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Rotations & Curriculum

Curriculum Overview

The MMC program in urology is a four-year, vertically integrated program in urology. It is expected that the resident will acquire and demonstrate the knowledge, technical skills, and attitudinal comportment necessary to deliver exemplary medical care.

With rare exceptions, Urology residency applicants complete their internship in General Surgery at MMC. The PGY-1 year is designed as a 9-month internship in surgery and is structured to provide an intensive foundation in general surgery. Applicants for the MMC Urology residency must also apply to the MMC General Surgery program for the PGY1 internship through the NRMP. However, acceptance into the Urology residency will automatically confer acceptance into the General Surgery internship.

The 9-month General Surgery internship offers an intensive training program with a variety of rotations tailored to provide a solid foundation for further surgical training in urology.

Surgical Education - Clearkship and Acting Internship Electives

We offer 2-week clinical clerkship rotations for 3rd year medical students and 4 week Acting Internships to 4th year students. These are available to students from ACGME approved medical schools. We are also open to job shadowing by interested college students contemplating a career in medicine.

If you wish for more details or information about medical student programs within the Division of Urology, call our Medical School Student Program Coordinator, Karen Breton, at (207) 662-6395. The MMC Division of Urology's teaching faculty is committed to medical student education at all levels and medical students are important members of our health care team.

Portland and Maine is a wonderful area to get medical education. MMC provides free housing to all visiting medical students. If you are interested in applying for this elective, please fill our our Student Electives Application.

Surgical Skills Lab Urology Residency

The Hannaford Center for Safety, Innovation and Simulation provides MMC Urology residents and faculty with a state-of-the-art training facility for the development and maintenance of technical skills. The incorporation of simulation exercises to improve surgical skills is an active area of development and research interest for the MMC Urology Residency program. The urologic simulation curriculum is overseen by Dr. Matthew Hayn.

Rotations Overview

URO 1 General Urology and Endo-Urology Rotation

Preceptor: Dr. Graham VerLee

The URO1 rotation provides the resident with a solid foundation in ambulatory, consultation and inpatient urologic care. The resident is exposed to a broad range of clinical urology including general urology, uro-gynecology, stone disease, uro-oncology, and infertility. The URO1 resident will become conversant with the evaluation of acute urologic emergencies and post-operative management. The URO1 resident attends a weekly ambulatory urologic clinic staffed by a designated teaching attending physician. The URO1 resident is introduced to the evaluation and management of inpatient urologic care as part of the urology house staff at MMC. Throughout the year the URO1 resident participates in daily teaching rounds together with more senior residents as well as a faculty teaching attending. The URO1 resident is also the primary contact for inpatient consults under the supervision of the on-call attending physician. The URO1 resident’s surgical focus is on the fundamentals of open general urologic procedures and endo-urology.

URO 1 Pediatric Urology Rotation

Preceptor: Dr. Brian Jumper

The URO 1 rotation provides the resident with a solid foundation in Pediatric Urology through a program of self study, formal didactic teaching sessions, and exposure to the multi-disciplinary care teams. Progressive responsibility will be afforded in the care of ambulatory, inpatient and surgical pediatric urologic patients under the close supervision of the teaching staff. Additionally during this rotation teaching of the Ultrasound Curriculum is overseen by Dr. Thomas Kinkead, who is an AUA certified instructor in urologic ultrasound.

URO 2 General Urology and Endo-Urology Rotation

Preceptor: Dr. Graham VerLee

The URO2 rotation provides the resident with a progression in experience and responsibility in ambulatory and inpatient urologic care as well as conference participation. The resident is exposed to more complex adult general urologic pathology and procedures. The URO2 resident continues to attend a weekly ambulatory urologic clinic staffed by a designated teaching attending physician, and participates in daily teaching rounds with an increasing opportunity for resident and medical student teaching. The URO1 resident’s surgical focus is on more complex general urologic procedures and endo-urology.

URO2 Laparoscopy and Robotics Rotation

Preceptor: Dr. Matthew Hayn

The URO2 rotation provides the resident with a solid foundation in ambulatory and inpatient urologic care in Laparoscopy and Robotics as well as progression in conference participation and leadership. The resident is introduced to complex problems in uro-oncology and reconstructive urology and minimally invasive treatment methods. The URO2 resident continues to attend a weekly ambulatory urologic clinic staffed by a designated teaching attending physician, and participates in daily teaching rounds with an increasing opportunity for resident and medical student teaching. The URO2 resident’s surgical focus is on the fundamentals of adult laparoscopic extirpative and reconstructive urologic procedures.

URO2 Uro-gynecology, Neuro-urology, and Male voiding dysfunction Rotation

Preceptor: Dr. Clay McDonough

The URO2 rotation provides the resident with a solid foundation in ambulatory and inpatient urologic care in Uro-gynecology, Neuro-Urology and Male Voiding Dysfunction as well as progression in conference participation and leadership. The resident is introduced to fundamental problems in uro-gynecology, pelvic prolapse, neuro-urology and both female and male voiding dysfunction. This rotation also provides an introduction to urodynamics. The URO2 resident attends a weekly ambulatory urologic clinic staffed by Dr. McDonough, and participates in daily teaching rounds with an increasing opportunity for resident and medical student teaching. The URO2 resident’s surgical focus is on the performance and interpretation of urodynamics and fundamental surgical treatment techniques for female and male voiding dysfunction.

