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Deficits in Urological Knowledge Among Medical Students and Primary Care Providers: Potential for Impact on Urological Care

2008; Lippincott Williams & Wilkins; Volume: 180; Issue: 5 Linguagem: Inglês

10.1016/j.juro.2008.07.043

1527-3792

Alek Mishail, Mehzad Shahsavari, Jason Kim, Charles Welliver, Praneeth Vemulapalli, Howard L. Adler,

Pelvic floor disorders treatments

No AccessJournal of UrologyAdult Urology1 Nov 2008Deficits in Urological Knowledge Among Medical Students and Primary Care Providers: Potential for Impact on Urological Care Alek Mishail, Mehzad Shahsavari, Jason Kim, Robert C. Welliver, Praneeth Vemulapalli, and Howard L. Adler Alek MishailAlek Mishail , Mehzad ShahsavariMehzad Shahsavari , Jason KimJason Kim , Robert C. WelliverRobert C. Welliver , Praneeth VemulapalliPraneeth Vemulapalli , and Howard L. AdlerHoward L. Adler View All Author Informationhttps://doi.org/10.1016/j.juro.2008.07.043AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Recent data indicate a decline in the urological education of third and fourth year medical students. To determine if this decline has an impact on the treatment of patients we performed a survey to evaluate the general level of knowledge, attitudes and practices with regard to common urological issues seen in a general medical practice among medical students and faculty involved in primary care at an academic institution. Materials and Methods: A confidential questionnaire was distributed to attendings, residents and fellows, and the clinical medical students at our academic institution to ascertain how they evaluate and treat patients with common urological complaints. All responses were entered into SPSS® statistical software. Results: A total of 300 surveys were distributed, 150 of which were returned with complete information for data analysis. Knowledge with regard to various conditions including hematuria, recognition of an age specific abnormality in serum prostate specific antigen and overactive bladder was low for all groups. Furthermore, respondents demonstrated a low likelihood of requesting formal urological evaluation for these conditions. Exposure to a urology elective in medical school had a positive impact on some areas of urological evaluation. Conclusions: General urological knowledge with regard to the primary care setting is insufficient. The potential for impact on patient care is enormous. These data highlight the need for a definitive urological curriculum in medical school as well as continued education at the resident and faculty level with regard to evaluation, management and recognition of when to request formal urological evaluation in the primary care setting. References 1 : The burden of urologic diseases in America. J Urol2005; 173: 1065. Link, Google Scholar 2 : Trends in career choice by US medical school graduates. JAMA2003; 290: 1179. Google Scholar 3 : The decline of urological education in United States medical schools. J Urol1994; 152: 169. 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Link, Google Scholar 20 : Development of validated instrument to measure medical student learning in clinical urology: a step toward evidence based education. J Urol2004; 172: 282. Link, Google Scholar Stony Brook University Medical Center, Stony Brook, New York© 2008 by American Urological AssociationFiguresReferencesRelatedDetailsCited byAdler H (2023) Urological Education in United States Medical Schools: Where Are We Now and How Can We Do Better? Letter.Urology Practice, VOL. 10, NO. 1, (2-2), Online publication date: 1-Jan-2023.Kan K, Jayadevan R, Rodriguez N, Weissbart S and Stock J (2016) The Current State of Urological Education for Medical StudentsUrology Practice, VOL. 4, NO. 1, (71-75), Online publication date: 1-Jan-2017.Kaplan A, Kolla S, Gamboa A, Box G, Louie M, Andrade L, Santos R, Gan J, Moskowitz R, Shell C, Gustin W, Clayman R and McDougall E (2009) Preliminary Evaluation of a Genitourinary Skills Training Curriculum for Medical StudentsJournal of Urology, VOL. 182, NO. 2, (668-673), Online publication date: 1-Aug-2009. Volume 180 Issue 5 November 2008 Page: 2140-2147 Advertisement Copyright & Permissions© 2008 by American Urological AssociationKeywordsurologyeducation, studentsmedicalclinical clerkshipMetrics Author Information Alek Mishail More articles by this author Mehzad Shahsavari More articles by this author Jason Kim More articles by this author Robert C. Welliver More articles by this author Praneeth Vemulapalli More articles by this author Howard L. Adler More articles by this author Expand All Advertisement PDF downloadLoading ...