVALUATION, PROMOTION, AND DISMISSAL OF

RESIDENTS
Criteria for Selection
All those interested in applying to the AGMC Urology Residency Program must do so through
ERAS. Application materials are due in early October each academic year.
An applicant should have a complete file before being considered. A complete file contains:
Application
Three Letters of Recommendation
Medical Student Performance Evaluation (MSPE)
Minimum USMLE Step 1 and 2 scores of 200 (or 2-digit equivalent score)
Academic Transcript
Curriculum Vitae
Personal Statement
All applicants must be from accredited medical schools and must have graduated within three
years prior to start date.
In addition to fulfilling the criteria listed above, international graduates must have a valid ECFMG
certificate/J-1 Visa.
Our program participates in the American Urological Association (AUA) Residency Matching
Program for Urology and the National Residency Matching Program (NRMP). All those
interested in applying to our program should register with these matching programs.
Resident Evaluation
At the beginning of each academic year, the residents at each level are presented with job
descriptions for their residency levels. Each resident is also given a copy of the goals and
objectives for his/her specific residency level. Both the job description and the goals and
objectives are discussed with the resident at the beginning of the academic year by the residency
director.
The semi-annual evaluation by the residency director takes place in September and March. The
resident is evaluated on the basis of faculty evaluation forms in regards to his/her performance in
surgery and during patient interaction, as well as compliance with the core competencies. The
residency director reviews with the resident comments made by nursing and OR staff about
his/her performance, as well as random evaluations of resident performance by clinic patients
(evaluation templates on pages 37-38). This semi-annual review also includes a report on all
research activities. Finally, the residents strengths and weaknesses are discussed with
suggestions for improvement in the coming evaluation period.
During the March evaluation session, in-service scores are discussed with each resident. Failure
to achieve a 50th percentile rank on the Urology In-service Examination will mandate that the
resident submit a WRITTEN outline for each topic in the core curriculum for the coming year on
- 29 -
a weekly basis. The report for the semi-annual evaluation (template on page 36) will become part
of the residents file and the resident will be required to initial these reports.
Advancement of a resident to the next level of training is the responsibility of the residency
director. If the resident has received satisfactory evaluations, has progressed in scholarship and
professional growth, and has demonstrated progressive mastery of the six core competencies, the
resident will be advanced to the next level of training.
Suspension, Termination, or Failure to Renew Residents Contract
The urology residency program abides by the policies outlined in the AGMC House Officer
Manual.
- 30 -
MEDICAL STUDENT ROTATIONS
M3 Rotations
The NEOMED Department of Urology offers a one- or two-week elective for M3 students
during their eight-week Surgery rotation. The M3 elective is offered on all three campuses
(Youngstown, Canton, and Akron). The goal of this rotation is to provide an introduction for the
student into the surgical subspecialty of urology and to acquaint the student with: 1) the scope of
urology as a surgical subspecialty including surgical, inpatient, emergency room and ambulatory
care exposure; 2) to offer an exposure to various diseases of the genitourinary tract, their
pathophysiology, evaluation and treatment; 3) to achieve basic understanding of various urologic
imaging techniques; 4) to review the anatomy and physiology of the genitourinary tract.
The chief resident in urology serves as the supervisor for this M3 rotation and, as such, is the
major evaluator of student performance. The department chairman also evaluates student
performance. There is no on-call requirement for this rotation.
M4 Rotations
The NEOMED Department of Urology offers a four-week elective to the M4 student. This
elective is geared toward those students showing a serious interest in pursuing a urologic
residency. This four-week elective is offered only on the Akron campus under the approval of the
residency director.
The goals of this elective are to: 1) increase the students understanding of the scope of urology.
Responsibility includes histories and physicals on in- and outpatients, ambulatory care evaluation,
and participation in surgical cases; 2) initiate the student into reading about specific urologic
diseases and problems; 3) to achieve a deeper understanding of the anatomy, physiology, and
pathophysiology of urologic disease.
Requirements of this M4 rotation include: 1) participation in the on-call schedule; 2) daily rounds
and duties as dictated by the chief resident; 3) surgical scrubbing; 4) participation in all GU
conferences and journal clubs; 5) a five-minute PowerPoint presentation during Wednesday Grand
Rounds on a focused urologic topic as directed by the chief resident or attending supervisor. The
chief residents are responsible for evaluating and communicating medical student performance to
the residency director.
For those students who anticipate applying to the residency program, this rotation will serve as an
audition rotation. A formal interview will not be offered to any rotating student. However, the
rotating students are welcome to return to the department at any time during the recruitment
season to participate in conference, journal club, visiting professor programs, etc.
All rotating students who apply to the residency program will spend at least one day with each
member of the recruitment committee (Dr. Bologna, Dr. Spear, and Dr. Nasrallah). An exit
interview with any of these three attendings will be scheduled with a review of the students
- 31 -
ERAS application if available. The students performance throughout the rotation, as well as
input from attending faculty and residents, will be strongly considered during the ranking process.
This elective must be approved by the residency director who, along with the chief resident,
provides the supervision and evaluation of the student. The student should contact Mandarin
Dague, Urology Residency Coordinator, at (330) 543-8212.
- 32 -
VACATION AND CONFERENCE TIME
All residents are entitled to three weeks of vacation per AGMC policy. In addition to vacation,
residents are allowed conference time at the residency directors discretion. Listed below are the
conferences budgeted by Medical Education (AGMC) for residents.
Conference Permitted to attend

