1. Lauren Douglas Program Assistant Urology Program

2. October 2017 Royal College Confirmed Launch of CBD in Urology for July 2018
Received Final Documents in November 2017
Started the Mapping Process late January (Mapping Committee)

3. CURRICULUM MAPPING - UROLOGY (July 2018-June 2019)
PG YEAR
EPA
Description
# Assessments to Pass
Observed/ Reviewed
Who How
Where
Milestones
Relevant Milestones 1
TD1
Assessing patients with a urological presentation 6
Observed
3 = Senior Resident or Chief Resident 3 = Faculty
2 different sites 2 different assessors
COM 1.2, COM 2.1, ME 2.2, ME 2.2.1, ME 2.2.7, COM 2.3, ME 3.3, ME 1.4
All
TD2
Admitting patients to urology service 3
Reviewed
3 = Senior Resident or Chief Resident
2 different sites
ME 2.4, COM 5.1, COM 5.1.3, P 1.1
TD3
Discharging patients from the urology service 2
2 = Senior Resident or Chief Resident
ME 4.1, ME 5.2, COM 5.1, COM 3.2, P 1.1
TD4
Collaborating with other services 5
2 = Observed 3 = Reviewed
5 = Senior Resident or Chief Resident
ME 4.1.2, COL 2.1, P 1.1.1, F1
Assessing & managing patients with a difficult catheterization in an urgent setting 4
4 = Senior Resident or Chief Resident
all sites (at least 1 at each site)
ME 1.4, ME 2.1.1, ME 3.1, ME 3.2, ME 3.4, ME , COM 5.1 F2
Recognizing & managing urosepsis in patients with urinary obstruction
2 = Faculty
ME 2.1.1, ME 2.1, ME 1.4, ME 2.2.5, ME , ME 2.4, ME 3.1, ME 3.3, COL 1.2, COL 3.1, ME 3.4, COM 3.1, COM 4.1, COM 5.1.3 F3
Assessing & managing patients with acute scrotal/perineal pain
1 = Faculty
all sites
ME 2.1, COM 1.2, ME 2.2, ME 2.4, ME 3.1, ME 3.3, COM 3.1, COM 4.1, COM 5.1
F4 (A)
Assessing & establishing a management plan for patients with common non-emergent urological presentations - patient assessment 8
8 = Faculty
COM 2.1, ME 2.2, ME 2.2.6, ME , ME 2.2.6, ME 2.4, L 2.1, ME 3.1, COM 3.1, COM 4.1, HA 1.1.1, HA 1.2.2, ME
F4 (B)
Assessing & establishing a management plan for patients with common non-emergent urological presentations - written communication
ME 2.2.7, COM 5.1, COM 5.1.3, COL 1.3 F5
Performing rigid cystoscopy with examination in an elective setting
3 = Faculty
all sites (one at each)
ME 3.4, ME 1.3, ME 3.4, COM 3.1 F6
Performing flexible cystoscopy with examination in an elective setting
6 = Faculty
ME 3.4, ME 1.3, COM 3.1 F8
Managing urology-specific tubes and drains on the ward
COL 2.1, ME 1.4, ME 2.2, ME 3.1, ME 3.4, P 1.1, ME 4.1, COM 5.1
C19 (B)
Supervising the urology service, including scheduling & teaching the junior learners
Observed / Reviewed
3 = Coworkers (RN's)
P 1.1, COL 1.2, COL 1.1, COL 1.3, S 2.4
C20
Delivering effective teaching presentations
rounds
S 2.4, S 3.3, S 3.4

4. SF EPA Content Urology Rotations EPA Rules
Providing initial management for critically ill surgical patients
Taught:
SF Bootcamp
Evaluated:
PGY2 ICU
Part A: Patient Assessment
Direct/indirect observation
Form 1
Three observations:
2 different presentations
Part B: Procedure Performance
Direct observation
Form 2
Clinical (ward/ER/ICU) / simulated
Four observations:
1 needle thoracostomy
1 tube thoracostomy
1 surgical airway
1 central line insertion F2
Providing initial management for trauma patients
ATLS Course (embedded in SF Boot Camp)
PGY 2 Urology HGH
Part A: ATLS Certification
Submission of certificate to Competence Committee
Part B: Pt Assessment
Two observations:
1 primary
1 secondary F3
Assessing and performing risk optimization for preoperative patients in preparation for surgery
PGY1 Gen Surg
PGY1 Vascular
PGY2 Comm Gen Surg
1 elective
1 emergent
1 high risk
1 critically ill
2 different assessors F4
Providing patient education and informed consent in preparation for surgical care
SF Boot Camp
SF Boot Camp (OSCE)
PGY1 Urology SJH
Clinical/simulated
1 emergency
2 in clinical setting

5. McMaster University Urology Competence by Design
PGY1 Road Map
Surgical Foundations EPAs
Block 1
Block 2
Block 3
Block 4
Block 5
Block 6
Block 7
Block 8
Block 9
Block 10
Block 11
Block 12
Block 13
TTD 1-7
TTD 1,6,7
FD 3
FD 7
FD 8
TTD 2,3,4,5
FD 4