I read this article which is related to endourological training across the globe. Article has addressed several issues of training which probably are common across the globe . Attaching PDF also.
Let’s see what is situation of training of residents in endourology in India. We do not have separate course for endourology training. In 3 years they have to learn everything. After finishing they have option to pursue for a fellowship program of their area of interest. However looking at the disease pattern in our country, endourology forms the key area of training. We also do not have uniformity in training. It Varies from center to center. & training largely depends upon the workload & enthusiasm of faculty to be mentor to the residents. Many places, senior faculty is very busy with lot of other work & ultimately training of residents becomes responsibility of junior faculty or senior residents to junior residents. Majority of places, Lab , simulation is not available & training is by old fashioned principle see one, assist one & do one. We need to establish simulation labs – high fidelity labs are costly & hence residents should be rotated in such skill lab areas. After training in lab, they must get opportunity to do cases in real life situation otherwise lab training is waste. Lab training elevates their take off level so that in real scenario they learn fast.
However ultimately everything boils down to case load., facilities available. Luckily stone load at most places are high & residents are trained to do URS, PCNL well. IRRS instrument cost is hindrance but it’s learning curve is very low. But that is not the case with lap. In years to come, lap is going to be the key mode of treatment. It is impossible to train a residents fully in residency as learning curve is steep. We need to create post MCh/DNB fellowship programs to offer better training. Ultimately nothing will replace experience of doing cases in humans.
Very important is to have skillful faculty who are ready to spend time to train residents. It is not easy to wash up, keep assisting & teach residents at every step. Lack of such enthusiastic faculty is also big reason for poor training & dissatisfaction which this article has found out. In India we have to address all these aspects to make sure that our residents come out well trained – ultimately they are future of IUSI & IndiaView Document