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Department of
Urology |
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Resident Supervision: The program policy regarding
supervision is that residents are supervised at all times and in all
locations, both in-patient and out-patient, in which they carry out their
function as a urologic resident. This
policy is implemented by the Program Director, and it is the responsiblity of
the Program Director to ensure compliance at all times. Supervision of the residents is performed
by the faculty. Adherence to this
policy is reviewed quarterly during regular scheduled faculty staff
conferences. Residents are provided with a rapid
and reliable system for communicating with supervisors; both chief residents
and appropriate attending faculty.
Faculty academic offices are located either adjacent to or at a maximum
of 0.5 miles from all patient care locations.
An efficient telecommunication system is in place throughout the
program locations. All major and most
minor cases are staffed with faculty attendance, and faculty are present in
out-patient facilities. The in-patient teaching service of
the University institution is under the direction of Dr. Clair Cox and Dr.
Robert Wake. Four residents
participate in this assignment; PGY-5, PGY-4, PGY-3 and PGY-2. Teaching service
averages 13 in-patients. As an increasing number of the diagnostic and
operative urologic procedures are performed on an ambulatory or out-patient
basis, the actual resident patient teaching volume is higher than would be
anticipated from an in-patient census of 13.
Furthermore, trauma patients generally remain on the Trauma Service
for their multiple injuries and therefore are not carried on the Urology
census, but rather are seen in consultation.
Staffing of this teaching service, includes Dr. Cox and Dr. Gingrich
as the Local Program Directors, other full time faculty admitting private
patients to the facility, one senior resident and three junior residents. The in-patient teaching service at the VA Hospital
is under the overall supervision of Dr. Lynn Patterson, Chief of Urology at
this institution. The institution is
staffed by four urology residents; PGY-5, PGY-4, and two PGY-2's. The VA Hospital is located one block from
the sponsoring institution. The PGY-4
resident is responsible for approximately 5 spinal cord injury in-patients
with significant urological conditions.
The remaining three residents are responsible for the in-patient
urologic service in the main VA Hospital.
Therefore, there are approximately 5 patients per resident in both the
main hospital and the physically connected spinal cord injury hospital. Dr. Patterson conducts teaching rounds in
the main hospital and Dr.Wiygul
conducts teaching rounds on those patients with spinal cord
injuries. Attending faculty, in
addition to Dr. Patterson, include all members of the full time faculty. The in-patient teaching service at
LeBonheur Children's Hospital is under the supervision of Dr. H. Norman Noe,
Dr. Gerald R. Jerkins and Dr. Mark Williams.
A senior (PGY-5 and a junior (PGY-3 resident are assigned to this
institution. These residents are
responsible for the private and non-private in-patient service which averages
6 urological patients; three patients per resident. Because many of the urologic procedures are
performed on an ambulatory or out-patient basis, residents are responsible
for a significantly higher number of patients on a day-to-day basis on what
would normally be considered a "in-patient" service. This institution is located one block from
the sponsoring institution and is staffed by the only two pediatric
urologists in Memphis, both of whom are members of the Department of Urology
faculty. The in-patient teaching service at
the Methodist Hospital is under the supervision of Dr. Scott MacDiarmid. A
PGY-4 and PGY-3 resident are assigned to this institution. The institution is
located next door to our academic office. The average census for this
teaching service is 12. The resident is responsible for the non-private
in-patient reaching service and, as determined by Dr.MacDiarmid, a sufficient
number of private patients with anticipated teaching value which would be appropriate for resident
work load. Both fulltime and volunteer
faculty admit to this institution and participate in the teaching service to
the extent that their patients are assigned to the teaching service. |
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