CHILDREN'S HOSPITAL COLORADO
Childrens Hospital Colorado is an extremely busy, tertiary care referral center for the Rocky Mountain area pediatric population. The Urology Service there is an exceedingly active operation.
Function of the Resident
The resident essentially acts as a complete and equal member of the team at The Children’s Hospital. He/she is directly responsible for patient care, surgical coverage, evaluation of outpatients in the Urology Clinic, Dry Time Clinic, Spinal Defects Clinic, and the emergency evaluation of children in the Emergency Department or Medical Surgical Specialties Clinic as necessary.
Since the residents rotate at The Children’s Hospital on a six-month stint, he/she will be expected to write at least one case report in the first three month period and one paper suitable for peer review publication during the second half.
The resident is to function both as teacher and pupil at The Children’s Hospital. As he/she is directly involved with the patients and nurses, the teaching mission is clearly present. The presence of rotating medical students, general surgery residents, pediatric residents, family practice residents and child health associate students also lends to teaching opportunities for the resident. Involvement with the nurses on the ward should include teaching with close interaction as well.
The resident will be responsible for keeping statistics for M&Ms up-to-date. He/she will also be responsible for organizing a monthly Radiology/Pathology Conference.
The resident must read up on all cases and be prepared for all surgeries. It is suggested that the resident have read completely Kelalis and King as well as the Pediatric Urology chapters in either Gillenwater or Campbell’s. Other reading assignments will be given while at The Children’s Hospital by the faculty.
Call coverage for The Children's Hospital and the Denver Health Medical Center is shared between the URO-2 resident assigned to The Children's Hospital and the two URO-3 residents. Residents will take first call at The Children's Hospital as well as second call at the Denver Health Medical Center every third weeknight. The resident will take the same call every fourth weekend.
The URO-2 resident rotating on research does not cover weeknight call but does cover call one weekend per month.
The resident is expected to attend all Grand Round and Textbook Review and Basic Science conferences. He/she is expected to have read the appropriate reading assignments in preparation for the conference. For Journal Club, the resident should be able to critically evaluate the purpose, data and significance of the published manuscript. The conferences to be attended are:
- Monthly Pediatric Urology-Radiology Conference
- Textbook and Basic Science Review Conference
- Grand Rounds Conferences
The Children’s Hospital resident will finish with a caseload in the 98th percentile or higher of similar residents in this country. Hence, despite a very intense, sometimes stressful rotation, there is reward at the end. The demands are great as is evidenced by this synopsis, but clearly an interested resident will learn a tremendous amount about Pediatric Urology and advance his/her technical skills dramatically.
This six-month rotation is set aside for the urology resident to learn investigative urology. Each resident may decide if he/she would rather pursue a clinical project or gain hands-on experience in one of the Urology laboratories. To be most productive in the basic science laboratory, it is preferred that the resident continue laboratory work that has already begun.
Two months prior to this rotation, the resident must submit to the Residency Program Director a Research Plan outlining the work to be done. At the end of the rotation, the resident is expected to have accumulated enough data to present an abstract at a major scientific meeting. Also, the work should result in at least one publication in a peer-reviewed journal.
During the research rotation the resident will spend one day per week performing Extracorporeal Shock Wave Lithotripsy cases at the Kidney Stone Center. The resident will also prepare for and lead the monthly Urinary Stone Treatment Conference.
The resident on the research rotation does not take weekday call but does cover call one weekend per month with the other URO-2 and URO-3 residents.