The clinical need for undergraduate urology (original) (raw)
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Journal of Clinical Urology, 2014
Objective: The objective of this article is to critically assess the value of a medical student and junior doctor weekend introduction to urology course. Materials and methods: All UK medical students and foundation doctors were invited to attend an introductory course held at The Royal Society of Medicine, London, organised by the Section of Urology. The course included consultant-delivered lectures, practical skills sessions and an academic competition. Pre-and post-course feedback questionnaires were used to assess (a) perceptions of urology as a specialty, (b) career aspirations and (c) confidence performing basic urological surgical skills. Results: Sixty delegates attended from a variety of UK medical schools and hospitals. Seventy-three per cent of respondents were more likely to pursue a career in urology post-course. The most common negative perceptions included being a competitive career with long training and lacking glamour. Confidence in suturing, knot tying, suprapubic catheterisation, basic laparoscopy and cystoscopy were significantly improved following this course (p < 0.005). Conclusion: A short urology course should be offered to medical students by urology departments and surgical societies; it will benefit students as well as the specialty. It is important that medical students are exposed early to urology given both positive and negative perceptions. Such initiatives may help strengthen the positive perceptions and dispel negative perceptions while increasing delegates' desire to pursue a urology career.
Teaching Urology to Undergraduates: A Prospective Survey of What General Practitioners Need to Know
International Journal of Environmental Research and Public Health
Background: Higher education training in Medicine has considerably evolved in recent years. One of its main goals has been to ensure the training of students as future adequately qualified general practitioners (GPs). Tools need to be developed to evaluate and improve the teaching of Urology at the undergraduate level. Our objective is to identify the knowledge and skills needed in Urology for the real clinical practice of GPs. Methods: An anonymous self-administered survey was carried out among GPs of Primary Care and Emergencies which sought to evaluate urological knowledge and necessary urological skills. The results of the survey were exported and descriptive statistics were performed using IBM SPSS Statistics version 19.0. Results and limitations: A total of 127 answers were obtained, in which ‘Urological infections’, ‘Renal colic’, ‘PSA levels and screening for prostate cancer’, ‘Benign prostatic hyperplasia’, ‘Hematuria’, ‘Scrotal pain’, ‘Prostate cancer diagnosis’, ‘Bladder ...
Journal of Medicine and the Person, 2011
Recent studies suggest a consistent decline of formal urological education in medical schools. We sought to determine whether a standardized urology curriculum improves student clinical knowledge. A confidential questionnaire was distributed to two groups of clinical medical students following the completion of their third year: one with no urology rotation (non-GU) and another with a 2-week urology clinical clerkship (GU). The survey included questions pertaining to topics within general urology, and it also addressed their comfort with Foley catheter placement. Differences between cohorts were assessed by the Fisher exact test. In total, 131 GU students and 56 non-GU students completed surveys. More GU students felt comfortable placing a Foley catheter (p \ 0.001). Additionally, more students in the non-GU group believed that patients aged 70-74 (p = 0.047), 75-79 (p \ 0.001) and older than 80 years (p \ 0.001) should receive routine PSA screening.
LEARN : a multicentre, cross‐sectional evaluation of Urology teaching in UK medical schools
BJU International
To evaluate the status of UK undergraduate urology teaching against the British Association of Urological Surgeons (BAUS) Undergraduate Syllabus for Urology. Secondary objectives included evaluating the type and quantity of teaching provided, the reported performance rate of General Medical Council (GMC)-mandated urological procedures, and the proportion of undergraduates considering urology as a career. Subjects and Methods The uroLogical tEAching in bRitish medical schools Nationally (LEARN) study was a national multicentre cross-sectional evaluation. Year 2 to Year 5 medical students and Foundation Year (FY) 1 doctors were invited to complete a survey between 3 October and 20 December 2020, retrospectively assessing the urology teaching received to date. Results are reported according to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Results In all, 7063/8346 (84.6%) responses from all 39 UK medical schools were included; 1127/7063 (16.0%) were from FY1 doctors who reported that the most frequently taught topics in undergraduate training were on urinary tract infection (96.5%), acute kidney injury (95.9%) and haematuria (94.4%). The most infrequently taught topics were male urinary incontinence (59.4%), male infertility (52.4%) and erectile dysfunction (43.8%). Male and female catheterisation on patients as undergraduates was performed by 92.1% and 73.0% of FY1 doctors respectively, and 16.9% had considered a career in urology. Theory-based teaching was mainly prevalent in the early years of medical school, with clinical skills teaching, and
Is there a need for an undergraduate urological curriculum?
