Panda Arabind
Department of Urology, Christian Medical College Hospital, Vellore, India.
Indian J Urol. 2010 Jul;26(3):326-30. doi: 10.4103/0970-1591.70560.
The format of urological training in India has changed little since its inception. The dogma of tradition has perhaps failed to consider the paradigm shifts in the science. A system that was relevant 50 years ago may not be so relevant today. The majority of procedures are endourological and laparoscopic, to which an average surgical resident has minimal exposure. Yet, the fundamentals of surgical craft are best learnt prior to any sub-specialty training. This is an apparent contradiction that has to be bridged if our training programs seek to be the foremost in the world. A single restructured training program that combines the core surgical curriculum to an extended exposure to the subspecialty will perhaps best address this issue.
自印度泌尿外科培训开始以来，其形式变化甚微。传统的教条或许未能考虑到科学领域的范式转变。一个50年前适用的体系如今可能不再适用。大多数手术是腔内泌尿外科手术和腹腔镜手术，普通外科住院医师对这些手术的接触极少。然而，手术技艺的基础最好在任何亚专业培训之前就掌握。如果我们的培训项目想要在世界上名列前茅，就必须解决这一明显的矛盾。一个将核心外科课程与延长的亚专业接触相结合的单一重组培训项目或许能最好地解决这个问题。