AUA Basic Science PGY 2
CCF Preceptorships Rotating assignments
AUA Annual Meeting PGY 4 must meet
research requirement in
order to attend
AUA North Central All residents with accepted
Meeting paper for presentation
Also, residents may attend the American Academy of Pediatrics Section on Urology Meeting with
funding from source(s) other than Medical Education or the Department of Urology. Permission
to attend any other conference must be obtained by the residency director.
Other Benefits for Residents
Urology residents are provided with several other benefits as part of their training.
1. Moving Loan up to $2000 for PGY 1; must be repaid by end of 1st year through
payroll deduction ($40/pay = $1000; $80/pay = $2000)
2. Health Club Membership free membership to on-site gym
3. Board Review - $1600 for PGY 5; to be used for AUA Review Course in Dallas
4. Education Allowance see table on p. 34
5. Campbells residents can purchase Campbells at the end of the PGY-1 year.
Receipts are to be submitted to the coordinator for reimbursement.
- 33 -
EDUCATIONAL ALLOWANCE
This table lists suggestions of what educational money can be used for on a yearly basis.
Educational money is to be used for books, software, palms, boards, certificates/licenses, and
conferences. All purchases must be approved by the residency director.
PGY-2 $950
*$35 fee for training certificate renewal
*USMLE Step 3 should be completed by end of PGY-2 year; fee is around $655.
PGY-3 $950
PGY-4 $1100
*Instead of training certificate, application for OH license is approx. $800 (includes fees to
Medical Board, FCVS, & medical school if applicable) and is valid for approx. 2 years (After
passing Step 3, a resident can apply at any time. However, if the resident plans to practice in
OH, January of PGY-4 year would be the best time to apply. After a resident has received an
OH license, an OH training certificate is invalid.)
*If ACLS needs to be renewed for post-graduate requirements, the balance of PGY-4 educational
funds can be used to cover course expenses.
PGY-5 $1100 + $1600 for board review course (1 course only)
*Board registration fee is $1300 can use educational allowance to cover most of the fee.
*If Board Review falls after June 30, residents can only be reimbursed for expenses incurred
before graduation from residency, e.g., prepaid hotel, airfare, and/or ground transportation.
Medical Education has funds separate from the educational allowance to cover costs for the
following:
1. AUA In-service Exams yearly
2. ACLS Course PGY 1
3. AUA Update Series yearly
4. AUA Dues yearly
5. Surgical Loupes PGY 2
6. AUA SASP
- 34 -
WEGRYN AWARD
Mrs. Theresa E. Wegryn created the Dr. John F. Wegryn Urology Resident Award Fund in
September 2010 to provide financial assistance through a life enrichment grant to Urology
resident physicians participating in the five-year training program at Summa Health System.
The award memorializes Dr. Jack Wegryn, a respected and accomplished area urologist who
passed away in June 2010. He was a graduate of the urology residency program at Akron City
Hospital (enrolling in 1961). Dr. Jack was a Diplomat of the American Board of Urology, Asst.
Professor of Urology at NEOUCOM, Chief of Urology Staff at St. Thomas 1973-1993 and Vice
President of St. Thomas Medical Staff 1979-1993. He received Summa Health Systems
Physician Recognition Award in 1999. The first Dr. John F. Wegryn Urology Resident Award(s)
will be made in 2011.
Awards will be made to support life enriching grants upon the recommendation of the Urology
Department Chair and System Vice President for Medical Education, in consultation with the
Urology Residency Director. These awards can be used to support the resident in areas such as
daycare, to provide funds for spousal travel to medical conferences and other special needs. Each
year, two $5000 awards or one $10,000 award will be given. Residents who receive an award
may reapply for the award after one year. No repayment by any awardee is required. However,
the award will be considered taxable income to the resident and reportable on IRS form 1099-
MISC. All urology residents (PGY-1 through PGY-5) are eligible for the award.
- 35 -
RESIDENCY OFFICE
The residency office employs a full-time residency coordinator to assist the residency director and
urology residents. The coordinator is also available to assist other attending faculty with matters
pertaining to the residency program. Some of the duties performed by the coordinator include:
Assisting the residency director with implementation of institutional policies
(AGMC, Summa, CHMC, NEOMED)
Assisting the residency director with implementation of policies mandated by the
ACGME and AUA
Developing with residency director and maintaining the appropriate documentation
for PIR and RRC visits
Maintaining resident and alumni files/database
Serving as liaison between medical education departments (AGMC, Summa,
CHMC) and residency program
Coordinating/scheduling departmental meetings and conferences
Planning department special events, such as chiefs dinner party
Assisting with recruitment by scheduling/organizing interviews, compiling
interview data
Scheduling all medical student rotations
Assisting chiefs with annual and on-call schedules
Preparing applications for category 1 CME credit, collecting evaluations, and
maintaining CME records
Coordinating journal clubs with pharmaceutical representatives
Dispersing/compiling resident evaluations
Handling monetary requests and residency budget
Providing employment/residency training verification
Serving as contact person for post-residency placement
Assisting residents with coordination of research and maintaining appropriate
documentation
Developing and maintaining department web pages at NEOMED, AGMC, and
Summa
Serving as centralized contact for Youngstown, Canton, and Akron campuses.
Contact Information for Residency Office:
AGMC Urology Residency Program

