Education: Residency: Program Overview

Program Overview

Year One

First year residents are matched with a senior-level resident and complete various six-week surgical rotations at:

  • Vanderbilt University Medical Center
    • Emergency General Surgery
    • Colorectal Surgery
    • Pediatric Surgery
    • Vascular Surgery
    • Oncology/endocrine Service
    • Urology
  • Veterans Affairs Medical Center
    • General Surgery
    • Urology

Year Two

Second-year urology residents experience the basics of care in clinic and outpatient settings, the operating room and hospital for adult and pediatric patients. The goal is to help residents obtain a broad base for graded and increased responsibility and learning in subsequent years.

Residents complete two six-week rotations at these locations:    

  • Veterans Affairs Medical Center
  • Vanderbilt Children’s Hospital
  • Vanderbilt University Medical Center
  • The Vanderbilt Clinic – Urology Outpatient Clinic

On each rotation, residents:

  • Gain operative and inpatient care experience
  • Participate as the primary surgeon in many minor surgical procedures
  • See patients preoperatively
  • Often see patients in clinic for postoperative care
  • Become proficient at:
    • Commonly performed clinic procedures
    • Cystoscopy
    • Prostate biopsy
    • Renal and bladder ultrasound
    • Transrectal ultrasound

Year Three

Our third-year Urology residents complete four separate three-month rotations.

Introduction to Oncology.  Under the direction of Dr. Kelvin Moses, residents will complete a rotation that will give them a more advanced understanding of the multidisciplinary approach to urologic oncology patients by spending time with each of the following services/clinics:

  • Medical oncology
  • Radiation oncology
  • Interventional radiology
  • Urologic radiology with focus on mpMRI prostate
  • Pathology with urologic oncology focus
  • CRPC

Endoscopy/Stone Disease.  Mentored by Dr. Nicole Miller, this rotation at Vanderbilt University Medical Center focuses on:

  • Advanced endoscopic skills
  • Management of renal calculus disease

Residents spend most of their time with Dr. Miller in her clinic and in the operating room learning:

  • Advanced ureteroscopic and percutaneous renal surgery
  • Medical management of stone disease
  • Holmium Laser Enucleation of the Prostate (HOLEP)

Research Rotation.  The basic research rotation exposes residents to the principles and practices of basic and clinical research. Residents regularly complete research studies that result in presentations and publications at regional and national meetings.

Residents choose a project in:

  • Basic research
  • Clinical research
  • Health sciences research
  • Variety of projects using our extensive departmental clinical databases

Our full-time Department of Urology research Ph.D.’s are involved in a variety of cutting-edge research projects and available to work with residents. Residents also can access an endowment that specifically supports resident research.
Residents maintain ongoing clinical responsibilities during the research rotation, including:

  • Clinical responsibility for coverage
  • Attending clinical conferences
  • Assisting at some clinics

Veterans Affairs Medical Center.  Residents focus on advancing clinical and operative skills with increasing autonomy, including:

  • Routine clinical procedures
  • In-office vasectomies

Year Four

Our fourth-year Urology residents complete four three-month rotations that broaden their exposure and experience in patient care, surgery and general urology.

Advanced Laparoscopy.  Residents refine and expand their skills in advanced laparoscopy with and without robotic assistance. The work emphasized:

  • Management of diseases amenable to minimally invasive surgery, such as:
    • Benign upper urinary tract stricture disease
    • Prostate malignancies
    • Renal cancer
    • Stone disease

Pediatric Urology. The residents work alongside our seven full-time pediatric urologists.  Residents gain:

  • Additional guidance and mentorship through our clinic program
  • Experience in surgical procedures
  • Exposure to all aspects of pediatric urology

Female Pelvic Medicine and Reconstructive Surgery. This rotation places emphasize on:

  • Benign diseases of the lower urinary tract, such as:
    • Female pelvic prolapse
    • Impotence
    • Neurogenic bladder
    • Peyronie’s disease
    • Stricture disease
    • Voiding dysfunction

Residents learn:

  • Outpatient and intra-operative training
  • Performance and evaluation of urodnamics

St. Thomas Midtown Hospital. A urology rotation at this large private hospital pairs residents with attending doctors who are clinical faculty members at Vanderbilt, each with a varied training and experiences from other institutions. Residents gain:

  • Experience in private practice urology
  • Exposure to different urologic approaches

Year Five – Chief Resident Year

Fifth-year urology residents serve as chief residents at both Vanderbilt University Medical Center and the Veterans Affairs Medical Center.  This is the busiest year for residents, but also the one with the most responsibility and autonomy.

Vanderbilt University Medical Center. Residents complete nine months or three rotations as chief resident at VUMC. On each rotation, the chief resident is paired with junior residents.  The chief resident:

  • Hones his or her operative skills with an extremely heavy surgical load
  • Is responsible for the entire Urology service, including:
    • Pre- and post-operative care for all his or her surgical patients
    • Preoperative workup
    • Review of pertinent pathology and imaging studies
    • Continued care during hospitalization
    • Post-op clinic visits
    • Consultation
    • Emergency room coverage
    • Directs junior residents and interns in managing the urology service

Veterans Affairs Medical Center. The chief resident manages the urology service and directs junior residents. The chief, senior and junior residents manage the VA’s entire outpatient service.  The chief resident:

  • Manages and staffs the outpatient clinic and inpatient services
  • Manages a heavy and varied surgical volume

Our current resident rotation schedule:

Resident Schedule 2020-2021

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