Urology Residency Program
Overall Goals of the Residency Program
The primary objective of the Urological Residency Training Program is to ensure that the trainee is competent in all aspects of the care of a patient with Urological Disease. The objectives outlined by the Canadian Urological Association on the following pages are to be used as a guide for learning and will be used as a basis for the assessment of competence. They are very detailed and will be of use to assess preparedness for the Royal College exams. They can also be used by the resident to evaluate the quality, and comprehensiveness, of the training program. The resident should become familiar with the objectives early in the first year of training and seek learning experiences (textbooks, journal articles, computer‑assisted simulations and demonstrations) and actual or simulated patient cases, appropriate for the attainment of each objective. The rotation specific objectives of the three years of Urological training will provide more guidance as to self‑assessment of progress through the training program.
Urological training involves not only training within the specialty but also a period of core training in general surgery and other specialties which may include vascular surgery, intensive care, nephrology, gynaecology, radiology, Emergency Room Medicine, Pathology and Plastic Surgery. When residents undertake these training rotations it is important that there be defined objectives for the rotation, if maximum educational benefit is to be obtained. This document contains objectives for those rotations considered to be important to the urologist. During the early years of training the resident will learn the principles of surgery and will be evaluated in these through the Principles of Surgery Examination of the Royal College, usually at the end of the PGY 2 year.
Objectives are structured to the level of resident training, that is junior, senior, chief resident and the rotations of the resident should reflect this gradation of training. Due to the nature of the program at Queen's, this is not possible in a rigid structured way. As experience and knowledge progresses, responsibility increases. At four monthly intervals, residents are evaluated according to the set objectives. It is recognized that residents may vary in the speed with which they gain surgical proficiency and the order of rotation may not reflect their skills. However, it is the prerogative of the consultant to allow the resident assigned to him for any surgical cases to do as much or as little of the case as he considers appropriate for the resident's training.
These educational objectives should help the resident to understand what is expected by the completion of the training program.
Organization of the Training Program
The Department of Urology at Queen's University is accredited, for full training in the specialty, by the Royal College of Physicians and Surgeons of Canada. This requires a total of five years of postgraduate training: two years of Surgical Foundations and three years of Urology. The program is geared toward success in the Royal College examinations, upon completion of the program. The training program is acceptable to the American Board of Urology, and residents who have successfully completed the program are permitted to sit the examinations of the American Board of Urology.
The Department sponsors the required training in Surgical Foundations at the PGY1 and 2 level, and this will include rotations in general surgery, urology, nephrology and emergency medicine; as well as electives such as gynaecology and plastic surgery. This will permit the candidate to write the second part of the LMCC examinations. The second surgical foundations year will include rotations in Intensive Care, General Surgery and Vascular Surgery, if not done previously. Other elective rotations taken during these core years include: gynaecology, genito‑urinary pathology and radiology.
The first two years of Urology Residency (PGY3 and PGY4) include rotations through outpatient clinics, operating rooms, wards and Emergency Rooms at Kingston General Hospital, as arranged at the beginning of the year by the residents, in consultation with the Program Director. The year as Chief Resident is located at the Kingston General Hospital. He/she will have significant teaching responsibilities, both to his/her fellow residents and to the clinical clerks rotating through the Urology service.