Specialist training schools and specialist trainees : from teaching methodology to occupational prospects, present-day reality, future plans. The Milanese experience in an education program involving the General Hospital structure

As a result of the insufficient practical training offered by the University of Milan in organizing and managing the School of Specialization in Urology we initiated an experimental University/Hospital collaboration in the training programme in the academic year 1995/96. We selected and gradually involved the Urology Units in the Lombardy Region in providing medical personnel, teaching aids, didactic material and tutors. The Units we considered suitable for teaching were made a part of our Speciality School and their Chiefs requested to teach and form part of the School Board. This Board has approved a Regulation that specializing trainees practice in the appointed units for a period of no less than six months, starting in the second year second semester. The trainee rotation programme is co-ordinated by the School Board only and the practical training and tutorials are checked periodically by examining the trainees' log-books and from input from the Chiefs. The initiative has received the approval of both the trainees and the hospital personnel. 1. We have considerably improved the quality of practical training for the trainees. 2. We have raised the standard of teaching in the School by involving nationally famous professors. 3. We have temporarily placed a growing number of specializing trainees in the appointed units to involve them in the day-to-day activities on the hospital wards. They receive adequate retribution and earn credits for their future careers.