Urology residency training in Greece. Results from the first national resident survey.

Formación de la residencia de Urología en Grecia. Resultados de la primera encuesta nacional.
Encuesta nacional de residentes Encuestas a residentes Greek urology residency program Greek urology training program National resident survey Programa de formación en Urología en Grecia Programa griego de residencia en Urología Resident surveys

Journal

Actas urologicas espanolas
ISSN: 2173-5786
Titre abrégé: Actas Urol Esp (Engl Ed)
Pays: Spain
ID NLM: 101771154

Informations de publication

Date de publication:
10 Jun 2021
Historique:
received: 31 10 2020
revised: 22 11 2020
accepted: 29 11 2020
entrez: 14 6 2021
pubmed: 15 6 2021
medline: 15 6 2021
Statut: aheadofprint

Résumé

This is the first national survey assessing Greek Urology residency programs. The main objective of this study is to assess the level of confidence and perception of Greek Urology residents regarding their educational program and detect areas of improvement. A 51-question survey was developed via an electronic platform and answered by 91 out of 104 Greek residents from March 2019 until May 2019. Fisher's exact test, chi-squared test and Kruskal-Wallis test were used with statistical significance set at p=.05. The median overall satisfaction regarding surgical training was 6/10 regardless of working schedule, working in a University Department, PGY or number of residents in clinic. Most residents have not performed any scrotal ultrasound or pressure-flow-studies; however, they are more familiar with KUB ultrasound. Double-J stent insertion and cystoscopy were common procedures for residents. Bureaucracy was reported as a major issue by 70.4% of residents. ESWL has not been performed by 80.2% of residents, 58.2% residents performed less than 10 ureteroscopies, and only the last year trainees performed more than 10 TURBT and TURP. Most residents mentioned to rarely perform basic steps in many open or laparoscopic urological procedures. Surprisingly, 59.3% of residents have not published any study in peer-reviewed journals. Regarding satisfaction, 44% rarely feel satisfied at work and 59.3% sometimes suffer from burnout. Response rate reached 87.5%. Considering the results from this survey, regulatory authorities should join forces to establish a structured curriculum of clinical, surgical and research training in Urology across Europe.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
This is the first national survey assessing Greek Urology residency programs. The main objective of this study is to assess the level of confidence and perception of Greek Urology residents regarding their educational program and detect areas of improvement.
MATERIAL AND METHODS METHODS
A 51-question survey was developed via an electronic platform and answered by 91 out of 104 Greek residents from March 2019 until May 2019. Fisher's exact test, chi-squared test and Kruskal-Wallis test were used with statistical significance set at p=.05.
RESULTS RESULTS
The median overall satisfaction regarding surgical training was 6/10 regardless of working schedule, working in a University Department, PGY or number of residents in clinic. Most residents have not performed any scrotal ultrasound or pressure-flow-studies; however, they are more familiar with KUB ultrasound. Double-J stent insertion and cystoscopy were common procedures for residents. Bureaucracy was reported as a major issue by 70.4% of residents. ESWL has not been performed by 80.2% of residents, 58.2% residents performed less than 10 ureteroscopies, and only the last year trainees performed more than 10 TURBT and TURP. Most residents mentioned to rarely perform basic steps in many open or laparoscopic urological procedures. Surprisingly, 59.3% of residents have not published any study in peer-reviewed journals. Regarding satisfaction, 44% rarely feel satisfied at work and 59.3% sometimes suffer from burnout. Response rate reached 87.5%.
CONCLUSIONS CONCLUSIONS
Considering the results from this survey, regulatory authorities should join forces to establish a structured curriculum of clinical, surgical and research training in Urology across Europe.

Identifiants

pubmed: 34120774
pii: S0210-4806(21)00092-9
doi: 10.1016/j.acuro.2020.11.008
pii:
doi:

Types de publication

Journal Article

Langues

eng spa

Informations de copyright

Copyright © 2021 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

Auteurs

L Tzelves (L)

Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Atenas, Grecia.

I Glykas (I)

Department of Urology, General Hospital of Athens"G. Gennimatas", Atenas, Grecia. Electronic address: giannis.glykas@gmail.com.

L Lazarou (L)

Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Atenas, Grecia.

C Zabaftis (C)

First Department of Urology, National and Kapodistrian University of Athens, Laiko Hospital, Atenas, Grecia.

C Fragkoulis (C)

Department of Urology, General Hospital of Athens"G. Gennimatas", Atenas, Grecia.

A Leventi (A)

Department of Urology, General Hospital of Athens"G. Gennimatas", Atenas, Grecia.

N Moulavasilis (N)

First Department of Urology, National and Kapodistrian University of Athens, Laiko Hospital, Atenas, Grecia.

D Tzavellas (D)

First Department of Urology, National and Kapodistrian University of Athens, Laiko Hospital, Atenas, Grecia.

K Tsirkas (K)

Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Atenas, Grecia.

K Ntoumas (K)

Department of Urology, General Hospital of Athens"G. Gennimatas", Atenas, Grecia.

P Mourmouris (P)

Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Atenas, Grecia.

A Dellis (A)

2.(nd) Department of Surgery, National and Kapodistrian University of Athens, School of Medicine, Aretaieion Hospital, Atenas, Grecia, 1.(st) Department of Urology, National and Kapodistrian University of Athens, School of Medicine, Laiko Hospital, Atenas, Grecia.

I Varkarakis (I)

Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Atenas, Grecia.

A Skolarikos (A)

Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Atenas, Grecia.

E Liatsikos (E)

Department of Urology, University of Patras, School of Medicine, Patras, Grecia.

I Gkialas (I)

Department of Urology «Agios Savvas», Anti-Cancer Oncologic Hospital of Athens, Atenas, Grecia.

Classifications MeSH