title: [Urogynaecological training situation in Germany : Gap between demand and reality].
abstract: BACKGROUND
  With increasing life expectancy, progressive demographic change and decreasing societal stigmatization of incontinence urologists and gynaecologists are increasingly faced with urogynaecological challenges. To date however, urogynaecology is a poorly standardized area of expertise in both disciplines. Therefore, the urogynaecology training, especially in Germany, is very heterogeneous and requires evaluation as well as improvement.
  
  
  METHODS
  The GeSRU-Academics research group "Functional urology and LUTS" evaluated this subject nationwide among urological and gynecological trainees and their chief physicians by using a comprehensive questionnaire (34/38 multiple-choice items) between April 2015 and May 2016.
  
  
  RESULTS
  336 urological residents and 190 chief physicians as well as 171 gynaecological residents and 175 chief physicians participated in the survey. Of all trainees, 70.0 % stated a personal interest in urogynaecology, but 45.4 % (gynaecological residents) and 52.9 % (urological residents) mention not to receive a standardized training in their own department. The chief physicians' survey resulted in discrepancies concerning the same question, <10 % of all residents do not receive a standardized urogynaecological training from their point of view. However, standardized urogynaecological training is of importance for those chief physicians.
  
  
  CONCLUSIONS
  There is a discrepancy between expectations and reality of urogynaecological education and training. To enable a well-structured and standardized urogynaecological education and training, it is compulsory to focus on an interdisciplinary cooperation and to promote multidisciplinary development. A broad-based, well-designed training network and curricula should be established and used consistently.
authors.affiliation: Klinik für Urologie und Kinderurologie, St. Antonius Hospital, Akademisches Lehrkrankenhaus der RWTH Aachen, Dechant-Deckers-Straße 8, 52249, Eschweiler, Deutschland. jennifer.kranz@sah-eschweiler.de.
authors.forename: J
authors.initials: J
authors.lastname: Kranz
authors.affiliation: Institut für Virologie, Universitätsklinikum des Saarlandes; Universität des Saarlandes, Homburg/Saar, Deutschland.
authors.forename: L
authors.initials: L
authors.lastname: Schneidewind
authors.affiliation: Urologische Klinik, Lukaskrankenhaus Neuss, Neuss, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Barski
authors.affiliation: Klinik für Urologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Tahbaz
authors.affiliation: Universitätsklinik Bonn, Klinische und Experimentelle Forschung/Neurourologie, Bonn, Deutschland.
authors.forename: N
authors.initials: N
authors.lastname: Huppertz
authors.affiliation: Klinik für Urologie und Kinderurologie, Klinikum Wilhelmshaven, Wilhelmshaven, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Zerrenner
authors.affiliation: Urologische Klinik und Poliklinik, Klinikum der Universität München, München, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Grabbert
authors.affiliation: Urologie, Universitätsklinikum Halle, Halle, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Mühlstädt
authors.affiliation: Klinik für Urologie, Universitätsklinik Münster, Münster, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Queissert
authors.affiliation: Allgemeine Frauenheilkunde und Geburtshilfe, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Schott
authors.affiliation: Klinik für Urologie und Kinderurologie, St. Antonius Hospital, Akademisches Lehrkrankenhaus der RWTH Aachen, Dechant-Deckers-Straße 8, 52249, Eschweiler, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Grundl
authors.affiliation: Klinik für Gynäkologie und Geburtshilfe, St. Antonius Hospital, Eschweiler, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Boymanns
authors.affiliation: Klinik für Urologie und Kinderurologie, St. Antonius Hospital, Akademisches Lehrkrankenhaus der RWTH Aachen, Dechant-Deckers-Straße 8, 52249, Eschweiler, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Steffens
authors.affiliation: Klinik für Urologie und Andrologie, Klinikum Wels-Grieskirchen, Wels, Deutschland.
authors.forename: A E
authors.initials: AE
authors.lastname: Pelzer
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D004501:Education, Medical / Q000706:statistics & numerical data* / Q000639:trends; D005858:Germany; D006176:Gynecology / Q000193:education*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000706:statistics & numerical data*; D014572:Urology / Q000193:education*; D000078329:Workforce
keywords: Curricula; Pelvic organ prolapse; Trainees; Urinary incontinence; Urogynecology