The PGY-1 rotations are part of the Lahey Hospital & Medical Center General Surgery program. Interns typically log over 100 cases annually as first assistant and rotate through general, colorectal, vascular, and transplant surgery services. The subsequent four clinical years are vertically integrated with graded responsibility for patient care. During this time, urology residents become more conversant with the physiology and pathophysiology underlying urologic disease.
During the PGY-2 year, residents have a dedicated rotation in our basic science research lab. During this time, residents participate in teaching conferences and are responsible for a resident-run weekly outpatient urology clinic. The director of the Lahey Hospital & Medical Center molecular biology laboratory and members of the Department perform collaborative research. It is expected that an individual’s research will result in a presentation at a major urological form as well as completion of a manuscript for publication. In the PGY-2 year, clinical training focuses on basic urology including endoscopy, inpatient consults, and early exposure to robotics. This experience is broadened by a 4-month rotation at Beth Israel Deaconess Medical Center as well as 2 months at Lahey Hospital & Medical Center.
During PGY-3 and PGY-4, residents spend the majority of their time at Lahey Hospital & Medical Center. Time is spent becoming familiar with more complex endoscopic procedures and performing major operative procedures. Residents gain additional experience using video monitoring to facilitate teaching. They also rotate at Beth Israel Deaconess Medical Center to gain additional exposure to alternative practice patterns, significant operative experience and a different patient population. In both years, exposure to pediatric urology occurs at Boston Children’s Hospital.
The PGY-5 year is spent as chief resident. Eight months are at Lahey Hospital & Medical Center and 4 months at Beth Israel Deaconess Medical Center. Under supervision, the chief resident is the primary surgeon on major operative procedures and is responsible for organizing conferences at both teaching hospitals. These senior residents supervise and coordinate the junior residents as well as medical students. This increasing level of independence prepares the chief residents for the transition to fellowship or independent practice.