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Making of a pediatric urologist
1Department of Pediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai - 400 008, India.
Insights
Identifying the ideal specialist for pediatric urology in India is complex. A dedicated pediatric urologist requires specialized training to address the unique physiological needs of children with urological conditions.
Area of Science:
- Pediatric Urology
- Surgical Training
Background:
- Pediatric urological issues in India are managed by various surgical specialists.
- Current training curricula may have gaps in preparing surgeons for specialized pediatric urology.
Purpose of the Study:
- To define the role and necessary attributes of a pediatric urologist in India.
- To address the complexities in identifying the most suitable specialist for children's urological problems.
Main Methods:
- The article discusses the definition and scope of pediatric urology.
- It highlights the unique physiological differences between children and adults.
Main Results:
- A pediatric urologist is a surgeon specifically trained for urological diseases in children (0-14 years, sometimes up to 16+).
- Children's distinct physiology and communication challenges necessitate specialized expertise.
Conclusions:
- Specialized training is crucial for pediatric urologists to effectively manage children's urological conditions.
- Addressing training lacunae is essential for optimal pediatric urological care in India.
Abstract:
The million-dollar question that we wish to address in this article is who should be the specialist for urological problems in children in India. What are the special attributes of a pediatric urologist? The answer to this question is far from simple and straightforward. Dogmatic rules do not provide a functional solution. While one has to admit that in India pediatric urological problems will be dealt with by urologists, as well as by pediatric and general surgeons, one has to also accept that lacunae do exist in the current curriculum and the methodology of training.A pediatric urologist by the virtue of definition would be a specially trained surgeon who would deal with urological diseases of children from newborn to adolescence (0-14 years). (In some instances e.g. exstrophy, renal transplant and continent procedures the age of treatment may even exceed up to 16 and above). He has the experience and the expertise to treat a child. Children are not miniaturized adults and newborns are not miniaturized children. Their physiology is different, they cannot always express their problems, answer questions and may not be cooperative during clinical examination.
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