Cebulla A, Bolenz C, Carrion D M, Bellut L
Klinik für Urologie und Kinderurologie, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Deutschland.
Klinik für Urologie, Universitätsklinikum La Paz, Madrid, Spanien.
Urologe A. 2019 Feb;58(2):132-138. doi: 10.1007/s00120-019-0854-0.
The training of residents in urology is challenged by global trends in surgical education, increasing technological developments, subspecialization of the field and working hour regulations for physicians. Currently, there is no standardized curriculum in Europe and significant international differences exist in the education of residents.
We aimed to comprehensively map the state of urological training in an international comparison.
A selective literature review was conducted using the following keywords: "urology, training, residents".
Recent surveys have shown that urology training in Germany is subject to relatively few regulations on content, time and space when compared to other countries. A lack of a structured curriculum is considered as the main factor leading to dissatisfaction of the residents. Increasing work load, lack of surgical training and limited flexibility in family or research planning have been mentioned as barriers for successful training.
Structured and validated competence assessments and not "minimum numbers of operations" may help improve surgical training. An objective nationwide examination at the end of residency may be useful for international benchmarking.
外科教育的全球趋势、技术发展的不断增加、该领域的亚专业划分以及医生工作时间规定给泌尿外科住院医师培训带来了挑战。目前，欧洲没有标准化的课程，住院医师教育存在显著的国际差异。
我们旨在通过国际比较全面描绘泌尿外科培训的现状。
使用以下关键词进行了选择性文献综述：“泌尿外科、培训、住院医师”。
最近的调查表明，与其他国家相比，德国的泌尿外科培训在内容、时间和空间方面受到的规定相对较少。缺乏结构化课程被认为是导致住院医师不满的主要因素。工作量增加、缺乏手术培训以及家庭或研究计划的灵活性有限被提及为成功培训的障碍。
结构化和经过验证的能力评估而非“最低手术数量”可能有助于改善外科培训。住院医师培训结束时进行全国性客观考试可能有助于进行国际基准比较。
