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1.
Andrologia ; 53(3): e13961, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33491204

RESUMO

In 2020, the COVID-19 pandemic led to the suspension of the annual Summer Internship at the American Center for Reproductive Medicine (ACRM). To transit it into an online format, an inaugural 6-week 2020 ACRM Online Mentorship Program was developed focusing on five core pillars of andrology research: scientific writing, scientific methodology, plagiarism understanding, soft skills development and mentee basic andrology knowledge. This study aims to determine mentee developmental outcomes based on student surveys and discuss these within the context of the relevant teaching and learning methodology. The mentorship was structured around scientific writing projects established by the team using a student-centred approach, with one-on-one expert mentorship through weekly formative assessments. Furthermore, weekly online meetings were conducted, including expert lectures, formative assessments and social engagement. Data were collected through final assessments and mentee surveys on mentorship outcomes. Results show that mentees (n = 28) reported a significant (p < .0001) improvement in all criteria related to the five core pillars. These results illustrate that the aims of the online mentorship program were achieved through a unique and adaptive online educational model and that our model has demonstrated its effectiveness as an innovative structured educational experience through the COVID-19 crisis.


Assuntos
Andrologia/educação , Educação a Distância/organização & administração , Escrita Médica , Modelos Educacionais , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/transmissão , Avaliação Educacional/estatística & dados numéricos , Feminino , Humanos , Masculino , Mentores , Pandemias/prevenção & controle , Plágio , Estudantes/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Comunicação por Videoconferência/organização & administração
2.
Zhonghua Nan Ke Xue ; 26(8): 751-758, 2020 Aug.
Artigo em Zh | MEDLINE | ID: mdl-33377740

RESUMO

Robot surgical system is the most advanced laparoscopic surgery technology, with obvious advantages in urology. Training in robotic surgery is essential for the application of future surgical techniques. A standardized training program should be established for robotic surgery in urology and andrology and form a disciplinary consensus of expert ideas based on the actual conditions of China and successful experience abroad. This article summarizes the development status, standardized training, training curriculum and evaluation tools in robotic surgery at home and abroad, exploring the bridging of the gaps in the training program, prospects, and establishment of a training system for robotic surgery operating standards in urology and andrology in China.


Assuntos
Andrologia , Procedimentos Cirúrgicos Robóticos/educação , Urologia , Andrologia/educação , China , Competência Clínica , Humanos , Urologia/educação
3.
Andrologia ; 49(2)2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27135636

RESUMO

Although sexual-related problems are very prevalent, inadequate training for physicians has been reported. The aim was to investigate the educational situation in sexual medicine, including sexual dysfunctions, gender dysphoria and paraphilia, among German physicians in urology and andrology. Additional, barriers when addressing sexual health issues and confidence in taking care of patients with sexual-related problems were evaluated. A questionnaire was sent to 5955 urologists, urology residents and andrologists throughout Germany. The results of this study emphasise the need for continuing education and training in sexual medicine including sexual dysfunctions (83.9%), gender dysphoria (58.2%) and paraphilia (56.6%). Physicians, especially when working in urology, need basic skills in order to feel confident (89.0% in taking care of patients with sexual dysfunctions, 25.8% with gender dysphoria and 22.9% with paraphilia) and be able to reduce several barriers when addressing sexual health issues. The main reported barriers were lack of time (61.0%), inadequate financial compensation (42.5%), lack of necessity (29.9%) and the assumption of patients feeling uncomfortable (20.9%). It is within the competence of urologists and andrologists to correctly assess the situation and to refer patients to multidisciplinary support, such as psychologists, psychosomatics or couple therapists.


Assuntos
Andrologia/educação , Educação Médica Continuada/tendências , Sexologia/educação , Urologia/educação , Competência Clínica , Barreiras de Comunicação , Feminino , Disforia de Gênero/terapia , Alemanha , Humanos , Internato e Residência , Masculino , Transtornos Parafílicos/terapia , Relações Médico-Paciente , Disfunções Sexuais Fisiológicas/terapia , Inquéritos e Questionários , Urologistas/educação
4.
Zhonghua Nan Ke Xue ; 20(7): 595-604, 2014 Jul.
Artigo em Zh | MEDLINE | ID: mdl-25095615

