Urology-Training & Practice

BJUI Mini Reviews - Urology training: Past, present and future

BERKELEY, CA (UroToday.com) - A urological training programme produces trained surgeons equipped with the knowledge, skills and attitudes to eventually become consultant urologists.

Modern urology comprises a range of inter-related sub-specialties, which include urological oncology, endourology, female and reconstructive surgery and andrology (Table 1 ). bjui 109 10 coverIn all sub-specialities rapid medical and surgical developments, e.g. laparoscopic, robot-assisted and single-port surgery are occurring. As the nature of the work is changing, the defi nitions of competency in urology are also changing. It is vital that urological training constantly adapts to these changes in practice to ensure that standards are maintained and patient safety is not compromised.

With the introduction of the European Working Time Directive in 2004, the training time available, for all doctors, is estimated to have dropped from 30,000 h to only 8000 h.[1] Furthermore, with earlier diagnosis, progress in minimally invasive surgery and pharmacological advances, fewer patients require major urological surgery.[2] The volume-based traditional (‘see one, do one, teach one’) Halstedian model of training is therefore likely to play a smaller role in future training. Surgeons are constantly looking for novel methods of effective training that are valid and reproducible. With quality assurance targets in place and rising patient expectations and litigation cases, it is becoming increasingly necessary to have acquired basic technical skills before operating on patients. This has led to huge interest in the field of medical simulation...View or save the full text Mini Review as a .pdf file


Rishma Gohil, Reenam S. Khan, Kamran Ahmed, Pardeep Kumar, Ben Challacombe, Mohammed Shamim Khan, and Prokar Dasgupta

MRC Centre for Transplantation, King’s College London, Department of Urology and Urology Simulation Centre, Guy’s Hospital, London, UK


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Countdown to AUA 2012 - What you need to know before you go!

LINTHICUM, MD USA (Press Release) - May 14, 2012 - The 2012 Annual Meeting is just days away. Here is helpful last-minute information for Annual Meeting Attendees.

Spring cleaning should include medical websites -- UroToday launches next-generation urology-oncology website model

BERKELEY, CA USA (Press Release) - May 1, 2012 - UroToday.com went live on May 1 with a next-generation website platform yielding faster and more advanced searches within their already extensive list of urologic diseases including prostate, bladder, and renal cancers. Since 2002,

BJUI Mini Reviews - Operative experience of urological trainees in the UK

BERKELEY, CA (UroToday.com) - Until 2007, trainees wishing to pursue a career in urology in the UK, after leaving medical school, underwent a pre-registration year, followed by a 2 – 3 year period in basic surgical training during which they acquired basic, broad-based surgical competencies while sampling the various different surgical specialties. Most then undertook a period of time in research, typically acquiring a higher degree within a 2 – 3 year period.

They then entered specialty training in urology, which took place over 5 – 6 years before being certifi ed as competent to practice independently. bjui 109 9 cover When a trainee commences surgical and urological training, his or her operative experience is usually minimal. During the course of the training period he or she acquires a range of knowledge, clinical skills, technical skills and behaviours such that by the end of training he or she is certified as competent to practice independently. For a surgeon, among the chief competences that he or she needs to acquire are the technical skills required to undertake surgery. These were traditionally acquired using an apprenticeship model whereby the trainee observed a surgeon at work, then would be assisted through one or more procedures before being allowed to undertake the procedure themselves...View or save the full text Mini Review as a .pdf file


Jonathan D. Gill, Lianne F. Stewart,* Nicholas J.R. George, and Ian Eardley

Pyrah Department of Urology, St. James's University Hospital, Leeds, *Joint Committee on Surgical Training, Royal College of Surgeons of England, London , and Department of Urology, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK


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Alan Wein, MD, PhD (Hon) named 2012 recipient of the AAGUS Keyes Medal

BERKELEY, CA USA (Press Release) - May 1, 2012 - The Keyes Medal, an award conceived in 1926, is presented to an individual for "outstanding contributions in the advancement of urology." It is recognized as the greatest individual citation in the specialty, and it has been awarded sparingly since its inception.wein2

This award was named after Edward L. Keyes, MD (a NYC physician and one of the founders of the American Association of Genitourinary Surgeons) an organization established in 1886. In the 1890s, the first reports on prostate surgery were presented during the annual program and since that time, continuing medical education has focused on surgery of the genitourinary tract.

