[Education, can it be done differently? A sketch of a new training structure for medical specialists].

A working group of the 'Resident Education 2025' project of the Association Medical Specialists has the task of developing a training structure for future medical specialist, which is more in line with the desired interprofessional collaboration within a network, with the right care on the right place. Responding to the required flexibility and deployment of medical specialists, also outside the intramural environment. In doing so, we want to safeguard and strengthen the enthusiasm of future and current specialists, among other things through a better work-life balance.

Bosniak Classification for Complex Renal Cysts Reevaluated: A Systematic Review.

Purpose: We systematically evaluated the Bosniak classification system with malignancy rates of each Bosniak category, and assessed the effectiveness related to surgical treatment and oncologic outcome based on recurrence and/or metastasis.

Materials And Methods: In a systematic review according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement and the QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies) criteria, we selected 39 publications for inclusion in this analysis and categorized them into 1) surgical cohorts-all cysts treated surgically and 2) radiological cohorts-cysts with surgical treatment or radiological followup.

Results: A total of 3,036 complex renal cysts were categorized into Bosniak II, IIF, III and IV.

Arterial stiffness and cerebral small vessel disease: the Rotterdam Scan Study.

Background And Purpose: Aging and vascular risk factors contribute to arterial stiffening. Increased arterial stiffness exposes the small vessels in the brain to abnormal flow pulsations and, as such, may contribute to the pathogenesis of cerebral small vessel disease. In a population-based study, we investigated the association between arterial stiffness, as measured by aortic pulse wave velocity (aPWV), and small vessel disease.