title: Residency in urology and training in kidney transplantation. Results of a national survey.
abstract: OBJECTIVE
  To determine the current state of kidney transplantation (KT) training in a country that is leader in organ donation and transplantation.
  
  
  METHODS
  We conducted an online survey by e-mail to 138 urology residents. The survey contained 5 sections: affiliation, training in KT, interest in KT, residents of transplant centers and residents of nontransplant centers.
  
  
  RESULTS
  Sixty-five residents responded, 47.1% of the urologists in training surveyed, representing 28 cities and 15 provinces. Fifty-five percent (n=36) of the respondents deemed the KT training offered during their residency as insufficient, and 85% (n=55) demanded more resources. More than half were not confident in their abilities to perform transplantation surgery over the course of their residency (n=35). Nineteen percent of the residents considered KT an important discipline in their residency, with a mean score of 56.2 (1-100). Among the residents of the transplant centers (69.2%, n=45), 73% (n=33) considered KT when choosing a center for their residency. Of the surveyed residents from nontransplant centers (30.7%, n=20), 45% (n=9) do not perform an external rotation in KT.
  
  
  CONCLUSIONS
  The surveyed residents demand more training in KT. The most common situation is to end a residency without having performed a complete KT. KT is considered an asset when selecting a resident medical intern position and commonly they are part of the transplantation team. The majority of residents are trained in centers with less than 75 transplants/year. External rotations in KT are not the rule in centers where transplantation is not performed.
authors.affiliation: Unidad de Trasplante Renal, Hospitales IDC Salud Madrid (Fundación Jiménez Díaz, Hospital Infanta Elena y Hospital Rey Juan Carlos), Madrid, España. Electronic address: rcabello@fjd.es.
authors.forename: R
authors.initials: R
authors.lastname: Cabello-Benavente
authors.affiliation: Unidad de Trasplante Renal, Hospitales IDC Salud Madrid (Fundación Jiménez Díaz, Hospital Infanta Elena y Hospital Rey Juan Carlos), Madrid, España.
authors.forename: C
authors.initials: C
authors.lastname: González-Enguita
mesh_terms: D000046:Academic Medical Centers; D001291:Attitude of Health Personnel; D003479:Curriculum; D006801:Humans; D020407:Internet; D007396:Internship and Residency / Q000706:statistics & numerical data*; D016030:Kidney Transplantation / Q000193:education* / Q000706:statistics & numerical data; D010535:Laparoscopy / Q000193:education; D010549:Personal Satisfaction; D010820:Physicians / Q000523:psychology*; D013030:Spain; D011795:Surveys and Questionnaires; D014572:Urology / Q000193:education*
keywords: Entrenamiento quirúrgico; Kidney transplantation; Residencia; Residency; Surgical training; Trasplante renal