The Influence of Academic Versus Private Practice Exposure During Urological Training

Introduction While private practice exposure is included in urology residency training, its perceived educational value among residents has not been well characterized. This study aimed to evaluate the potential benefits and drawbacks of training with academic versus private practice physicians, as well as resident satisfaction within each setting. Methods An anonymous survey consisting of multiple-choice questions and a free-response section was distributed to all current urology residents in the United States to assess differences in mentorship, autonomy, research opportunities, and clinical and surgical training between academic and private practice settings. Responses were collected from October 2023 through September 2024. Results The response rate was 2.8% (50/1810), but only 20 responses met our inclusion criteria. Of note, 70% indicated the same level of mentorship from academic and private practice attendings; 65% indicated more autonomy while working with private practice attendings; 50% indicated similar surgical training from academic and private practice attendings; 50% indicated better clinical skills and knowledge development in academic settings; 75% indicated similarity in the level of respect, fairness, and disciplinary approach from attendings in both environments. Additionally, 95% indicated more research opportunities in academic settings. Notably, multiple free-response comments highlighted a greater level of comfort and less pressure in private practice settings, allowing for better self-perceived performance overall. Conclusions Our findings demonstrate that private practice exposure during urology residency enhances autonomy and fosters a low-stress learning environment, supporting its continued integration to enrich resident training and preparedness for independent practice. This highlights its potential value in graduate medical education.