The Jikei University School of Medicine urology department

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Senior resident offer

  1. Purpose and characteristic of program
  2. Curriculum
  3. The program first year
  4. The program second year
  5. The program third year

As for the present initial clinical training program, it cannot be said with ten minutes if we will acquire basic knowledge and technique of the urology department necessary for primary care by experience as general clinician in the future. In this specialty acquirement course, we wear medical care knowledge and technique of not only urologic basic knowledge but also specialty domain secondary to initial clinical training program through process for 3 years and understand team medical care, and even other courses disease is aimed for the training of correct urologist who can deal about border domain. On the other hand, we know medical essence well and feed consideration to QOL of patient, human nature to be produced of informed consent and master by inducible knowledge, skill to be able to serve specialist job and researcher in the urology department and the teaching profession in the future. After specialty acquirement course, we consider to have learned basic knowledge necessary for the urology department society specialist acquisition in Japan and basic skill.

(1) General aim (GIO)

We acquire basic knowledge and skill as urologist and provide early treatment with diagnosis for patient having a variety of urologic symptoms. We are in charge of outpatient clinic, hospitalized care after having repeated these experience and perform primary care, explanation, whole body for disease and local management appropriately. We participate in various volunteers, conference at the same time and develop human nature. In addition, we participate in workshop and congress positively and master by inducible knowledge in future research activities.

(2) Action target (SBO)

  • 1. Medical knowledge corresponding to primary care of outpatient and the technical acquisition.
  • 2. The acquisition of ability to give grasp of disease contents of outpatient and specialized ambulatory treatment.
  • 3. Emergency desease, the acquisition of accurate differential diagnosis ability for other courses domain border disease.
  • 4. How to get, imaging of physical examination for urology department disease and acquisition of instrumental technique.
  • 5. Practice of anesthesia, the acquisition of endoscope maneuver and minor operation of urology department domain.
  • 6. Practice (as practiced hand and the first assistant) of urolosurgery including endoscopic operation.
  • 7. It is learned postoperative care operation of urolosurgery ago.
  • 8. Oncology, surgical pathology, understanding, practice of chemotherapy.
  • 9. As ward person in charge management (instruction of home medical care after preoperative postoperative care, informed consent and discharge) of urology department inpatient.

  1. 1. We make interview, medical history of urology department outpatient.
  2. 2. We learn the urologic medical examination method.
    • a) The abdominal medical examination method: Kidney, bladder, inguinal palpation.
    • b) The medical examination method of male genitals: Palpation of medical examination of genitalia and the prostate.
    • c) The medical examination method in pelvis: Rectal examination, vagina combined examination.
  3. 3. We list views to be provided by rectal examination definitely.
    • a) Size, shape, the hardness, behavior, pressure pain of the prostate
    • b) Strain of anal sphincter
  4. 4. We master withdrawing urine of woman and man (patients with benign prostatic hyperplasia in particular).
  5. 5. We can carry out intravenous pyelography (IVU), urethrocystography (UG), bladder contrasting (CG) and point out abnormal finding of main urology department disease (urinary tract deformity, Urinary stone, hydronephrosis, renal tumor, bladder tumor, benign prostatic hyperplasia, urethral stricture).
  6. 6. Assistant of foreign minor operation can do it
    • a) Prepuce of penis back incision and cyclic incision
    • b) Skill in vasoligation
    • c) Prostatic needle biopsy
  1. 7. There are first Mr. two and practiced hand of operation specialized in the bloody urology department that is lower than specialist in instruction. We understand background of individual manual skills.
    • a) Skill in castration
    • b) Hydorocele
    • c) Skill in nephrectomy
    • d) Total cystectomy, skill in urinary diversion, lymph node dissection
    • e) Total prostatectomy
    • f) Percutaneous skill in nephrostomy, transurethral ureter lithotripsy
    • g) Transurethral bladder operation, transurethral prostatic operation
  2. 8. We can understand preoperative postoperative care of urology department inpatient.
    • a) Examination of general inspection
    • b) Examination of complications
    • c) Infusion
    • d) Urinary tract infection measures
    • e) Management of various urinary tract catheters
  3. 9. We understand problems of patient well, and case presentation is made have good point.
  4. 10.We learn about internationality and prepare for discussion participation.

