UC COM :: M3/M4 Course Syllabi

M3/M4 Course Offerings

2017-2018 M3/M4 Course Syllabi

Surgery

COURSE NUMBER:

22 01 16

TITLE:

ELECTIVE IN UROLOGY -ICE
Students participate in a four-week introduction to Urology encompassing inpatient and outpatient activity, as well as operating room experience. Didactics center around clinicopathological conferences.

PREREQUISITES:

26980373 (SURGERY CORE CLKSP)

Please see all detailed information sent out in email regarding special requirements.

PLEASE NOTE - VA CLEARANCE MUST BE UP TO DATE FOR THIS ELECTIVE

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GENERAL INFORMATION

COURSE YEAR:

CREDIT HOURS:

CREDIT WEEKS:

DOMESTIC VISITING:

YES

INTERNATIONAL VISITING:

GRADED:

Honors/High Pass/Pass/Fail

COURSE QUALIFICATIONS:

ICE

COURSE TYPE:

Clinical

STATUS:

Full-Time
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES

COURSE LENGTH:

4 wks

DIRECTOR:

Nilesh Patil, MD
patilnh@ucmail.uc.edu
558-0983
MSB , 2510B

ADMINISTRATIVE SUPPORT PERSON:

Perri Wright
Perri.Shivar@UCHealth.com
558-0983
MSB, 2513

INSTRUCTOR:

LisaFilipkowski, MD

SITE(S):

University Hospital
VAMC

MAX ENROLL:

ROTATIONS:

Rotation	Dates	Max
1	07/03/2017 - 07/28/2017	4
2	07/31/2017 - 08/25/2017	4
3	08/28/2017 - 09/22/2017	4
4	09/25/2017 - 10/20/2017	4
5	10/23/2017 - 11/17/2017	4
6	11/27/2017 - 12/22/2017	4
7	01/02/2018 - 01/26/2018	4
8	01/29/2018 - 02/23/2018	4
9	02/26/2018 - 03/23/2018	4
10	03/26/2018 - 04/20/2018	4
11	04/23/2018 - 05/18/2018	4
12	05/21/2018 - 06/22/2018	2

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)

WORKING HOURS:

6:30 a.m. - 6:00 p.m., M-F

REPORT 1^ST DAY:

VAMC 3rd floor, A-358 7:30 a.m. Deb Yates 487-6626

INSTRUCTION

LEARNING ACTIVITIES:

Case-Based Instruction/Learning
Clinical Experience - Inpatient
Clinical Experience - Inpatient (Nights)
Conference
Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
Journal Club
Literature search required for second of two patient care presentations; scrubbing in surgeries/endoscopies
Patient Presentation--Faculty
Patient Presentation--Learner
Research

LEARNING ENVIRONMENT POLICIES:

UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.

ORIENTATION:

Chief resident and VA administrative staff. Please email Perri Wright at least 3 weeks prior to start

TEACHING:

40%	Attending Physician
50%	Senior Resident
10%	Junior Resident

FEEDBACK:

Elective director

ASSESSMENT:

FINAL GRADE:

40%	Clinical work performance evaluations
20%	Attitude, e.g., professionalism, motivation etc
0%	In-house multiple choice or other objective exam
10%	Case management problem(s)
10%	Computer-based testing or assessment
10%	Journal club, critical review of literature
10%	Topic presentation

GRADE ASSIGNED BY: Principle instructor

OBJECTIVES

Attitudes :

   1. Maintain a professional demeanor during all interactions with patients, residents, and faculty
   2. Exhibit an interest in learning Urology
   3. Gain an understanding of ethical issues in Urology
   4. Learn ways to elicit and to discuss sensitive personal problems

Curricular Resources :

Selected Topics and Bibliography: PLEASE NOTE ITEM 14

Suggested areas of concentration for the clerkship include: basic GU anatomy and physiology, diseases of the prostate, stone disease, urinary tract infection, basic GU radiology, common diseases of the genitalia, voiding dysfunction, and basics of GU oncology including, bladder, kidney, prostate, and testis cancers.

Selected references:

1. Adult and Pediatric Urology, 3rd edition. Gillenwater, Jay Young ... [et al.], editors. St. Louis: Mosby, c1996.

2. Atlas of Urologic Imaging, Hoffman, Daniel ... [et al.], editors. Baltimore: Williams & Wilkins, 1995.

3. Campbell's Urology, 6th edition. Walsh, P.C., Retik, A.B., Stamey, T.A. and Vaughn, Jr., E.D., editors. Philadelphia: W.B. Saunders, 1992.

4. Essential Urology, 2nd edition. Bullock, N., Sibley, G. and Whitaker, R. Edinburgh: Churchill Livingstone, 1994.

5. Female Urology 2nd edition. Raz, Shlomo, editor. Philadelphia: Saunders, c1996.

6. Geriatric Urology. O'Donnell, Pat D., editor. Boston: Little, Brown, c1994.

7. Manual of Clinical Problems in Urology. Resnick, M.I. and Benson, M.A., editors. Boston: Little, Brown and Company, 1989.

