1. Urological Surgery David Galvin MD Specialist Registrar In Urology

2. Urological Surgery “Most fascinating area in Surgery” Deals with all Surgical Pathology involving: – Kidneys – Ureters – Bladder – Seminal Vesicles and Vas – Testicles and Scrotum – Urethra – Female Urology

3. Urological Oncology Prostate Cancer: Commonest male cancer Bladder Cancer: 4th commonest male cancer Kidney Cancer: 8th commonest cancer. Most lethal. Testicular Cancer: Commonest cancer <40 Ageing population

4. Urological Oncology Partial or Radical Nephrectomy – Open / Laparoscopic / Robotic Radical Prostatectomy – Open / Laparoscopic / Robotic Radical Cystectomy – Open / Laparoscopic / Robotic Penectomy - Bilateral Groin Dissection - RPLND

5. EndoUrology Stone – Percutaneous Nephrolithotomy – Flexible Ureteroscopy – Rigid Ureteroscopy – Dormia Basket – Laser Fragmentation – ESWL – Cystolithopaxy Endoscopic Surgery – Cystoscopy – TURP – Urethrotomy – TURBT Other – Reconstruction – Female Urology – ED Surgery – Transplantation

6. Manpower Nationally 23 Urology Consultants (7 outside Dublin) – Also 5 Private Urologists (increasing) 9 Specialist Registrars Positions (8 filled July 06) – Dublin (7), Galway (1), Limerick (1) 12 Non-SpR Registrar Positions – 5 will be Urology Residents Urology Research Registrars – Conway (2), Trinity (2) - Cork, Beaumont etc

7. Future Manpower Needs Lowest Urologists in Europe (1:180,000) Maintain Dublin Centres – MMH / SJH to expand over time Develop 4 man units in Cork, Limerick, Galway Huge Expansion Required – Enhance present units – Single appointments working in trios – Natural increase in private sector

8. Urology Training: UK Intern Foundation Year 1 (FY1) Foundation Year 2 (FY2) Foundation Year 3 (FY3) Foundation Year 4 (FY4) Foundation Year 5 (FY5) Urology Fellowship 1 Urology Fellowship 2 FRCS (Urol) Consultant Urologist Consultant Urological Surgeon

9. Urology Training: Ireland Intern Basic Surgical Training (MRCS) Urology Residency 1 Urology Residency 2 Urology Residency 3 Urology Residency 4 Urology Specialist Registrar 5 Year Scheme Consultant Urological Surgeon

10. Why I did Urology … I wanted to do Surgery I enjoyed Endoscopic Urology It is largely (75%) Elective based On call is frequent but generally light Call is from home throughout the country Enjoy family life with my wife and children Well structured Training posts Very ‘International’ - Regular Conferences

11. How to get into Urology 1.Talk to Urologists 2.Request a Urology rotation while a BST 3.Do some Urology based audit while BST 4.Get Registrar Experience Cork - Galway - Limerick best bets 5.Apply for new Residency programme 6.Do Urology Research (MCh, MD) 7.Attend teaching / ISU meeting

12. Present and Future Training undergoing change Future is bright - huge expansion long overdue in an ageing population Very competitive Subspecialty Training is well structured Getting ‘in the door’ is now much easier

13. Contacts Urological Trainees of Ireland (UTI) website: www.homepage.mac.com/davidgalvin European Society of Residents in Urology: www.esru.netwww.esru.net (Ireland webpage) Me: davidgalvin@mac.com