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Pirpiris A, Chan G, O'Connell HE, Gani J. Women doctors in female urology: current status and implications for future workforce. BJU Int 2021; 128 Suppl 1:33-39. [PMID: 34258849 DOI: 10.1111/bju.15546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To objectively determine the percentage of female trainees and consultants who are interested in their career being focussed on female urology (FU) in order to facilitate the improved planning for the future of this sub-specialty. SUBJECTS AND METHODS This was an international cross-sectional study spanning 1 year, from December 2018 to December 2019. An anonymous, voluntary survey was generated using the online survey generator Survey monkey® . The survey was sent to urology consultants and trainees who were female from Australia, New Zealand, and Canada. RESULTS The total response rate to the survey was 61%. Up to 50% of female consultants and trainees selected a career in FU due to their gender, but up to 75% of respondents were also interested in FU of their own accord. Common concerns held by a majority of respondents included both the medical community's and the public's lack of awareness of FU as a component of urological expertise. Despite these concerns, most of the trainees were not concerned regarding their future work opportunities in FU, and many had intentions to pursue a fellowship in FU. CONCLUSION Female urology is an increasingly popular sub-specialisation of urology, given the steady increase in the intake of female trainees. Similar trends were identified internationally. Urology training in this area will need to continue to increase the community's and the primary health care referrer's awareness in order to ensure the continued success and growth of the sub-specialty.
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Affiliation(s)
- Athina Pirpiris
- Urology Department, Concord Hospital, Concord, NSW, Australia
| | - Garson Chan
- Urology Department, The Austin Hospital, University of Melbourne, Heidelberg, Vic., Australia.,Urology Department, University of Saskatchewan, Saskatoon, SK, Canada
| | - Helen E O'Connell
- Urology Department, Western Health, University of Melbourne, Footscray, Vic., Australia
| | - Johan Gani
- Urology Department, The Austin Hospital, University of Melbourne, Heidelberg, Vic., Australia.,Urology Department, Western Health, University of Melbourne, Footscray, Vic., Australia
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Wallingford CK, Cutler K, Istiko SN, Fowles LF, Lamb R, Bean J, Healy L, Hondow G, Pratt G, Vidgen ME, Waddell N, Evans E, Bunker D, McInerney-Leo AM. Queensland Consumers' Awareness and Understanding of Clinical Genetics Services. Front Genet 2020; 11:537743. [PMID: 33193608 PMCID: PMC7593610 DOI: 10.3389/fgene.2020.537743] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Accepted: 09/23/2020] [Indexed: 12/15/2022] Open
Abstract
As genetic testing becomes increasingly utilized in health care, consumer awareness and understanding is critical. Both are reported to be low in Australia, though there are limited studies to date. A consumer survey assessed perceived knowledge, awareness and attitudes toward genetic medicine, prior to consumers’ genomics forums in Queensland in 2018 and 2019. Data was analyzed using t-test and Mann-Whitney U tests analysis to detect any associations between sociodemographic factors and familiarity or attitudes. This highly educated and experienced health consumer cohort reported they were significantly more familiar with the healthcare system generally than genetic medicine specifically (p < 0.0001). Consumers perceived that genetic testing would be significantly more important in the future than it is currently (p < 0.00001). Consumers agreed that genetic testing should be promoted (91.4%), made available (100%), better funded (94.2%), and offered to all pregnant women (81.6%). The preferred learning modality about genetics was internet sites (62.7%) followed by talks/presentations (30.8%). Benefits of genetic testing, reported in qualitative responses, included the potential for additional information to promote personal control and improve healthcare. Perceived concerns included ethical implications (including privacy and discrimination), and current limitations of science, knowledge and/or practice. This study demonstrates that even knowledgeable consumers have little familiarity with genetic medicine but are optimistic about its potential benefits. Ethical concerns, particularly concerns regarding genetic discrimination should inform legislation and policy. Consumers are supportive of online resources in increasing genomic literacy.
