Urology Residency

The urology residency at Virginia Mason is newly accredited through the ACGME.  The Division of Urology has always been an integral part of the educational mission of Virginia Mason and has a 45-year track record of training our own clinical fellows and urology residents from outside institutions.

The Virginia Mason urology residency program is committed to providing our residents with sound training such that they can be fully prepared to pursue careers in either clinical urology or academic medicine. The program is a 5-year program including the intern year in general surgery. Residents will be required to learn about all facets of urology ranging from oncology and pediatrics, to pelvic floor reconstruction, transplantation and stone disease. Training will include endoscopy, minimally invasive surgery (laparoscopy and robotics), and simple and complex open cases. The education will encompass the six Core Competencies as deemed by the ACGME, including patient care, medical knowledge, practice-based learning, systems-based practice, professionalism, and interpersonal skills and communication.

While residents will be carefully and attentively guided through their training, they will be expected to have graduated responsibility as they mature in their clinical and surgical skills and knowledge base.

The Mission of the Urology Section

“To provide compassionate state-of-the-art urologic care for our patients and to advance the field of urology through top-quality research and education."

Residency Training Program

Post-graduate year 1

Residents will start their training with a general surgery internship that includes rotations in vascular surgery, hepatobiliary surgery, critical care, cardiothoracic surgery, emergency room, and surgical subspecialties including urology, and plastic surgery.

Post-graduate year 2

The first year in urology will include 6-months of endoscopic surgery (encompassing treatment of stones, urinary tract tumors, and benign prostatic hypertrophy). Residents will also have an opportunity to assist in some open cases. There is a 3-month rotation in the outpatient clinic setting where they will learn how to take a proper urologic history and physical examination, consider and perform an appropriate diagnostic evaluation, and start to formulate a plan for treatment. The last 3-month rotation in the PGY-2 year is in acute care/trauma at Tacoma General Hospital.

Post-graduate year 3

The PGY-3 year includes 3-months of outpatient clinic where the residents will hone their diagnostic skills.  Residents will also be exposed further to diagnostic testing, including office ultrasound, prostate needle biopsies, and urodynamics. There is also a 3-month pediatric urology rotation at Swedish Medical Center where the residents will work closely and exclusively with two attendings to gain concentrated exposure to fundamental pediatric urology concepts and practice. The PGY-3 year also includes 6 months of dedicated time for research. The residents will have the option to pursue either basic science or clinical research dependent upon their interest. With guidance, the expectation will be for them to have identified an area of focus and an attending mentor with whom they’d like to work during their PGY-2 year (prior the start of the research rotation).

Post-graduate year 4

There are four 3-month rotations in the PGY-4 year. Residents will return to Tacoma General and Swedish Medical Center as senior residents for further exposure to acute care/trauma and pediatric urology, respectively. They will also rotate through Madigan Army Hospital to gain exposure to a busy general urology service in a different hospital system model. Finally, they will return to Virginia Mason for a rotation specifically focused on FPMRS*, prosthetics, and urinary diversions, where they will gain exposure to male and female voiding dysfunction and pelvic floor reconstruction, prostheses to include inflatable penile prostheses and artificial urinary sphincters, and urinary diversions of all types.

*FPMRS: Female pelvic medicine and reconstructive surgery is the field that focuses on pelvic floor disorders that include urinary incontinence, pelvic prolapse and neurourology. It is an ACGME-recognized subspeciality.

Post-graduate year 5

PGY-5 year includes a 3-month rotation in FPMRS/prosthetics/diversions, a 3-month rotation in transplant, and a 6-month rotation in oncology. The chief residents will also have administrative duties in addition to their responsibilities to oversee the junior residents on the endoscopic rotation.


There is protected time for didactics and conferences. The program includes an extensive didactic schedule with lectures occurring 1-2 times a week in addition to weekly uroradiology conference, bimonthly tumor board, monthly Morbidity and Mortality conference and monthly journal club. There is also a monthly research meeting where the residents will learn about biostatistics, study design and data management.

VM Block Diagram

How to Apply

All application materials must be forwarded to us through the Electronic Residency Application Service (ERAS). Once this process has been completed, your application will be reviewed. See applications page for details.

The Urology Residency Program at Virginia Mason participates in the American Urological Association Residency Match.

Interview Days

Applicants who are selected to interview with Virginia Mason will receive an invitation via ERAS, as applications are reviewed. The Urology Residency Program will be interviewing on the following days:

  • Fridays, March 27th & May 1st