Display options
Share it on

Arab J Urol. 2014 Mar;12(1):15-20. doi: 10.1016/j.aju.2013.06.001. Epub 2013 Jul 23.

Bringing excellence into urology: How to improve the future training of residents?.

Arab journal of urology

Arkadiusz Miernik, Sabina Sevcenco, Franklin Emmanuel Kuehhas, Christian Bach, Noor Buchholz, Fabian Adams, Konrad Wilhelm, Martin Schoenthaler

Affiliations

  1. Department of Urology, University Medical Centre Freiburg, Freiburg, Germany.
  2. Department of Urology, Medical University of Vienna, Vienna, Austria.
  3. Department of Urology, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
  4. Department of Urology, Endourology & Stone Services, The Royal London Hospital, Bartshealth NHS Trust, London, UK.

PMID: 26019915 PMCID: PMC4434502 DOI: 10.1016/j.aju.2013.06.001

Abstract

THE PROBLEM: The demographic development of society leads to an increased demand for physicians. Particularly in the surgical disciplines, there is a noticeably declining interest among graduates from medical schools worldwide. For reasons discussed in detail, this applies especially to urology.

SOLUTIONS: We indicate possibilities on how to counteract this trend, by improving the training for urology residents. Whereas some major changes for the better have already been introduced into the curricula in some countries, others will have to be further specified in the future. This article gives an overview of the requirements of a specific training programme, from a planning phase to its certification. Aspects such as the selection of candidates, the goals of a good training programme, and an implementation strategy are presented. Essential elements of a urology resident programme for effective coaching, improving medical skills (e.g. in surgical laboratories), knowledge revision, progress evaluation, and retrospection are discussed critically, giving an understanding of the crucial requirements of a good and attractive education in urology.

CONCLUSION: A structured and well organised training programme might attract additional medical students towards urology and contribute significantly to the further development of the speciality. This can be seen as an initiative to counteract the decline of urology as an attractive field of interest to upcoming generations of physicians, and therefore to ensure urological care of the highest quality that patients deserve.

Keywords: Dry laboratory; Fellowship; Medical education; Residents; Skills assessment

References

  1. Educ Health (Abingdon). 2009 Aug;22(2):269 - PubMed
  2. Urologe A. 2012 Feb;51(2):254-6 - PubMed
  3. J Urol. 2011 Jul;186(1):26-34 - PubMed
  4. J Surg Educ. 2013 May-Jun;70(3):293-4 - PubMed
  5. J Urol. 2006 Jun;175(6):2243-7; discussion 2247-8 - PubMed
  6. J Minim Invasive Gynecol. 2009 Mar-Apr;16(2):136-41 - PubMed
  7. Urologe A. 2012 Nov;51(11):1589-90 - PubMed
  8. J Urol. 2008 May;179(5):1690-9 - PubMed
  9. Urologe A. 2006 Oct;45(10):1316-7 - PubMed
  10. JAMA. 2007 Nov 14;298(18):2191-3 - PubMed
  11. BJU Int. 2012 May;109(10):1444-8 - PubMed
  12. Ann Surg. 2012 Dec;256(6):904-8 - PubMed
  13. Am J Surg. 2011 Sep;202(3):352-6 - PubMed
  14. Cah Sociol Demogr Med. 1990 Oct-Dec;30(4):543-55 - PubMed
  15. J Pediatr Urol. 2011 Apr;7(2):113-7 - PubMed
  16. Lancet. 2011 Feb 26;377(9767):769-81 - PubMed
  17. JAMA. 2003 Sep 3;290(9):1173-8 - PubMed
  18. Med Educ. 2010 Jun;44(6):603-12 - PubMed
  19. Nat Rev Urol. 2010 Jul;7(7):403-13 - PubMed
  20. Patient Saf Surg. 2008 Jun 11;2:16 - PubMed
  21. J Urol. 2008 Oct;180(4 Suppl):1814-8; discussion 1818 - PubMed
  22. ScientificWorldJournal. 2006 Mar 08;6:2370-80 - PubMed
  23. Rev Med Liege. 1999 Apr;54(4):224-8 - PubMed
  24. Ann Surg. 2013 Apr;257(4):586-93 - PubMed
  25. J Surg Educ. 2013 Jan-Feb;70(1):81-6 - PubMed
  26. BJU Int. 2013 Jan;111(1):171-8 - PubMed
  27. Surgeon. 2011;9 Suppl 1:S14-5 - PubMed
  28. Urology. 2011 Mar;77(3):525-32 - PubMed
  29. J Endourol. 2012 Mar;26(3):283-93 - PubMed
  30. J Surg Educ. 2013 Jan-Feb;70(1):138-43 - PubMed
  31. BJU Int. 2003 Sep;92(4):337-9 - PubMed
  32. Urologe A. 2011 Feb;50(2):180-7 - PubMed

Publication Types