1.Training satisfaction among urology residents in the Philippines: Validation of a structured questionnaire and national cross-sectional survey.
Miguel Luis H. Bolong ; Genlinus D. Yusi ; Ronan C. Cuaresma ; Jose Rizalito C. Catipay ; Gavino N. Mercado Jr. ; Michael Francis V. Gaston ; Cristopher F. Perez ; Aristotle Bernard M. Roque ; Meliton D. Alpas III ; Rudolfo I. de Guzman
Philippine Journal of Urology 2026;36(1):15-20
BACKGROUND AND OBJECTIVE
Residency satisfaction is an important indicator of training quality and may influence physician well-being and performance. Surgical trainees are generally reported to have lower satisfaction compared to other specialties. This study assessed satisfaction among urology residents in the Philippines and evaluated a structured questionnaire for measuring training experience.
MATERIALS AND METHODSA cross-sectional survey was conducted among residents in accredited urology programs (2024-2024-5). A 12-domain Likert-scale questionnaire was developed and validated. Internal consistency and test-retest reliability were assessed. Satisfaction scores were analyzed overall and across subgroups.
RESULTSA total of 106 residents participated. The instrument demonstrated good internal consistency (Cronbach's α = 0.870) and strong test-retest reliability (r = 0.896). Overall satisfaction was high (52.41 5.4/60). Clinical exposure was the highest-rated domain, while work-life balance was the lowest. No significant differences were observed by gender, training year, or institution type. Key areas for improvement were case exposure and academic learning.
CONCLUSIONUrology residents in the Philippines report high overall satisfaction. The validated questionnaire is reliable and useful for assessing multidimensional aspects of residency training. Improvements in case exposure, academic support, and work-life balance may further enhance training quality.
Human ; Cross-sectional Studies ; Internship And Residency
2.Fungal pneumaturia: A case report on a large urinary bladder fungal bezoar in a young diabetic male.
Charles Anthony C. Gaston ; Michael John Francis V. Gaston ; Marie Carmela M. Lapitan
Philippine Journal of Urology 2019;29(2):69-72
Fungal bezoars or fungus balls are extremely rare cases especially when they occur within the urinary tract. Reported here is a 26-year old diabetic male presenting with pneumaturia, passage of debris per urethra and lower urinary tract symptoms. He was initially managed as a case of enterovesical fistula. Further work-up revealed a urinary bladder fungal bezoar. The patient was managed by endoscopic morcellation and evacuation of the fungal ball from the bladder and anti-fungal therapy. Awareness of this rare clinical entity and its presentation will aid in its proper diagnosis and management.

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