Physicians Research Articles

Modern concepts of chronic fatigue syndrome: diagnosis and differential diagnosis with other variants of asthenic syndrome

Chronic fatigue is one of the most common syndromes in the clinical practice of medical doctors of various specialties. However, issues of criteria for distinguishing chronic fatigue from physiological fatigue, differential diagnosis of reactive asthenia, secondary fatigue syndrome and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) as a distinct nosological form can be challenging for physicians. The provision of care to patients with ME/CFS is negatively impacted by the lack of accurate and up-to-date knowledge about the disease among healthcare professionals. Even if doctors are compassionate, they often do not know how to make a diagnosis or what can be done to improve the well-being of patients. Currently, this problem is especially relevant due to the increased risk of developing ME/CFS after suffering from a new coronavirus infection, COVID-19. This article presents a modern approach to the diagnosis of ME/CFS, set out in consensus recommendations that were developed in 2021 independently by groups of experts on the diagnosis and treatment of this disease in European countries and the USA, and taking into account the recommendations of domestic specialists.

Expert consensus on the perioperative management of co-ablation system therapy of lung tumors

In order to improve the quality of clinical therapy and nursing care for patients with lung tumors undergoing Co-Ablation System and standardize perioperative management, the Committee of Ablation Therapy in oncology, Chinese Anti-Cancer Association, and the Expert committee on Ablation Therapy and the Committee of Interventional Perioperative, Interventional Physician Branch of Chinese Medical Doctor Association organized medical and nursing experts in China. Based on the clinical practice of Co-Ablation System therapy in China and relevant domestic literature, a perioperative management expert consensus was developed. The expert consensus included the key points of perioperative nursing care, prevention and intervention of complications, and discharge guidance for Co-Ablation System therapy of lung tumors, to provide reference for the standardization and development of clinical management for lung tumors.

Ensuring Equity

The chief medical officer and other healthcare leaders are positioned to have a positive effect on both diversity and equity. While this has not often been a focus of the healthcare executive, it is important for CMOs to understand how they can influence diversity and equity. This article does not include an exclusive list of to-dos for the CMO; however, it does provide a framework so CMOs can build relationships to guarantee equity in the patient population and diversity within their workforce. It is paramount that CMOs view health equity as a top priority. It also is important to understand that equity is a continuous process. Pursuing equity should be part of everything that a CMO does.

Medical students and house officers’ perception, attitude and potential barriers towards artificial intelligence in Egypt, cross sectional survey

BackgroundArtificial intelligence (AI) is one of the sectors of medical research that is expanding the fastest right now in healthcare. AI has rapidly advanced in the field of medicine, helping to treat a variety of illnesses and reducing the number of diagnostic and follow-up errors.ObjectiveThis study aims to assess the perception and attitude towards artificial intelligence (AI) among medical students & house officers in Egypt.MethodsAn online cross-sectional study was done using a questionnaire on the Google Form website. The survey collected demographic data and explored participants’ perception, attitude & potential barriers towards AI.ResultsThere are 1,346 responses from Egyptian medical students (25.8%) & house officers (74.2%). Most participants have inadequate perception (76.4%) about the importance and usage of AI in the medical field, while the majority (87.4%) have a negative attitude. Multivariate analysis revealed that age is the only independent predictor of AI perception (AOR = 1.07, 95% CI 1.01–1.13). However, perception level and gender are both independent predictors of attitude towards AI (AOR = 1.93, 95% CI 1.37–2.74 & AOR = 1.80, 95% CI 1.30–2.49, respectively).ConclusionThe study found that medical students and house officers in Egypt have an overall negative attitude towards the integration of AI technologies in healthcare. Despite the potential benefits of AI-driven digital medicine, most respondents expressed concerns about the practical application of these technologies in the clinical setting. The current study highlights the need to address the concerns of medical students and house officers towards AI integration in Egypt. A multi-pronged approach, including education, targeted training, and addressing specific concerns, is necessary to facilitate the wider adoption of AI-enabled healthcare.

