PGY 1 (Intern):
The intern year consists of 12-one month rotations. Eleven are at the The George Washington University Hospital and the remaining month is spent on the pediatric general surgery service at Children’s National Medical center.. This year includes six months of urology and six months of general surgery(rotations assigned include ICU, Trauma/Acute care Surgery, Plastics, General Surgery). This year provides the learning foundation of inpatient care of surgical patients and critically ill patients. There is ample opportunity for surgical case exposure within the general surgery and urology experience.
PGY2:
The PGY2 year consists of 6 months at George Washington University Hospital and 6 months at Sibley Memorial Hospital. Time is split in 3 month -6 month- 3 month blocks. The junior resident is responsible for learning and becoming proficient at junior level cases including cystoscopy, ureteroscopy and open scrotal cases. The average caseload for this year is significant with approximately 500-600 cases across general urology. In addition, the junior resident learns to assist on robotic cases. The junior resident is responsible for the consult service at each hospital. He/she also attends, on average, at least one half to one clinic day a week under the supervision of the faculty. Call is divided among the junior and senior residents, which is usually 1 night per week and 2 weekends a month with the chief resident on backup call.
PGY3:
The PGY3 year consists of 6 months at George Washington University Hospital and 6 months at Sibley Memorial Hospital. Time is split in 6 month blocks. The senior resident becomes proficient in higher level ureteroscopy and TURP/TURBT cases, learns laparoscopic surgery, and begins to operate behind the surgical console during robotic surgeries. The senior resident shares responsibility for running the inpatient service, assisting the PGY2 resident with consults if needed and is the acting chief when the chief resident is on vacation. He/she also attends, on average, at least one half to one clinic day a week under the supervision of the faculty. Call is divided among the junior and senior residents, which is usually 1 night per week and 2 weekends a month with the chief resident on backup call.
PGY4:
The PGY4 year consists of 6 months of pediatric urology at Children's National Health System as well as 6 months of clinical time and research at the National Cancer Institute(NCI) at the National Institutes of Health. These are split in 6 month rotation blocks. While on pediatric urology, you will be provided the foundation for the evaluation, follow-up and surgical treatment of the wide range of pediatric urologic diseases. The resident shares call with the two other pediatric residents (from Georgetown University and Walter Reed Urology Programs), which works out to an average of 1-2 nights per week and one weekend a month. The time with the NCI provides exposure to clinical trials, basic science and clinical research, as well operative exposure to many complex urologic oncology procedures. While with the NCI, the resident shares call with the other rotating residents (from Georgetown University and Walter Reed Urology Programs) and the clinical fellows which works out to an average of 1-2 nights per week and 2 weekends/6 month rotation. The NCI resident will also provide back up call coverage for 2 weekends at GW and Sibley Hospital, to help with the transition to their chief year.
PGY5:
The Chief (PGY5) year consists of 6 months at George Washington University Hospital and 6 months at Sibley Memorial Hospital. These are split into 3 month blocks. The Chief resident becomes proficient in laparoscopic and robotic surgery as well as major open cases, in order to be an autonomous surgeon at the completion of his/her training. The chief resident is ultimately responsible for the entire inpatient service and consult service as well as the daily activity of the OR schedule and residency program. This includes teaching and instructing medical students, residents and planning and leading all conferences. The chief resident takes backup call to the junior or senior resident and is not in the primary call schedule, but is responsible for rounding with the junior or senior resident on the weekends.