RESUMO

Male infertility microsurgery represents the fastest growing sub-specialty in urology and clinical andrology over the past two decades. The importance of microsurgery for male infertility has risen as a part of the urologist's armamentarium in the medical and surgical management of male infertility. Despite the advances in male infertility microsurgery in China, the lack of standardized and well-organized training programs for male infertility microsurgery remains a serious problem affecting its development. In this article, Zhao and Peng have shared their experience with the learning curve of male infertility microsurgery at the Center for Male Reproductive Medicine and Microsurgery, Weill Medical College of Cornell University, which centers on how to pay attention to the details and basic principles of microsurgery. Male infertility microsurgery is physically, technically and mentally challenging, and must be first learned in the laboratory. Clinical success depends heavily upon appropriate training in a microsurgical laboratory. Good training can significantly reduce operation time and surgical errors as well as improve the quality of outcomes.


Assuntos
Andrologia/educação , Infertilidade Masculina/cirurgia , Microcirurgia/educação , Humanos , Masculino
5.
Urologie ; 61(8): 839-843, 2022 Aug.
Artigo em Alemão | MEDLINE | ID: mdl-35925290

RESUMO

Structured residency programmes within dedicated associations of hospitals, practices and medical care centres offer the opportunity to improve the quality of training and to increase the attractiveness of urology through fixed rotations of doctors in continued training. The implementation of such programmes is guided by the framework conditions of the respective location. Possible rotations range from andrology to paediatric urology and uro-gynaecology to interdisciplinary uro-oncology. An outpatient training period also offers the chance for a change of perspective and supports career orientation. Rotations in the interdisciplinary intermediate care unit offer the opportunity to become familiar with the care of complex disease processes, including the differential diagnostic assessment of abdominal diseases, which is important in urology. In summary, the diversity of urological training available can enable junior urologists to receive more individualised and targeted training by promoting multilayered, intersectoral as well as interprofessional training.


Assuntos
Andrologia , Internato e Residência , Urologia , Andrologia/educação , Criança , Educação Continuada , Humanos , Urologistas , Urologia/educação
6.
Hum Reprod ; 26(12): 3207-12, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21965314

RESUMO

ESHRE has been running courses for basic semen analysis since 1994 and course material has been updated regularly in response to new findings and publications. Following publication of the 5th edition of the WHO laboratory manual, entitled WHO Laboratory Manual for the Examination and Processing of Human Semen (WHO5), the Subcommittee for training of the ESHRE Special Interest Group for Andrology evaluated potential amendments to its course. In respect of the updated ESHRE course, there are eight particular areas of discourse that are reviewed (i) maintaining the four-class differential motility count allowing distinction between rapid and slow progressive sperm for assisted reproduction technology. (ii) Maintaining the four-category assessment for sperm morphology with calculation of the teratozoospermic index. (iii) Continuing to advocate the use of three categories of results: 'normal', 'borderline' and 'abnormal' with respect to the clinical interpretation of the data. (iv) Presenting clear and unequivocal methods for performing assessments e.g. morphology. (v) Correcting the inconsistencies in WHO5, some of which are actually erroneous. (vi) Reducing the requirements for substantial extra work for what are unestablished improvements in accuracy and/or precision in the final results. (vii) Presentation of logical methods of sperm preparation. (viii) Discussion of the suddenly changed limits between fertile and subfertile men.


Assuntos
Andrologia/educação , Educação Continuada , Saúde Reprodutiva/educação , Análise do Sêmen/métodos , Andrologia/tendências , Humanos , Masculino , Opinião Pública , Saúde Reprodutiva/tendências , Sêmen/fisiologia , Análise do Sêmen/normas , Análise do Sêmen/tendências , Organização Mundial da Saúde
7.
Urology ; 157: 51-56, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34186132

