The program encourages resident autonomy during their progression through the training program.
At the University of Maryland Medical Center urology clinic, the PGY3 Urology resident is the primary physician for these patients. The Urology faculty are immediately available in clinic for consultation and advice in patient management. However, many of our outpatient surgical procedures are performed by the residents with attending supervision. Every effort is made to have the residents see the patients in the outpatient area for both pre-op planning and post-op follow-up.
During the resident’s time at the Veterans Administration Medical Center at Baltimore, all patients are considered the primary responsibility of the PGY4 Urology resident. The PGY4 resident does all the pre- and post-operative patient and family communication. His/her decisions are discussed with the attending staff, but the PGY4 resident is viewed as the primary urologist within the institution.
At the Baltimore Washington Medical Center site, the PGY3 residents rotate on a small non-private service. Since many of these patients are a part of a private practice group, the resident is less responsible for the direct patient care decisions being made, but does so in conjunction with the practice faculty. The PGY3 resident is responsible for the in-hospital care of these patients. The PGY3 resident participates in surgical procedures and at times is consulted by some of the practicing urologists for advice, especially in newer areas of treatment.
At the Johns Hopkins Hospital, all patients are the private patients of the Urology faculty. Although the residents have in-hospital responsibility for these pediatric patients, the faculty has the ultimate decision-making responsibility.