UTSW Urology Training Philosophy
The Department of Urology resident training program seeks to train residents equally qualified for careers in academic medicine or clinical practice. We see graduates of our program as future leaders in urology, whether in academic centers or community hospitals.
The program balances graduated clinical responsibilities with faculty supervision, organized conferences, and research. Our program offers a robust surgical experience covering all areas of urological surgery, with internationally recognized leaders in each urology subspecialty. Additionally, we offer fellowships in
- FPMRS (ACGME)
- Pediatric Urology (ACGME)
- Urologic Oncology (SUO)
- Laparoscopy/Endourology (WCE)
- Male Urethral Reconstruction/Prosthetics (GURS)
Overall, approximately 50 percent of our graduates go on to additional fellowship training with recent graduates pursuing training in pediatrics, oncology, endourology, and urethral reconstruction/prosthetics.
Residents are permitted ample opportunity to develop their clinical and surgical skills within a supervised environment, while developing the confidence to practice independently.
Residents spend clinical rotations in a variety of hospital settings. This allows for a very varied clinical experience, with the opportunity to interact with patients with complex urological conditions. The Department feels strongly that having exposure to busy tertiary hospital settings (William P. Clements Jr. University Hospital and Children’s Medical Center Dallas), large county hospitals (Parkland and John Peter Smith), and a Veteran’s Hospital that draws from the entirety of North Texas will allow trainees the experiences they need to flourish once completing their training. We have multiple robot systems at our affiliated hospitals including a dual console Si robot at Children's Medical Center, two dual console Si robots at the Veterans Affairs Medical Center, a dual console Si robot at Parkland, and 4 dual console Si systems, 1 dual console Xi system, and 1 SP system at Clements University Hospital.
- Clements University Hospital
- Parkland Memorial Hospital
- Children’s Medical Center Dallas
- VA Medical Center of North Texas
- John Peter Smith Hospital, Fort Worth
Resident Training Sequence
Training begins with an internship at UT Southwestern. Six months of the year are spent in Urology, with three months in general surgery, and an additional three months in ICU/trauma/vascular rotations. Basic surgical skills training is also provided at the newly constructed Simulation Center at UT Southwestern.
During the PGY-2 year, substantial time is devoted to diagnostic urologic skills, including endoscopy, ultrasound, and urodynamics. Rotations at Children’s Medical Center (CMC), Parkland Memorial Hospital (PMH), the Dallas Veteran Affairs Medical Center (VAMC), and UT Southwestern's William P. Clements Jr. University Hospital (CUH) provide the PGY-2 resident with significant operating and clinic experience.
The third year focuses primarily on open surgical skills and endourology/laparoscopy. In addition to rotations at VAMC and CMC, residents rotate for the first time to John Peter Smith Hospital (JPS) in Fort Worth. Additionally, a 10-week block allows for time in an outpatient setting along with ample room to complete one or more research projects.
One goal of the outpatient block is to hone outpatient urology skills and to explore specific interest areas within urology. Residents are expected to participate in research projects during this block, in an area of their choosing, and ultimately submit the work for regional or national presentation and publication.
During the PGY-4 year, trainees function at the Chief Resident level at CMC, performing a variety of complex procedures. Residents also serve as senior residents at CMC, CUH, and PMH. A rotation in the adult outpatient clinics with each of the UTSW faculty rounds out the rotations of the PGY-4 year.
Trainees function as Chief in the PGY-5 year, directing the urology inpatient services at PMH, VAMC, JPS and CUH, (two rotations). At PMH and VAMC Chief residents are responsible for overseeing the clinic activities and scheduling appropriate surgical cases, with faculty oversight.