Will India too face a shortage of Trainees in Urology in Future?
Maybe, this issue of lesser trainees for Urology has not crept into Indian Scenario as yet. But it is likely to occur. This is an issue worth a discussion among the peers in Urology as well as trainees in Urology. The Peers can address what it is that have to be done to keep attracting more towards Urology while the trainees can address as to what their needs are during training and what are their goals at training.
In India, Urology as a speciality commenced in 1965 with the first candidate Prof. C, Chinnaswami obtaining M Ch (Urology) in 1966. We had 4 centres as training centres in the early days but it increased as and when those having qualified could get the necessary teaching experience. The main problem faced during that time was lack of approved centres and this was mainly not due to non availability of manpower but at many academic centres there was disinterest to commence Urology Centres.
Slowly but steadily Urology developed into a robust speciality and now there are many centres offering training for both MCh and DipNB courses in Urology.
With the prolific advances that have occurred in the recent past, there is a growing need to commence Subspecialty training in Urology in India. There are some centres offering such Fellowship courses but subspecialty centres are yet to develop in a big way. It is here that USI should come forward and encourage many of the present generation to take up one or other subspecialty.
Unfortunately, when a trainee is asked what he would like to be after completion of his training, majority will answer without batting an eyelid ‘Endourology’. This could be because of the glamour of instruments that are used and also it could be that it can fetch more financial returns when compared to other subspecialties. It is sad but true that because of such a attitude prevailing, we have handed over many subspecialties to other specialists. To recapture these from the clutches of other specialist section is going to be an uphill task. It is here that USI should make all efforts to reestablish all our subspecialties under the umbrella of Urology. If we fail in this, it could well be the beginning of End of Urology.
I am providing an article concerning the present situation in USA where with all facilities available; there appear to be paucity for takers for Urology. The article addresses the ways and means as how such a situation could be rectified.
Even in India, there is a lack of interest among females to take up Urology as a specialty. The main problem we are going to face is lack of Urology teaching at both Undergraduate as well at MS General Surgery level. MCI in its wisdom has decided to offer limited training in Urology at this level. It is again for USI to take necessary steps with authorities and see that Urology training gets more time during their training curriculum.
All of us Urologists along with USI should take necessary steps in order that Urology will fly higher among other specialties.
This is a subject that needs attention of all of us. I am sure many would be having different views as how to accomplish this. Hopefully there will be meaningful discussion which will benefit Urology for the future. The participation of all is solicited.
With warm Regards,