Commentary to "Evaluation of the United States pediatric urology workforce and fellowships: a series of surveys performed in 2006-2010".
I read the Husmann et al ‘Paediatric Urology Workforce’ paper in this issue with great interest. In line with the US experience, the workload for UK paediatric urologists does appear to be increasing and so recruitment and workforce planning are key considerations. Surgical training for paediatric urology in the UK is pretty well organised. Most trainees approach paediatric urology through an initial training programme in paediatric surgery which lasts 6 years. In their last year, the trainees take an exit exam in paediatric surgery. At least one year, and usually more, of this six year programme will comprise specific paediatric urology training. Those trainees who are interested in a career in paediatric urology then have to apply for one of 6 national paediatric urology fellowship posts, which last between 1 and 2 years. These fellowship posts are also open to adult urology trainees who are looking to move into paediatric or adolescent urology, but more commonly applicants are still from paediatric surgery. At the end of the fellowship, most UK trainees will be ‘board certified’ in both paediatric urology and paediatric general surgery, although paediatric urology is not yet a recognised separate sub-specialty to paediatric surgery. In contrast to the US, the fellowship posts are clinical with no specific commitment to research. Those trainees who have a particular interest in research