Urology Residency Training in Italy: Results of the First National Survey

Cocci, Andrea; Patruno, Giulio; Gandaglia, Giorgio; Rizzo, Michele; Esperto, Francesco; Parnanzini, Daniele; Pietropaolo, Amelia; Principi, Emanuele; Talso, Michele; Baldesi, Ramona; Battaglia, Antonino; Shehu, Ervin; Carrobbio, Francesca; Corsaro, Alfio; Rocca, Roberto La; Marchioni, Michele; Bianchi, Lorenzo; Miglioranza, Eugenio; Mantica, Guglielmo; Martorana, Eugenio; Misuraca, Leonardo; Fontana, Dario; Forte, Saverio; Napoli, Grazia; Russo, Giorgio Ivan

doi:10.1016/j.euf.2016.06.006

Cited by 44 publications

(26 citation statements)

References 21 publications

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“…We would also point out that simulation training should be validated involving practical training beyond students [13]. In fact, Somani et al [16] recently reported that surgical training is continuously changing and simulation has to be integrated into a comprehensive curriculum.…”

Section: Discussionmentioning

confidence: 95%

“…However, these surgical training inside residence programs encounter difficulties in corresponding surgical skilling with progressive responsibilities for residents and this in turn would considerably limit surgical residents learning [13]. Recent studies have shown that 38% of general surgery residents are not confident in their ability to practice independently upon completion of the standard 5-yr residency programs [14].…”

Section: Discussionmentioning

confidence: 99%

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Transurethral Resection of Bladder Tumors: Next-generation Virtual Reality Training for Surgeons

Neumann

Mayer

Russo

et al. 2019

European Urology Focus

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Transurethral Resection of Bladder Tumors: Next-generation Virtual Reality Training for Surgeons

Neumann

Mayer

Russo

et al. 2019

European Urology Focus

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“…Conversely, MCS progressively increased over time, irrespectively from the surgical approach. This may reflect the relief from cancerand hospitalization-related anxiety, as hypothesized in other populations showing that surgery could preserve PCS and improve mental-related QoL [14,27,28].…”

Section: Discussionmentioning

confidence: 99%

Impact of Surgical Approach on Patient-Reported Outcomes after Radical Prostatectomy: A Propensity Score-Weighted Analysis from a Multicenter, Prospective, Observational Study (The Pros-IT CNR Study)

et al. 2019

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Background: To report health-related quality of life outcomes as assessed by validated patient-reported outcome measures (PROMs) after radical prostatectomy (RP). Methods: This study analyzed patients treated with RP within The PROState cancer monitoring in Italy, from the National Research Council (Pros-IT CNR). Italian versions of Short-Form Heath Survey and university of California los Angeles-prostate cancer index questionnaires were administered. PROMs were physical composite scores, mental composite scores and urinary, bowel, sexual functions and bothers (UF/B, BF/B, SF/B). Baseline unbalances were controlled with propensity scores and stabilized inverse weights; differences in PROMs between different RP approaches were estimated by mixed models. Results: Of 541 patients treated with RP, 115 (21%) received open RP (ORP), 90 (17%) laparoscopic RP (LRP) and 336 (61%) robot-assisted RP (RARP). At head-to-head comparisons, RARP showed higher 12-month UF vs. LRP (interaction treatment * time p = 0.03) and 6-month SF vs. ORP (p < 0.001). At 12-month from surgery, 67, 73 and 79% of patients used no pad for urinary loss in ORP, LRP and RARP respectively (no differences for each comparison). Conversely, 16, 27 and 40% of patients declared erections firm enough for sexual intercourse in ORP, LRP and RARP respectively (only significant difference for ORP vs. RARP, p = 0.0004). Conclusions: Different RP approaches lead to significant variations in urinary and sexual PROMs, with a general trend in favour of RARP. However, their clinical significance seems limited.

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“…A recently published survey gives a snapshot of residency training in Italy in 2018 [3], showing a high level of satisfaction amongst the residents, notwithstanding limitations concerning scientific activity and surgical training.…”

Section: Smart‐learning Technology Smart‐learning Applicationsmentioning

confidence: 99%