• A Cebulla, C Bolenz, D M Carrion, and L Bellut.
• Klinik für Urologie und Kinderurologie, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Deutschland. angelika.cebulla@uniklinik-ulm.de.
• Urologe A. 2019 Feb 1; 58 (2): 132-138.

BackgroundThe training of residents in urology is challenged by global trends in surgical education, increasing technological developments, subspecialization of the field and working hour regulations for physicians. Currently, there is no standardized curriculum in Europe and significant international differences exist in the education of residents.ObjectivesWe aimed to comprehensively map the state of urological training in an international comparison.Materials And MethodsA selective literature review was conducted using the following keywords: "urology, training, residents".ResultsRecent surveys have shown that urology training in Germany is subject to relatively few regulations on content, time and space when compared to other countries. A lack of a structured curriculum is considered as the main factor leading to dissatisfaction of the residents. Increasing work load, lack of surgical training and limited flexibility in family or research planning have been mentioned as barriers for successful training.ConclusionStructured and validated competence assessments and not "minimum numbers of operations" may help improve surgical training. An objective nationwide examination at the end of residency may be useful for international benchmarking.

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