The Urology Residency Program in Israel—Results of a Residents Survey and Insights for the Future

Objective Urology practice has undergone several changes in recent years mainly related to novel technologies introduced. We aimed to get the residents’ perspective on the current residency program in Israel and propose changes in it. Methods A web-based survey was distributed among urology resid...

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Main Authors: Arnon Lavi, Sharon Tzemah, Anan Hussein, Ibrahim Bishara, Nikolay Shcherbakov, Genady Zelichenko, Alon Mashiah, Michael Gross, Michael Cohen
Format: Article
Language:English
Published: Rambam Health Care Campus 2017-10-01
Series:Rambam Maimonides Medical Journal
Subjects:
Online Access:https://www.rmmj.org.il/issues/35/770/manuscript
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author Arnon Lavi
Sharon Tzemah
Anan Hussein
Ibrahim Bishara
Nikolay Shcherbakov
Genady Zelichenko
Alon Mashiah
Michael Gross
Michael Cohen
author_facet Arnon Lavi
Sharon Tzemah
Anan Hussein
Ibrahim Bishara
Nikolay Shcherbakov
Genady Zelichenko
Alon Mashiah
Michael Gross
Michael Cohen
author_sort Arnon Lavi
collection DOAJ
description Objective Urology practice has undergone several changes in recent years mainly related to novel technologies introduced. We aimed to get the residents’ perspective on the current residency program in Israel and propose changes in it. Methods A web-based survey was distributed among urology residents. Results 61 residents completed the survey out of 95 to whom it was sent (64% compliance). A total of 30% replied that the 9 months of mandatory general surgery rotation contributed to their training, 48% replied it should be shortened/canceled, and 43% replied that the Step A exam (a mandatory written certifying exam) in general surgery was relevant to their training. A total of 37% thought that surgical exposure during the residency was adequate, and 28% considered their training “hands-on.” Most non-junior residents (post-graduate year 3 and beyond) reported being able to perform simple procedures such as circumcision and transurethral resections but not complex procedures such as radical and laparoscopic procedures. A total of 41% of non-junior residents practice at a urology clinic. A total of 62% of residents from centers with no robotics replied its absence harmed their training, and 85% replied they would benefit from a robotics rotation. A total of 61% of residents from centers with robotics replied its presence harmed their training, and 72% replied they would benefit from an open surgery rotation. A total of 82% of the residents participated in post-graduate courses, and 81% replied they would engage in a clinical fellowship. Conclusion Given the survey results we propose some changes to be considered in the residency program. These include changes in the general surgery rotation and exam, better surgical training, possible exchange rotations to expose residents to robotic and open surgery (depending on the availability of robotics in their center), greater out-patient urology clinic exposure, and possible changes in the basic science period.
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spelling doaj.art-0ea11b16c09d43de8b8d435bea57be672022-12-21T17:58:30ZengRambam Health Care CampusRambam Maimonides Medical Journal2076-91722017-10-0184e003910.5041/RMMJ.10317The Urology Residency Program in Israel—Results of a Residents Survey and Insights for the FutureArnon Lavi0Sharon Tzemah1Anan Hussein2Ibrahim Bishara3Nikolay Shcherbakov4Genady Zelichenko5Alon Mashiah6Michael Gross7Michael Cohen8Department of Urology, Haamek Medical Center, Afula, IsraelDepartment of Urology, Haamek Medical Center, Afula, IsraelDepartment of Urology, Haamek Medical Center, Afula, IsraelDepartment of Urology, Haamek Medical Center, Afula, IsraelDepartment of Urology, Haamek Medical Center, Afula, IsraelDepartment of Urology, Haamek Medical Center, Afula, IsraelDepartment of Urology, Haamek Medical Center, Afula, IsraelDepartment of Urology, Haamek Medical Center, Afula, IsraelDepartment of Urology, Haamek Medical Center, Afula, IsraelObjective Urology practice has undergone several changes in recent years mainly related to novel technologies introduced. We aimed to get the residents’ perspective on the current residency program in Israel and propose changes in it. Methods A web-based survey was distributed among urology residents. Results 61 residents completed the survey out of 95 to whom it was sent (64% compliance). A total of 30% replied that the 9 months of mandatory general surgery rotation contributed to their training, 48% replied it should be shortened/canceled, and 43% replied that the Step A exam (a mandatory written certifying exam) in general surgery was relevant to their training. A total of 37% thought that surgical exposure during the residency was adequate, and 28% considered their training “hands-on.” Most non-junior residents (post-graduate year 3 and beyond) reported being able to perform simple procedures such as circumcision and transurethral resections but not complex procedures such as radical and laparoscopic procedures. A total of 41% of non-junior residents practice at a urology clinic. A total of 62% of residents from centers with no robotics replied its absence harmed their training, and 85% replied they would benefit from a robotics rotation. A total of 61% of residents from centers with robotics replied its presence harmed their training, and 72% replied they would benefit from an open surgery rotation. A total of 82% of the residents participated in post-graduate courses, and 81% replied they would engage in a clinical fellowship. Conclusion Given the survey results we propose some changes to be considered in the residency program. These include changes in the general surgery rotation and exam, better surgical training, possible exchange rotations to expose residents to robotic and open surgery (depending on the availability of robotics in their center), greater out-patient urology clinic exposure, and possible changes in the basic science period.https://www.rmmj.org.il/issues/35/770/manuscriptResidentssurveytrainingurology residency
spellingShingle Arnon Lavi
Sharon Tzemah
Anan Hussein
Ibrahim Bishara
Nikolay Shcherbakov
Genady Zelichenko
Alon Mashiah
Michael Gross
Michael Cohen
The Urology Residency Program in Israel—Results of a Residents Survey and Insights for the Future
Rambam Maimonides Medical Journal
Residents
survey
training
urology residency
title The Urology Residency Program in Israel—Results of a Residents Survey and Insights for the Future
title_full The Urology Residency Program in Israel—Results of a Residents Survey and Insights for the Future
title_fullStr The Urology Residency Program in Israel—Results of a Residents Survey and Insights for the Future
title_full_unstemmed The Urology Residency Program in Israel—Results of a Residents Survey and Insights for the Future
title_short The Urology Residency Program in Israel—Results of a Residents Survey and Insights for the Future
title_sort urology residency program in israel results of a residents survey and insights for the future
topic Residents
survey
training
urology residency
url https://www.rmmj.org.il/issues/35/770/manuscript
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