Mission

The Tripler Army Medical Center Urology Residency Program develops the next generation of military urologists to be trained, competent and ready through broad clinical experience in adult and pediatric general urology, providing compassionate, world-class urologic care. The TAMC Urology Program's mission nests within the organization's mission "To be the Premier Healthcare System of Choice, Harmonizing Readiness and Healthcare across the Pacific."

Vision

To train the safe, competent urologists that our the future of our specialty.

Aims

• Provide a diverse clinical and surgical experience in Urology
• Produce competent, capable, safe urologists that perform full spectrum urologic care supporting medical readiness
• Develop leaders in both the military and field of Urology

Urology residents participate in weekly academic conferences that include journal club, M & M, radiology conferences, guideline conferences, specialty staff conferences, and preoperative conferences. Additionally, there is daily morning report to review our inpatients and consult service. In preparation for the Urology In-Service exam, the residents meet every Monday morning to review a scheduled urologic topic. The annual academic schedule is based on a block schedule including oncology, general urology, reconstruction, and pediatrics.

Year 1	Year 2	Year 3	Year 4	Year 5
General Surgery - 2 blocks Emergency Medicine/ICU  General Surgery/Plastic Surgery - 2 blocks General Surgery/Urology Urology - 4 blocks	Urology - 6 blocks Research KMC - 5 blocks	KMC Research - 3 blocks MSK - 3 blocks Urology - 5 blocks	KAP - 3 blocks KMC - 4 blocks Urology MSK - 4 blocks	Urology - 11 blocks Off - 1 block

There are no elective rotations.

Call is variable depending upon location of rotation. While at TAMC, it is solo call split between residents on service.

The TAMC Urology has 3-4 military unique curriculum opportunities per year as the opportunities arise. These include off-site locations on various military instillations that allow for a greater understanding how our location on Hawaii fits into the bigger picture.

Urology residents are required to complete and maintain certification in ACLS, ATLS, PALS, C4, and BLS. Additionally, participation in the AUA intern academy during the first two years, and attendance (virtual or in person) of an official board review course.

The Urology residency has a robust simulation curriculum. There are monthly simulations in the simulation lab or clinic.

The TAMC Urology residency has graded levels of responsibility that ends with the chief resident during the final year of residency. The service is resident led and the chief resident is viewed as a junior staff.

There are four dedicated months of research in the Urology Residency Program. The ACGME requires that all urology programs engage in scholarly activities consisting of clinical and basic science research as well as preparing and presenting lectures within and outside of the urology section. All members of the program, both resident and staff, must participate. Residents will be provided with research exposure sufficient to result in an understanding of the basic principles of study design, performance, analysis, and reporting, including statistics and epidemiology.

Residents will be exposed to clinical and scientific developments outside their own program by attendance at regional or national meetings and other educational conferences or by visits to the program from recognized authorities from other institutions.

Residents are required to have the opportunity to participate in interprofessional quality improvement projects and must receive training in quality improvement processes. The TAMC Urology Residency has several on-going quality improvement projects that residents participate in to improve health care for our patients.

There are scheduled staff lectures throughout the year that relate to professional development built into the academic schedule.

• Tripler Army Medical Center
• Kaiser Permanente Moanalua Medical Center
• Kapiolani Women’s and Children’s Hospital
• Memorial Sloan Kettering

4th year medical student interview rotations are welcome. Contact our program in the contact us section for additional information.

If you are interested in setting up an interview rotation please reach out and we will help to coordinate and offer advice on travel, lodging, etc. If you are unable to come spend time with us in person, we will arrange for a virtual interview.

Program graduates take the American Board of Urology Part 1 shortly after graduation. This exam is offered annually in July. To become fully board certified and take Part 2, candidates must have at least 16 months of active practice. Part 2 may be delayed for fellowship.

Urology residents give other department lectures, frequently give rotating surgical medical students lectures, and lead both rotating medical students and PA’s while on service.

There are multiple opportunities to teach urology residents throughout the year.

• Urologic Oncology
• Female Pelvic and Reconstructive Surgery
• Pediatric Urology
• General Urology

No assigned mentors, often happens organically.

As we are a small residency, the residents are close. There are informal opportunities to meet outside of work arranged frequently in addition to the scheduled social events in clinic throughout the year. There is an annual resident retreat as well.