[Experiencing continuing education-experience of future urologists]. / Weiterbildung erlebt ­ Erfahrung des urologischen Nachwuchses.

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.

Impact of Fellowship-Trained Andrology and Sexual Medicine Specialists on Performance on the Annual American Urological Association In-Service Examination.

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.

An online educational model in andrology for student training in the art of scientific writing in the COVID-19 pandemic.

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.

[Standardized training in robotic surgery in urology and andrology].

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.

Importancia de la formación médico-quirúrgica andrológica para los residentes de Urología / The value of andrology medical-surgical training programs for Urology residents

Actualmente es necesaria una formación específica en Andrología dentro de la formación en Urología. Dicha formación, tanto en el programa MIR como una vez terminada la especialidad, debe ser dirigida y multidisciplinar. De hecho, el programa de formación andrológica del urólogo no termina con su periodo de residencia. Los avances en conocimientos relacionados con la infertilidad, la reproducción, la medicina sexual y la cirugía reconstructiva requieren un alto grado de dedicación y un esfuerzo permanente de formación continuada. El campo de la Andrología ha evolucionado significativamente tanto en Europa como en los Estados Unidos en los últimos 30 años. Aunque los programas de formación andrológica en estas 2regiones comparten algunos aspectos comunes, también existen diferencias sustanciales. Se revisan en este capítulo los modelos formativos en nuestro entorno internacional, así como el desarrollo habitual en España, para así entender la importancia de la formación médico-quirúrgica andrológica para los residentes de Urología

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 2 regions 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

The value of andrology medical-surgical training programs for Urology residents. / Importancia de la formación médico-quirúrgica andrológica para los residentes de Urología.

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.

Programa formativo en urología médica: perspectivas para el futuro / Training program on medical urology: Future perspectives

La Urología está definida como la especialidad médico-quirúrgica que engloba el estudio, diagnóstico y tratamiento de las afecciones médicas del aparato urinario. Queda bien especificado por la Comisión Nacional de Especialidades que debemos conocer la patología médica que nos compete. Sin embargo, en ocasiones, la formación de los residentes se centra en el ámbito quirúrgico y la patología oncológica, que, si bien es uno de los grandes pilares de la especialidad, suele ser en detrimento de la formación en patología médica y funcional. Hemos realizado una encuesta a residentes de cuarto año de Urología de España, en la que preguntamos sobre la calidad de la formación en Andrología y Urología Funcional. La media de tiempo de rotación es de 3,5 meses en cada unidad. Solo un 20% considera que su formación es satisfactoria y suficiente en Andrología. El 75% de los residentes encuestados considera que su formación en Urología Funcional es aceptable o suficiente, tanto a nivel médico como quirúrgico. Existen numerosos campos de actuación para la mejora de la formación de los residentes y jóvenes urólogos de este país en el manejo de la patología médica urológica. El futuro está abierto, y está en nuestra mano configurar una formación para los residentes de urología dentro de la excelencia y que sea reconocida tanto a nivel nacional como internacional como uno de los grandes pilares de la Urología española. En este capítulo analizaremos la situación actual en la formación de los Residentes de Urología españoles en la patología médica urológica, y nos vamos a centrar en la formación en urología funcional y andrología (AU)

Urology is defined as the medical-surgical specialty that includes the study, diagnosis and treatment of medical conditions of the urinary system. It is well specified by the National Commission of Specialties that we must know the medical pathology that concerns us. However, on occasions, resident training focuses on the surgical field and oncological pathology, which, although one of the main pillars of the specialty, is usually to the detriment of training in medical and functional pathology. We conducted a survey of residents in the fourth year of Urology in Spain, where we asked about the quality of training in Andrology and Functional Urology. The average rotation time is 3.5 months in each unit. Only 20% consider that their training is satisfactory and sufficient in Andrology. Seventy-five percent of residents surveyed believe that their training in Functional Urology is acceptable or sufficient, both medical and surgical. There are numerous fields of action to improve the training of residents and young urologists in this country in the management of urological medical pathology. The future is open, and it is in our hand to set up a training for urology residents within excellence and to be recognized both nationally and internationally as one of the great pillars of Spanish Urology. In this chapter we will analyze the current situation in the training of Spanish Urology Residents in urological medical pathology, and we will focus on training in functional urology and andrology (AU)

Education in sexual medicine - a nationwide study among German urologists/andrologists and urology residents.

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.

Subspecialty training in andrology.

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.

10ª Reunión Ibérica de Andrología 17º Congreso Nacional de Andrología, Medicina Sexual y Reproductiva / No disponible

No disponible

[The making of a good male infertility microsurgeon: learning experience at Weill Cornell Medical College of Cornell University].

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.