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泌尿外科培训的现状及各机构间的差异。

Current status of urological training and differences between institutions.

机构信息

Departamento de Urología, Hospital Edirne Sultan 1(er) Murat, Edirne, Turkey.

Departamento de Urología, Hospital Muş, Muş, Turkey.

出版信息

Actas Urol Esp (Engl Ed). 2022 Jun;46(5):285-292. doi: 10.1016/j.acuroe.2022.01.003. Epub 2022 Feb 15.

DOI:10.1016/j.acuroe.2022.01.003
PMID:35177364
Abstract

OBJECTIVES

Appropriate training of urology residents is important to secure not only high-quality patient care, but also the bright future of our specialty. We aimed to investigate residency training from the perspective of qualification and standardization and to evaluate surgical education, publication output, working conditions, future plans, and overall satisfaction, in a comprehensive way.

METHODS

We conducted a survey of urology chief residents/recent graduates in Turkey to identify differences between institutions and deficiencies in urology resident training. A total of 155 chief residents/recently graduated specialists were contacted by phone and a survey was completed.

RESULTS

The survey response rate was 96.1%. Respondents had high proficiency in endourology (97.3%), similar to Canada and European countries. However, they reported a lack of proficiency in laparoscopy (28.9%) and functional urology (26.2%). Also, no one had completed a robotic procedure as first surgeon. A total of 75.2% respondents had no first author publication, and 10.1% had no first author abstract presentation. There was no significant difference between institution types with or without certification. There was a satisfaction rate of 87.2% among participants.

CONCLUSIONS

It was observed that qualified and standardized training could has not been achieved and the positive effects of certification have not been seen yet. There is a lack of modernization in all aspects of education, and there is no standardized curriculum addressing academic research. Therefore, there is a risk that future urologists will have insufficient skills. We hope this study serves as a guide for modernization and standardization in urology training.

摘要

目的

不仅要确保高质量的患者护理,还要确保我们专业的光明未来,对泌尿科住院医师进行适当的培训很重要。我们旨在从资格和标准化的角度调查住院医师培训,并全面评估手术教育、发表成果、工作条件、未来计划和整体满意度。

方法

我们对土耳其的泌尿科住院总医师/最近毕业的专科医生进行了调查,以确定机构之间的差异和泌尿科住院医师培训中的不足。通过电话联系了 155 名住院总医师/最近毕业的专科医生,并完成了一项调查。

结果

调查的回复率为 96.1%。受访者在腔内泌尿外科方面的熟练度很高(97.3%),与加拿大和欧洲国家相似。然而,他们报告在腹腔镜检查(28.9%)和功能泌尿外科(26.2%)方面熟练度较低。此外,没有人作为第一外科医生完成过机器人手术。共有 75.2%的受访者没有第一作者发表论文,10.1%的人没有第一作者摘要演讲。有认证和没有认证的机构类型之间没有显著差异。参与者的满意度为 87.2%。

结论

观察到尚未实现合格和标准化培训,并且认证的积极影响尚未显现。教育的各个方面都缺乏现代化,并且没有针对学术研究的标准化课程。因此,未来的泌尿科医生可能会技能不足。我们希望这项研究为泌尿科培训的现代化和标准化提供指导。

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