Urologie最新文献

{"title":"[Securing the future: How can healthcare professions become irresistible to young talent again?]","authors":"Samira Reuß, Melina Brohm, Markus Schubert","doi":"10.1007/s00120-025-02612-7","DOIUrl":"https://doi.org/10.1007/s00120-025-02612-7","url":null,"abstract":"<p><p>Demographic change is leading to a higher number of people who are ill or are in need of care. Medical advances, particularly through minimally invasive procedures, make numerous interventions possible even for older people. This is leading to a current increase in medical demand that is expected to continue into the future. Declining birth rates have led to a shortage of skilled workers in the healthcare sector, which is projected to be even more pronounced in coming years. This is leading to a staff shortage, followed by increasing workloads. Shift work, heavy bureaucratic burdens, and inflexible work hours are making patient-centered careers increasingly unpopular. Although many young people can imagine working in nursing or medical professions, the current working conditions mean that many young professionals prioritize private and family life, seek part-time jobs, or leave the profession altogether. Only improvements in working conditions and, where appropriate, adjusted remuneration can reverse this trend. Reduced bureaucracy, predictable working hours and vacation times, as well as modern personnel development and leadership are potential solutions. Future challenges, such as those posed by the current healthcare reform, can only be met through regional networks for medical education and training.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Nursing assistants and nursing associates-What are neighboring countries doing?]","authors":"Yvonne Lehmann","doi":"10.1007/s00120-025-02539-z","DOIUrl":"10.1007/s00120-025-02539-z","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"487-491"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Improving residency programs in urology: status quo et quo vadis : Future perspectives].","authors":"Maike Neutzer, Axel Heidenreich","doi":"10.1007/s00120-025-02567-9","DOIUrl":"10.1007/s00120-025-02567-9","url":null,"abstract":"<p><p>Well-founded and structured training in urology are the fundamental basis for high-quality, evidence-based, and personalized management of patients with significant diseases of the upper and lower urogenital tract. A major goal of residency programs in urology is the teaching of practical skills in interventional and conservative urology so that residents will be able to implement those skills independently as board certified urologists. Residency programs in Germany, however, are highly heterogeneous due to the fact that the specific contents are defined by state (Länder) medical associations. Furthermore, the implementation of the specific contents is the responsibility of the program directors, which is not assessed transparently. This inconsistency might explain the fact that about one third of residents are highly dissatisfied with the quality of their training programs. To meet future challenges due to the aging population and the already existing additional need of well-trained urologists, we need (1) to implement nationwide, structured, uniform, generally binding and transparent residency programs, (2) the teaching of communicative skills with patients and within interdisciplinary teams, and (3) work schedules that are flexible, including interdisciplinary education, regional and supraregional rotations. The current article summarizes the current landscape of urological training programs in Germany, discussing future perspectives for potential improvement.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"418-423"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Innovative training concepts in urology].","authors":"Ulrike Hendrika Necknig, Nadim Moharam, Nicola Edith von Ostau","doi":"10.1007/s00120-025-02566-w","DOIUrl":"10.1007/s00120-025-02566-w","url":null,"abstract":"<p><strong>Background: </strong>As the ageing population continues to grow, the need for treatment in urology is increasing. In order to be able to rely on well-trained urologists in the future, innovative training concepts are needed that take current and future developments into account.</p><p><strong>Material and method: </strong>Overview of existing innovative training concepts in the field of urology and newer training approaches.</p><p><strong>Results: </strong>Overall, innovative training concepts in urology training offer promising prospects for the future. By combining technology, interdisciplinary learning and a focus on personal development, urologists can be optimally prepared for the challenges of modern medicine.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"441-446"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Report on the 15th symposium of the German Research Association for Bladder Cancer (DFBK) on 24 and 25 January 2025 in Jena].","authors":"Thorsten H Ecke, Daniel Steinbach, Christoph Becker, Susanne Füssel, Michèle J Hoffmann, Nadine T Gaisa, Roman Nawroth","doi":"10.1007/s00120-025-02556-y","DOIUrl":"10.1007/s00120-025-02556-y","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"476-478"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Berufspolitik BvDU.","authors":"","doi":"10.1007/s00120-025-02590-w","DOIUrl":"https://doi.org/10.1007/s00120-025-02590-w","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":"64 5","pages":"511-523"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[New working time models-what is possible and how?]","authors":"B Nübel, P König, B Wullich, F Kunath, L Bellut","doi":"10.1007/s00120-025-02569-7","DOIUrl":"10.1007/s00120-025-02569-7","url":null,"abstract":"<p><strong>Background: </strong>Workforce scheduling in healthcare faces significant challenges as overload, bureaucracy, and insufficient digitalization severely impact the satisfaction of physicians. In particular, the desire for a better work-life balance and more flexible working models is becoming increasingly important in order to retain skilled workers and to cope with the impending shortage of skilled workers.