Letter of Agreement for Rotations within McGaw Institutions:

From NorthwesternMemorialHospital to Children’s MemorialHospital, Urology Residency

  1. All full-time faculty members assume responsibility for the education and supervision of the residents. The full time faculty at this institution are
  2. Earl Y. Cheng, MD
  3. William Kaplan, MD
  4. Max Maizels, MD
  1. The responsibilities of the faculty members in regards to teaching, supervision and formal evaluation of residents are as follows:

Faculty Attending Surgeons [hereafter called “Attending(s)”] must supervise the delivery of care by residents at all levels of training in the Department of Urology. This residency program must have an established chain of command that emphasizes graded authority and increasing responsibility as experienced is gained. Residents will be given increasing responsibility as they progress. The level of responsibility will be granted based upon performance, as documented in periodic, formal evaluations, as well as upon the complexity and acuity of each individual patient, as determined by the responsible Attending. Attendings will exercise diligence and enthusiasm in fulfilling supervisory responsibilities. Discretion will be exercised judiciously as to whether a resident under an Attending’s tutelage will be permitted to perform a particular task. The role of the supervising Attending is to evaluate patients with the resident, contemporaneous with the development of the plan of care for the patient, and to be present or available when the resident implements the indicated clinical treatment. Treatment decisions are collaborative and the participation of the Attending is not simply a retroactive endorsement. Faculty are responsible for participating in resident evaluations, which are completed via the online residency management system meditrek.com. Requests for evaluations (to be completed on each resident) are issued at the close of each four-month rotation block.

  1. The duration and content of the educational experience is as follows:
  1. PGY-2 (4-month rotation)
    At Children’s MemorialHospital the PGY-2 resident learns the basics of pediatric urology and the common conditions treated by pediatric urologists. S/he functions as an integral member of the team, reporting to the chief urology resident and working directly with pediatric urology faculty. The resident participates as an assistant in surgery, attends 6 outpatient clinics per week, and has inpatient responsibilities. The Clinical Competencies of Professionalism, Interpersonal and Communication Skills, and Patient Care of the pediatric urology patient are of particular importance in this rotation.
  • Professionalism
  • Interact with consulting services, nursing, and ancillary staff in a respectful and appropriate manner.
  • Demonstrate the ability to interact effectively with pediatric patients and their parents.
  • Patient Care
  • Demonstrate the ability to evaluate common childhood disorders (painful testis, enuresis, spina bifida, vesicouretral reflux).
  • Accurately interpret the findings of common imaging tests used in pediatric urology (renal US, renal scan, VCUG).
  • Demonstrate the ability to make appropriate and safe decisions about the care of pediatric urology inpatients.
  • Describe the basic surgical principles involved and demonstrate competence in performing common minor pediatric urologic surgery procedures (orchidopexy, hydrocele repair, circumcision, endoscopic procedure).
  • Demonstrate competence in microsurgery techniques.
  • Medical Knowledge
  • Describe the workup of a child with common urologic conditions (hydronephrosis, urinary tract infection, enuresis, painful testis).
  • Interpersonal and Communication Skills
  • Demonstrate the ability to interact effectively with pediatric patients and their families.
  • Demonstrate the ability to facilitate communication with patients who do not speak English as a primary language.
  1. PGY-4 (4-month rotation)
    The PGY4/5 at Children’s MemorialHospital functions as the chief resident. S/he first assists on major pediatric urologic cases and is responsible for the day-to-day care of the inpatient service. The resident also attends 3-4 outpatient clinics per week. The Clinical Competency areas of Professionalism and Medical Knowledge (related to pediatric urology problems) are stressed on this rotation.
  • Professionalism
  • As chief resident, act as an example to junior residents and medical students in professional appearance, responsibility, and respect for patients and their families.
  • Patient Care
  • Describe the basic surgical principles involved in performing common major pediatric urologic surgical procedures (hypospadias repair, ureteral re-implantation, pyeloplasty).
  • Medical Knowledge
  • Describe the principles in the management of more complex pediatric urologic disorders (bladder exstrophy, intersex, prenatal hydronephrosis).
  • Interpersonal and Communication Skills
  • Describe the updated treatment plan to patients and parents on daily rounds.
  • As chief resident, lead daily patient rounds and teach and guide junior residents and medical students rotating on service.
  • Accept guidance and instruction from attending faculty.
  • Practice Based Learning
  • At weekly Children’s Memorial Hospital Urology Pre-operative Conference, review and present all operative cases to be performed the following week.
  1. The policies and procedures that govern resident education during the assignment are as follows: Residents must comply with all McGaw policies and procedures, as well as those relevant to the individual McGaw member hospital, as specified in the McGaw Housestaff Manual and in the McGaw appointment contract signed by the resident.

William Kaplan, Local Program Director / Date
J. Quentin Clemens, Program Director / Date

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