Social Accountability at Southern Illinois University School of Medicine: A Focus on Admission Policy

Given the increasing health disparities across regions and populations, social accountability is not an option but an obligation for health professions schools, including medical schools. In this short communication, the authors report the case of Southern Illinois University School of Medicine (SIU SOM), which has been an exemplary medical school for social accountability, receiving the 2013 AMEE ASPIRE Award in social accountability and the 2018 Josiah Macy Jr. Foundation Award for Institutional Excellence in Social Mission in Health Professions Education. This paper focuses on the school’s admission policies in the discussion of its social accountability. It starts with the background of central and southern Illinois, where the school is located to address the shortage of healthcare professionals in the areas. It discusses the school’s holistic admission policies and two pipeline programs—namely, MEDPREP and McNeese Physician Preparatory Pipeline Program (P4)—that are strategically designed as a long-term physician workforce development plan to address health disparities in rural areas. As of January 30, 2024, 3,233 students have earned the MD (Doctor of Medicine) degree at SIU SOM. In total, 770 alumni (33%) are practicing in primary care. Among 901 graduates practicing in Illinois, 484 (54%) are practicing in SIU SOM service area counties (i.e., central and southern Illinois). Social accountability is the core value and organizational identity of SIU SOM and the guiding principle of the school’s innovation and excellence.

Brain Tumor Detection and Classification Using MRI Images

Abstract: Brain tumors pose a serious health risk, and prompt and precise identification is essential for successful treatment. This article describes an automated method employing convolutional neural networks (CNNs) to identify and categorize brain cancers in MRI images. The dataset that was used consists of 7,023 MRI scans that were obtained from three different sources: the Br35H dataset, the SARTAJ dataset, and the fig share repository. Four classes are identified from the images: pituitary tumors, gliomas, meningioma’s, and no tumor. With the use of this improved dataset, the CNN model was created and trained, ultimately attaining a 97.5% test accuracy. Moreover, class-wise analysis showed that the precision values for pituitary tumors were 96.1%, 98.8%, 96.1%, and 98.6%, respectively, with equivalent recall rates of 94.7%, 95.4%, 100%, and 99% for gliomas, meningioma’s, and no tumors. With values of 0.966 for gliomas, 0.957 for meningioma’s, 0.994 for no tumor, and 0.975 for pituitary tumors, the F1-scores demonstrate the general resilience of the model. These findings show that the suggested CNNbased method is effective in assisting with brain tumor diagnosis from MRI scans, providing radiologists and other medical practitioners with a useful tool. In order to improve diagnostic accuracy, future study may entail enhancing the model even further and investigating the integration of other imaging modalities

Phytochemical Analysis, Antioxidant Activity of Wild Medicinal Plants of Himalayan Range

Plants that are indigenous to the Himalayas have been exploited for their therapeutic properties for over 6,500 years. Using their deep knowledge of the local flora and fauna, traditional healers in the region are able to treat a wide variety of maladies with herbal treatments. People who live in rural areas of the Himalayas rely on wild medicinal plants for their health, and we need to do everything in our power to ensure that these plants continue to thrive in the harsh desert climate of the Himalayas. Raw materials that are obtained from wild plants are in high demand all around the world, particularly among pharmaceutical companies, ethnomedics, and practitioners of traditional medicine as well as other medical practitioners. India has been a top exporter of raw herbal medications all over the world. This is mostly due to the number of medicinal plants that can be found in the Himalayas. The aim of this study was to determine the Phytochemical analysis and antioxidant activity of various parts of 20 selected wild medicinal plants, found in the Himalayan regions in India, China, Nepal, Bhutan and Pakistan including Swertia bimaculate, Ficus neriifolia, Rubus treutleri, Periploca calophylla, G. depressa, Buddleja napaulensis, Habenaria edgeworthii, Pyracantha crenulate, Roscoea procera, Allium rubellum, Berberis chitria, Capsella bursa-pastoris, Artemisia maritima, C. glanduliferum, C. distans, Juniperus macropoda, Origanum vulgare, Valeriana jatamansi, Polygonatum verticillatum, Meconopsis aculeate and Fragaria nubicolais. There were several different parts of the species that were examined to determine their total polyphenol, flavonoid, alkaloid, saponin, and tannin concentrations. One fraction of the plant extracts was found to contain a higher quantity of phytochemicals when compared to the other portions. Through the utilisation of the DPPH and FRAP model systems, the antioxidant capacity of a number of different components was assessed. The high-performance liquid chromatography (HPLC) technique can be combined with the DPPH and/or ABTS tests in order to rapidly screen extracts for the presence of active chemicals.

Talking About Incarceration History: Engaging Patients and Healthcare Providers in Communication.

