NKTI Division of Urology, Urologist's Training Services

The NKTI Urology Training Program

Pre-Requisites for Application:

1. Certificate that the applicant has completed at least two years of General Surgery residency, properly accredited by the Philippine Board of Surgery
2. Philippine Regulatory Commision Medical Board Rating
3. Photocopy of applicant's Medical License
4. Photocopy of Medical School Diploma
5. Certified True Copy of Transcript of Records of the applicant's medical school
6. At least two Letters of Recommendation
7. Properly accomplished Application Form with two 2x2" pictures

A written exam consisting of multiple choice and fill-in-the-blanks questions on both Urology (50%) and General Surgery (50%) will be given to all applicants. Three separate personal interviews will be conducted by 3 different consultants. Consideration and ranking of applicants will be based on (in no particular order):

1. Interview mean.
2. Written exam score
3. Letter of Recommendation
4. Other factors.

The NKTI has its own General Surgery training program. However residents in that program who wish to enter the Division must apply in the same fashion and take the same risks as applicants from other institutions. No particular advantage is technically alloted to NKTI GS residents.

The program consists of four years of Urology residency. Depending on the available slots, two to three first year residents are selected. The residency training program is designed with a step-ladder approach, such that for each year level, duties and responsibilities as well as the complexity and difficulty of surgical procedures are increased gradually.

First Year:

During the first year, the main training objective is the diagnosis and management with pre- and post-operative care of Urological patients. As such, the first year resident, in theory, does not scrub into any operative procedure. The first year is divided into a Ward rotation, an Xray rotation, and an OR rotation (if there are 3 first year residents). The Ward Rotator is in charge of all ward referrals. These include admissions, referrals from other departments, emergency referrals, referrals for adverse events on patients in the ward or ER, facilitation of laboratory work-ups and results, etc. The Xray Rotator is in charge of all radiographic and other imaging studies done on all patients. These include the procurement of plates, performance of special radiographic procedures (voiding cystourethrograms, retrograde urethrograms, cystograms, transrectal ultrasonograms, etc), and urodynamic studies. The OR Rotator (if there is a 3rd first year resident available) is tasked to assist in any and all operating room procedures as needed. The rotations are divided equally among the first years and are rotated throughout the year.  In addition to this, for one month of the first year, the resident is sent to St. Luke's Medical Center Stone Treatment Center for a rotation in Extracorporeal Shock Wave Lithotripsy, where he learns to assess patients for lithotripsy, isolate the stone, conduct the treatment itself, and follow-up each patient.

Second Year:

The main training objective for the second year is to master basic surgical skills and technique, to assist in open surgical procedures, and to learn basic endourological procedures. The Second Year resident is the main workforce of the operating room. A second year must scrub in all open procedures done by the Division and is in charge of the compliance of all pre- and post-operative records, such as the Pre-Op Notes, Post-Op Notes, Histopathologic Form, Operative Technique, Post-Op Orders, Logbook of Operations, etc. He is also allowed to do some of the simpler open procedures like cystolithotomies, proximal and middle ureterolithotomies, and orchiectomies. The Second Year is also responsible for presenting at hospital-wide conferences like the CPC (Clinico-Pathological Conference) and the Hospital Tumor Board. For four months, the Second Year resident rotates at the UP-PGH (University of the Philippines-Philippine General Hospital) Medical Center specifically for urologic trauma, minor open procedures, and infertility and sexual dysfunction, aspects of urology which are less prevalent at the NKTI.

Third Year:

The Third Year's main training objective is to master major open Urological procedures and to assist in more advanced cases. All open surgeries, except for cancer, plastic/reconstructive, transplant and pediatric procedures are the main responsibility of the Third Year. They also assist and supervise the junior residents in all endoscopic, minor or open procedures that they do. They are also the main assistants for consultant's open procedures. The Third Year is also responsible for the day-to-day conduct of the In- and Out-patient areas.

Fourth Year:

The fourth year's training objective is to master all advanced Urological procedures, including radical cancer surgery, transurethral resection, plastic/reconstructive, and pediatric cases. One Fourth Year is chosen as the Chief Resident and his role is supervisory to all the more junior residents. The Chief Resident has prerogative in the assignment and scheduling of all urologic cases, disciplinary actions, interdepartment affairs, etc.

Rotators from other Institutions

One thing that makes the Division unique among the other Urology training programs in the country is the wide array of diagnostic and therapeutic facilities that it can offer to its charity patients at an affordable rate. This offers residents-in-training a great deal of opportunities for direct hands-on experience to learn such procedures than if they merely observe. As such, the Division would gladly accept rotators from other institutions both local and abroad, and has been doing so since its inception. Currently regular rotators from the Philippine General Hospital (1st year Urology), Jose Reyes Memorial Medical Center (4th year Urology), East Avenue Medical Center (2nd year Urology), University of the East - Ramon Magsaysay Medical Center (3rd year Urology), and Manila Central University Hospital (3rd year General Surgery). This doesn't include the 2nd year General Surgery residents of NKTI who also rotate at the Division. Occasionally, the Division has rotators from abroad who observe operations that are seldomly done in their respective institutions, such as open stone surgery of the urinary tract.

For those institutions who are interested in rotating their own trainies to the Division, kindly send a letter of intent addressed to:

Dr. Abelardo M. Prodigalidad
Head, Division of Urology
National Kidney and Transplant Institute
East Avenue
Diliman, Quezon City 1100
Philippines

A memorandum of agreement will be sent to you and if this is agreeable to you and to your supervisor (ie: Department Chairman), you can start your rotation anytime.

Links / Topics for Practicing Urologists, Residents, Interns, or other Medical Professionals.

 

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