Experiences and Outcomes of the Society of Genitourinary Reconstructive Surgeons Fellowship Training: Growth in Fellowships Mirrors the Evolution of the Discipline

dc.catalogadorpau
dc.contributor.authorCalvo, Carlos I.
dc.contributor.authorBuckley, Jill C.
dc.contributor.authorJoshi, Pankaj
dc.contributor.authorPeterson, Andrew
dc.contributor.authorWood, Hadley
dc.contributor.authorSimhan, Jay
dc.contributor.authorRourke, Keith F.
dc.date.accessioned2025-08-04T20:38:40Z
dc.date.available2025-08-04T20:38:40Z
dc.date.issued2024
dc.description.abstract© 2024 The AuthorsObjective: To describe experiences and outcomes of the Society of Genitourinary Reconstructive Surgeons (GURS) fellowship match. In 2012, GURS developed a centralized fellowship match which has grown from 13 to 30 programs. Methods: GURS match statistics and case logs were reviewed from 2013-2024. Additionally, a 37-question survey evaluating satisfaction, procedural competency, fellowship experience, and employment opportunities were sent to graduates. Linear regression was performed to examine trends over time. Results: Over the study period, program match success remained stable (94.7%; P =.50) while applicant success (63.3%) increased over time (P =.04). North American and female applicants experienced higher match success (72.8% and 73.6%) compared to their international (35.5%; P <.0001) and male counterparts (60.0%; P =.02). On case log analysis, mean surgical volumes per year increased in urethral reconstruction (mean=88.1; P =.02), male sexual health (n = 32.7; P =.03), genital reconstruction (mean = 16.4; P <.01) and abdominal reconstruction (mean = 24.5; P =.03). Male incontinence surgeries remained stable (mean = 30.5; P =.21) while female reconstruction declined (mean = 23.2; P =.01). With a survey response rate of 54.5% (97/178), training satisfaction was 95.9% which did not differ by gender (P =.54) or year of training (P =.22). Around 97.9% felt competent to enter unsupervised reconstructive practice, 94.8% reported an understanding of the relevant literature and 96.9% were satisfied with their job as a reconstructive urologist. Around 49.5% identified a different case mix in practice compared to fellowship, most commonly related to abdominal (44.9%) or genital reconstruction (16.3%). Conclusion: GURS fellowships have grown organically over the last decade and mirror the growth and evolution of the discipline with sustained high levels of graduate satisfaction, surgical experience, competence, scholarly inquiry and employment.
dc.fechaingreso.objetodigital2025-08-04
dc.fuente.origenSCOPUS
dc.identifier.doi10.1016/j.urology.2024.09.035
dc.identifier.issn15279995 00904295
dc.identifier.scopusidSCOPUS_ID:85205921101
dc.identifier.urihttps://doi.org/10.1016/j.urology.2024.09.035
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/105113
dc.identifier.wosidWOS:001399878300001
dc.information.autorucEscuela de Medicina; Calvo, Carlos I.; 0000-0003-3701-4476; 179242
dc.language.isoen
dc.publisherElsevier Inc.
dc.revistaUrology
dc.rightsacceso abierto
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleExperiences and Outcomes of the Society of Genitourinary Reconstructive Surgeons Fellowship Training: Growth in Fellowships Mirrors the Evolution of the Discipline
dc.typeartículo
sipa.codpersvinculados179242
sipa.trazabilidadSCOPUS;2024-10-27
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