Incarcerated individuals in carceral facilities demonstrate an elevated prevalence of chronic disease conditions which are likely to persist post-release. Healthcare providers may not be trained on how exposure to incarceration may influence patient health outcomes and patient-provider communication. To examine the self-perceived preparedness of healthcare providers to interview patients regarding history of incarceration and the potential related health consequences. This cross-sectional study consisted of a web-based self-administered questionnaire distributed via email to a random sample of healthcare providers in the Department of Medicine at Brigham and Women's Hospital. In total, 400 healthcare providers were invited to participate; 114 respondents completed the survey, of which 26% were medical doctors (n=30), 41% were physician assistants (n=47), and 32% were nurse practitioners (n=37). Understanding healthcare provider training in caring for formerly incarcerated patients, current treatment practices and confidence caring for patients who have experienced incarceration, and implications for clinical care. Of 114 respondents, 73% reported that they currently care for formerly incarcerated patients. However, only 8% received specialized training for the care of formerly incarcerated patients. While most respondents did not ask their patients about prior history of incarceration (81%), when asked about comfortability in doing so, 60% reported low levels of comfort. Most providers (77%) reported high agreement that incarceration impacted health, with 54% reporting that it led to significant healthcare access barriers, but 64% reported low confidence levels in addressing the needs of formerly incarcerated patients. Healthcare workers recognized incarceration as a detrimental health exposure. However, providers reported low levels of confidence in understanding and addressing the unique needs of patients who experienced incarceration. Findings support the need for further training regarding how to address the needs of formerly incarcerated patients, which would support efforts towards achieving equitable healthcare.

Exploring Trismus Management in Australia: A Mixed Methods Evaluation of Surveys and Interviews With Health Professionals.

This study evaluates how health care professionals manage trismus in Australia and identifies facilitators and barriers experienced by clinicians in routine patient care. A mixed-methods approach was used to evaluate the experience of clinicians. Medical, nursing, and allied health practitioners in Australia were invited to participate if they had treated patients with trismus in the last 5 years. Participants completed an investigator-designed survey and were invited to participate in a semi-structured audio-recorded interview to explore practice in more depth. Quantitative data were analyzed using descriptive statistics and qualitative data were analyzed thematically using an inductive, data-driven approach. Fifty-six clinicians (38 speech pathologists, 9 physiotherapists, 7 medical doctors, 1 nurse, and 1 osteopath) completed the survey, 12 of which also participated in an interview. The most common assessment tool was a commercially available measurement tool (Therabite or Orastretch), the most common treatment approach was stacked tongue depressors, and the most common exercise regimen was a 30- s stretch 25 times per day. Common barriers to trismus management included the high cost of devices, lack of clinical experience, and lack of training opportunities outside their institution. Clinician-perceived facilitators were different modes of information provision and time to consider the exercise instructions and rationale. Several clinicians relied on telehealth to reach patients in remote locations and improve efficiency. A range of clinicians treat trismus arising from a variety of conditions. Training opportunities are critical for clinicians to develop and extend their skills in assessing and treating trismus. The morbidity associated with trismus, and the absence of a clinical guideline or consensus document warrants careful consideration as to the translation of evidence into the clinical context.

Central Line-Associated Bloodstream Infection Reduction in Hemodialysis Patients Across 9 Hospitals and 3 States.

This quality improvement project was initiated to reduce hospital-acquired catheter-associated bloodstream infections (CLABSI) in hospitalized patients receiving dialysis. A team dedicated to reducing hospital-acquired infections led the implementation of evidence-based interventions across all the included hospitals. This innovative approach demonstrated substantial enhancements in outcomes for patients on hemodialysis. To enhance patient safety in patients receiving hemodialysis, new strategies were implemented, including (1) transitioning from a vendor model to an internal model, enabling dialysis program standardization, (2) empowering intensive care nurses with increased autonomy and ownership, (3) transitioning to a standardized dialysis machine, and (4) introducing chlorhexidine gluconate (CHG) impregnated caps and CHG pads. To reduce CLABSI in hemodialysis lines, a multidisciplinary team was formed comprising physicians, nurses, a dialysis technician, pharmacists, the dialysis director, the chief medical officer, the chief nursing officer, the assistant chief nursing officer, the infection preventionist, and the quality director. The team implemented a standardized approach to caring for hemodialysis lines, provided just-in-time education to staff, and standardized policies simultaneously at 8 hospitals. Initially, 1 facility served as the pilot facility for facility-owned dialysis services, totaling 9 facilities providing in-house standardized dialysis services. Data was reported back for monthly evaluation. Overall, there was an 88% reduction in CLABSI occurrences in hemodialysis lines from pre-intervention (n = 8) to post-intervention (n = 1), X2 (1, N = 4112) = 4.181, P = .0408. Collaboration on these initiatives improved communication and enhanced quality care and patient safety across the entire spectrum of care. Implementing innovative tracking of standardized approaches to patient care and infection prevention and evidence-based interventions resulted in decreased CLABSI rates, improving outcomes in vulnerable patients. An unintended benefit of this project was the increase in multidisciplinary collaboration.