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Affiliation(s)
- Courtney K Wallingford
- Dermatology Research Centre, The University of Queensland Diamantina Institute, University of Queensland, Brisbane, QLD, Australia.,Graduate School of Health, University of Technology Sydney, Sydney, NSW, Australia
| | | | | | - Lindsay F Fowles
- Genetic Health Queensland, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia
| | - Rachel Lamb
- Queensland Genomics, Brisbane, QLD, Australia
| | | | | | - Gary Hondow
- Queensland Genomics, Brisbane, QLD, Australia
| | - Gregory Pratt
- QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia
| | - Miranda E Vidgen
- QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia
| | - Nicola Waddell
- QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia
| | - Erin Evans
- Queensland Genomics, Brisbane, QLD, Australia
| | | | - Aideen M McInerney-Leo
- Dermatology Research Centre, The University of Queensland Diamantina Institute, University of Queensland, Brisbane, QLD, Australia
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3
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Tariq A, Khan SR, Vela I, Williams ED. Assessment of the use of the Internet and social media among people with bladder cancer and their carers, and the quality of available patient-centric online resources: a systematic review. BJU Int 2019; 123 Suppl 5:10-18. [DOI: 10.1111/bju.14720] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- Amina Tariq
- School of Public Health and Social Work; Queensland University of Technology; Brisbane QLD Australia
- Queensland Bladder Cancer Initiative; Brisbane Australia
| | - Shanchita R. Khan
- School of Public Health and Social Work; Queensland University of Technology; Brisbane QLD Australia
- Queensland Bladder Cancer Initiative; Brisbane Australia
| | - Ian Vela
- School of Biomedical Sciences; Queensland University of Technology; Brisbane QLD Australia
- Translational Research Institute; Brisbane Australia
- Princess Alexandra Hospital; Brisbane Australia
- Queensland Bladder Cancer Initiative; Brisbane Australia
| | - Elizabeth D. Williams
- School of Biomedical Sciences; Queensland University of Technology; Brisbane QLD Australia
- Translational Research Institute; Brisbane Australia
- Queensland Bladder Cancer Initiative; Brisbane Australia
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Quality of Health Information on the Internet for Prostate Cancer. Adv Urol 2018; 2018:6705152. [PMID: 30627152 PMCID: PMC6305048 DOI: 10.1155/2018/6705152] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Accepted: 11/19/2018] [Indexed: 11/18/2022] Open
Abstract
Introduction To compare (1) the quality of prostate cancer health information on the Internet, (2) the difference in quality between websites appearing earlier or later in the search, and (3) the sources of sponsorship for each of these websites. Materials and methods The top 150 listed websites on the Google search engine for each of the 11 search terms related to prostate cancer were analysed. Quality was assessed on whether the website conforms to the principles of the Health On the Net Foundation. Each of these websites was then reviewed to determine the main source of sponsorship. Statistical analysis was performed to determine if the proportion of HON accreditation varied among the different cohorts of listed websites and among the 11 search terms used. Results In total, 1650 websites were analysed. Among these, 10.5% websites were HON-accredited. The proportion of HON-accredited websites for individual search terms ranged from 3.3% to 19.3%. In comparison with the search term of "Prostate cancer," four search terms had statistically significant odds ratio of the rate of HON accreditation. Websites 51-150 were statistically less likely to have HON accreditation than websites 1-50. The top three website sponsors were journal/universities (28.8%), commercial (28.1%), and physician/surgeon (26.9%). Conclusions The lack of validated and unbiased websites for prostate cancer is concerning especially with increasing use of the Internet for health information. Websites sponsored or managed by the government and national departments were most likely to provide impartial health information for prostate cancer. We need to help our patients identify valid and unbiased online health resources.
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Affiliation(s)
- Nathan Lawrentschuk
- Department of Surgery, Austin Hospital and Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, Vic., Australia
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Kinnear N, Smith R, Hennessey DB, Bolton D, Sengupta S. Implementation rates of uro-oncology multidisciplinary meeting decisions. BJU Int 2017; 120 Suppl 3:15-20. [DOI: 10.1111/bju.13892] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- Ned Kinnear
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Riley Smith
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | | | - Damien Bolton
- Department of Urology; Austin Health; Heidelberg Vic. Australia
- Department of Surgery; University of Melbourne; Heidelberg Vic. Australia
| | - Shomik Sengupta
- Department of Urology; Austin Health; Heidelberg Vic. Australia
- Department of Surgery; University of Melbourne; Heidelberg Vic. Australia
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Yuminaga Y, Kam J, Louie-Johnsun M. Multi-centre, prospective evaluation of the Seldinger technique for difficult male urethral catheter insertions by non-urology trained doctors. BJU Int 2017; 120 Suppl 3:21-27. [PMID: 28872750 DOI: 10.1111/bju.13928] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
OBJECTIVE To evaluate the safety and effectiveness of the Seldinger technique by non-urology trained (NUT) doctors for difficult male indwelling urinary catheter (IDC) insertions. PATIENTS AND METHODS In all, 115 patients and 57 participating NUT doctors were recruited by the urologist or urology registrar, when contacted in regards to failed IDC insertion. The successful passage of an IDC by the NUT doctors using the Seldinger technique with a straight, hydrophilic guidewire was assessed in our prospective, multicentre evaluation. Instruction of this technique was via bedside teaching by the urology registrar or via video media. RESULTS The 115 patients, involving 57 NUT doctors, were prospectively evaluated across four sites; 93% (107/115) of cases had successful placement of an IDC with the Seldinger technique by a NUT doctor. No complications with the Seldinger technique were recorded. In 80 patients (69.6%), the technique was successfully performed by a NUT doctor without attendance by a urologist or urology registrar, with instruction provided from video media or prior bedside teaching by the urology registrar. CONCLUSIONS Our study is the first to validate the safety and effectiveness of the Seldinger technique for difficult male IDC insertion performed by NUT doctors. This technique can be taught via video education and thus has important implications for health services where urological support is not readily available.
