OBJECTIVES: To determine the current state of kidney transplantation (KT) training in a country that is leader in organ donation and transplantation.
MATERIAL AND METHODS: We conducted an online survey by e-mail to 138 urology residents. The survey contained 5 sections: affiliation, training in KT, interest in KT, residents of transplant centers and residents of nontransplant centers.
RESULTS: Sixty-five residents responded, 47.1% of the urologists in training surveyed, representing 28 cities and 15 provinces. Fifty-five percent (n=36) of the respondents deemed the KT training offered during their residency as insufficient, and 85% (n=55) demanded more resources. More than half were not confident in their abilities to perform transplantation surgery over the course of their residency (n=35). Nineteen percent of the residents considered KT an important discipline in their residency, with a mean score of 56.2 (1-100). Among the residents of the transplant centers (69.2%, n=45), 73% (n=33) considered KT when choosing a center for their residency. Of the surveyed residents from nontransplant centers (30.7%, n=20), 45% (n=9) do not perform an external rotation in KT.
CONCLUSIONS: The surveyed residents demand more training in KT. The most common situation is to end a residency without having performed a complete KT. KT is considered an asset when selecting a resident medical intern position and commonly they are part of the transplantation team. The majority of residents are trained in centers with less than 75 transplants/year. External rotations in KT are not the rule in centers where transplantation is not performed.
Written by:
Cabello-Benavente R, González-Enguita C. Are you the author?
Unidad de Trasplante Renal, Hospitales IDC Salud Madrid (Fundación Jiménez Díaz, Hospital Infanta Elena y Hospital Rey Juan Carlos), Madrid, España.
Reference: Actas Urol Esp. 2014 Oct 25. pii: S0210-4806(14)00362-3.
doi: 10.1016/j.acuro.2014.09.002
PubMed Abstract
PMID: 25449295
Article in English, Spanish.