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Urology Rotations: Years One Through Six

Teaching 1

Year 1: Research

The first year of the program is dedicated to research. Residents can be mentored by a number of research and clinical faculty with various areas of expertise including urologic oncology, voiding dysfunction, sexual dysfunction, infertility, stone disease, public health sciences, physiology, pharmacology, molecular biology, cell biology, molecular genetics, material sciences, nanotechnology and regenerative medicine.

The research year gives the resident exposure to both basic and clinical research, an opportunity that will serve them well regardless of their career track. Whether a physician chooses an academic or private practice opportunity, the ability to adequately assess emerging technologies and research methodologies is essential as the practice of medicine evolves.

Year 2: Surgical Rotations

The second year of the program is dedicated to general surgery training in various clinical areas. The resident will have the opportunity to experience different surgical rotations, which are valuable in providing specific surgical and patient-specific skill sets. The resident will have the opportunity rotate through various services, such as vascular surgery, plastic surgery, transplant surgery and general surgery.

Years 3-6: Urology Clinical Rotations

The Urology Program at Wake Forest Baptist Medical Center is structured to provide an increasing level of experience throughout the years of clinical urology training. During the third year, residents rotate on both of the two adult urology services at North Carolina Baptist Hospital. During these rotations the resident is exposed to the complete spectrum of adult urologic practice both in terms of operative experience as well as in the evaluation and management of patients in the outpatient urology clinic. All adult urology subspeciality areas are covered, including oncology, endourology, andrology and voiding dysfunction.  

During the fourth year of training, the resident spends time on the pediatric urology service. This is a fully integrated service with a resident working one-on-one with the pediatric urology faculty including the outpatient evaluation and surgical management of pediatric urology disorders. In the second half of the year, the resident rotates through the subspecialty clinics within the Department of Urology. During this outpatient clinic rotation the resident works hand-in-hand with the urology faculty evaluating new patients presenting within all of the major subspecialty areas of urology. This rotation therefore provides the broad framework necessary for the initial evaluation and management of the full spectrum of adult urologic problems.

During the fifth year of training, the resident is again exposed at a higher level to pediatric urology and also spends half of this year on our affiliated private practice rotation at Moses Cone Health Care Systems assisting the attending urologists in the diagnosis and management of their patients. This rotation provides valuable exposure of our residents to the private practice of urology in addition to broadening the surgical experience.

During the sixth year, the chief resident is in charge of the urology outpatient clinic and has supervision over all inpatient adult urologic patients on his/her service. This year is viewed as a time for the resident to develop his/her leadership and administrative skills while fine-tuning surgical technique and mastering the management of complex urologic problems.

Quick Reference

Urology Residency Program
Brooke McChesney



Brooke McChesney
Dept. of Urology
Wake Forest Baptist Medical Center
Medical Center Blvd.
Winston-Salem, NC 27157
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Last Updated: 04-12-2016
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