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Affiliation(s)
- Yuigi Yuminaga
- Department of Urology, Gosford District Hospital, Gosford, NSW, Australia
| | - Jonathan Kam
- Department of Urology, Gosford District Hospital, Gosford, NSW, Australia.,University of Newcastle, Callaghan, NSW, Australia
| | - Mark Louie-Johnsun
- Department of Urology, Gosford District Hospital, Gosford, NSW, Australia.,University of Newcastle, Callaghan, NSW, Australia
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McCombie SP, Bangash HK, Kuan M, Thyer I, Lee F, Hayne D. Delays in the diagnosis and initial treatment of bladder cancer in Western Australia. BJU Int 2017; 120 Suppl 3:28-34. [DOI: 10.1111/bju.13939] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | | | - Melvyn Kuan
- Fiona Stanley Hospital; Murdoch WA Australia
| | - Isaac Thyer
- Fiona Stanley Hospital; Murdoch WA Australia
| | - Fran Lee
- Fiona Stanley Hospital; Murdoch WA Australia
| | - Dickon Hayne
- Fiona Stanley Hospital; Murdoch WA Australia
- University of Western Australia; Perth WA Australia
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Azer S, Khan M, Hoag N, Bookun R, Lawrentschuk N, Grills R, Bolton D. Response to Re: Interns' perceptions of exposure to urology during medical school education in Victoria, Australia. ANZ J Surg 2017; 87:524. [PMID: 28585753 DOI: 10.1111/ans.14029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2017] [Accepted: 03/13/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Sarah Azer
- Department of Urology, Austin Hospital, Heidelberg, Victoria, Australia
| | - Munad Khan
- Department of Urology, Austin Hospital, Heidelberg, Victoria, Australia
| | - Nathan Hoag
- Department of Urology, Austin Hospital, Heidelberg, Victoria, Australia
| | - Riteesh Bookun
- Department of Vascular Surgery, Barwon Health, Geelong, Victoria, Australia
| | - Nathan Lawrentschuk
- Department of Surgery, The University of Melbourne, Melbourne, Victoria, Australia
| | - Richard Grills
- Department of Urology, Barwon Health, Geelong, Victoria, Australia
| | - Damien Bolton
- Department of Urology, Austin Hospital, Heidelberg, Victoria, Australia
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Ngo B, Perera M, Papa N, Bolton D, Sengupta S. Factors affecting the timeliness and adequacy of haematuria assessment in bladder cancer: a systematic review. BJU Int 2017; 119 Suppl 5:10-18. [DOI: 10.1111/bju.13821] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Brian Ngo
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Marlon Perera
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Nathan Papa
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Damien Bolton
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Shomik Sengupta
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
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Bolton DM, Yaxley J. Fake news and clickbait - natural enemies of evidence-based medicine. BJU Int 2017; 119 Suppl 5:8-9. [DOI: 10.1111/bju.13883] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | - John Yaxley
- Wesley Urology Clinic; Brisbane Qld Australia
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12
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Ngo B, Papa N, Perera M, Bolton D, Sengupta S. Predictors of delay to cystoscopy and adequacy of investigations in patients with haematuria. BJU Int 2017; 119 Suppl 5:19-25. [DOI: 10.1111/bju.13809] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Brian Ngo
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Nathan Papa
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Marlon Perera
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Damien Bolton
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Shomik Sengupta
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
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13
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Ngo B, Papa N, Perera M, Bolton D, Sengupta S. Bladder cancer diagnosis during haematuria investigation - implications for practice guidelines. BJU Int 2017; 119 Suppl 5:53-54. [DOI: 10.1111/bju.13870] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Brian Ngo
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Nathan Papa
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Marlon Perera
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Damien Bolton
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
| | - Shomik Sengupta
- Department of Surgery; The University of Melbourne; Parkville Vic. Australia
- Department of Urology; Austin Health; Heidelberg Vic. Australia
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