Literature DB >> 23401733

The newly graduated Canadian urologist: Over-trained and underemployed?

Blayne Welk1, Ron Kodama, Andrew Macneily.   

Abstract

INTRODUCTION: There are two prevailing perceptions among urology residents (1) fellowship training is becoming a requirement after residency, and (2) there are few job opportunities after graduation. In this study, we examine postgraduate training patterns and employment choices of urology residents.
METHODS: All Canadian urology program directors provided a summary of fellowship training and employment of Canadian residents graduating between 1998 and 2009. Logistic regression models were used to detect linear trends.
RESULTS: In total, 258 Canadian urology residents graduated over the study period, with a median of 22 (interquartile range 21-22) graduating per year. Of these, 72% completed a fellowship. Of these fellowships, 62% included protected research time. The most common subspecialty area was minimally invasive surgery (MIS)/endourology (39% of fellowships). There was a significant increase in fellowship training over time (p < 0.0001); this was mostly due to an increase in MIS/endourology fellowships. The number of urologists obtaining graduate degrees after medical school has increased significantly over the study period. Almost all graduates are employed. Of the employed graduates in total, 34% are academic urologists. Among all graduates, 50% are practicing within 100 km of their residency site, 16% are practicing in the United States and 22% are in rural practice. There has been no significant change over time in the proportion of residents practicing within 100 km of their training program, practicing rurally, leaving their province of training, practicing in the United States, or choosing academic practice.
CONCLUSIONS: Fellowship training, especially in MIS/endourology, has become significantly more common. Graduate degrees are more frequently being obtained. We did not find evidence that there has been a significant change in a urology resident's ultimate ability to obtain employment upon graduation.

Year:  2013        PMID: 23401733      PMCID: PMC3559613          DOI: 10.5489/cuaj.12095

Source DB:  PubMed          Journal:  Can Urol Assoc J        ISSN: 1911-6470            Impact factor:   1.862


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Review 9.  Advances in urological laparoscopy.

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10.  Cardiothoracic surgery resident education: update on resident recruitment and job placement.

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Authors:  Naji J Touma; D Robert Siemens
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3.  Pursuing fellowship training: There are no traffic jams along the extra mile.

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4.  The trouble with technical competence: Defining it, measuring it and achieving it!

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5.  Are Canadian urology residency programs fulfilling the Royal College expectations?: A survey of graduated chief residents.

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6.  The case for adaptability in urological training and practice.

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7.  Attitudes of graduating Canadian urology residents on the job market: Is it getting better or are we just spinning our wheels?

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10.  Can endourology fellowship training enhance minimally invasive surgery in urology practice?

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