Проблемы организации помощи раненым и больным русским и сербским воинам на Салоникском фронте (1916–1917)

Both the Russian and Serbian armies faced challenges with arranging medical support for their soldiers on the Salonika front. Upon agreement with the allies, assistance to both Russian and Serbian wounded and sick soldiers was to be provided by the French government. This did not work for the Serbian Military Medical Department which had made significant efforts to establish its own infirmaries and hospitals on the Salonika Front since 1916. By the summer of 1916, they had three army hospitals, then four by the fall of the same year. The Russian headquarters followed suite, relying on the already existing Russian medical institutions (the Piraeus Hospital and the St. Demetrius of Thessaloniki Hospital in Thessaloniki). The necessary funds were allocated by the Russian Red Cross Society Administration. Helping the Russian headquarters to overcome challenges connected with medical care for Russian soldiers, Russian imperial diplomats also monitored the issues of helping the Serbs: a sanitary detachment of the Petrograd Slavic Charity was sent to the Salonika Front (senior medical officer Y. I. Chabrov). His fate fully reflected the changed balance of power in the Balkans. Neither the Serbian nor the French government arranged independent sanitary detachments reporting only to Petrograd. They wanted to have full control over the situation. The author concludes that the challenges of medical care for both Russian and Serbian wounded soldiers on the Salonika front were related to the weakening of Russia’s authority in the international arena and the depletion of its resources, including financial ones.

The Transformation of Acupuncture Practice Using Ultrasonography: Expert Opinions.

The rapidly growing use of ultrasound in South Korea has revolutionized the real-world application of acupuncture, making it a safer, more accurate treatment. However, little is known about the challenges Korean medicine doctors (KMDs) encounter, as well as the procedures and resources necessary for hygienic, safe ultrasound-guided acupuncture. This study aimed to investigate the purpose, indications, and procedure for ultrasound-guided acupuncture in Korean medicine (KM) practice and the challenges KMDs encounter in using ultrasonography. Eleven KMDs with expertise in practicing or teaching ultrasonography were consulted in detail. The purpose of ultrasonography in real-world practice, the overall process, resources utilized in ultrasound-guided procedures, and the unaddressed needs of KMDs were investigated. Ultrasound guidance, employed for various diseases in KM practice, is crucial for pharmacopuncture and acupotomy to increase accuracy and safety. Ultrasoundguided acupuncture involves covering the probe, putting on sterile gloves, and scanning with disinfectants, though the exact steps vary among experts. They also suggested that a lack of insurance coverage was a common obstacle for KMDs utilizing ultrasonography. Acupuncture with ultrasound guidance has become a prevalent procedure in South Korea. Standard procedure guidelines and insurance coverage for ultrasonography used for acupuncture procedures are essential to ensure safe, accurate procedures.

Assessment of medical doctors' knowledge of new psychoactive substances and their neurobehavioural effects

New Psychoacve Substances (NPS), also known as designer drugs, pose significant public health risks due to their potent psychoacve properes and potenal neurobehavioural effects. Medical doctors play a crucial role in idenfying and addressing the health risks associated with NPS use. This study assessed medical doctors' knowledge of NPS and their neurobehavioral effects. A cross-seconal online survey of licensed medical doctors was conducted, revealing varying levels of awareness and knowledge regarding NPS. While respondents showed familiarity with NPS terminology and street names, gaps existed, parcularly concerning specific NPS categories. This underscores the importance of enhancing medical professionals' understanding of NPS to ensure comprehensive paent care and informed treatment decisions.

The lifestyle factors of medical doctors in academic hospitals, Bloemfontein, Free State.

