Two of our first year residents complete their general surgery rotations at University of Kansas Hospital while one resident will work at Saint Luke’s Hospital/Truman Medical Center. The rotations expose the young physician to a broad spectrum of general surgery, intensive care medicine, renal transplantation, nephrology, radiology, trauma, emergency medicine and several subspecialty fields. All rotations have been approved by Dr. Thrasher and actively create the foundation for the management and care of surgical patients. Five months of this year are spent on the Urology service and one month in Pediatric Urology.
This year is divided into two month rotations at University of Kansas Hospital and at Children’s Mercy Hospital. During this time, the resident participates in surgical procedures, in-patient management of urology patients and consults, as well as outpatient evaluations. Residents at this level are expected to learn the fundamentals of endoscopic surgery, such as cystoscopy, transurethral resections of the prostate and bladder, ureteroscopy and percutaneous nephroscopy. Minor open surgical cases are often performed by the junior resident under the supervision of senior residents and staff. Additionally, participation in large, open cases is frequently necessary and encouraged.
The Children’s Mercy Hospital rotation immerses the resident into the field of Pediatric Urology under the guidance of Dr. Patrick Murphy and Dr. John Gatti. As a GU resident on the service, he/she has ample opportunity to participate in surgical procedures. These frequently include the complex reconstruction of congenital anomalies as well as the more routine repair of hernia/hydroceles. An active office practice provides a strong teaching experience.
Residents at this level begin to participate in clinical and basic science research. Dedicated time is created to promote the performance of these projects. A monthly research and protocol conference is also held with all faculty and residents to facilitate the completion of manuscripts and to foster the creation of new research ideas. Basic science research is performed under the guidance of Benyi Li, M.D.,PhD and Dr. Jeffrey Holzbeierlein. Dr Li has obtained funding from the Department of Defense and has a particular interest in the AKT pathway and its involvement in prostate cancer. Dr. Holzbeierlein’s interest is in the androgen receptor, and residents have routinely participated in basic science research and its clinical applications with Dr. Holzbeierlein. Dr. Nangia also has ongoing clinical translational research with the Interdisciplinary Center for Male Contraceptive Research and Drug Development and the Center for Idiopathic Male Infertility (CIMI) in the field of male contraception and idiopathic male infertility.
During this year, the resident rotates through University of Kansas Hospital and the Kansas City VA Medical Center. He/she is expected to take increasing responsibility and initiative in the management of urology in-patients and consults. The operative experience begins to broaden and includes the performance of advanced endoscopic procedures and a more active role during open procedures. The creation of several new operating suites as well as a dedicated endourology/fluoroscopy table and a Dornier Compact Delta lithotripter provide state-of the-art facilities. Video urodynamics equipment is housed in a dedicated out-patient surgery room and is staffed by a full-time nurse.
The KCVA service is comprised of three residents (PGY 3, 4, and 5) and a Physician’s Assistant. This team is responsible for the management of the urology patients at this hospital, from initial office assessment through any operative procedure. Dr. Cecil Bromfield is a full-time faculty member at this institution and is supplemented by the staff from University of Kansas Hospital, who provide assistance for operative cases appropriate to their field of interest.
Residents at this level spend time at University of Kansas Hospital, the KCVA Medical Center, and at Truman Medical Center. They routinely act as the senior resident on surgical procedures in direct partnership with the attending staff. These cases include: oncology and reconstruction with Dr. Brantley Thrasher and Dr. Jeffrey Holzbeierlein; general urology and interstitial cystitis with Dr. John Weigel and Dr. Paul Christenson; female urology, neurourology and geriatric urology with Dr. Tomas Griebling; stones/endoscopic procedures performed by Dr. David Duchene and Dr. Ajay Nangia; laparoscopy and robotic surgery by Dr. David Duchene and Dr. Brantley Thrasher, sexual medicine, infertility and microsurgery with Dr. Nangia; and urologic reconstruction in trauma patients with Dr. Joshua Broghammer.
The KU Hospital, KCVA, and Truman Medical Center are well-staffed and clinically busy. The urologists at these institutions maintain a clinical faculty appointment and are actively involved in resident education and surgical training. These rotations also expose the residents to the management and mechanics of the private practice aspects of urology.
The final year provides an opportunity for the chief resident to perfect his/her operative skills. This includes advanced procedures in oncology, laparoscopy, urethral stricture disease, female pelvic reconstruction, pediatric reconstruction and endoscopy. Rotations at University of Kansas Hospital, the KCVA Medical Center, and Children’s Mercy Hospital provide a broad spectrum of surgical cases and also place the chief resident in an increasing position of responsibility.
In addition to a heavy operative experience, the chief is responsible for the entire service at University of Kansas Hospital as well as at the KCVA Medical Center. This includes pre and post-operative evaluation of patients, and consultations on the hospital floor and the emergency room. Just as important, the chief resident plays an active role in the education and training of the junior and senior residents and of the medical students.
It is both our privilege and honor to be involved in the training of America’s future physicians. We invite any medical student with an interest in urology to rotate on our service. Students will receive extensive exposure to our facets of urology while on the service both surgical and clinical. Instruction both didactically and clinically is provided throughout the rotation. In addition, students are encouraged to become involved with research projects and in case reports.
Visiting students are always welcome at the University of Kansas Urology Program. Interested students should complete the Visiting Student Application by visiting the Student Center website at: www.kumc.edu/studentcenter/regvisit.html. Their phone number 913-588-6596.