4th Year CU and Extern Medical Students –Urology Sub I
The Urology Sub-Internship is a 4 week rotation consisting of one week each at University Hospital, Denver VA Medical Center, Denver Health Medical Center, and Children’s Hospital. The rotation is structured around the following core principles:
1) Communication
a. Student will participate in a standardized patient scenario in which the student will deliver bad news to the patient and be graded by the standardized patient.
b. Student will be responsible for logging each patient they see on the T-Res data base. This should be done on a weekly basis and will be reviewed at the mid-rotation feedback meeting. Grades will not be released if T-Res logging is not done.
2) Systems Based Practice
a. Students will be involved in any multidisciplinary discharge planning of urology patients
b. Students will participate in the sign out process between interns in the morning and in the evening.
c. Students will identify a medical error that occurs during their rotation and will fill out a form that describes the error, the cause, and some solutions.
3) Practice Based Improvement
a. Each student will give a 30 minute presentation at the end of their rotation during Urology Grand Rounds. They will use evidence-based medicine to support their topic.
b. I will meet with each student and provide feedback half-way though their rotation and will note demonstration of improved performance based on their feedback.
4) Medical Knowledge
a. At the end of the rotation the student should have a working knowledge of the main areas of stone disease, BPH, PSA, prostate cancer, bladder cancer, undescended testicles/pediatric hernias, and their medical and surgical management where appropriate. They will gain this knowledge through independent reading, observation of surgeries, and encounters with patients in clinic, to include history taking and physical exams.
5) Clinical Care
a. Students will have a work-load that is 1/2 - 2/3 that of an intern in urology. They will take in-house call with general surgery residents every 4th night, and will be involved in any urology patient issues during those nights, in addition to covering general surgery patients with the general surgery intern.
b. The student will be become proficient in Foley catheter insertion, the scrotal exam and the digital rectal exam. They will be able to differentiate enlarged vs normal sized prostates as well as nodules. They will become familiar with the endoscopic equipment used by urologists. This will be taught in the operating room and in clinics.
c. Students will interact with nurses and other physicians/staff taking care of urology patients on the floor, in the OR, and in clinics.
d. Students will demonstrate organizational skills and efficiency in maintaining clinical information on the patients they cover on the floor, and in dividing their time between the OR/clinic and the floor.
6) Professionalism
a. Students will maintain HIPAA compliance during their rotation, as well as a respectful demeanor toward patients, physicians, staff, and others they encounter. They will dress in an appropriate and tidy manner for clinics and the OR.
EXTERNS must be approved by the School of Medicine. The application may be found here.