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We discuss a case of extensive tuberculosis (TB) infection of the genitourinary tract presenting with epididymo-orchitis, renal parenchymal infection and emphysematous prostatitis. Scrotal ultrasound findings and a high-risk country of origin raised early suspicion of urogenital TB (UGTB), a diagnosis supported by further crosssectional radiological findings and laboratory tests. The patient was successfully treated by the Infectious Disease team with Urological input. TB rarely presents with genitourinary disease, tuberculous prostatic abscess is very rare and tuberculous emphysematous prostatitis is a previously unreported presentation; we discuss the clinical course, radiological and microbiological features of this case in addition to the wider role of radiology in the diagnosis of UGTB.
Results Data were analyzed from a convenience sample of 25 responses (1/3 of all trainees). The M:F ratio was 3:1. Twenty three graduates (92%) completed overseas fellowships. Mean Likert scores were clinical competency (4.8), basic science knowledge (4.9), evidence based medicine application (3.7), ability to work as academic supervisor (3.3), research skills (2.9), health economics (2.3) and health policy (2.3). Negative themes from qualitative analysis included the adverse impact of excessive service provision on training and the lack of structured career advancement. Most felt clinically competent compared to international colleagues. Conclusion Clinical competency is achieved through the HST program. Specific training is required for health management, policy and research aspects of training.
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