Higher specialist urology trainees’ opinions on preparation for the consultant role

Introduction: Trainees are objectively assessed during their surgical training rotations in order to be awarded the certificate of completion of training, thereby allowing independent consultant practice. Our study looks at senior trainees’ opinions on UK urology training in preparation to becoming a consultant. Patients and methods: A questionnaire was sent to UK senior urology trainees ST 6 or above and new consultants. Parameters including demographics, qualifications, sub-specialist interests and questions related to the candidates’ perceived readiness to carry out a range of activities as a consultant were recorded. Results: Twenty-eight candidates completed the questionnaire. All trainees thought the FRCS exam covered topics useful for consultant practice. The majority of respondents felt comfortable dealing with emergencies, general urological procedures and managing research/audit (85%, 96% and 90%, respectively). However, a number of respondents felt unprepared for educational and leadership/management roles (30% and 40%). A further 55% felt unprepared to achieve a good work/life balance. Overall, 93% felt training prepared them for the consultant role. Conclusion: The survey has highlighted that most trainees feel confident in dealing with clinical and academic aspects of urology. However, there seem to be concerns with achieving a good work/life balance and in particular limited confidence in delivering educational, management and leadership roles. With an increasing emphasis within the NHS for consultants to adopt managerial roles and increasing pressures on their personal time, this survey highlights the need for specific training to address these issues.