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Related Experiment Video

Updated: May 10, 2026

Vessel-sparing Excision and Primary Anastomosis
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See more, do less?-resident-reported training trends in reconstructive urology.

Kevin Neuzil1, Eric Wallen2, John R Potts3

  • 1Department of Urology, University of North Carolina, Chapel Hill, NC, USA.

Translational Andrology and Urology
|September 15, 2025
PubMed
Summary

Urologic surgery residents logged fewer "surgeon" roles in female reconstructive cases, despite an overall increase in reconstructive urology procedures. This trend impacts surgical training and requires further investigation.

Keywords:
Educationfemalereconstructivetrainingurology

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Area of Science:

  • Urology
  • Surgical Education
  • Medical Training

Background:

  • Urologic surgical training is evolving due to robotic surgery, subspecialization, and the COVID-19 pandemic.
  • The impact of these changes on resident training, particularly in reconstructive urology, is not fully understood.
  • This study focuses on changes in resident-reported case logs for reconstructive urology, with a specific emphasis on female reconstructive cases.

Purpose of the Study:

  • To describe trends in resident-reported case log data for reconstructive urology surgeries.
  • To specifically analyze changes in resident roles within female reconstructive urology procedures.
  • To provide insights for urologic resident educators regarding evolving training landscapes.

Main Methods:

  • Utilized data from the Accreditation Council for Graduate Medical Education (ACGME) reporting system (2010-2022).
  • Analyzed resident-submitted case reports, categorizing procedures by Current Procedural Terminology (CPT) codes.
  • Examined resident roles (surgeon, assistant, teaching assistant, all roles) in reconstructive urology cases.

Main Results:

  • Overall reconstructive urology cases logged by residents in "all roles" increased (0.82 cases/year).
  • Resident-reported "surgeon" roles in reconstructive urology decreased (-0.77 cases/year), while "assistant" roles increased significantly (1.48 cases/year).
  • For female reconstructive cases, "surgeon" roles declined (-1.1 cases/year), and "assistant" roles increased (0.32 cases/year).

Conclusions:

  • A notable decrease in resident-reported "surgeon" roles in female reconstructive urology was observed over the past decade.
  • This decline occurred concurrently with an increase in the overall volume of reconstructive urologic cases.
  • Understanding these shifts is crucial for refining urologic surgical residency training programs and identifying root causes.