Urology in Undergraduate Medical Education
- 10 Downloads
Purpose of Review
Urology is an essential topic in undergraduate medical education (UME). The objective of this article is to review the current state of exposure to urology in medical school, to discuss why it is critical to maintain a urology curriculum, and to review methods in establishing an effective curriculum for all students with limited resources.
UME curriculum in urology should be geared toward the widest group of students, namely those entering primary care or internal medicine, where patients with urologic complaints are most likely to first present. Hands-on teaching should focus on skills such as the genitourinary exam and Foley catheter placement, while ancillary modules should be utilized for complex concepts.
Medical schools do not sufficiently incorporate didactics in urology as part of their core curriculum. As such, educators in urology must develop curricula that provide fundamental knowledge to all students, especially those pursuing non-urologic specialties who will undoubtedly treat patients with urologic complaints.
KeywordsUndergraduate medical education Urology curriculum Urologic education Spaced education
Compliance with Ethical Standards
Conflict of Interest
Marianne Casilla-Lennon and Piruz Motamedinia each declare no potential conflicts of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: •• Of major importance
- 2.American Urological Association. The state of urology workforce and practice in the United States, 2018. Linthicum, Maryland, U.S.A. April 5, 2019.Google Scholar
- 5.McKimm J. Current trends in undergraduate medical education: program and curriculum design. Samoa Med J. 2010;2(1):40–8.Google Scholar
- 8.•• Slaughenhoupt B, Ogunyemi O, Giannopoulos M, Sauder C, Leverson G. An update on the current status of medical student urology education in the United States. Urology. 2014;84(4):743–7. https://doi.org/10.1016/j.urology.2014.06.003 A survey of medical schools described the decline of mandatory urology rotations and the lack of participation in urology elective rotations.CrossRefGoogle Scholar
- 11.•• Kerfoot BP, Turek PJ. What every graduating medical student should know about urology: the stakeholder viewpoint. Urology. 2008;71(4):549–53. https://doi.org/10.1016/j.urology.2007.12.010 Generalist residency program directors, urology program directors, and medical students identified topics most beneficial to include in a urology curriculum.CrossRefGoogle Scholar
- 13.American Urologic Association Medical Student Curriculum. 2017. https://www.auanet.org/education/auauniversity/for-medical-students/medical-student-curriculum. Accessed June 1, 2019.
- 14.American Urologic Association Urology Core Curriculum. https://auau.auanet.org/core.
- 16.Kaplan AG, Abdelshehid CS, Alipanah N, Zamansani T, Lee J, Kolla SB, et al. Genitourinary exam skills training curriculum for medical students: a follow-up study of comfort and skill utilization. J Endourol Endourol Soc. 2012;26(10):1350–5. https://doi.org/10.1089/end.2012.0284.CrossRefGoogle Scholar
- 17.Parker-Autry CY, Shen E, Nance A, Butler T, Covarrubias JB, Varner RE, et al. Validation and testing of an e-learning module teaching core urinary incontinence objectives in a randomized controlled trial. Female Pelvic Med Reconstr Surg. 2019;25(2):188–92. https://doi.org/10.1097/SPV.0000000000000695.CrossRefPubMedGoogle Scholar
- 20.Kerfoot BP, Turchin A, Breydo E, Gagnon D, Conlin PR. An online spaced-education game among clinicians improves their patients’ time to blood pressure control: a randomized controlled trial. Circ Cardiovasc Qual Outcomes. 2014;7(3):468–74. https://doi.org/10.1161/CIRCOUTCOMES.113.000814.CrossRefPubMedPubMedCentralGoogle Scholar