urology;
kidney transplantation;
internship and residency;
D O I:
10.1016/S0022-5347(01)64928-0
中图分类号:
R5 [内科学];
R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号:
1002 ;
100201 ;
摘要:
Purpose: We attempted to quantitate the level of participation of urology residents and faculty in clinical renal transplantation in the United States and Canada at the present time. Materials and Methods: All 123 urology residency program directors in the United States and all 13 in Canada were mailed a questionnaire requesting information about the participation of their residents and faculty in clinical renal transplantation at their institutions. All program directors (100%) returned the surveys. Results: In the United States 94% of residencies are affiliated with renal transplant programs and 81% provide a transplant rotation. In Canada each program provides a transplant experience. In the United States 22% and in Canada 85% of academic renal transplant programs are directed or codirected by urology. In the United States approximately 80% and in Canada more than 90% of residents are exposed to transplant surgery, although the majority have pre-urology or junior resident rotations. Approximately 50% of residents in each country receive training in immunosuppression. In the United States 25% of programs have urology faculty perform transplant surgery and administer immunosuppression, compared to more than 90 and only 15%, respectively, in Canada. Conclusions: Urological participation in clinical renal transplantation at academic medical centers remains strong with approximately 25% of programs directed or codirected by urology departments in the United States-a figure that has not changed appreciably during the last 10 years. In the future the continued presence of urology in transplantation requires a commitment from urology program directors to support exposure for residents as well as promoting the training and development of young transplant surgeons within our own specialty.