The definition of ideal training of a urology resident from two different perspectives: trainees vs professors. Is there agreement in their idea of good training?

Autor:	Mantica G; IRCCS Ospedale Policlinico San Martino, Genova, Italy.; Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genova, Italy.; ESRU - European Society of Residents in Urology., Carrion DM; ESRU - European Society of Residents in Urology.; Department of Urology, Torrejon University Hospital, Madrid, Spain., Pang KH; ESRU - European Society of Residents in Urology.; Institute of Andrology, University College London Hospitals NHS Foundation Trust, London, United Kingdom., Ucar T; ESRU - European Society of Residents in Urology.; Department of Urology, Yenisehir State Hospital, Bursa, Turkey., Parodi S; IRCCS Ospedale Policlinico San Martino, Genova, Italy.; Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genova, Italy., Tappero S; IRCCS Ospedale Policlinico San Martino, Genova, Italy.; Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genova, Italy., Lazarou L; ESRU - European Society of Residents in Urology.; 2 Department of Urology, National and Kapodistrian University of Athens, Sismanoglio Hospital, Athens, Greece., Glykas I; ESRU - European Society of Residents in Urology.; Department of Urology, G. Gennimatas General Hospital of Athens, Athens, Greece., Zabaftis C; ESRU - European Society of Residents in Urology.; 1 University Urology Department, Laiko Hospital, Athens, Greece., Lourenco M; ESRU - European Society of Residents in Urology.; Department of Urology, Portuguese Institute of Oncology Coimbra, Coimbra, Portugal., Padilla DAG; ESRU - European Society of Residents in Urology.; Department of Urology, Portuguese Institute of Oncology Coimbra, Coimbra, Portugal., Polledo LEO; ESRU - European Society of Residents in Urology.; Department of Urology, University Hospital Principe de Asturias, Madrid, Spain., Paraboschi I; Department of Paediatric Urology, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milano, Italy., Berrettini A; Department of Paediatric Urology, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milano, Italy., Terrone C; IRCCS Ospedale Policlinico San Martino, Genova, Italy.; Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genova, Italy., Rivas JG; ESRU - European Society of Residents in Urology.; Department of Urology, Hospital Clinico San Carlos, Madrid, Spain., Esperto F; ESRU - European Society of Residents in Urology.; Department of Urology, Campus Bio-Medico, University of Rome, Rome, Italy.
Jazyk:	angličtina
Zdroj:	Central European journal of urology [Cent European J Urol] 2023; Vol. 76 (2), pp. 162-166. Date of Electronic Publication: 2023 Apr 07.
DOI:	10.5173/ceju.2023.019
Abstrakt:	Introduction: At the end of their residency program, urology trainees should reach the minimum skills required to be able to work by themselves and within a team. To achieve this objective, it is fundamental that the training involves not only surgical activities, but also theoretical, academic, and relational ones. What is the perfect balance between these activities within the ideal urological training? This study aims to evaluate the concordance in different concepts of good urological training between different perspectives (trainees vs professors). Material and Methods: Between January and December 2020 the same survey was distributed via email to 967 urology trainees and urology tutors. The survey investigated 5 educational fields: theoretical, clinical, surgical, relational, and simulation. For each field, specific questions investigated the importance of different activities and the training outcomes considered fundamental to be reached by a resident. The questions were evaluated by responders through a Likert 10-point scale. Results: The survey was completed by 155 trainees (58.9%, Group A) and 108 tutors (41.1%, Group B) from 26 different countries. Relative to the tutors, residents assigned statistically significantly lower scores to prostate biopsy (median score 9.11 vs 9.24), robotic simulator training (5.66 vs 5.93), on-call duties with consultants (6.85 vs 7.99), as well as all aspects of relational training (e.g., proper dialogue with colleagues: 7.95 vs 8.88). Conversely, residents assigned statistically significantly higher scores, albeit below sufficiency, to the performance of robotic prostatectomy as a first operator (4.45 vs 4.26). Finally, no discrepancies between residents' and tutors' scores were recorded regarding the remaining items of clinical training (e.g., urodynamics, outpatient clinic, ward duties) and surgical training (e.g., major open, laparoscopic and endoscopic surgical training; all p values >0.05). Conclusions: There was partial concordance between trainees and tutors regarding the activities that should be implemented and the skills that should be achieved during a urological residency. The residents aimed for more surgical involvement, while the tutors and professors, although giving importance to surgical and theoretical training, considered clinical practice as the fundamental basis on which to train future urologists. Competing Interests: The authors declare no conflicts of interest. (Copyright by Polish Urological Association.)
Databáze:	MEDLINE
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