Outpatient Departments

University of Maryland Medical Center (UMMC)

Annual visit

2,600

Annual new patients

1,000

Average # pts./session

45

Average # sessions/month

4

Name of persons who supervise:

  • Richard Alexander, M.D.
  • Andrew Kramer, M.D.
  • Michael Naslund, M.D.
  • Michael Phelan, M.D.

The Urology Outpatient Department is a free-standing hospital clinic with a medical director (Michael Naslund, M.D.) and a nursing director (Heather Gibson, R.N.), who reports to the Nursing Director for Outpatient Clinics. The clinic has three full-time RN's, one full-time nursing assistant and one full-time medical secretary. Nurses have a special interest in urodynamics. There are four cystoscopy rooms and six patient exam rooms.

The URO-4 resident is functionally in charge of the day-to-day activity in the urology clinic. Residents see all outpatients first and decide on plan of management after presenting the case to the URO-4 resident. The URO-4 resident then presents complex patients to the attending in the clinic. The URO-4 resident may delegate the presentation to a more junior person for simpler or straightforward cases.

Many patients are seen first by medical students or the rotating family practice resident. Diagnostic procedures are either scheduled or, oftentimes, performed at the time of the clinic visit. Residents are supervised by the clinic attending. Depending on the case, the attending may choose a course of action ranging from countersigning the resident's note, to performing a complete evaluation them self, depending on the complexity of the case. Diagnostic procedures are supervised and graded responsibility for actually performing procedures is employed. Inpatients upon discharge are followed in the outpatient urology clinic. Often private patients will return to the urology clinic for suture or catheter removal, or follow-up x-rays. Long-term private patients are usually seen in an urologist's private office.

All prisoners in the State of Maryland obtain their outpatient urologic care in the UMMS urology clinic. Each cystoscopy room has fixed x-rays for stat films. The current four cystoscopy rooms include the addition of a new fluoroscopy table with substantial urodynamic capabilities.

The following procedures are done in the urology clinic by the urology residents and staff:

  • Flexible and rigid cystoscopy
  • Loopogram
  • Minor surgery
  • Needle biopsy of the prostate
  • Retrograde pyelography
  • Transrectal prostatic ultrasonography
  • Urodynamic studies
  • VCUG

This page was last updated: February 17, 2014

         
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