PGY4

In the PGY4/Urology-3 year, the resident rotates for four months through each of three private practice settings. The OU Physicians Urology Group rotation presents strong exposure to managed and capitated care procedures. The second rotation involves a group of private urologists, the St. Anthony Urology Group, whose patient demographics are concentrated primarily on indemnity insured patients. The third rotation is based at the INTEGRIS Baptist Medical Center Renal Transplantation Service. Resident skills are expected to mature and an understanding of the economics of a urology practice are acquired. Residents become familiar with contractual work, develop an understanding of economic risk in capitated care, and understand that efficiency in cost should never outweigh quality and compassion in patient care. Urologic oncology cases (i.e. radical prostatectomy, radical cystectomy, radical nephrectomy, and nephroureterectomy) are part of the patient load this year. Techniques in urethral reconstructive surgery, female incontinence surgery, and the correction of pelvic prolapse are mastered. The indications and risks of these types of procedures are expected to be thoroughly understood. In addition, the resident participates in clinical research studies. An increase in surgical skills and fund of knowledge commensurate with the level of training is expected.

PGY4
Left to right: Stephen Confer, Vince Galati, Ike Oguejiofor