8. Manual of Urology. Siroky, M.B. and Krane, R.J., editors. Boston: Little, Brown and Company, 1990.

9. Pathophysiologic Principles of Urology. Sant, G.R., editor. Boston: Blackwell Scientific Publications, 1994.

10. Smith's General Urology, 12th edition. Tanagho, E.A. and McAninch, J.W., editors. Norwalk and SanMateo: Appleton and Lange, 1988.

11. Textbook of Uroradiology, 2nd edition. Dunnick, N. Reed, et al., editors. Baltimore: Williams & Wilkins, c1997.

12. Urology, 2nd edition. MacFarlane, M.T. Baltimore: Williams & Wilkins, 1995.

13. Urologic Oncology. Oesterling, Joseph E., Richie, Jerome P., editors. Philadelphia: W.B. Saunders, c1997.

14. All materials sent on bibiliography as well as articles attached to orientation email.

Knowledge/Skills:

Enabling Objectives

1. Discuss the following:

      a. Systematic evaluation of the GU patient.
      b. Etiology, diagnosis, and management of the most common GU disorders including hematuria; stone disease; urinary tract infection; malignancies of the kidney, bladder, testes, and prostate; BPH; incontinence; impotence; and infertility.
      c. Mechanism of action and appropriate use of the drugs employed in the treatment of GU disorders.
      d. Nutritional approaches utilized in the treatment of stone disease and interstitial cystitis, as well as preventative dietary interventions for prostate cancer.
      e. Risk/benefit considerations in ordering radiographic tests and in choosing therapeutic approaches to GU disease.

Immediate Objectives

  1. To obtain a concise GU history and perform a focused GU exam.
  2. To participate in daily rounds and assist with patient care.
  3. To review X-rays taken in conjunction with patient evaluation and treatment in order to understand the purpose of the studies and the information they provide; i.e., benefits and limitations.
  4. To acquire and utilize basic surgical techniques while assisting with surgical procedures.

Main Course Topics :

Benign prostatic hyperplasia
  Prostate cancer
  Urinary tract infection
  Urinary stone disease
  Incontinence
  Hematuria
  Impotence
  Infertility and bioethics

Objectives:

The student should become familiar with the daily routine of the urologist and with the common pathologic processes affecting the genitourinary tract. During the course of the rotation (s)he should learn how to choose appropriate diagnostic tests, understand their benefits and limitations, and apply them to management decisions. Hence, by the end of the rotation, participating students should have a knowledge of the most common urologic disease entities, their evaluation, and general treatment principles.

Other Resources - Audiovisuals:

The Urology Division Library is equipped with educational videos on major topics in Urology. Slides are used to illustrate presentations for weekly (Wednesday) conferences.

Other Resources - Computer resources:

The student has access to a divisional computer.

The student is expected to conduct a MEDLINE search on a topic relevant to the second case presentation using literature drawn from papers published within the past 5 years.

Other Resources - Other :

Imaging can be viewed from multiple areas, including the residents' office and conference room.

Procedures:

1. Perform minor suturing
2. Assist with minor surgical procedures

SAMPLE WEEK

Monday:

6:30AM	7:30AM	Inpatient Rounds
7:30AM	5:00PM	First day of rotation, report to the VA; MUST contact Catrina prior to start date
5:00PM	6:00PM	Rounds

Tuesday:

6:30AM	7:30AM	Inpatient Rounds
7:30AM	5:00PM	OR at UH or VAMC
5:00PM	6:00PM	Rounds

Wednesday:

6:00AM	7:00AM	Inpatient Rounds
7:00AM	9:00AM	Urology Conference
9:00AM	12:00PM	Clinic - VA or OR - UH
12:00PM	1:00PM	Lunch
1:00PM	4:00PM	Clinic - VA or OR - UH
4:00PM	5:00PM	Rounds
5:00PM	6:00PM	Campbell's Club every other Wednesday

Thursday:

6:30AM	7:30AM	Inpatient Rounds
7:30AM	12:00PM	Clinic - VA (7:30 - 12:00) or Surgery - UH (7:30 - 4:00-5:00)
12:00PM	1:00PM	Lunch
1:00PM	5:00PM	Surgery at UH or VA
5:00PM	6:00PM	Rounds

Friday:

6:00AM	7:00AM	Inpatient Rounds
7:00AM	8:00AM	Urology Conference
8:00AM	9:00AM	Urology Conference
9:00AM	5:00PM	Clinic - TUH Outpatient Bldg
5:00PM	6:00PM	Rounds

SCHEDULE NOTE:

Note: If the start date for the course falls on a government holiday, please report to the VA the day after the holiday. For questions, please contact the respective Chief of the rotation (either VA or U). Email addresses and pager numbers for Chiefs can be obtained by emailing Ms Perri Wright at perri.wright@uc.edu. Please email Ms Wright a minimum of THREE weeks prior to the start date of the rotation.

Students MUST contact Ms Deb Yates a minimum of 30 DAYS prior to start date of the rotation.

ATTENDANCE AND ABSENCE POLICY

Session Attendance for M4 Students

Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
Excused Absences - The following will be considered excused absences:
- Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
- Personal illness, accident or a major catastrophic event
- Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
The following items are explained in detail in the Medical Student Handbook:
- Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.