Current status of urological training in Europe.

Current status of urological training in Europe.
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欧洲泌尿外科培训现状。

DOI:
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发表时间:
2018
期刊:
Archivos españoles de urología
影响因子:
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通讯作者:
J. L. Vásquez
J. L. Vásquez
中科院分区:
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文献类型:
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作者:
D. Carrion;J. Gómez Rivas;F. Esperto;G. Patruno;J. L. Vásquez

文献摘要

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由于全球外科培训趋势、技术进步、该领域的细分和医生的工作时间规定,现代泌尿外科培训在过去几年中发生了巨大变化。整个欧洲缺乏标准化的课程,这表明从开始实习到获得认证,每个国家的要求都存在巨大差异。我们试图找出泌尿外科培训中与医疗、科学和手术活动相关的问题,并总结了2013年欧洲泌尿外科住院医师教育计划(EUREP)期间以及德国、意大利和西班牙等国家的调查数据。调查数据显示,所有参与者明显缺乏对重大手术的信心,普遍不遵守工作时间规定,以及令人担忧的倦怠风险和住院医生个人生活的负面影响。讨论了可能的解决方案,包括对特定实践的早期偏好和标准化的基于模拟的培训。欧洲泌尿外科协会(EAU)和欧洲泌尿外科学院(ESU)提供广泛的工作组、教育和科学活动,以提高住院医生和泌尿科医生在其职业生涯的任何阶段的能力(外科和科学)的获得。我们简要介绍了欧亚联盟和欧洲经济共同体最重要的机会。
Modern urological training has changed drastically in the past years, due to the global surgical training trends, advances in technology, subspecialization of the field and, working hour regulations for doctors. The lack of a standardized curriculum across Europe, puts in evidence the great difference in the requirements in every country, from the start of the residency, to obtaining the accreditation. We sought to identify problems related to medical, scientific and surgical activity during urological training, and summarize data obtained from surveys realized during the European Urology Residents Education Programme (EUREP) in 2013, and from countries such as Germany, Italy and Spain. Data from surveys reveals an evident lack of surgical confidence across all participants for major procedures, a general non-compliance with the working hour regulations, and a worrisome risk for burnout and negative consequences in resident's personal lives. Possible solutions are discussed, involving an early preference for a particular practice, and a standardized simulation-based training. The European Association of Urology (EAU) and the European School of Urology (ESU) offer a wide range of working groups, educational and scientific activities for improving the acquisition of competencies (surgical and scientific) of residents and urologists at any point of their career. We describe a brief description of the most important EAU and ESU opportunities.