Education & Training
TRAINING CURRICULUM FOR UROLOGIST
CONTINUING PROFESSIONAL DEVELOPMENT CENTER
Introduction:
Specialty training in Uroology consists of core and higher speciality training.
Core training enhances the physicians capabilities through the following courses:
· Evidence Based Medicine
· Research Methodology
· Medical Education
· Leadership Skills
· Communication Skills
· Breaking Bad News
· Medical Ethics
· Medco-legal Issues
· Immediate Life Support
· Advance Life Support
Higher speciality training then builds on these core skills to develop the specific competencies required to practice independently as a Urologist.
Specialized Courses:
· Basic Uro-dynamic.
· Basic U/S for urologist
· Basic Uro-oncology
· Basic laparoscopic urology
· Advance laparoscopic urology
Basic course of Urodinamics Objectives:
The course is a combination of lectures using slides, videos, PowerPoint or overheads, interactive discussion and practical demonstrations. Time is spent discussing the basic principles of urodynamics, setting up equipment, urodynamic techniques, and interpretation of results and writing reports. Most of the relevant topics are covered but this is not a specialised course and neither does it cover the advanced application of urodynamics to management.
Duration of course: 2days
Target Group: For Urologist and Gynecologist:
The program contain:
(1) Main Course Topics Include:
(2) Practical Day Topics Include:
Basic Course in U/S for urologist Part (I) Duration of course: 2 days.
Physics and instruction
· The basic component of ultrasound system
· Type of transducer and production of ultrasound, with an emphasis on operator controlled variables.
· Use of ultrasound control
· An understanding of the frequencies used in medical ultrasound and the effect on image quality and penetration.
· The interaction of ultrasound with tissue including biological effects.
· The safety of ultrasound and ultrasound contrast agents.
· The basic principle of real time and Doppler ultrasound including color flow and power Doppler.
· The recognition and explanation of common artifacts.
Ultrasound technique:
· Patient information and preparation.
· Indication for examinations.
· Relevance of ultrasound to other imaging modalities.
· The influence of ultrasound results on the use of spectral Doppler and color Doppler.
· Scanning techniques including the use of spectral Doppler and color Doppler.
Administrations:
· Image recording.
· Image restoring and filling.
· Reporting.
· Medico-legal aspects-outlining the responsibility to practice with specific levels of competence and the requirement for training.
· The value and role of departmental protocol.
· The recourse implications of ultrasound use
Basic Course in U/S for urologist Part (II)
Knowledge bases:
a) Sectional and ultrasonic anatomy
· Kidneys
· Ureters
· Other retro-peritoneal structures (adrenals, aorta,i.v.c)
· Bladder.
· Seminal vesicles.
· Prostate.
· scrotal content
· other pelvic structures (uterus, ovaries, lymph node, vessels, bowel)
b) Pathology in relation to ultrasound:
· Kidney: congenital anomalies, cysts, tumors(benign and malignant), stones, collecting system dilatation, renal and peri-renal abscesses, trauma , diffuse renal disease.
· Ureters : dilatation, obstruction.
· Bladder: tumors, diverticula , wall thickening , calculi, volume estimation.
· Prostate: zonal anatomy, infection, hyperplasia, tumors.
· Scrotal contents: testicular tumors, cysts, torsion, hydrocele, inflammatory problem, trauma.
Basic course in uro-oncology Introduction:
Oncology is still a revolving field and every day we discover new modality in cancer staging, treatment or prevention. The urologist has to keep himself updated in this field; this will ensure best of care to our patients. Research in cancer has to be encouraged by institutes and government to achieve the final goal, which is curing all cancer patients. In Sudan we have a long way to go before reaching the quality of care delivered to patients in developed world. One of the effective tools to get there is through arming our treating staff with the evidence-based oncology. People now, speaking about evidence to ensure that the best of care will be delivered.
Objectives:
To update the specialist about new advanced knowledge in urological cancer management.
To encourage looking at advances in oncology based on evidence, and translate that into daily practice.
Contents:
· Evidence based lectures in the field of prostate cancer management.
· Evidence based lectures in the field of bladder cancer management.
· Evidence based lectures in the field of renal cancer management.
· Evidence based lectures in the field of testicular tumors management.
· Lectures on chemotherapy drugs used in urology cancers.
· Lectures on radiotherapy models used in urology cancers treatment.
· Palliative care for end stage patients diagnosed with urological cancers.
