Essentials for Standardising the Undergraduate Urology Curriculum in Europe: Outcomes of a Delphi Consensus from the European School of Urology
Por:
Rivas, JG, Somani, B, Socarras, MR, Marra, G, Pearce, I, Henningsohn, L, Zondervan, P, van der Poel, H, Van Poppel, H, N'Dow, J, Liatsikos, E, Palou, J, Szendroi, Attila
Publicada:
1 nov 2021
Ahead of Print:
1 sep 2021
Resumen:
Background: The burden of urological diseases is rising as the worldwide population ages. Although specialist urological provision is needed, a large proportion of these conditions will be managed in primary care. The importance of including urology in medical education currently remains unclear.
Objective: To provide recommendations on undergraduate medical education for urology in Europe.
Design, setting, and participants: A three-round Delphi process to reach consensus on standardising the undergraduate urology curriculum in Europe was endorsed by the European School of Urology.
Outcome measurements and statistical analysis: The levels of agreement were set using a nine-point scale according to the GRADE grid: 1-3, disagree; 4-6, uncertain; and 7-9, agree. Consensus was defined as at least 70% of the participants scoring within the same 3-point grouping.
Results and limitations: Overall, consensus was reached for 20 of 34 statements (70.5%) across the three Delphi rounds, with agreement for 75% (n = 15) and disagreement for 25% (n = 5). The following main points were agreed. Urological teaching should be introduced before year 5 of medical school, with at least 20 h of theoretical activities and at least 30 h of practical activities. Urology should be taught as a stand-alone subject rather than combined with another surgical specialty or a nephrology programme. The participants agreed that urology should be taught according to symptoms. A urology programme should include the anatomy and physiology of the urinary tract, and students should know how to clinically assess a urological patient.
Conclusions: Our recommended urology pathway will allow European medical schools to provide a more comprehensive undergraduate urology curriculum. It will also help to improve and maintain standards of urology undergraduate teaching across Europe.
Patient summary: Our survey showed that urology in universities should have, at minimum, time for theoretical and practical activities and should be taught as a stand-alone subject on the basis of symptoms. Students should give feedback to facilitate constant improvement and evolution of the teaching programme. (C) 2021 The Author(s). Published by Elsevier B.V. on behalf of European Association of Urology.
Filiaciones:
Rivas, JG:
Hosp Clin San Carlos, Dept Urol, Calle Prof Martin Lagos S-N, Madrid 28040, Spain
Somani, B:
Univ Hosp Southampton NHS Trust, Southampton, Hants, England
Socarras, MR:
Inst Cirug Urol Avanzada, Madrid, Spain
Marra, G:
Univ Turin, San Giovanni Battista Hosp Citta Salute & Sci, Dept Urol, Turin, Italy
Pearce, I:
Univ Manchester, NHS Fdn Trust, Manchester, Lancs, England
Henningsohn, L:
Karolinska Univ Hosp, Dept Urol, Stockholm, Sweden
Zondervan, P:
Univ Amsterdam, Dept Urol, Med Ctr, Amsterdam, Netherlands
van der Poel, H:
Netherlands Canc Inst, Dept Urol, Netherlands Prostate Canc Network, Amsterdam, Netherlands
Katholieke Univ Leuven, Dept Urol, Leuven, Belgium
N'Dow, J:
Univ Aberdeen, Acad Urol Unit, Aberdeen, Scotland
Liatsikos, E:
Univ Hosp Patras, Dept Urol, Patras, Greece
Palou, J:
Univ Autonoma Barcelona, Dept Urol, Fdn Puigvert, Barcelona, Spain
Szendroi, Attila:
Department of Urology, Semmelweis University, Budapest, Hungary
Green Published, gold
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