Applicant guide

How to evaluate hands-on exposure

Ask about participation, supervision and assessed progression rather than relying on a hands-on label.

Define the activities

Ask what you would actually do during a normal week. Will you observe, assist, perform selected steps or act as the primary operator under supervision? Which clinics, inpatient decisions and follow-up activities are included? The answer should distinguish the programme's educational ambition from the duties you can perform under your particular appointment.

Understand progression and supervision

Request an explanation of how responsibility increases, who assesses readiness and how feedback is recorded. Ask how a fellow gets help during a complication and how cases are allocated between fellows, residents and other trainees. A large hospital's overall volume does not establish the volume or autonomy available to an individual fellow.

Test the case-mix claim

List the procedures or patient groups essential to your objective and ask which are routinely represented. Ask for a typical rota and an explanation of variation, rather than an unsupported guarantee of a fixed number of cases. Consider whether research time, leave, service demands or rotations reduce time in the activity you most want to develop.

Agree how outcomes are documented

Ask whether there is a case log, supervisor report, competency assessment or project review. Clarify the certificate awarded and whether recognition outside the host institution requires a separate process. Compare the written training plan with the appointment conditions before accepting. Keep unanswered questions visible in your shortlist.

Your action checklist

  • Define the level of permitted participation
  • Ask who assesses progression
  • Check the fellow's case allocation rather than hospital volume
  • Confirm assessment and documentation
Track these steps in the application planner →

Examples from the directory

UroFellow currently lists 251 source-linked subspecialty programmes under hands-on programmes across 191 host institutions in 30 countries: 249 clinical, 0 research and 2 observership. Every record links to an official source and displays its recorded review date.

Browse all hands-on programmes →

Official references

Primary sources checked for this editorial update on 14 October 2026. Use the host’s current instructions for your intake; the linked sources do not endorse UroFellow.

Important

This guide is general educational information. Confirm licensing, visa, employment, funding and programme requirements with the relevant institution and authority.

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