Abstract
Introduction: The entrance of Generation Z into professional life, including the practice of medicine, marks a transformational shift in priorities and values. This also applies for urology. Consequently, we conducted a pilot survey among European leaders in urology to conduct first insights on generational change and its implications for clinical practice, education and healthcare systems. Methods: Between August and October 2025, a survey containing seven open-ended questions was sent out to 11 European leaders in urology. The results are presented in an only descriptive manner. Results: Answers from all experts were received. We summarized the results in four take home messages: 1. Generation Z is capable and expects modern training environments. 2. Structural and legal frameworks drive most observed changes. 3. Reduced clinical presence affects surgical exposure and continuity of care. 4. Traditional apprenticeship models no longer fit current conditions. National and European urological societies, training committees and educational bodies were repeatedly referenced as key platforms for coordinating and implementing such adaptations. Conclusion: We provide first key factors as hypothesis for further discussion and evaluation of educational programs in urology in the future and therefore, improving patient care.
