Turkish Journal of Urology
UROONCOLOGY - Original Article

Current status of uro-oncology training during urology residency and the need for fellowship programs: An international questionnaire study

1.

Department of Urology, Kafkas University Faculty of Medicine, Kars, Turkey

2.

Department of Urology, Afyonkarahisar Health Science University Faculty of Medicine, Afyon, Turkey

3.

Department of Urology, Katip Çelebi University Faculty of Medicine, İzmir, Turkey

4.

Department of Urology, İstanbul Surgery Hospital, İstanbul, Turkey

5.

Department of Urology, Hacettepe University Faculty of Medicine, Ankara, Turkey

Turk J Urol 2020; 46: 455-459
DOI: 10.5152/tud.2020.20276
Read: 123 Downloads: 43 Published: 21 September 2020

Objective: This study aimed to evaluate the opinions of urologists from different countries about uro-oncology education, fellowship programs, and approaches to different urological malignancies at different stages using a questionnaire.

Material and methods: A total of 207 urologists from 22 countries were sent a questionnaire containing 18 items by email. The questions were related to urologic oncology training provided during residency, acceptance of uro-oncology as a sub-branch, the necessity of certification for treatment and follow-up, fellowship program preferences, adequateness of the programs, and approach differences to the different stages of urological malignancies among the urologists from different countries.

Results: In total, 111 (53.62%) urologists who completed the questionnaire were enrolled in the study, and 40.54% of the urologists reported that the uro-oncology training during the residency period was not sufficient. Furthermore, 79.27% of the urologists reported opinions about acceptance of uro-oncology as a sub-branch. The ratio of urologists who undertake the treatment of patients with muscle-invasive bladder cancer (radical surgery and urinary diversion) and prostate cancer (radical prostatectomy, definitive radiation therapy, experimental local treatment, and hormonal therapy) is 27.92% and 37.83%, respectively. The urologists reported that they perform nephron-sparing surgery (NSS), radical nephrectomy (RN), and laparoscopic NSS/RN treatments in patients with localized renal cancer at the rates of 61.26%, 47.74%, and 25.22%, respectively.

Conclusion: Uro-oncology training during the residency period seems to be inadequate in most of the countries, and a high number of the urologists tend to avoid high-volume operations and systemic treatments of uro-oncologic malignancies.

Cite this article as: Karagöz MA, Bağcıoğlu M, Demirbaş A, Özcan S, Taş T, Huri E. Current status of uro-oncology training during urology residency and the need for fellowship programs: An international questionnaire study. Turk J Urol 2020; 46(6): 455-9.

Files
ISSN 2149-3235 EISSN 2149-3057