Resilience and mental health in UK urology trainees

In the absence of published quantitative data on resilience and mental health in the UK urology trainees, this paper analyses the 2018 and 2021 General Medical Council National Training Surveys with regard to the outcomes of seven work-related questions for all trainees and at all stages of training. The answers to these questions are used as a proxy for burnout levels in urology trainees and also to understand the effect of coronavirus disease 2019 (COVID-19) on training. In addition, the extrinsic and intrinsic factors that may influence a urological trainee’s performance are reviewed as these can act as negative drivers on personal and professional performance. The use of a trainee’s reflective practice and emotional intelligence are promoted to allow early diagnosis of burnout and prompt institution of viable treatment options.

Level of evidence: 2b

The reflective urologist

This paper reviews UK reflective practice in urology from historical and current usage perspectives. While appraisal, revalidation and annual review of competence progression processes mandate reflective practice its use in everyday urological practice is not evidenced in the urological literature. With the Covid-19 pandemic changes in urological care abound and front line NHS staff face being overwhelmed physically and emotionally by their experiences. Regular personal reflective practice and within teams offers vital support for urologists, their teams and their patients. A model for daily personal ‘small’ reflective practice and episodic ‘big’ reflective practice is proposed.

Level of evidence: Not applicable.