Lifestyle factors of medical doctors are essential to their health and well-being. Previous studies omitted factors that constituted a healthy lifestyle and did not differentiate between various medical specialties or level of seniority which may expose doctors to different stress levels, workload and responsibility. The study assessed the lifestyle factors of medical doctors and compared them between departments, levels of seniority, years of experience and gender according to globally recognised health standards. This descriptive cross-sectional study collected data using a questionnaire created by the researchers based on healthy lifestyle factors and was administered online. Access was given to all doctors from four large departments, employed at two academic hospitals in Bloemfontein, Free State who agreed to participate in the study. Consultants from paediatrics, with 6+ years in medical practice, had the healthiest lifestyles. Registrars and interns from surgical disciplines such as obstetrics and gynaecology and surgery, with 1-5 years of medical practice, showed unhealthy lifestyles with inadequate sleep and exercise. The challenge remains how medical doctors can live a healthy lifestyle while managing a demanding schedule. This may impact on the management of their patients and the doctors' overall health and well-being. We recommend improving the working conditions by providing healthy meals on-site at hospitals with adequate breaks, reducing the heavy workload and providing exercise facilities.Contribution:The findings from this article may help improve the lifestyles of the identified groups of at-risk doctors and assist them in seeking ways to improve upon this.

Drug use and divorce rates in Bayelsa State, Nigeria

This study examines the relaonship between drug use and divorce rates in Bayelsa State Nigeria, it ulized survey design, using quesonnaire to obtain data with a purposive sample size of 420. The data was analyzed using the Logisc and the Probit regression techniques. It was found that drug consumpon, frequency of drug consumpon and misuse of drug had a posive and insignificant impact on divorce among drug consumers. 2 The Pseudo R presented in column (1) shows that the variables in the model explain approximately 68.56% change in the divorce rate. The likelihood chi-square value of 30.53 (p = 0.0000) means that the variables jointly significantly affect the rate of divorce. The pvalue for hats is 0.239. The non-significant hatsq means good regression model adequacy. Also, the insignificant Hosmer-Lemeshow goodness of fit test is evidence of the overall goodness of fit of the regression model. Sensizaon of the dangers associated with the abuse of drug, frequent consumpon of drug and the use of drug without a medical doctor's prescripon is recommended.

Management of severe traumatic brain injury in pediatric patients: an evidence-based approach.

Traumatic brain injury (TBI) is a major cause of death and disability worldwide. The decision-making process in the management of severe TBI must be based on the best available evidence to minimize the occurrence of secondary brain injuries. However, healthcare approaches to managing TBI patients exhibit considerable variation. Over an 18-month period, a multidisciplinary panel consisting of medical doctors, physiotherapists, nutritional therapists, and nurses performed a comprehensive review on various subtopics concerning TBI. The panel identified primary questions to be addressed using the Population, Intervention, Control, and Outcome (PICO) format and applied the Evidence to Decision (EtD) framework criteria for evaluating interventions. Subsequently, the panel formulated recommendations for the management of severe TBI in children. Fourteen evidence-based recommendations have been devised for the management of severe TBI in children, covering nine topics, including imaging studies, neuromonitoring, prophylactic anticonvulsant use, hyperosmolar therapy, sedation and analgesia, mechanical ventilation strategies, nutritional therapy, blood transfusion, and decompressive craniectomy. For each topic, the panel provided clinical recommendations and identified research priorities. This review offers evidence-based strategies aimed to guide practitioners in the care of children who suffer from severe TBI.

Chief medical officers in the United Kingdom: maintaining 'independence' inside government.

The Chief Medical Officer (CMO), one of the UK's most senior public health leadership roles, was crucial in supporting policymakers in responding to COVID-19. Yet, there exist only a handful of (largely historical) accounts of the role in England. This article is the first to empirically examine how the scope, focus and boundaries of the CMO role vary over time across the four UK nations, including during public health emergencies. We undertook semi-structured interviews with 10 current and former CMOs/Deputy CMOs in the four UK nations and analysed relevant documents. The CMO role is not clearly defined in contemporary UK legislation and is instead shaped by iterative policies, incumbent preferences, and organizational needs, leading to variation over time and between nations. Nonetheless, most participants framed the role as primarily providing 'independent' advice to government despite being senior civil servants who, in communicating with the public, sometimes speak 'on behalf' of government. The flexibility of UK CMO roles allows for responsive adaption but poses risks for how well these roles are understood. A potential tension between providing 'independent' policy advice and a need to publicly communicate government policies and guidelines may be exacerbated in emergency contexts.

Critical Success Factors and Acceptance of the Casemix System Implementation Within the Total Hospital Information System: Exploratory Factor Analysis of a Pilot Study.

