Rotations are performed across multiple facilities that include but not limited to Lake City VAMC, UF Shands, Gainesville VAMC, Nemours Children’s Clinic or the Wolfson Children’s Hospital. In accordance with ACGME guidelines, the urologic resident spend a minimum of one year in PGY-I rotations related to general surgery. A minimum of three months on general surgery rotations are combined with rotations of two months in critical care as well as one to two month rotations on vascular surgery, plastic surgery, trauma surgery, pediatric surgery, thoracic surgery and urology. These rotations are meant to create a strong foundation in general surgical / critical care knowledge, skill sets and an introduction to urology. It is purposely broad to enable the burgeoning urologic resident to develop the necessary clinical and technological skills to deal with a wide range of patients and medical conditions. Thereafter, rotations are divided into four levels of competencies – URO-1 (PGY-II), URO-2 (PGY-III), URO-3 (PGY-IV) and URO-4 (Chief Resident, PGY-V).

At levels 1-2, the urologic resident will work under the supervision of the URO-4 and the attending faculty. The URO-1 is expected to become competent in urological physical diagnosis and management of the general urologic patient, and begin to recognize his / her own individual needs in expanding that competence into areas of specialty expertise and complexity. The URO-2 receives a more in-depth exposure to the complexities of urologic subspecialty expertise, including endourology, andrology (infertility, erectile dysfunction, and prosthetics), stone disease and uro-oncology.
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The URO-3 resident works under supervision of experienced faculty in the OR and clinics and participates in limited emergency call activities. During the rotation, he/she will be given limited exposure to robotics and laparoscopy in addition to both simulative and real time patient experience, and is directly responsible for the clinical and surgical patients on this service.

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The URO-4 functions in the role of a chief resident at a level both clinically, operatively and administratively. The URO-4 also functions in the role of a supervisor mentor and teacher of the junior residents. It is also this year that the resident is to focus on a subspecialty expertise if he / she plans to pursue fellowship training.
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