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Subspecialization and general urology.

F Hinman1

  • 1Department of Urology, University of California School of Medicine, San Francisco 94143-0738.

The Journal of Urology
|March 1, 1989
PubMed
Summary
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Urology subspecialization is increasing, with many practitioners identifying as subspecialists without formal training. While potentially improving care, it raises concerns about costs, economic impact on general urologists, and potential conflicts.

Area of Science:

  • Urology
  • Medical Subspecialization
  • Healthcare Economics

Background:

  • Subspecialization is a growing trend within urology, impacting education, research, and clinical practice.
  • Understanding current attitudes towards urology subspecialization is crucial for assessing its future direction and impact.

Purpose of the Study:

  • To evaluate the current attitudes of urologists towards subspecialization within the field.
  • To assess the perceived benefits, drawbacks, and economic implications of urology subspecialization.

Main Methods:

  • A questionnaire was distributed to members of the Western Section of the American Urological Association.
  • Responses from 561 members (53% participation rate) were collected and analyzed using computer tabulation.

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Main Results:

  • 16% of private practice urologists identify as subspecialists, with half lacking formal subspecialty training.
  • Oncology, andrology, and gynecology are more common subspecialties than pediatric urology.
  • Opinions on certification are mixed; general opposition to board certification exists. Most believe subspecialization may improve patient care but increase costs, without negatively impacting non-specialist patient care.

Conclusions:

  • Subspecialization in urology is perceived to advance diagnosis, treatment, and research, potentially improving training and competence at a higher expense.
  • Concerns exist regarding the potential restriction of experience and competence for general urologists and the possibility of professional conflict.