RESUMO

OBJECTIVE: To demonstrate the distribution and impact of fellowship-trained andrology and/or sexual medicine urological specialists (FTAUS) on resident in-service examination (ISE) performance. METHODS: Residency program websites were accessed to create a database of FTAUS in the United States between 2007 and 2017. This database was reviewed by three separate FTAUS and cross referenced with membership lists to the Sexual Medicine of North America Society and the Society for the Study of Male Reproduction. De-identified ISE scores were obtained from the American Urological Association from 2007-2017 and scores from trainees at programs with a FTAUS were identified for comparison. Resident performance was analyzed using a linear model of the effect of a resident being at a program with an FTAUS, adjusting for post-graduate year. RESULTS: ISE data from 13,757 residents were obtained for the years 2007-2017. The number of FTAUS in the United States increased from 40-102 during this study period. Mean raw scores on the "Sexual Dysfunction, Endocrinopathy, Fertility Problems" (SDEFP) section of the ISE ranged from 52.1% ± 17.7% to 65.7% ± 16% (mean ± SD). Throughout the study period, there was no difference in performance within the SDEFP section (P < .01). Residents at a program with a FTAUS answered 0.95% more questions correctly in the SDEFP than those without a FTAUS (P < .001). For these residents, there was an improvement of approximately 0.66% on the percentage of questions answered correctly on the ISE overall (P < .001). Performance improved significantly as residents progressed from PGY-2-PGY-5. CONCLUSION: There is a small but statistically significant improvement in overall ISE and SDEFP sub-section performance.


Assuntos
Andrologia/educação , Competência Clínica , Avaliação Educacional , Bolsas de Estudo , Sociedades Médicas , Estados Unidos , Urologia
8.
Actas Urol Esp (Engl Ed) ; 44(5): 340-344, 2020 Jun.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-32245595

RESUMO

Nowadays, sub-specialty expertise in andrology is required within the Urology training program. These practices -during the MIR (Medical Intern Residency) program and once the specialty studies are over- should be performed under supervision and have a multidisciplinary nature. In fact, the urologist's andrology training program does not finish with his residency period. The unceasingly increasing knowledge related to infertility, reproduction, sexual medicine and reconstructive surgery require a high level of dedication and engagement with continuing education. The field of Andrology has evolved significantly in Europe and in the United States in the past 30 years. Although the andrology training programs in these 2regions share some common aspects, there are also substantial differences between them. This chapter includes a review of the Spanish training programs and those in our international environment, with the objective to comprehend the importance of andrology medical-surgical training for Urology residents.


Assuntos
Andrologia/educação , Internato e Residência , Urologia/educação , Currículo , Europa (Continente) , Espanha
9.
Prog Urol ; 19(6): 427-33, 2009 Jun.
Artigo em Francês | MEDLINE | ID: mdl-19467463

RESUMO

OBJECTIVE: To evaluate the interest carried in andrology within the community of the urology residents. MATERIAL AND METHODS: Between June and October 2008, all urology residents received an anonymous questionnaire by e-mail estimating their interest for andrology. The following elements were reported: age, sex, current status, future activity, participation in theoretical learning and training courses practices, interest for the speciality and the opinion on the current formation. The statistical analysis was performed with the SEM software. RESULTS: Seventy-seven of the 238 urology residents (32.4%) answered the sent questionnaire. The mean age was 29.2 years (25-36). Thirty-two of them were from a Parisian center (41.6%) and 45 (58.4%) from another city. There are 40.3% of urology residents who wished work on the hospital, 27.3% wished develop an exclusive liberal activity. There are 81.8% of the urology residents who declared to be interested in andrology and 29.9% were registered or wished to join the diplôme d'études spécialisées complémentaires (DESC) of Andrology. Concerning the current formation, only 4% of the participants considered that the theoretical education of the andrology was sufficient and only 6.6% of them considered to have acquired a sufficient practical training in andrology during the cursus. CONCLUSION: The andrology is a particularly attractive speciality for the urology residents and the current modalities of formation are considered insufficient by most of them.


Assuntos
Andrologia/educação , Escolha da Profissão , Internato e Residência , Urologia/educação , Adulto , Feminino , França , Humanos , Masculino , Estudos Prospectivos , Inquéritos e Questionários
10.
Urologe A ; 47(12): 1592-5, 2008 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-18854966

RESUMO

In recent years there have been several Supreme Court adjudications concerning andrological issues. Among other things it was reconfirmed that drug therapy for erectile dysfunction does not have to be paid by compulsory health insurance providers. In contrast one Supreme Court decided that cryoconservation of ejaculates has to be paid by compulsory health insurance providers under certain circumstances.Vasectomy in men under guardianship is performed approximately 100 times per year in Germany. Before vasectomy is performed judicial authorisation has to be obtained in an extensive court proceeding.The Tissue Act regulates the implementation of the EG guideline 2004/23/EG into German law. This is only important for urologists who perform MESA/TESE procedures. Current case law does not allow use of the title Männerarzt as patients can confuse it with the official title andrologist.


