Urology Sub-Internship

Welcome to your Urology Sub-Internship rotation!

This four week rotation will be a rich educational experience for you to expand your knowledge of general urology and subspecialty urology and to get to know our department.

Urology is the study and treatment of diseases of the male and female genitourinary tract in both adult and pediatric patients.  Urologists both medically and surgically manage urologic diseases including urologic malignancies, stone disease, acquired and congenital genitourinary anomalies, urinary tract infections, infertility and urinary incontinence just to name a few.

Students will rotate in three subspecialties: pediatrics for one week (mandatory); plus two other services of your choice for a two week block and a one week block. The pediatrics rotation can be your two week block in which case you select two one-week blocks. The subspecialties include: Endoscopy, Pediatrics, Oncology, Neurourology and Pelvic reconstruction, and Andrology / Male Reproductive / General.

Each of these subspecialties have unique patients and diseases, however all offer exposure to wide range of urologic disease and surgical procedures.

We will try our best to accommodate your rotation selection.

You will be assigned a faculty mentor- they are a great resource for you during your rotation.  Use them to help guide you through a successful rotation.

 

M4 Goals/Objectives/Expectations:

This is your written document describing the goals and objectives/expectations while on your M4 Urology Sub internship.  

1. Attend scheduled resident and divisional lectures. The residents participate in many teaching rounds: grand rounds, tumor board, resident case conference, radiology rounds, journal club…  These are great opportunities for you to get some in depth urology education.  All divisions also have weekly conferences depending on the specialty you are rotating on and these are equally helpful.

2. Go to the OR. You should make every effort to follow patients whom you have seen preoperatively to the OR, although we understand that this is not always possible. If you have not seen the patient preoperatively, you should review records and images in MiChart before getting to the OR.

3. Evaluate patients in clinic. Your educational experience will be enhanced by going to clinic and this is the best opportunity to have one-on-one contact with attending staff. You should aim to attend a minimum of one clinic per week on each rotation.

4. Take call. You will take 1-2 short-calls until 9 or 10 pm with the interns (when they are on overnight call) over the course of the month. This is a good opportunity to learn how to manage sign-out and immediate post-op patients. You should expect to work directly with the resident, not just to be available if something interesting happens.

5. Weekend Rounds.  You should round with consult resident for a 12 hour period (6 AM until 6 PM) on either Saturday or Sunday during one of the first three weekends of the month. You are expected to see all consults with resident and are encouraged to interview and examine at least 1-2 of the consult patients WITH the resident. You will write a medical student note in the chart for at least 1 consult you have seen.  You are also encouraged to present to the consult resident or directly to the attending (in person with the resident present prior to attending seeing patient at hospital/ER, not over the phone)

 You are not to see patients alone or dictate consult documentation.

6. Make rounds with the team. You are expected to be an active member of the team. You should make AM and evening rounds with the resident team on a daily basis unless you have a interview conflict. 

7. Your Grand Rounds Presentation  at our weekly grand rounds conference on the last (or second to last) week you will be expected to present a Powerpoint presentation lasting approximately 10-15 minute on a topic of your choice.  Pat Soter will email you your exact date and time of presentation. This can be an interesting case you saw during your rotation with a review of the pertinent literature, a presentation on a topic you are passionate about, a talk on some research you are doing etc. This is your chance to shine and impress the faculty and residents you didn’t get to work with during your rotation.  Please do not go over your given time out of respect for the other students presenting and it is probably in your best interest to review your talk with your faculty mentor and have one of the residents help you with this.  

8. Meet with Dr Pelletier-Cameron at the beginning of your rotation.  She will discuss urology as a specialty and help you plan to make urology your future career if that is your plan.  You will also have an exit interview with her.

9. Come prepared for formal residency interviews.  To ease the burden of repeat travel we can arrange your residency interviews before you leave Michigan with the same faculty doing residency interviews later in the year.  So bring a suit and have your CV updated as well as a personal statement.

10. Read about your Assigned Subspecialty, but also General Urology topics. It goes without saying that you must take personal responsibility for reading on a regular basis in order to cover all the material you are expected to know to provide good patient care and for the written and oral examinations.

Smith and Tanagho’s General Urology is the reference textbook

Within the hospital it is available from the Taubman Library Website via Access Medicine:

 http://accessmedicine.mhmedical.com/content.aspx?bookid=508&sectionid=41088080

Other excellent resources include Campbell’s Urology and the AUA guidelines for specific diseases, AUA Medical Student curriculum, Hinman’s Urology textbook, Weider pocket guide to urology..

AUA guidelines have been created to address many of the key diagnoses in urology based on the evidence in the literature and are available at: https://www.auanet.org/education/clinical-practice-guidelines.cfm

Weekly Schedule:  Each division has its own weekly schedule that you will follow depending on your assignment:

Learning opportunities:

 

A departmental scholarship/funding is available upon approval. A one page letter of intent is required to be considered. 

 

For more information:

For some students, we can coordinate residency exit interviews prior to their leaving. This saves students from having to make a return trip and ensures that the necessary interviewing faculty are present.

You can also visit the University of Michigan Medical School's resource page for visiting students.