Treino dos internos de Urologia em laparoscopia - Comparação entre Portugal e o resto da Europa

Furriel, F.; Figueiredo, Arnaldo; Nunes, P.; Marconi, L.; Dinis, Paulo; Gomes, G.; Dias, V.; Mota, A.

doi:10.1016/s2341-4022(14)50003-1

Cited by 2 publications

(8 citation statements)

References 8 publications

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“…On the other hand, Brazilian residents act more as surgeons (87%) if compared to European residents (27%) and Portuguese residents (32.7%) (1,7). This huge difference may be related to the methodology of the question form, that may be interpreted differently in the different countries of European Community and lack of clear definition of which participation percentage as surgeon is related to this denomination.…”

Section: Discussionmentioning

confidence: 98%

“…Mean age of residents was 26 to 30 years, mainly males. In Italy and Portugal, 22% and 13% respectively are female (1,14), while in Brazil only 4.5% are female. Otherwise, in Germany, most urology residents are female (55%) (15).…”

Section: Discussionmentioning

confidence: 99%

“…It is challenging to introduce laparoscopic training in a poor underdeveloped country,, particularly in public health services URPs. The need is overwhelming, as demonstrated by the high answer of Brazilian residents (85%), compared to Italy (72.6%), Portugal (71.6%), Spain (68%), Germany (65%) and only 3.1% in European Community ( 1 , 7 , 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…In Brazil, most urology residents do not have access to laparoscopic training (11). Therefore, it is important to know the reality of training in urologic laparoscopy among Brazilian residents in order to improve and develop resources for better training (1).…”

Section: Introductionmentioning

confidence: 99%

“…Over the last 20 years, laparoscopic surgery has gained popularity in Urology, reducing morbidity, convalescence period and with improving results, and has become the gold standard treatment of many urologic diseases ( 1 - 3 ). However, until nowadays training in laparoscopy is challenging in underdeveloped countries, frequently, public health services do not provide this treatment and availability of experienced urologist is insufficient ( 4 , 5 ).…”

Section: Introductionmentioning

confidence: 99%

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Training of Brazilian Urology residents in laparoscopy: results of a national survey

Busato

Girardi²,

Almeida

2020

Int. braz j urol.

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Objectives: To evaluate the familiarity of Brazilian urology residents with laparoscopy, methods of training and perspectives. Material and methods: a questionnaire with 23 questions was sent by e-mail to all urological residents of 86 Urology Residence Programs certifi ed by the Brazilian Society of Urology (BSU). Results: 225 valid answers (85% of all residents) responded. Most residences belong to academic hospitals mainly in the Southeast region of Brazil. Women account for 5% of residents and 82% of programs perform less than 100 procedures per year. Residents have access to LESS, RAL and 98% to surgical laparoscopy and 87% of these participate actively at the surgery, but 84.9% do not have access to RAL. The most common laparoscopic procedure is radical nephrectomy (73.2%), but only 28.8% of residents acted as surgeons, and third year residents (R3) are those that mainly performed this procedure (statistical signifi cance, p <0.05). 61% of residents do not participate in hands-on courses or fellowship in laparoscopy, among those who attended these fellowships, 23.47% were sponsored by BSU in equal regions of the country. Although there are several opportunities of training in laparoscopy, 42% of residents do not have access to any kind of preparation and 52% have no structured specifi c program. R3 perception of laparoscopy experience is signifi cantly higher than R2 and R1 residents. Almost 30% of them affi rms that they are prepared for professional life regarding urologic laparoscopy. Conclusion: Brazilian urologic residents have access to laparoscopy and actively participate in the learning process. Robotic surgery is expanding in the country, although still very far from residents. Brazilian resident, at the end of medical residency, is motivated to perform laparoscopic procedures.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Training of Brazilian Urology residents in laparoscopy: results of a national survey

Busato

Girardi²,

Almeida

2020

Int. braz j urol.

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Editorial Comment: Training of Brazilian urology residents in laparoscopy: results of a national survey

Rubinstein

2020

Int. braz j urol.

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Over the last two decades we have seen the development of the minimally invasive surgery (MIS) on the Urology field and laparoscopy was the main part of it, considered as a great option for many of the urological conditions. The laparoscopic procedures, as in other specialties, became popular by reducing morbidity, convalescence period and showed good results at the literature, becoming attractive for most of urologists. On this paper, the authors evaluate the access of Brazilian urology residents to laparoscopy surgery, methods of training and perspectives (1). The Brazilian paper showed a nice response rate (85% of residents) and most of the medical doctors were from the academic hospitals. The most common laparoscopic procedure was radical nephrectomy (73.2%), but less than one third (28.8%) of residents acted as surgeons. On other nice study about the same issue, surgeons from Portugal compared themselves training with the rest of Europe, showing that all of them had good access to laparoscopic procedures, mostly as assistant (2). Among the Europeans, the most commonly performed procedure was total nephrectomy also. Most residents rate their motivation to perform laparoscopy in the future as "High" or "Very High", and plan performing a post-residency fellowship in this field. On Brazil, 61% of residents did not participate in hands-on courses or fellowship in laparoscopy and almost 30% of them affirms that they are prepared for professional life regarding urologic laparoscopy. A number that is suboptimal for the urology market after the learning period. Van der Poel et al. (3) also studied the training in minimally invasive surgery at the European Association of Urology. As the Brazilian authors, they showed that the training in MIS has shifted from 'see-one-do-one-teach-one' to a structured learning, from e-learning to skills laboratory and modular training settings (4). The authors concluded that Brazilian urologic residents have access to laparoscopy and actively participate in the learning process and that this should be encouraged. There is new scenario at the surgery specialties. Robotic surgery has became the new revolution in modern surgery, combining all the benefits of minimally invasive surgery with the advantage of three dimensions (3D) and better intracorporeal instrumentation. It is rapidly expanding in South America, mainly in Brazil, although still very far from most of the hospitals. The Urology staff must be prepared to teach our future residents at this new technology.

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Treino dos internos de Urologia em laparoscopia - Comparação entre Portugal e o resto da Europa

Cited by 2 publications

References 8 publications

Training of Brazilian Urology residents in laparoscopy: results of a national survey

Training of Brazilian Urology residents in laparoscopy: results of a national survey

Editorial Comment: Training of Brazilian urology residents in laparoscopy: results of a national survey

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