Pathways to paediatric urology subspecialisation : a study of casemix, incumbent attitudes and opinions
© 2024. The Author(s)..
OBJECTIVE: To 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.
METHODS: An 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.
RESULTS: A 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).
CONCLUSION: This 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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:42 |
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| Enthalten in: |
World journal of urology - 42(2024), 1 vom: 13. Jan., Seite 34 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
O'Kelly, F [VerfasserIn] |
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| Links: |
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| Themen: |
Adolescent |
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| Anmerkungen: |
Date Completed 15.01.2024 Date Revised 16.01.2024 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00345-023-04743-y |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM367082748 |
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| 245 | 1 | 0 | |a Pathways to paediatric urology subspecialisation |b a study of casemix, incumbent attitudes and opinions |
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| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2024. The Author(s). | ||
| 520 | |a OBJECTIVE: To 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 | ||
| 520 | |a METHODS: An 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 | ||
| 520 | |a RESULTS: A 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) | ||
| 520 | |a CONCLUSION: This 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 | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a Fellowship | |
| 650 | 4 | |a Training pathway | |
| 650 | 4 | |a Transitional | |
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| 700 | 1 | |a t'Hoen, L A |e verfasserin |4 aut | |
| 700 | 1 | |a Banuelos Marco, B |e verfasserin |4 aut | |
| 700 | 1 | |a Lammers, R J M |e verfasserin |4 aut | |
| 700 | 1 | |a Sforza, S |e verfasserin |4 aut | |
| 700 | 1 | |a Hiess, M |e verfasserin |4 aut | |
| 700 | 1 | |a Bindi, E |e verfasserin |4 aut | |
| 700 | 1 | |a Baydilli, N |e verfasserin |4 aut | |
| 700 | 1 | |a Donmez, M I |e verfasserin |4 aut | |
| 700 | 1 | |a Paraboschi, I |e verfasserin |4 aut | |
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| 700 | 1 | |a Haid, B |e verfasserin |4 aut | |
| 700 | 1 | |a Silay, S |e verfasserin |4 aut | |
| 700 | 0 | |a EAU-YAU Paediatric Urology Working Group |e verfasserin |4 aut | |
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