Tools:
Supervisors:
A Standardized Guideline for Training Programs
Duration : 2days
1. Pre-operative Patient Management
2. Setting up The Operating Room
A. Prior to the Initial Incision
B. Access and Positioning
· Transperitoneal
· Open
· Veress Needle
· HAL
· Retroperitoneal
C. Types of Trocars
D. Port Placement
· Transperitoneal Right
· Transperitoneal Left
· Retroperitoneal Right
· Retroperitoneal Left
· HAL Right
· HAL Left
E. Instruments
· Laparoscope, light source, camera, monitor
· Grasping / Blunt Dissection
· Incising / Hemostasis
· Suturing
· Stapling / Clipping
· Entrapment
· Morcellation
· Aspiration / Irrigation
· Retraction
· Hand Assisted Laparoscopy
· Port Closure
4. Pneumoperitoneum Effects
5. Post-operative Patient Management
6. Complications
Advance course in laparoscopic urology
Duration of Course: 3 days
1ST Day PROGRAM
DIDACTIC INSTRUCTION
Demonstration:
DIDACTIC INSTRUCTION
3rd Day PROGRAM
DIDACTIC INSTRUCTION
Special Techniques in
Urological Surgery
Laparoscopic Ultrasound
Laparoscopic Cryoablation
Laparoscopic Radio-Frequency
Ablation
Laparoscopic Management of
Lymphocele
Laparoscopic Pelvic Lymph
Node Dissection
Hand-assisted Laparoscopic
Surgery
Tricks in Laparoscopic
Retroperitoneal Surgery
ANIMAL LABORATORY
Laparoscopic Nephrectomy (Right and Left)
Laparoscopic Pelvic Lymph
Node Dissection
Laparoscopic Hand-Assisted
Nephrectomy/Ureterectomy
CONTINUING PROFESSIONAL DEVELOPMENT CENTER
Introduction:
Specialty training in Uroology consists of core and higher speciality training.
Core training enhances the physicians capabilities through the following courses:
· Evidence Based Medicine
· Research Methodology
· Medical Education
· Leadership Skills
· Communication Skills
· Breaking Bad News
· Medical Ethics
· Medco-legal Issues
· Immediate Life Support
· Advance Life Support
Higher speciality training then builds on these core skills to develop the specific competencies required to practice independently as a Urologist.
Specialized Courses:
· Basic Uro-dynamic.
· Basic U/S for urologist
· Basic Uro-oncology
· Basic laparoscopic urology
· Advance laparoscopic urology
Basic course of Urodinamics Objectives:
The course is a combination of lectures using slides, videos, PowerPoint or overheads, interactive discussion and practical demonstrations. Time is spent discussing the basic principles of urodynamics, setting up equipment, urodynamic techniques, and interpretation of results and writing reports. Most of the relevant topics are covered but this is not a specialised course and neither does it cover the advanced application of urodynamics to management.
Duration of course: 2days
Target Group: For Urologist and Gynecologist:
- Introduction
- An overview of Urodynamics
- Basic principles of Urodynamics
- Getting started - 'How to set up and use the equipment'
- Flow Studies
- Urodynamic Studies - Video transmission
- Urodynamic and Video Urodynamic Studies - male and female
- Paediatric and Neurological cases (presented by course participants)
- Ambulatory monitoring
- Interpretation of traces
- Misinterpretation and artefacts of Urodynamic traces
- Interactive discussion
The program contain:
(1) Main Course Topics Include:
- Principles of Urodynamics
- Uroflowmetry
- Filling Cystometry
- Urethral Pressure Profilometry
- Long Term Ambulatory Monitoring
- Voiding Cystometry
- Video Urodynamics
- The Significance of Urinary Symptoms
- Urodynamics in Children
- Urodynamics in Women
- Urodynamics in Men
- Urodynamics in Neuropathic Patients
(2) Practical Day Topics Include:
- Equipment and Measurement
- Demonstration of Urodynamic Technique
- Video Transmission of
- Female Urodynamic Test
- Male Urodynamic Test
- Demonstration of Video Urodynamic Recordings
- Setting up Equipment (Practical)
- Interpretation of Traces
Basic Course in U/S for urologist Part (I) Duration of course: 2 days.
Physics and instruction
· The basic component of ultrasound system
· Type of transducer and production of ultrasound, with an emphasis on operator controlled variables.
· Use of ultrasound control
· An understanding of the frequencies used in medical ultrasound and the effect on image quality and penetration.
· The interaction of ultrasound with tissue including biological effects.
· The safety of ultrasound and ultrasound contrast agents.
· The basic principle of real time and Doppler ultrasound including color flow and power Doppler.
· The recognition and explanation of common artifacts.
Ultrasound technique:
· Patient information and preparation.
· Indication for examinations.
· Relevance of ultrasound to other imaging modalities.
· The influence of ultrasound results on the use of spectral Doppler and color Doppler.
· Scanning techniques including the use of spectral Doppler and color Doppler.
Administrations:
· Image recording.
· Image restoring and filling.
· Reporting.
· Medico-legal aspects-outlining the responsibility to practice with specific levels of competence and the requirement for training.