British Journal of Medical and Surgical Urology, 2012
Objectives: To review Medical student education in urology and assess students self reported knowledge and management competency of common urological conditions. To determine the degree of undergraduate exposure to urology and students intentions to follow a post graduate career in urology. Methods: Questionnaires were completed by final year medical students prior to final examinations over a five year period to assess exposure to undergraduate urology and consideration of urology as a postgraduate career. Students from a single year were asked to rate their knowledge and management competency with respect to a variety of common urological pathologies. Results: Students reported low levels of confidence to manage common and emergency urological conditions. Undergraduate exposure to urology is decreasing year on year, with fewer and fewer students considering urology as a future career option. Conclusions: Undergraduate exposure to urology is poor and as a consequence of this, fewer students are considering a career in urology. This trend needs to be reversed, possibly in part, by the implementation of a defined undergraduate urological curriculum and BAUS needs to foster a greater undergraduate presence to stimulate current medical undergraduates to consider a urological career.
The Current State of Urological Education for Medical Students
Urology Practice, 2017
Introduction: Providing medical students with a basic urological education is important as the geriatric population expands and the need for urological care increases. In the last decades there have been considerable changes to medical school curricula and graduation requirements that may impact medical student exposure to urology. We reviewed the literature pertaining to urological education for medical students in the United States. Methods: We searched the PubMedÒ and MedlineÒ databases to identify articles pertaining to medical student education in urology. We summarized these articles according to 4 themes, including 1) medical student electives in urology, 2) medical student career interest in urology, 3) new interventions in urology education and 4) the urology match. Results: We identified 25 articles, which showed that 1) medical student exposure to urology has markedly declined, 2) medical students remain highly interested in pursuing a career in urology, 3) the AUA (American Urological Association) medical student curriculum has provided a key resource for medical school urological education and 4) applying for urology residency may be expensive and challenging. Conclusions: Medical school urological education has changed in the last decades. Although it appears that fewer medical students are required to rotate through urology, new materials are available to educate medical students in urology and many students are highly interested in pursing a career in the field.
DEVELOPMENT AND INITIAL EVALUATION OF A NOVEL UROLOGY CURRICULUM FOR MEDICAL STUDENTS
Journal of Urology, 2004
Purpose: After the development and implementation of a novel urology curriculum for medical students we evaluated urological learning by medical students using a validated measure of learning in the 4 clinical areas of benign prostatic hyperplasia, erectile dysfunction, prostate cancer and prostate specific antigen screening.
Undergraduate Education for Urology in Europe. Where Do We Stand?
European Urology, 2020
Regardless of career intentions, junior doctors will meet patients with urological problems. There are no studies on the status of undergraduate education for urology in Europe. We designed an 18-item online survey using the platform www. surveymonkey.com to assess the current status of undergraduate education in urology. A total of 347 medical students, trainees, and urologists responded to the survey. Medical students' exposure to urology during their undergraduate career was heterogeneous. Although the quality of urology education was valued from moderate to high, urology as a speciality did not influence their future training decision making. Decision making in relation to residency training correlated with the number of hours spent on practical training, duration of urology rotation, and year of medical school in which urological exposure was introduced. The current European exposure to urology at undergraduate level is heterogeneous, with various factors influencing future decisions regarding training and specialisation. A uniform undergraduate curriculum would eliminate such heterogeneous exposure and facilitate a workforce fit for the future urological needs. Patient summary: Junior doctors will meet patients with urological problems in the wards, emergency departments, and primary care. Institutions should work together for a urological curriculum that fits the future clinical requirements.