Assuntos
Andrologia/legislação & jurisprudência , Disfunção Erétil/terapia , Doenças dos Genitais Masculinos/terapia , Infertilidade Masculina/terapia , Cobertura do Seguro/legislação & jurisprudência , Programas Nacionais de Saúde/legislação & jurisprudência , Andrologia/educação , Criopreservação , Educação Médica Continuada/legislação & jurisprudência , Alemanha , Humanos , Masculino , Garantia da Qualidade dos Cuidados de Saúde/legislação & jurisprudência , Preservação do Sêmen , Esterilização Involuntária/legislação & jurisprudência , Vasectomia/legislação & jurisprudência
11.
Urologe A ; 46(11): 1557-72, 2007 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-17999045

RESUMO

Andrology was included as a further subject for continuing education in the Model Ordinance on Continuing Education at the 106th German Physicians Meeting in Cologne in 2003. In addition to fertility disorders, this discipline comprises medical care for men with fertility disorders, erectile dysfunction, disorders of libido, ejaculation and coitus, various forms of hypogonadism, and delayed puberty. Furthermore, this field also covers questions concerning male contraception, gynecomastia, and male senescence. Diagnostic procedures in andrology require close interdisciplinary cooperation between gynecologists, human geneticists, and specialists in psychosomatic medicine. They include medical history, clinical examination, and laboratory analyses. Except for confirming azoospermia, it is not possible to make a definitive prognosis of fertility based on semen analysis. Functional tests allow a better assessment of the spermatozoa's fertility since 25-30% of men desiring a child exhibit reduced spermatozoan functions which cannot be verified on routine semen analysis.


Assuntos
Infertilidade Masculina/etiologia , Andrologia/educação , Azoospermia/diagnóstico , Biópsia , Currículo , Educação Médica Continuada , Disfunção Erétil/etiologia , Alemanha , Humanos , Masculino , Oligospermia/diagnóstico , Sêmen , Capacitação Espermática , Contagem de Espermatozoides , Motilidade dos Espermatozoides , Interações Espermatozoide-Óvulo , Espermatozoides/patologia , Testículo/patologia , Urologia/educação
12.
Vestn Ross Akad Med Nauk ; (11): 50-2, 2007.
Artigo em Russo | MEDLINE | ID: mdl-18080528

RESUMO

Under the conditions of a deepest demographic crisis, which is progressing in Russia and has led to the fact that Russian population diminishes by 1 million each year, the development of andrology should be considered a very important link in the state system of measures taken to increase birth rate. Andrology is an essential field of reproductive medicine and should receive a status of an individual medical specialty. At the same time, andrology should be organically connected with obstetrics and gynecology, which would provide effective diagnostics and treatment of the infertile marriage. It would be baneful and inappropriate to refer to andrology as one of officially recognized medical specialties such as urology, endocrinology, dermatovenerology, surgery, sexology etc. Andrology is a new polydisciplinary and multisectoral medical field requiring multifaceted biological and medical knowledge and special training of doctors; it does not tolerate narrowly specialized professional thinking and acting from a doctor working in this complicated medical field.


Assuntos
Andrologia/tendências , Medicina Reprodutiva , Adulto , Andrologia/educação , Demografia , Humanos , Masculino , Federação Russa
19.
Fertil Steril ; 104(1): 12-5, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26048154

RESUMO

The field of andrology has evolved significantly in both Europe and the United States over the past 30 years. Although andrology fellowship training programs in these two regions share some common aspects, there are substantial differences as well. Andrology is a broader field in Europe, with andrology fellowship training incorporating topics such as prostate disease, testicular cancer, and genitourinary infection/inflammation. In the United States, these issues are more commonly taught during urology residency, with andrology fellowship training focusing more commonly on male sexual and reproductive health. Finally, European and American fellowship training is compared and contrasted in terms of certification and accreditation procedures, with a look toward the future in each region.


Assuntos
Andrologia/educação , Andrologia/normas , Internato e Residência/normas , Humanos , Infertilidade Masculina/diagnóstico , Infertilidade Masculina/terapia , Internato e Residência/métodos , Masculino
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