The health care landscape is evolving rapidly due to rising costs, an aging population, and the increasing prevalence of diseases. To address these challenges, the Ministry of Health of Malaysia implemented transformation strategies such as the Casemix system and hospital information system to enhance health care quality, resource allocation, and cost-effectiveness. However, successful implementation relies not just on the technology itself but on the acceptance and engagement of the users involved. This study aims to develop and refine items of a quantitative instrument measuring the critical success factors influencing acceptance of Casemix system implementation within the Ministry of Health's Total Hospital Information System (THIS). A cross-sectional pilot study collected data from medical doctors at a hospital equipped with the THIS in the federal territory of Putrajaya, Malaysia. This pilot study's minimum sample size was 125, achieved through proportionate stratified random sampling. Data were collected using a web-based questionnaire adapted from the human, organization, and technology-fit evaluation framework and the technology acceptance model. The pilot data were analyzed using exploratory factor analysis (EFA), and the Cronbach α assessed internal reliability. Both analyses were conducted in SPSS (version 25.0; IBM Corp). This study obtained 106 valid responses, equivalent to an 84.8% (106/125) response rate. The Kaiser-Meyer-Olkin measure of sampling adequacy was 0.859, and the Bartlett test of sphericity yielded statistically significant results (P<.001). Principal component analysis identified 9 components explaining 84.07% of the total variance, surpassing the minimum requirement of 60%. In total, 9 unique slopes indicated the identification of 9 components through EFA. While no new components emerged from the other 7 constructs, only the organizational factors construct was divided into 2 components, later named organizational structure and organizational environment. In total, 98% (41/42) of the items had factor loadings of >0.6, leading to the removal of 1 item for the final instrument for the field study. EFA ultimately identified 8 main constructs influencing Casemix implementation within the THIS: system quality, information quality, service quality, organizational characteristics, perceived ease of use, perceived usefulness, intention to use, and acceptance. Internal reliability measured using the Cronbach α ranged from 0.914 to 0.969, demonstrating high reliability. This study provides insights into the complexities of EFA and the distinct dimensions underlying the constructs that influence Casemix system acceptance in the THIS. While the findings align with extensive technology acceptance literature, the results accentuate the necessity for further research to develop a consensus regarding the most critical factors for successful Casemix adoption. The developed instrument is a substantial step toward better understanding the multidimensional challenges of health care system transformations in Malaysia, postulating an underpinning for future fieldwork and broader application across other hospitals.

Chinese Clinical Practice Guidelines for the Prevention and Treatment of Mother-to-child Transmission of Hepatitis B Virus (Version 2024).

The Chinese Clinical Practice Guidelines for the Prevention and Treatment of Mother-to-child Transmission of Hepatitis B Virus, developed by the Chinese Society of Infectious Diseases of the Chinese Medical Association in 2019, serves as a valuable reference for standardizing the prevention of mother-to-child transmission in China. As new evidence continues to emerge, it is essential to update these guidelines regularly to optimize clinical practice and research. To this end, the Infectious Disease Physician Branch of the Chinese Medical Doctor Association and the Chinese Society of Infectious Diseases of the Chinese Medical Association, in collaboration with multidisciplinary experts, have updated the guidelines based on the latest domestic and international research advancements and clinical practices, providing up-to-date guidance for clinicians and maternal and child healthcare workers.

Inaugural Australian urology bootcamp for early-career medical officers: improving knowledge, skills, and confidence to prepare for registrar years.

Surgical bootcamps provide hands-on learning opportunities for junior doctors and trainees in low-pressure, non-clinical environments. Participants develop skills, knowledge, and confidence in preparation for their registrar years. A number of international urology-specific bootcamps have demonstrated improvements in these technical and non-technical domains. However, there was no such opportunity for Australian doctors. In the first urology bootcamp in Australia, we aimed to assess participants' knowledge, technical skills, and confidence in managing urological conditions pre- and post-bootcamp. Twenty-five early-career medical officers attended the bootcamp and completed a comprehensive written survey at the beginning and end of the bootcamp. Results showed that self-perceptions of knowledge, confidence, and technical skill all improved at the conclusion of the bootcamp (P = 0.01). All participants reported the bootcamp to be 'useful' or 'very useful' in furthering their urological training. This study demonstrates the success of an inaugural Australian urology bootcamp in preparing junior doctors and unaccredited registrars for their registrar training years.