Mount Sinai (MSH) and Women’s College (WCH) Hospital – Urology – Senior Resident Goals and
Objectives
MSH-WCH senior resident rotations are 2-4 blocks in duration. The focus of clinical activity at MSH-WCH
is andrology, general urology and uro-oncology. The surgical focus is microsurgery with most of our
surgery on the groin region.
At MSH-WCH the PGY-3-4 assumes the role of chief resident. All residents participate in ambulatory
clinics, manage the inpatients and the consult service and have extensive exposure in the OR. Our main
focus is ambulatory surgery and andrology.
On this rotation there is particular emphasis on the development and evaluation of the Medical expert,
and Scholar CanMEDS roles.
Medical Expert
By the end of the rotation the senior urology resident will:
1) Demonstrate the basic scientific and clinical knowledge relevant to Andrology (male reproductive
medicine, sexual health, testosterone deficiency, scrotal pain) and Urology, and relate it
appropriately to patient care
2) Demonstrate the ability to investigate and manage common Andrological problems, including:
male infertility, sexual dysfunction, Peyronie’s Disease, scrotal pain syndrome and testosterone
deficiency
3) Recognize and appropriately manage patients with complex problems and multi-system disease
4) Use all of the pertinent information to arrive at complete and accurate clinical decisions; order
appropriate investigations and develop a therapeutic plan that reflects current standards of
practice
5) Recognize and manage emergency conditions, resulting in prompt and appropriate treatment;
order appropriate diagnostic tests and therapeutic interventions and make use of appropriate
consultative services.
6) Demonstrate a sound knowledge of indications for surgical intervention.
7) Demonstrate competence in post-op patient care and be able to recognize and manage post-op
complications.
8) Demonstrate proficiency and efficiency in technical and procedural skills. Handle instruments and
tissues carefully.
9) Be proficient using an operating microscope
10) Demonstrate an understanding of the operation and perform the operation proficiently and
efficiently with supervision.
Communicator
By the end of the rotation the senior urology resident will:
1) Exhibit effective and timely verbal and written communication skills, including: communicating
with patients and families, verbal presentations, documentation and consult letters.
2) Establish a therapeutic relationship with patients and communicate well with family. Provide
clear and thorough explanations of diagnosis, investigations and management in a professional
manner. Demonstrate empathy.
3) Provide patients and families with sufficient information of the risks and benefits of treatment
alternatives
4) Obtain informed consent, providing sufficient information of the risks and benefits of the
proposed procedure.
5) Write written orders, progress notes and consult notes that are well organized and timely.
Collaborator
By the end of the rotation the senior urology resident will:
1) Participate effectively and appropriately in an inter-professional health care team.
2) Collaborate with community agencies (as required) as well as other health care professionals
Manager
By the end of the rotation the senior urology resident will:
1) Effectively lead the health care team, delegating and distributing tasks fairly; use time wisely.
2) Demonstrate management skills to reflect and balance priorities for patient care, sustainable
practice and personal life.
3) Demonstrate the ability to meet deadlines, be punctual, monitor patients and provide follow up.
Health Advocate
By the end of the rotation the senior urology resident will:
1) Support the health of patients/families by providing appropriate referrals, support and
information on health maintenance, as well as community/home resources.
2) Intervene on behalf of patients or the community with respect to the social, economic and
biologic factors that may impact on the patients’ health.
Scholar
By the end of the rotation the senior urology resident will:
1) Maintain and enhance professional activities through ongoing learning.
2) Critically evaluate medical information and its sources and apply this appropriately to practice.
3) Demonstrate an understanding of the principles of adult learning and help others learn by
providing guidance, teaching and by giving constructive feedback.
4) Optional: Engage in academic projects with a view to presentation at national/international
meetings and publication.
Professional
By the end of the rotation the senior urology resident will:
1) Demonstrate a commitment to excellence in clinical care and personal and ethical conduct.
2) Exhibit proper professional behavior.
3) Adhere to legal and ethical codes of practice.