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What Every Graduating Medical Student Should Know About Urology: The Stakeholder Viewpoint

  • B. Price Kerfoot
    Correspondence
    Reprint requests: B. Price Kerfoot, M.D., Ed.M., V.A. Boston Healthcare System, 150 South Huntington Avenue, 151DIA, Jamaica Plain, MA 02130.
    Affiliations
    Surgical Service, Veterans Affairs Boston Healthcare System, Boston, Massachusetts

    Harvard Medical School, Boston, Massachusetts
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  • Paul J. Turek
    Affiliations
    Department of Urology, University of California San Francisco, San Francisco, California
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      Objectives

      What should every medical student know about urology upon graduating from medical school? To answer this question, we conducted a survey of key stakeholders in an effective medical student education in urology.

      Methods

      Directors of the generalist residencies in the United States (emergency medicine, family medicine, internal medicine, and pediatrics), directors of urology residencies, medical student educators in urology, and applicants to the 2006 urology residency match were invited to complete an online survey. Participants were asked to select the 5 most important topics to be included in a core urology curriculum for all medical students.

      Results

      Among 1859 stakeholders surveyed, response rates by stakeholder cohort ranged from 67% to 26% (overall 44%). There was marked homogeneity among participant groups as to what respondents considered to be the most important topics for a core urology curriculum for medical students. Based on aggregate data, the 8 most commonly cited topics included urinary stone disease (75% of respondents), hematuria (65%), urinary tract infections in adults (53%), benign prostatic hyperplasia (52%), urinary incontinence (45%), prostate cancer (45%), screening with prostate-specific antigen (33%), and testis torsion (24%).

      Conclusions

      This survey has identified the most important urology topics about which medical students should learn before graduation. Work is currently under way under the aegis of the American Urological Association to develop materials to standardize student education in these core topics across the United States.
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