UROLOGY
SUR 811
Course Department, Number & Title: SUR 811, UROLOGY
Course credit or length: 2- 4 Weeks
Course director and contact information (office phone and e-mail):
UROLOGY - Lawrence Wyner, MD, 304.523.6421, wyner@marshall.edu
Course coordinator and contact information (office phone and e-mail):
Lisa Clagg-Blizzard, 304.691.1281; Clagg@marshall.edu
UROLOGY OFFICE- Jenny Mathews, RN - 304.523.6421; matthewsj@marshall.edu
UROLOGY OFFICE- Karen LeGrand- 304.523.6421; legrandk@marshall.edu
Course location: Cabell Huntington Hospital; St. Mary’s Hospital; VA;
Brief Course Description:
This Urology elective will acquaint the senior medical student state of the art medical and surgical care in all aspects of adult and pediatric urology. The student will be exposed to all aspects of urologic practice including laparoscopic, open, image guided and endoscopic surgery as well as office-based practice. State-of-the-art equipment is available including the Da Vinci surgical system, laser technology, surgical imaging systems, lithotriptors and ablative energy sources. The course will enable students to better understand the basic clinical diagnosis from signs and symptoms of diseases common to practice of Urology. Students will also be exposed to pre-operative and post-operative approach to the evaluation and management of patients.
Institutional Objective
Patient Care - Students must demonstrate the ability to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
Course Objectives
Students will perform a concise history and physical examination of the Urologic patient, and demonstrate knowledge of when and which tests are appropriate for urologic evaluation. Students will also:
1.
2.
Learn how to assist the surgeon in OR.
Understand the principles of cancer management in Urology.
3.
4.
Understand stone management.
Understand management of: a.
b.
c.
d.
Benign Prostatic hypertrophy
Erectile dysfunction Sepsis
Female urinary incontinence
Sepsis
Outcome Measures
Students will perform at least one concise history and physical examination of the Urologic patient observed by a faculty member and orally demonstrate knowledge of when and which tests are appropriate for urologic evaluation. Students will also:
1.
Demonstrate ability to assist the surgeon in OR;
2.
Demonstrate to the faculty an understanding of cancer management principles in Urology;
3.
Demonstrate to the faculty an understanding of stone management;
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4.
Demonstrate to the faculty an understanding of the management of: a.
Benign Prostatic hypertrophy b.
c.
d.
Erectile dysfunction
Female urinary incontinence
Sepsis
Medical Knowledge- Students must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care.
Basic Science Course Objectives
Students must demonstrate an understanding of the following:
1.
The process of voiding and voiding dysfunction.
2.
3.
4.
How obstruction and stasis of the urinary tract affects the kidneys.
The pertinent anatomy in urology.
The different laboratory and radiologic tests available to the Urologist.
Outcome Measures
The students will demonstrate this knowledge to the faculty .
Institutional Objective
Practice-based Learning and Improvement - Students must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning.
Course Objectives
3.
4.
Students must demonstrate an appropriate urological history including voiding complaints, and discuss the following:
1.
2.
Interpretation of urinalysis study
Differential diagnosis and diagnostic work up of hematuria
Results of PSA studies with clinical application
The ability to investigate, evaluate and present their treatment plan of urologic patients.
Students must also demonstrate an understanding of microscopic evaluation of urine and participate in teaching third year medical students.
2.
3.
4.
Outcome Measures
Students must demonstrate to the faculty an appropriate urological history including voiding complaints, and discuss the following:
1.
Interpretation of urinalysis study
Differential diagnosis and diagnostic work up of hematuria
Results of PSA studies with clinical application
The ability to investigate, evaluate and present their treatment plan of urologic patients.
Students must also demonstrate an understanding of microscopic evaluation of urine and participate in teaching third year medical students.
Institutional Objective
Interpersonal and Communication Skills - Students must demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals.
Course Objective

Students must be able to communicate effectively with the patient and their family, attending, nursing staff and ancillary staff.
Outcome Measure
Students will demonstrate this ability when presenting cases to the faculty.
Institutional Objective
Professionalism- Students must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles.
Course Objective
Students must maintain high ethical behavior, respect patient privacy and confidentiality and treat colleagues with respect.
Outcome Measure
Students will demonstrate these behaviors to a faculty member and will be evaluated accordingly.
Institutional Objective
Systems-based Practice - Students must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care.
Course Objective
Students must demonstrate an appreciation of the economic impact of Urologic care to the patient and perform a risk-benefits analysis of different Urologic treatment options.
Outcome Measure
Students will demonstrate to the faculty an appreciation of the economic impact of Urologic care to the patient and the ability to perform risk-benefits analysis of different Urologic treatment options.
BASIC SCIENCE OBJECTIVES
Basic Science Objectives
Students will demonstrate familiarity with urological pathology.
Outcome Measure
Students will demonstrate to the faculty and by final examination knowledge of the etiology, diagnosis, pathophysiology, therapy, and prevention of major adult urological diseases and disorders. Examples include