· The value and role of departmental protocol.
· The recourse implications of ultrasound use
Basic Course in U/S for urologist Part (II)
Knowledge bases:
a) Sectional and ultrasonic anatomy
· Kidneys
· Ureters
· Other retro-peritoneal structures (adrenals, aorta,i.v.c)
· Bladder.
· Seminal vesicles.
· Prostate.
· scrotal content
· other pelvic structures (uterus, ovaries, lymph node, vessels, bowel)
b) Pathology in relation to ultrasound:
· Kidney: congenital anomalies, cysts, tumors(benign and malignant), stones, collecting system dilatation, renal and peri-renal abscesses, trauma , diffuse renal disease.
· Ureters : dilatation, obstruction.
· Bladder: tumors, diverticula , wall thickening , calculi, volume estimation.
· Prostate: zonal anatomy, infection, hyperplasia, tumors.
· Scrotal contents: testicular tumors, cysts, torsion, hydrocele, inflammatory problem, trauma.
Basic course in uro-oncology Introduction:
Oncology is still a revolving field and every day we discover new modality in cancer staging, treatment or prevention. The urologist has to keep himself updated in this field; this will ensure best of care to our patients. Research in cancer has to be encouraged by institutes and government to achieve the final goal, which is curing all cancer patients. In Sudan we have a long way to go before reaching the quality of care delivered to patients in developed world. One of the effective tools to get there is through arming our treating staff with the evidence-based oncology. People now, speaking about evidence to ensure that the best of care will be delivered.
Objectives:
To update the specialist about new advanced knowledge in urological cancer management.
To encourage looking at advances in oncology based on evidence, and translate that into daily practice.
Contents:
· Evidence based lectures in the field of prostate cancer management.
· Evidence based lectures in the field of bladder cancer management.
· Evidence based lectures in the field of renal cancer management.
· Evidence based lectures in the field of testicular tumors management.
· Lectures on chemotherapy drugs used in urology cancers.
· Lectures on radiotherapy models used in urology cancers treatment.
· Palliative care for end stage patients diagnosed with urological cancers.
Tools:
- Lectures
- Tutorials
- Urologists.
- Surgical oncologists.
Supervisors:
- Senior oncologists.
- Senior urologists
- Invited international speakers.
A Standardized Guideline for Training Programs
Duration : 2days
1. Pre-operative Patient Management
2. Setting up The Operating Room
- Transperitoneal
- Retroperitoneal
A. Prior to the Initial Incision
B. Access and Positioning
· Transperitoneal
· Open
· Veress Needle
· HAL
· Retroperitoneal
C. Types of Trocars
D. Port Placement
· Transperitoneal Right
· Transperitoneal Left
· Retroperitoneal Right
· Retroperitoneal Left
· HAL Right
· HAL Left
E. Instruments
· Laparoscope, light source, camera, monitor
· Grasping / Blunt Dissection
· Incising / Hemostasis
· Suturing
· Stapling / Clipping
· Entrapment
· Morcellation
· Aspiration / Irrigation
· Retraction
· Hand Assisted Laparoscopy
· Port Closure
4. Pneumoperitoneum Effects
5. Post-operative Patient Management
6. Complications
Advance course in laparoscopic urology
Duration of Course: 3 days
1ST Day PROGRAM
DIDACTIC INSTRUCTION
- Introduction
- Basic Principles of Laparoscopy
- Technical Complications:
- Causes and Prevention
- Physiological Consequences of Laparoscopy
- Trocar Insertion
- Laparoscopic Suturing and
- Knot Tying
Demonstration:
- Laparoscopic Instrumentation
- Skills Development
- Suturing
- Intracorporeal &
- Extracorporeal Knot Tying
- Endostitch
DIDACTIC INSTRUCTION
- Laparoscopic Transperitoneal
- Retroperitoneal Nephrectomy
- Laparoscopic Ureteral Surgery
- Laparoscopic Adrenalectomy
- Laparoscopic Transplant
- Nephrectomy
- Laparoscopic Nephrectomy (Right and Left)
- Laparoscopic Ureter and
- Bladder Surgery
3rd Day PROGRAM
DIDACTIC INSTRUCTION
Special Techniques in
Urological Surgery
Laparoscopic Ultrasound
Laparoscopic Cryoablation
Laparoscopic Radio-Frequency
Ablation
Laparoscopic Management of
Lymphocele
Laparoscopic Pelvic Lymph
Node Dissection
Hand-assisted Laparoscopic
Surgery
Tricks in Laparoscopic
Retroperitoneal Surgery
ANIMAL LABORATORY
Laparoscopic Nephrectomy (Right and Left)
Laparoscopic Pelvic Lymph
Node Dissection
Laparoscopic Hand-Assisted
Nephrectomy/Ureterectomy