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LETTER TO EDITOR
Year : 2011  |  Volume : 27  |  Issue : 2  |  Page : 291-292
 

Fast-track urology training without a Masters in General Surgery


Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia

Date of Web Publication8-Jul-2011

Correspondence Address:
Christopher C.K. Ho
Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras 56000, Kuala Lumpur
Malaysia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.82862

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How to cite this article:
Ho CC. Fast-track urology training without a Masters in General Surgery. Indian J Urol 2011;27:291-2

How to cite this URL:
Ho CC. Fast-track urology training without a Masters in General Surgery. Indian J Urol [serial online] 2011 [cited 2019 Oct 16];27:291-2. Available from: http://www.indianjurol.com/text.asp?2011/27/2/291/82862


Sir,

I read with interest the manuscript by Panda et al. on whether a preliminary degree in general surgery is necessary for postgraduation in urology. [1] According to this review article, the current prerequisite of 3 years of general surgical training based on a modified Halstedian system needs to be revised. The authors proposed 1 or 2 years of core surgical training followed by 4 years of specific urology training. This would be in line with the practice similarly seen in the United States, [2] Canada, [3] Australia, and New Zealand. [4] This proposal was echoed earlier by Aron. [5]

In Malaysia, we follow a similar system as India. After 5 years of an undergraduate study, a candidate has to complete a year of housemanship followed by 3 years as a medical officer. Then only can he/she apply for 4 years of general surgical training which will culminate in a Masters in Surgery conferment. He/she is then required to complete 6 months of gazettement on general surgery before he/she can apply for a urological trainee post. The urology training program is for another 4 years. Therefore, the total training required to be a urologist is at least 18 years in Malaysia.

In my view, this rigorous training has produced excellent clinicians and surgeons. The urological training program has been envied and emulated by other subspecialities. However, I concur with Panda et al. that a Masters in Surgery is not necessary. A 2-year core surgical training is adequate for exposure in basic surgical principles and fundamentals as well as the knowledge in handling surgical emergencies. Another 4 years can be then focused on solid urological training.

A change is expected to be met with resistance from consultants who had to previously undergo the rigorous training. However, we need to cast aside prejudice and think of the best for the patients, trainees as well as the country. An audit will prove valuable for this purpose.

 
   References Top

1.Panda A. For post-graduation in urology: Is a preliminary degree in general surgery necessary? Indian J Urol 2010;26:326-30.  Back to cited text no. 1
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2.Miller DC, Link RE, Olsson CA. Trends in urology graduate medical education: a brief update from the Urology Residency Review Committee. J Urol 2004;172:1062-4.  Back to cited text no. 2
    
3.Canadian urological association. Available from: http://www.cua.org/training_and_scholarships_e.asp. [Last accessed on 2008 Aug 27].   Back to cited text no. 3
    
4.Urological society of Australia and New Zealand. Available from: http://www.usanz.org.au/training-programme-overview/. [Last accessed on 2008 Aug 27].   Back to cited text no. 4
    
5.Aron M. Urology training in India: Balancing national needs with global perspectives. Indian J Urol 2009;25:254-6.  Back to cited text no. 5
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