BPH

Erectile impotence and other sexual dysfunctions

Abnormal bladder function, such as urinary incontinence pyelonephritis

Chronic inflammatory disorders of the genitourinary tract, such as interstitial cystitis, prostatitis, epididymitis, and orchitis.
Basic Science Objective
Students will demonstrate basic knowledge of the pharmacology as applied in the management of patients with urological disease.
Outcome Measure
Students will demonstrate basic ability to construct a patient-specific nutritional and pharmacotherapeutic monitoring plan to minimize adverse events and maximize therapeutic benefits:
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
BPH

Erectile impotence and other sexual dysfunctions

Abnormal bladder function, such as urinary incontinence pyelonephritis

Chronic inflammatory disorders of the genitourinary tract, such as interstitial cystitis, prostatitis, epididymitis, and orchitis.
ATTENDANCE
If at any time the medical student is unable to meet their clinical responsibilities they must notify their Clinical Faculty
Preceptor and the Department of Surgery at 691-1280 during working hours Monday-Friday, 8:30 am - 5:00 pm. All absenteeism will be required to be made up and students will be required to make up two days for every one day missed. If a student misses 2 or more unexcused days, the student will be required to reschedule the entire rotation.
Request for an excused absence must be submitted in writing at least one week in advance via the Student Scheduler to the course coordinator. The request will be reviewed by the course director who will either grant or deny the request.
Excused absences will not be retroactively granted.
Attendance at Surgical Grand Rounds and Surgical Morbidity and Mortality Conference is mandatory with the exception of being assigned to the operating room by your preceptor. Unexcused absences will result in one extra case presentation for each absence. STUDENTS ARE REQUIRED TO ATTEND THE WEEKLY JOURNAL CLUB MEETING.
Self-Directed Learning
As a medical student, you are encouraged to use any unstructured time as a time to read about your patients, research questions that arise during the day, prepare for case conferences, and prepare for student-faculty rounds. Preceptors have been specifically asked to look for evidence that you have read articles and books between clinic sessions. Use this time to build your knowledge of medicine and learn from your patients.
UROLOGY SAMPLE SCHEDULE
MONDAY:
OR with Dr. Jensen
Rounds in hospital
TUESDAY:
Office
WEDNESDAY:
Surgery lectures
Reading time
THURSDAY:
OR with Drs. Wyner or Jensen
FRIDAY:
Office
OR with Dr. Wyner
ASSESSMENT METHODS
Mid Point Evaluation
In accordance with LCME standard ED-30, the Course Director will evaluate student performance at mid-point for four weeks elective to review the student’s professional, clinical and academic performance up to that point. The formative

evaluation must be reviewed with the student and the student will have an opportunity to discuss with the Course
Director. The form must be signed by the student and returned to the Course Director. The Course Director shall then forward a copy of the form to the Office of Academic Affairs. The form will NOT however be included in the student’s official academic record. For two week electives, the course director will orally review the student’s progress at the end of week one with the student and provide direct feedback.
Preceptor Evaluation- 100%
Grading A= 90-100% B= 80-89% C= 70-79% F= below 70%
The preceptors’ evaluation will be based upon, but are not limited to, the following factors:

Attendance and participation in tutorials

Conference attendance
•
•
•
•
Maturity and Professionalism
Oral Case Presentation/Patient Workup
Participation in call
Participation in Clinic and OR Hours
The demonstration of basic knowledge of patient care during clinic •
Each Assessment Component listed above (on-line final, case presentation and preceptor evaluation) must be passed in order to successfully complete the course.
MUJCESOM Policies: All medical students taking this course will comply with School of Medicine policies given at http://musom.marshall.edu/students/policies .
Individual policies can be found at the following websites:
Student Infectious Material Exposure: http://musom.marshall.edu/ups/postexposure.asp
MS-IV Attendance: https://musom.marshall.edu/students/documents/policies/Yr4attendence.pdf
Academic Dishonesty Policy: https://musom.marshall.edu/students/documents/policies/Standards-of-Professionalism-and-Honor-Code.pdf
Academic Standards Policy: https://musom.marshall.edu/students/documents/Policies/ASC-FINAL-POLICY.pdf
Policy for Students with Disabilities: https://musom.marshall.edu/students/documents/Guidelines.pdf
University Computing Services’ Acceptable Use Policy: http://www.marshall.edu/ucs/CS/accptuse.asp
Affirmative Action Policy:
pp. 16-17 http://www.marshall.edu/catalog/Graduate/S2008/gr_sp08.pdf
Inclement Weather Policy: https://musom.marshall.edu/students/documents/policies/MUSOM-Inclement-Weather-Policy.pdf
Notification of delays and cancellations of classes are posted on the Medical Education Home Page when Marshall
University Main Campus is not in session https://musom.marshall.edu/weather
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REQUIRED READING: Essentials of Surgical Specialities, 3 rd Edition, Peter Lawrence, MD
American Urological Association’s National Medical Student Core Curriculum (found at http://www.auanet.org/content/education-and-meetings/med-stu-curriculum.cfm
)