Dr. Rosevear is a urologist in community practice in Colorado Springs, CO. Urology Times blogs present opinions, advice, and news from urologists and other urology professionals. Opinions expressed by bloggers are their own, and do not necessarily reflect the views of Urology Times or its parent company, MJH Life Sciences.
I used to read a lot of journals. As a resident, I prided myself on the number of journals I read every month. Not only did I read the “common” journals like Journal of Urology, European Journal of Urology, and Urology, I even read the Journal of Pediatric Urology and the Journal of Sexual Medicine. Why? It was probably the dork in me, but I can assure you that there is no better way to make an attending surgeon smile than to quote a recent article that she co-authored.
For several months after leaving residency, I continued my journal reading habits until one day when I was reading an article about current trends in the surgical repair of exstrophy that I had an epiphany—something akin to St. Paul’s moment on the road to Damascus. I realized that I had about as much business treating exstrophy as I did doing open heart surgery. Over the next few years, I transitioned to simply skimming the table of contents of the major journals every month, and it had been a very long time since I read a journal cover to cover.
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Until recently. The May 2019 edition of Urology was mostly devoted to the state of resident education in urology. It makes for fascinating reading. Residents are the future of our field, they are our future partners, and just as important, one of today’s residents will likely end up being my urologist.
What specifically was so fascinating?
Let’s start with Silvestre’s article on resident’s experience in pediatric urology (Urology 2019; 127:24-9). I’m the first to argue that, in the real world, those of us who don’t do pediatric cases on a regular basis should not be doing these cases, and most practicing urologists would willingly give up our pediatric privileges in return for not having to answer questions about pediatrics on our board exam. So I was pleasantly surprised to learn from this study that the number of cases that residents report doing is well above the minimum set by ACGME.
This may simply mean that the ACGME’s requirements are too low or that there are issues with the number of cases being reported, but at least everyone is getting exposure to these cases and, given that even small-town urologists do occasionally encounter congenital variations in genitourinary anatomy, this is likely a good thing. That said, neither I nor any other small-town urologist should ever touch a patient with exstrophy.