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

被引:0
|
作者
O'Kelly, F. [1 ]
t'Hoen, L. A. [2 ]
Banuelos Marco, B. [3 ]
Lammers, R. J. M. [4 ]
Sforza, S. [5 ]
Hiess, M. [6 ]
Bindi, E. [7 ]
Baydilli, N. [8 ]
Donmez, M. I. [9 ]
Paraboschi, I. [10 ]
Atwa, A. [11 ]
Spinoit, A. F. [12 ]
Haid, B. [6 ]
Silay, S. [13 ]
机构
[1] Univ Coll Dublin, Beacon Hosp, Div Paediat Urol, Dublin, Ireland
[2] Erasmus MC Univ Med Ctr, Rotterdam Sophia Childrens Hosp, Dept Pediat Urol, Rotterdam, Netherlands
[3] Univ Hosp El Clin, Dept Urol, Madrid, Spain
[4] Univ Med Ctr Groningen, Dept Urol, Groningen, Netherlands
[5] Univ Florence, Meyer Children Hosp, Dept Pediat Urol, Florence, Italy
[6] Hosp Sisters Charity Linz, Dept Pediat Urol, Linz, Austria
[7] Osped Pediatr G Salesi, Dept Pediat Surg, AOU Marche, Ancona, Italy
[8] Erciyes Univ, Fac Med, Dept Pediat Urol, Kayseri, Turkiye
[9] Istanbul Medeniyet Univ, Fac Med, Dept Urol, Div Pediat Urol, Istanbul, Turkiye
[10] IRCCS Fdn Ca Granda Osped Maggiore Policlin, Dept Pediat Urol, Milan, Italy
[11] Mansoura Univ, Urol & Nephrol Ctr, Urol Dept, Mansoura, Egypt
[12] Ghent Univ Hosp, Ghent Univ, Dept Urol, Ghent, Belgium
[13] Biruni Univ, Dept Urol, Istanbul, Turkiye
关键词
Fellowship; Adolescent; Transitional; Training pathway; Workforce; WORKFORCE; SURGERY; TRENDS;
D O I
10.1007/s00345-023-04743-y
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
ObjectiveTo 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.MethodsAn 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.ResultsA 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).ConclusionThis 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.
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页数:7
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