TY - JOUR
T1 - Urology training in the developing world
T2 - The trainers' perspective
AU - Ather, M. Hammad
AU - Siddiqui, Tahmeena
PY - 2014/3
Y1 - 2014/3
N2 - Context Despite producing some of the leading urologists in the world, urological training in the developing world is marred by inconsistency, and a lack of structure and focus on evidence-based practice. In this review we address these issues from the trainers' perspective. Introduction Teaching the art and science of urological practice is a demanding task. It not only involves helping the resident to develop the depth of cognitive knowledge, but also to have an appropriate surgical judgement, and an ability to act quickly but thoughtfully and, when necessary, decisively. Discussion The surgeon must have compassion, communication skills, be perceptive and dedicated. Most importantly, however, he or she should have the ability to cut and suture. Not all of these can be inculcated in the training programme, even with the best of efforts. The selection of an appropriate candidate therefore becomes an issue of pivotal importance. The changing focus of urological training incorporates research and evidence-based practice as essential components. It is particularly important in the developing world, as there is a dearth of standardised practice models across the healthcare system. Encouraging female residents can be done by improving and tailoring the working conditions. The 'brain drain' is a major problem in the developing world, and bureaucracy and government need to take appropriate measures to provide high-quality healthcare facilities with room for professional growth. Conclusions The future of urology will depend on improved education and training, leading to high-quality urological care, and to developing a service that is patient focused.
AB - Context Despite producing some of the leading urologists in the world, urological training in the developing world is marred by inconsistency, and a lack of structure and focus on evidence-based practice. In this review we address these issues from the trainers' perspective. Introduction Teaching the art and science of urological practice is a demanding task. It not only involves helping the resident to develop the depth of cognitive knowledge, but also to have an appropriate surgical judgement, and an ability to act quickly but thoughtfully and, when necessary, decisively. Discussion The surgeon must have compassion, communication skills, be perceptive and dedicated. Most importantly, however, he or she should have the ability to cut and suture. Not all of these can be inculcated in the training programme, even with the best of efforts. The selection of an appropriate candidate therefore becomes an issue of pivotal importance. The changing focus of urological training incorporates research and evidence-based practice as essential components. It is particularly important in the developing world, as there is a dearth of standardised practice models across the healthcare system. Encouraging female residents can be done by improving and tailoring the working conditions. The 'brain drain' is a major problem in the developing world, and bureaucracy and government need to take appropriate measures to provide high-quality healthcare facilities with room for professional growth. Conclusions The future of urology will depend on improved education and training, leading to high-quality urological care, and to developing a service that is patient focused.
KW - Developing world
KW - Programme
KW - Residency training
KW - Urology
UR - http://www.scopus.com/inward/record.url?scp=84895484752&partnerID=8YFLogxK
U2 - 10.1016/j.aju.2013.07.001
DO - 10.1016/j.aju.2013.07.001
M3 - Review article
AN - SCOPUS:84895484752
SN - 2090-598X
VL - 12
SP - 64
EP - 67
JO - Arab Journal of Urology
JF - Arab Journal of Urology
IS - 1
ER -