</p><p><strong>Objectives: </strong>This review article presents current working time models, their advantages and disadvantages, the legal basis, and some practical statements.</p><p><strong>Materials and methods: </strong>A comprehensive literature review was conducted to analyze current studies and publications.</p><p><strong>Results: </strong>Current challenges in healthcare present opportunities to enhance the attractiveness of medical professions, promote work-life balance, and secure the future of the medical profession through innovative work models such as part-time schedules, flexible hours, 4‑day workweeks, shift systems, time accounts, and hybrid working arrangements.</p><p><strong>Conclusion: </strong>While restructuring work hours offers opportunities to improve efficiency, employee satisfaction, and staff retention, it also entails risks such as increased organizational costs, implementation difficulties in day-to-day practice, and potential workload issues, making clear objectives, employee involvement, and technical support essential.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"434-440"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Certified continuing education curriculum of the German Society for Urology (WECU) : WECU status report and implications of the new continuing education regulations in clinical practice].","authors":"Herbert Leyh, Mira Faßbach, Carolin Siech","doi":"10.1007/s00120-025-02568-8","DOIUrl":"10.1007/s00120-025-02568-8","url":null,"abstract":"<p><p>The core points of the German education curriculum in urology (WECU) are high-quality professional training and close cooperation between inpatient and outpatient medicine in order to continue to generate well-trained urological young talent in the future. In a modular system, the program includes rotations in the outpatient area and optionally in other specialist disciplines or other clinics with different focuses. Integrated into the training period are 5 module seminars and a series of webinars with regular learning success checks, in which the entire learning content listed in the training regulations is presented in interactive presentations. The clinics and practices participating in the curriculum are regularly evaluated, which should lead to continuous improvement of the training centers in the medium term.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"424-433"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[How will hybrid-DRGs (diagnosis related groups) change German urology? : A survey and potential analysis].","authors":"Philipp Reimold, Christer Groeben, Angelika Borkowetz, Nicole Eisenmenger, Frank König, Marianne Leitsmann, Ulrich Witzsch, Markus Müller, Markus Schöne, Daniela Schultz-Lampel, Margit Fisch, Peter Kollenbach, Andreas Schneider, Jens Westphal, Holger Borchers, Axel Belusa, Maurice Stephan Michel, Björn Volkmer, Johannes Huber","doi":"10.1007/s00120-024-02515-z","DOIUrl":"10.1007/s00120-024-02515-z","url":null,"abstract":"<p><strong>Background: </strong>The introduction of hybrid DRGs on 1 January 2024 is intended to create incentives to perform inpatient urology services, e.g., ureterorenoscopy (URS), on an outpatient basis. The effects on the reality of care are currently unclear.</p><p><strong>Objectives: </strong>The aim of the survey was to gather an opinion on the introduction of hybrid DRGs in urology and to analyze initial practical experiences and future prospects.</p><p><strong>Materials and methods: </strong>In a Germany-wide online survey conducted between May and July 2024, 32 questions were asked about patient care, further training and other indications, among other things. In addition, an assessment of the outpatient potential for URS for ureteral and kidney stones and hydrocele resections was requested.</p><p><strong>Results: </strong>A total of 364 urologists responded to the survey: 54.5% were in private practice and 45.5% worked in hospitals. 91.1% were active surgeons. The concept of hybrid DRGs was rated positively by 34% of those working in surgery, but 68% saw no relief in their everyday work. 51% expressed concerns about the negative impact on further training. The proportion of URS performed on an outpatient basis in 2023 was 21% (ureteral stones) and 11% (kidney stones), with a long-term potential increase of up to 33%. Two thirds of hydrocele resections were already performed on an outpatient basis, and 74% of respondents considered these to be billable in a hybrid DRG.</p><p><strong>Conclusion: </strong>The survey shows a differentiated opinion on hybrid DRGs in urology, but the sample only comprises around 6% of urologists in Germany. It would make sense to repeat the survey at a later date in order to evaluate developments in practical use.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"453-461"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Relief of bladder outlet obstruction and improvement of symptoms following drug therapy vs. surgery for lower urinary tract symptoms indicative of benign prostatic hyperplasia: a systematic review].","authors":"Lukas Koneval, Karl Georg Sommer, Laila Schneidewind","doi":"10.1007/s00120-025-02572-y","DOIUrl":"10.1007/s00120-025-02572-y","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"479-482"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}