Pathways to paediatric urology subspecialisation: a study of casemix, incumbent attitudes and opinions.

Autor: O'Kelly F; Division of Paediatric Urology, Beacon Hospital, University College Dublin, Dublin, Ireland. fardod.okelly@ucd.ie., t'Hoen LA; Department of Pediatric Urology, Erasmus MC University Medical Center, Rotterdam-Sophia Children's Hospital, Rotterdam, The Netherlands., Banuelos Marco B; Department of Urology, University Hospital El Clinico, Madrid, Spain., Lammers RJM; Department of Urology, University Medical Center Groningen, Groningen, The Netherlands., Sforza S; Paediatric Urology, Meyer Children Hospital, University of Florence, Florence, Italy., Hiess M; Department of Pediatric Urology, Hospital of the Sisters of Charity Linz, Linz, Austria., Bindi E; Department of Pediatric Surgery, AOU Delle Marche, Ospedale Pediatrico G Salesi, Ancona, Italy., Baydilli N; Department of Pediatric Urology, Erciyes University Faculty of Medicine, Kayseri, Turkey., Donmez MI; Division of Pediatric Urology, Department of Urology, İstanbul University İstanbul Faculty of Medicine, Istanbul, Turkey., Paraboschi I; Department of Pediatric Urology, IRCCS Fondazione Ca Granda Ospedale Maggiore Policlinico, Milan, Italy., Atwa A; Urology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt., Spinoit AF; Department of Urology, Ghent University Hospital, Ghent University, Ghent, Belgium., Haid B; Department of Pediatric Urology, Hospital of the Sisters of Charity Linz, Linz, Austria., Silay S; Department of Urology, Biruni University, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: World journal of urology [World J Urol] 2024 Jan 13; Vol. 42 (1), pp. 34. Date of Electronic Publication: 2024 Jan 13.
DOI: 10.1007/s00345-023-04743-y
Abstrakt: Objective: To identify any self-reported differences or attitudes towards certification, publication, or practice patterns between adult urology and paediatric general surgery-trained paediatric urology providers. There are no known published differences in clinical/operative/research outcomes in either group.
Methods: An 18-item cross-sectional survey was compiled through the EAU Young Academic Urologists (YAU) office and disseminated to a trans-Atlantic convenience sample of current practising paediatric urologists. This was created using a mini-Delphi method to provide current semi-quantitative data relating to current opinions and attitudes of this cohort.
Results: A total of 228 respondents completed the survey, with female respondents representing 37% and 34% for urology and paediatric general surgery, respectively. Nearly 90% overall respondents felt that a full 2-year paediatric fellowship program was very important and 94% endorsed a collaborative dedicated paediatric urology on call service, with 92% supporting the joint development of transitional care. Urology managed higher numbers of bedwetting (p = 0.04), bladder bowel dysfunction (p = 0.02), endourological procedures (p = 0.04), and robotics (p = 0.04). Paediatric general surgery managed higher numbers of laparoscopic reconstruction (p = 0.03), and posterior urethral valve ablation (p = 0.002).
Conclusion: This study represents the first time that a cross-sectional cohort of paediatric urologists from different training backgrounds were compared to assess their productivity, practice patterns and attitudes. Paediatric urology is in a unique position to have two contributing specialities, with the ability to provide optimal transitional and lifelong care. We believe that there should be a strong emphasis on collaboration and to remove any historically-created barriers under policies of equity, diversity and inclusivity.
(© 2024. The Author(s).)
Databáze: MEDLINE
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