  1. 1. We examine urology department outpatient with specialist in instruction and can make treatment strategy
  2. 2. We can distinguish benign prostatic hyperplasia, prostate cancer, other rectal anal diseases by rectal examination.
  3. 3. Examination with urethrocystoscope can take effect and can point out abnormal findings such as urethral stricture, benign prostatic hyperplasia, bladder tumor.
  4. 4. Interpretation can diagnose provided views by examination of various urologic imagings definitely
    • a) Intravenous pyelography (IVU)
    • b) Retrograde pyelography (RP)
    • c) Bladder contrasting (CG) operation
    • d) Retrograde urethrography (UG)
    • e) Angiography (abdominal aorta contrasting, renal artery contrasting, inferior vena cava contrasting, renal vein contrasting, pelvic arteriography)
    • f) Sonography (kidney, the prostate)
    • g) Computer dislocation diagnosis (CT, MS-CT, MRI)
    • h) Examination for RI (renogram, kidney scintigraphy, adrenal scintigraphy, bone scintigraphy)
    • i) Lymphangiography
  5. 5. Practiced hand of foreign minor operation that is lower than specialist in instruction can do it.
    • a) Prepuce of penis back incision and cyclic incision
    • b) Skill in vasoligation
    • c) Prostatic needle biopsy
    • d) Skill in outside the body shock wave lithodialysis (ESWL)
  1. 6. There are first assistant and practiced hand of operation specialized in the bloody urology department that is lower than specialist in instruction. We understand background of individual manual skills.
    • a) Skill in castration
    • b) Skill in Hydorocele
    • c) Skill in nephrectomy
    • d) Total cystectomy, skill in urinary diversion, lymph node dissection
    • e) Total prostatectomy
    • f) Percutaneous skill in nephrostomy, transurethral ureter lithotripsy
    • g) Transurethral bladder operation, transurethral prostatic operation
    • h) Prostate cancer seal small source insertion therapy
  2. 7. Various urology departments preoperative postoperative care is made.
  3. 8. We can announce treatment strategy of various urology department diseases in case conference.
  4. 9. We understand problems of patient well, and case presentation is made have good point.
  5. 10.We learn about internationality and prepare for discussion participation.

  1. 1. We can give other courses disease and differential diagnosis of border domain with specialist in instruction in urology department outpatients.
    • a) Abdominal pain: Urinary stone, digestive system disease such as appendicitis, differentiation with fujinka*.
    • b) Hematuria: Urinary stone, urinary oncology, differentiation with nephritis.
    • c) Dysuria: Lower urinary tract confinement-related disease, differentiation of neurogenic bladder dysfunction.
    • d) Scrotal contents swelling: Testicular tumors, torsion of spermatic cord, epididymitis, scrotal edema, differentiation of inguinal hernia.
  2. 2. We can deal with diagnosis of urology department emergency patient
    • a) Acute urinary tract infection
    • b) Urolithiasis
    • c) Urinary retention
    • d) Torsion of spermatic cord
  3. 3. Patients with lower urinary tract obstruction (benign prostatic hyperplasia, urethral stricture) and nerve
  4. 4. It enforces urology department instrument technique and can point out the abnormal finding.
    • a) Sonography (the abdomen, the prostate)
    • b) The urinary flow measurement
    • c) Cystometrography
    • d) Examination with urethrocystoscope
    • e) Retrograde renal pelvis differential ureteral catheterization test
  1. 5. Practiced hand of foreign minor operation that is lower than specialist in instruction can do it.
    • a) Skill in castration
    • b) Urethra stenting
    • c) Hydorocele
    • d) Percutaneous bladder fistering operation
    • e) Skill in percutaneous nephrostomy
    • f) Skill in outside the body shock wave lithodialysis (ESWL)
  2. 6. There are first assistant and practiced hand of operation specialized in the bloody urology department that is lower than specialist in instruction. In background of individual manual skills, we deepen understanding still more.
    • a) Skill in nephrectomy
    • b) Total cystectomy, skill in urinary diversion, lymph node dissection
    • c) All prostatic enucleation
    • d) Transurethral ureter lithotripsy
    • e) Transurethral bladder operation, transurethral prostatic operation
    • f) Adrenalectomy
    • g) Prostate cancer seal small source insertion therapy
  3. 7. Various urology departments preoperative postoperative care is made.
  4. 8. We participate in clinical conference, X-rays study meeting, bunkonshoyomikai, and case report of person in charge patients is possible. We learn about internationality and participate in discussion in workshop and others.

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