The goal this year is to increase knowledge and competence in outpatient and inpatient management in adult urologic disease. To develop knowledge and competence in outpatient and inpatient management in pediatric urologic disease. To increase resident responsibility, under supervision, for patient care in all areas of urology. To develop understanding of disease progression and treatment by providing continuous care in outpatient, operating room and inpatient settings To increase resident exposure and skills in more difficult endoscopic urologic surgery. To increase resident skills and responsibility in open surgical techniques. To develop an understanding of a different hospital and medical care system from the parent institution. The rotation is split between three different services: UIHC, VAMC and Pediatrics.