All Keyes Medals are in cast, on order, and were originally of 14-karat gold. However, at the 1974 meeting, the membership voted that these might be cast in bronze because of the increased cost of gold.

Dr. Wein, the most recent recipient of this prestigious award, is Professor and Chief of the Division of Urology at the University of Pennsylvania School of Medicine, and Chief of Urology at the Hospital of the University of Pennsylvania and Director of the Residency Program in Urology at the University of Pennsylvania at the Hospital of the University of Pennsylvania.  Additionally he serves in the capacity of Chief Medical Editor for UroToday.

Previous recipients of the Keyes Medal award are:

  • 1933 – A.M. Richards
  • 1936 – E.L. Keyes, Jr.
  • 1937 – Hugh H. Young
  • 1944 – Henry G. Bugbee
  • 1950 – H. L. Kretschmer
  • 1951 – W.F. Braasch
  • 1954 – Frank Hinman
  • 1956 – C.C. Higgins
  • 1960 – V.J. O’Connor
  • 1965 – J.A.C. Colston
  • 1967 – D. M. Davis
  • 1969 – Edgar Burns
  • 1974 – Rubin H. Flocks
  • 1977 – Ormond S. Culp
  • 1979 – William W. Scott
  • 1982 – Harry M. Spence
  • 1983 – J. Hartwell Harrison
  • 1985 – Hugh J. Jewett
  • 1987 – Willard E. Goodwin
  • 1990 – Willet F. Whitmore
  • 1992 – William H. Boyce
  • 1994 – Victor F. Marshall
  • 1996 – John K. Latimer
  • 2001 – John T. Grayhack
  • 2003 – William Catalona
  • 2004 – Thomas Stamey
  • 2006 - Emil Tanagho
  • 2008 - John P. Donohue
  • 2010 - Donald G. Skinner
  • 2011 - Patrick C. Walsh







Beyond the Abstract - Bridging the urological divide, by Robin Roberts, MD

BERKELEY, CA (UroToday.com) - Can we in the developing countries provide a standard of urological care equivalent to that of developed countries?

BJUI Mini Reviews - What is the current status of revalidation in urology?

BERKELEY, CA (UroToday.com) - In recent years there have been a series of high profile medical adverse events resulting from inadequate regulation of healthcare provision.[ 1,2 ]

Challenges for a resident in urology in Tunisia in 2011 - Abstract

This article presents the actual state of urology and highlights some of the most significant challenges facing resident urological training in Tunisia.

BJUI Mini Reviews - Urological litigation in the UK National Health Service (NHS): An analysis of 14 years of successful claims

BERKELEY, CA (UroToday.com) - It is well known that surgical care is associated with iatrogenic injury and resulting patient harm.

Is the training and continuing education for urologists in Germany still up to date? - Abstract

Klinik und Poliklinik für Urologie und Kinderurologie, Universitätsklinikum Bonn, Sigmund-Freud-Straße 25, 53127, Bonn, Deutschland.

BJUI Mini Reviews - Recreational ketamine: From pleasure to pain

BERKELEY, CA (UroToday.com) - Ketamine is a ‘dissociative anaesthetic’ that acts as a glutamatergic N-methyl-d-aspartate antagonist.

BJUI Mini Reviews - Predictors of citations in the urological literature

BERKELEY, CA (UroToday.com) - Peer-reviewed journals are used to disseminate important research findings to the scientific community.

Editor's Commentary - Reviewing radiographic images with patients: Results of a trial on patient preferences, understanding, and satisfaction

BERKELEY, CA (UroToday.com) - Visual aids significantly improve patient/physician interactions.

AUA 2011 - The management of polycystic kidneys in renal transplantation concomitant or staged nephrectomy - Session Highlights

WASHINGTON, DC USA (UroToday.com) - Polycystic kidney (PK) disease occurs in a ratio of 1:1000.

AUA 2011 - John Duckett Memorial Lecture: Urology in 2040 - what will it look like? - Session Highlights

WASHINGTON, DC USA (UroToday.com) - There is a potential shortage in the urology workforce.


Urological litigation in the UK National Health Service (NHS): An analysis of 14 years of successful claims - Abstract

Department of Urology, Stepping Hill Hospital, Stockport, UK.

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