215 W. Bowery Street, Ste. 3500
Akron, OH 44308
Phone: 330-543-8212
Fax: 330-543-8621
Email: mdague@chmca.org
- 36 -
RESIDENCY DIRECTOR RESIDENT EVALUATION FORM (SEMI-ANNUAL)

Semi Annual Residency Evaluation
Resident Name:
A. Performance Evaluation
B. Competency Evaluation
1. Patient Care
2. Medical Knowledge
3. Practice-based Learning
4. Interpersonal Skills and Communication
5. Professionalism
6. Systems-based Practice
C. Summary Evaluation
Phillip Nasrallah, MD
Residency Director Resident
- 37 -
NURSING & OR RESIDENT EVALUATION FORM (SEMI-ANNUAL)

Resident: Department:
Date of Evaluation: Signature:
Although this survey will be part of the residents semiannual evaluation, your comments are strictly confidential.
Please return the form promptly to the residency office (fax: 330-543-8621).
Please score from 1-5; comments are appreciated for scores of 1 or 5.
I. Professionalism
1 2 3 4 5
Looks and acts Appearance and
immature behavior reflect
maturity and compassion
Comments:______________________________________________________________
II. Behavior
1 2 3 4 5
Temperamental; Calm, in control;
impolite kind to others
Comments:______________________________________________________________
III. Dependability
1 2 3 4 5
Slow to respond; Responds rapidly,
work is incomplete courteously;
does job completely
Comments:______________________________________________________________
IV. Interpersonal Skills

