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Your Email. Studies suggest that asymptomatic bacteriuria in the elderly does not carry significant risk of morbidity if left untreated. Antimicrobial treatment studies for asymptomatic bacteriuria in older adults demonstrate no benefits and show increased adverse antimicrobial effects.
Consensus criteria has been developed to characterize the specific clinical symptoms that, when associated with bacteriuria, define urinary tract infection. Screening for and treatment of asymptomatic bacteriuria is recommended before urologic procedures for which mucosal bleeding is anticipated. Juthani-Mehta M. Asymptomatic bacteriuria and urinary tract infection in older adults.
Clin Geriatr Med. PMID: Nordenstam GR, et al. Bacteriuria and mortality in an elderly population. N Engl J Med. Nicolle LE, et al. This document contains objectives for those rotations considered to be important to the urologist. During the early years of training the resident will learn the principles of surgery and will be evaluated in these through the Surgical Foundations Examination of the Royal College, typically at the end of the PGY 2 year this may move earlier based on the implementation of the Surgical Foundations CBME process from the Royal College.
Objectives are structured to the level of resident training, that is junior, senior, chief resident and the rotations of the resident should reflect this gradation of training. Due to the nature of the program at Queen's, this occurs in a less structured manner. As experience and knowledge progresses, responsibility increases. At four monthly intervals, residents are evaluated according to the set objectives.
It is recognized that residents may vary in the speed with which they gain surgical proficiency and the order of rotation may not reflect their skills.
However, it is the prerogative of the consultant to allow the resident assigned to him for any surgical cases to do as much or as little of the case as he considers appropriate for the resident's training. This requires a total of 5 years of postgraduate training: 2 years of Surgical Foundations and 3 years of Urology.
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