PGY-1 General Surgery Intern
Urology residents spend majority of their intern year with the general surgery residency at Houston Methodist, which provides a comprehensive general surgery experience. During this foundational year, residents gain experience in a broad range of surgical fields including emergency general surgery, vascular surgery, minimally invasive surgery, pediatric surgery and surgical critical care in the intensive care unit. Residents also rotate through our urology department for a duration of 3-6 months. Specifically for the urology portion of this year, PGY-1 residents will follow PGY-2 residents’ educational goals and objectives.

PGY-2 Urology Junior Resident
During the first year of urology training, residents are primarily responsible for inpatient care under the direct supervision of senior residents and faculty. Additionally, residents spend time working alongside local private urologists at a busy outpatient surgery center. They learn how to function as a member of the urologic team and the larger health care system as a urologist.

PGY-2 educational goals include:
  • Learn basics of urologic diseases.
  • Learn basic skills of  endoscopy, including cystoscopy and ureteroscopy.
  • Learn basic skills of ultrasonography including transrectal ultrasound of the prostate and prostate biopsy.
  • Learn basic teaching skills for medical students and house officers.
  • Learn how to read, interpret and evaluate urologic literature.
  • Develop skills to function within the health system as a urologist.
  • Gain an introductory understanding of multidisciplinary urologic cancer care.
  • Learn basic skills of female, reconstructive and general urology procedures. 

PGY-3 Urology Junior Resident
Residents assume increased responsibility for inpatient care. During this year residents also rotate with the pediatric urology group and have research opportunities with appropriate and structured time.

PGY-3 educational goals include:
  • Develop a more complex knowledge of urologic disease.
  • Assume greater responsibility in surgical cases.
  • Learn basic laparoscopic principles and skills.
  • Develop foundation in pediatric urological pathophysiology and surgical care.
  • Gain preliminary familiarity with robotic surgery of the urinary tract.
  • Gain expertise in incontinence and female urology diagnosis and management.
  • Further develop ability to critically review literature, design and implement research projects and present findings to a scientific audience. 

PGY-4 Urology Senior Resident
Residents are expected to take greater responsibility for the inpatient and outpatient urology services acting with greater autonomy under the supervision of faculty.

PGY-4 educational goals include:
  • Learn urologic care of the renal transplant patient.
  • Increase knowledge of pediatric and adult urological disease.
  • Expand involvement in complex urological surgical cases.
  • Develop problem-solving skills for the diagnosis and management of urologic disease.
  • Take greater responsibility for teaching and mentoring both junior residents and students.

PGY-5 Urology Chief Resident
Resident assumes chief resident responsibilities for the Urology service. This includes supervising all junior residents and students in their clinical rotations, creating schedules, assigning surgical coverage, assisting in new resident recruitment, and overseeing the didactic/educational conferences.

PGY-5 (Chief Resident) educational goals include:
  • Become proficient in the pathophysiology of urologic diseases.
  • Mature technical surgical competencies to the level of primary surgeon.
  • Learn management and administrative skills requisite to running a teaching service.
  • Supervise resident team and organize student activities.
  • Develop speaking and organizational skills to be a confident medical speaker addressing large interdisciplinary groups.
  • Learn practice fundamentals including billing/coding, compliance, regulatory, legal and ethical aspects or urology.
  • Learn advanced multidisciplinary cancer management incorporating radiation oncology and medical oncology teams.