1 2 3 4 5
Confrontational, Pleasant, polite, respectful
sarcastic; hard to
get along
Comments:______________________________________________________________
V. Handwriting
1 2 3 4 5
Illegible Very clear
Comments:______________________________________________________________
- 38 -
CLINIC PATIENT EVALUATION FORM (RANDOM)
PATIENT EVALUATION OF RESIDENT PHYSICIAN
Please circle the names of the physician(s) who participated in your care today:
Nasir Chaudry, MD Paul Rusilko, DO
Michael Gangel, MD Joshua Nething, MD
Odinaka Akunne, MD Christopher Lohr, MD
Rhys Irvine, MD Ryan Pastena, MD
Date of your visit: ________ Where did you visit: _________________________
Please checkmark your responses to the statements below.
Strongly Disagree Not Agree Strongly

Disagree Sure Agree
1. My doctor made my care and well being a priority.
2. My doctor made my family and me feel comfortable
during my visit.
3. My doctor was respectful and considerate.
4. My doctor responded to my needs, feelings, or
wishes.
5. I clearly understood what my doctor explained to me
about my condition and/or treatment.
6. My doctor spent an adequate amount of time with me.
7. My doctor was willing to answer questions and
provide explanations.
Please provide any additional feedback about your visit today.
Thank you for taking the time to complete this evaluation.

Please return this form to the front desk.
- 39 -

Residency Manual шаблон PDF

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Residency Manual шаблон PDF

Uploaded by

Copyright:

Available Formats

AKRON GENERAL

PREAMBLE AND MISSION STATEMENT

ACGME CORE COMPETENCIES

set learning and improvement goals;

work in interprofessional teams to enhance patient safety and improve

GOALS/OBJECTIVES FOR CORE COMPETENCIES

and as mandated by the RRC.

PGY 1 PGY 2 PGY 3 PGY 4 PGY 5

GOALS AND OBJECTIVES FOR PGY-2 RESIDENT

GOALS AND OBJECTIVES FOR PGY-2 RESIDENT PEDIATRIC UROLOGY

JOB DESCRIPTION PGY-2 RESIDENT

A. Admitting history and physicals on all urology in-patients.

GOALS AND OBJECTIVES FOR PGY 3 RESIDENT

JOB DESCRIPTION FOR PGY-3 RESIDENT

A. Admitting history and physicals on all urology in-patients.

GOALS AND OBJECTIVES FOR PGY 4 RESIDENT

GOALS AND OBJECTIVES FOR PGY 4 RESIDENT ADVANCED ROBOTICS AND

JOB DESCRIPTION FOR PGY-4 RESIDENT

A. Admitting history and physicals on all urology in-patients.

GOALS AND OBJECTIVES FOR PGY 5 RESIDENT

JOB DESCRIPTION FOR PGY- 5 RESIDENT

A. Administrative duties for the urology service to include:

POLICY ON RESIDENCY WORK HOURS

Resident Work Hours

The standard workdays for AGMC urology residents are as follows:

FACULTY JOB DESCRIPTION

The ambulatory care setting serves as an opportunity to achieve competency in systems-based

a. Appropriate history and physical exam as part of a focused genitourinary work-up.

Grand Rounds/Imaging Conference is the primary teaching conference of the residency

Pediatric Radiology/Urology/Nephrology (RUN) Conference is held on the 1st Wednesday of

CRITERIA FOR SELECTION, EVALUATION, PROMOTION, AND DISMISSAL OF

Criteria for Selection

Suspension, Termination, or Failure to Renew Residents Contract

MEDICAL STUDENT ROTATIONS

VACATION AND CONFERENCE TIME

Conference Permitted to attend

Other Benefits for Residents

Contact Information for Residency Office:

AGMC Urology Residency Program

RESIDENCY DIRECTOR RESIDENT EVALUATION FORM (SEMI-ANNUAL)

NURSING & OR RESIDENT EVALUATION FORM (SEMI-ANNUAL)

Please score from 1-5; comments are appreciated for scores of 1 or 5.

IV. Interpersonal Skills

CLINIC PATIENT EVALUATION FORM (RANDOM)

PATIENT EVALUATION OF RESIDENT PHYSICIAN

Date of your visit: ________ Where did you visit: _________________________

Please checkmark your responses to the statements below.

Strongly Disagree Not Agree Strongly

Please provide any additional feedback about your visit today.

Thank you for taking the time to complete this evaluation.

You might also like

Date of your visit: Where did you visit: _________________