Urology

Goals and Objectives

The PGY1-AP resident is expected to:

  • Acquire knowledge and skills that will assist in preparation for the LMCC Part II exam.
  • Understand the medical and surgical issues related to underlying diseases that he/she will be required to diagnose.
  • Enhance communication and collaboration between the pathologists and their clinical colleagues.
  • Respect  the  CanMEDS  roles  as  set  by  the  Department  of  Urology  and Anatomical Pathology.

Medical Expert

  • Effectively and efficiently perform a history and physical examination directed at the diagnosis and surveillance of patients with urologic malignancies.
  • Understand the impact of medical comorbidities and extent of disease on treatment decisions and the use of multidisciplinary therapies.
  • Observe prostate and bladder biopsy procedures for oncologic and non-oncologic cases
  • With guidance of senior residents and/or staff urologists, manage postoperative care after large urologic oncologic procedures, such as partial nephrectomy, radical nephrectomy with or without IVC thrombectomy, radical cystectomy with various types of urinary diversions, radical prostatectomy, and retroperitoneal lymph node dissection for testis cancer.
  • Observe oncologic procedures in the operating room whenever feasible. Ideal exposure by the end of the rotation would include the following procedures:
    • Partial nephrectomy
    • Radical nephrectomy
    • Radical cystectomy
    • Radical prostatectomy, and
    • Orchiectomy with or without retroperitoneal lymph node dissection.
  • Participate in the interpretation of frozen sections arising from urologic oncology procedures.
  • Recognize post-operative complications and initiate prompt and proper intervention.
  • Participate in timely and concise documentation of clinic notes and inpatient medical records.
  • Develop an understanding of screening and management (including active surveillance) of prostate and bladder malignancies according to guidelines (eg. Cancer Care Ontario).
  • Develop an understanding of risk factors and prognostic factors for urologic malignancies.
  • Develop an understanding of the indications for and surgical implications of neoadjuvant therapy.
  • Review imaging features and reports for patients with urologic malignancies and correlate those with the clinical, surgical, and pathologic findings.

Advocate

  • Identify barriers to access to health care in patients with urologic malignancies.
  • Describe the roles of various health care providers in managing patients with urologic cancers.
  • Develop an understanding of the clinical presentation and appropriate management of patients with hereditary renal cell carcinoma syndromes.

Leader

  • Understand the role of pathology as it relates to the management of urologic malignancies.
  • Act as an advocate and representative for the discipline of pathology in interdisciplinary teams.

Scholar

  • Demonstrate self-directed and lifelong learning skills.
  • Demonstrate the ability to access, analyze, and use sources available to develop scientific knowledge.

Communicator

  • Listen actively with cultural, ethnic, gender, racial and religious sensitivity.
  • Communicate effectively with patients, families, and professional colleagues.
  • Be able to educate and advise patients with sensitivity, compassion, and concern.

Collaborator

  • Give accurate, clear, and concise oral patient presentations.
  • Understand the importance for a clinician of a clear and concise pathology report.
  • Understand the importance of a pathologist’s report in the management of patients.
  • Understand the questions that a pathology report may generate and the importance of being able to communicate physician to physician for clarification.
  • Develop an understanding of the multidisciplinary approach to cancer care, including surgery, radiology, pathology, chemotherapy, and radiotherapy.

Professional

  • Adhere to local and institutional code of conduct, demeanor, behavior and attire.
  • Demonstrate respect to patient, families and other healthcare providers.
  • Use discretion in private and public communications which include electronic communication devices in accordance to HIPAA policies.
  • Demonstrate an awareness of one’s limitations.
  • Describe the principles of informed consent.
  • Ensure that dictations and entries into the medical record are performed in a timely manner.

 

 

Updated April, 2020

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