URO3 Pediatric Urology Rotation

Preceptor: Dr. Brian Jumper

The URO 3 rotation provides the resident with a senior resident experience in Pediatric Urology through a program of self study, formal didactic teaching sessions, exposure to the multi-disciplinary care teams and monthly teaching sessions to nursing, PACU and NICU staff. Progressive responsibility towards independence will be afforded in the care of ambulatory, inpatient and surgical pediatric urologic patients under the close supervision of the teaching staff.

URO 3 Uro-gynecology, Neuro-Urology and Male Voiding Dysfunction

Preceptor: Dr. Clay McDonough

The URO3 rotation provides the resident with a progression in experience and responsibility in ambulatory and inpatient urologic care in Uro-gynecology, Neuro-Urology and Male Voiding Dysfunction as well as progression in multidisciplinary conference leadership. The resident is further exposed to complex problems in uro-gynecology, pelvic prolapse, neuro-urology and both female and male voiding dysfunction. This rotation also provides further experience and expertise in urodynamics. The URO3 resident attends a weekly ambulatory urologic clinic staffed by Dr. McDonough, and participates in daily teaching rounds with continued opportunity for resident and medical student teaching. The URO3 resident’s surgical focus is on gaining proficiency in the performance and interpretation of urodynamics and gaining expertise in both intra-operative decision making and the technical aspects of all treatment techniques for female and male voiding dysfunction as well as male urethral reconstruction.

URO3 Laparoscopy and Robotics

Preceptor: Dr. Matthew Hayn

The URO3 rotation provides the resident with a progression in experience and responsibility in ambulatory and inpatient urologic care in Laparoscopy and Robotics as well as continued development in multidisciplinary conference leadership. The resident is further exposed to complex problems in uro-oncology and reconstructive urology and minimally invasive treatment methods. The URO3 resident continues to attend a weekly ambulatory urologic clinic staffed by a designated teaching-attending physician, and participates in daily teaching rounds with continued opportunity for resident and medical student teaching. The URO3 resident’s surgical focus is on gaining expertise in both intra-operative decision-making and the technical aspects of adult laparoscopic extirpative and robotic reconstructive urologic procedures.

URO 3 Renal Transplantation

Preceptor: Dr. James Whiting

The URO3 rotation provides a senior surgical resident experience in the evaluation, management and post-operative care of patients requiring renal transplantation. During this 1 month rotation the resident becomes part of the multi-disciplinary MMC transplantation team under the supervision of Dr. James Whiting, the MMC General Surgery residency program director and MMC Surgical Director of Transplantation. The URO3 resident takes no General Surgery call but continues to participate in the Urology every 4th night on-call rotation. On such days the URO3 resident participates in the daily 4 PM Urology “sign-out” rounds.

URO4 General Urology and Endo-Urology

Preceptor: Dr. Graham VerLee

The URO4 rotation provides the Chief Resident with a final clinical rotation in ambulatory and inpatient urologic care in General Urology and Endo-Urology as well as broad administrative oversight, teaching responsibilities and conference leadership. As residents in their final year of training it is expected that their ambulatory care skills are at a level of demonstrated competence with the ability to practice independently. The URO4 assumes the role of teaching attending and oversees the management of the hospital in-service (though under the direct supervision of the on-call attending physician). This provides both teaching opportunities for the URO4 resident as well as demonstration of competence in decision making in inpatient clinical care. The resident is exposed to complex adult general urologic pathology and procedures. The URO4 resident continues to attend a weekly ambulatory urologic clinic staffed by a designated teaching-attending physician, and participates in daily teaching rounds with extensive opportunities for resident and medical student teaching. The URO4 resident’s surgical focus is on complex general urologic procedures and endo-urology.

URO 4 Uro-gynecology, Neuro-Urology and Male Voiding Dysfunction

Preceptor: Dr. Clay McDonough

The URO4 rotation provides the Chief Resident with a final clinical rotation in ambulatory and inpatient urologic care in Uro-gynecology, Neuro-Urology and Male Voiding Dysfunction as well as extensive administrative oversight and conference leadership. The resident is exposed to complex problems in both female and male voiding dysfunction and by the end of the rotation is expected to demonstrate competence and the ability to evaluate and treat patients independently. The URO4 resident continues to attend a weekly ambulatory urologic clinic staffed by Dr. McDonough, and participates in daily teaching rounds with extensive opportunities for resident and medical student teaching. The URO4 resident’s surgical focus is on complex adult reconstructive procedures for female and male voiding dysfunction.

URO 4 Laparoscopy and Robotics

Preceptor: Dr. Matthew Hayn

The URO4 rotation provides the Chief Resident with a final clinical rotation in ambulatory and inpatient urologic care in Laparoscopy and Robotics as well as extensive administrative oversight and conference leadership. The resident is exposed to complex problems in uro-oncology and reconstructive urology and minimally invasive treatment methods, and by the end of the rotation is expected to demonstrate competence and the ability to evaluate and treat patients independently. The URO4 resident continues to attend a weekly ambulatory urologic clinic staffed by a designated teaching-attending physician, and participates in daily teaching rounds with extensive opportunities for resident and medical student teaching. The URO4 resident’s surgical focus is on refining his/her surgical decision making and efficiency and demonstrating competence in all technical aspects of adult laparoscopic extirpative and robotic reconstructive urologic procedures.

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