Special Article| Volume 71, ISSUE 4, P549-553, April 2008

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

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

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


      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.


      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%).


      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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        • Kerfoot B.P.
        • Masser B.A.
        • Dewolf W.C.
        The continued decline of formal urological education of medical students in the United States: does it matter?.
        J Urol. 2006; 175 (discussion 2247–2248): 2243-2247
        • Burns E.
        • Flocks R.H.
        • Higgins C.C.
        • et al.
        The present status of undergraduate urologic training.
        J Urol. 1956; 76: 309-322
        • Rous S.N.
        • Mendelson M.
        A report on the present status of undergraduate urologic teaching in medical schools and some resulting recommendations.
        J Urol. 1978; 119: 303-304
        • Rous S.N.
        • Lancaster C.
        The current status of undergraduate urological teaching.
        J Urol. 1988; 139: 1160-1162
        • Benson G.S.
        The decline of urological education in United States medical schools.
        J Urol. 1994; 152: 169-170
        • Litwin M.S.
        • Saigal C.S.
        • Beerbohm E.M.
        The burden of urologic diseases in America.
        J Urol. 2005; 173: 1065-1066
        • Newton D.A.
        • Grayson M.S.
        Trends in career choice by US medical school graduates.
        JAMA. 2003; 290: 1179-1182
        • Rapp D.E.
        • Lyon M.B.
        • Orvieto M.A.
        • et al.
        The core learning objectives education model: an approach to the teaching of core concepts in the clinical clerkship.
        Can J Urol. 2005; 12: 2849-2855
        • Kerfoot B.P.
        • Baker H.
        • Volkan K.
        • et al.
        Development and initial evaluation of a novel urology curriculum for medical students.
        J Urol. 2004; 172: 278-281
        • Rapp D.E.
        • Gong E.M.
        • Reynolds W.S.
        • et al.
        Assessment of the core learning objectives curriculum for the urology clerkship.
        J Urol. 2007; 178: 2114-2118
        • Teichman J.M.
        • Richards J.
        Multimedia to teach urology to medical students.
        Urology. 1999; 53: 267-270
        • Elves A.W.
        • Ahmed M.
        • Abrams P.
        Computer-assisted learning; experience at the Bristol Urological Institute in the teaching of urology.
        Br J Urol. 1997; 80: 59-62
        • Kerfoot B.P.
        • Baker H.
        • Jackson T.L.
        • et al.
        A multi-institutional randomized controlled trial of adjuvant web-based teaching to medical students.
        Acad Med. 2006; 81: 224-230
        • Kerfoot B.P.
        • Baker H.E.
        • Koch M.O.
        • et al.
        Randomized, controlled trial of spaced education to urology residents in the United States and Canada.
        J Urol. 2007; 177: 1481-1487
        • American Board of Urology
        2007 Information for Applicants for Recertification.
        (Accessed October 26, 2007)
        • Teichman J.M.
        • Weiss B.D.
        • Solomon D.
        Urological needs assessment for primary care practice: implications for undergraduate medical education.
        J Urol. 1999; 161: 1282-1285