{"id":5497,"date":"2019-05-29T06:00:08","date_gmt":"2019-05-29T10:00:08","guid":{"rendered":"https:\/\/www.med.unc.edu\/urology\/?p=5497"},"modified":"2020-04-08T16:03:58","modified_gmt":"2020-04-08T20:03:58","slug":"dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/","title":{"rendered":"Dr. Matthew Coward Participates in the AUA\/JUA Academic Exchange Program"},"content":{"rendered":"<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-9 col-md-8 col-xs-12 col-sm-7 oscitas-bootstrap-container\">\nAt the end of April 2019, UNC Urologist <a href=\"https:\/\/www.med.unc.edu\/urology\/directory\/r-matthew-coward-md-facs\/\">Dr. Matthew Coward<\/a> spent two weeks in Japan as an ambassador for the <a href=\"http:\/\/AUAnet.org\">American Urological Association<\/a> (AUA) as part of the <a href=\"#jua\">AUA\/Japanese Urological Association (JUA) Academic Exchange Program<\/a>.<\/p>\n<p>During his time in Japan, Dr. Coward attended the <a href=\"https:\/\/www.urol.or.jp\/en\/\">JUA Annual Meeting<\/a> in Nagoya where he gave an invited lecture on &#8220;<i>Novel Approaches to the Evaluation and Management of Azoospermia<\/i>\u201d and presented two separate posters. While there Dr. Coward also had the opportunity to meet with leadership from both national urological organizations.<\/p>\n<p>After his time in Nagoya, Dr. Coward spent a week doing an observership at Kobe University working alongside andrologists <a href=\"http:\/\/www.hosp.kobe-u.ac.jp\/e\/consultation\/guide\/department\/hinyou.html\">Dr. Koji Chiba<\/a> and <a>Dr. Keisuke Okada<\/a> where he was able to observe surgeries, clinics, rounds, and conferences.<\/div>\n<div class=\"col-lg-3 col-md-4 col-xs-12 col-sm-5 hidden-xs oscitas-bootstrap-container\">\n<figure id=\"attachment_5519\" class=\"thumbnail wp-caption aligncenter\" style=\"width: 224px\"><a href=\"https:\/\/www.med.unc.edu\/urology\/directory\/r-matthew-coward-md-facs\/\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5519 size-medium\" src=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2019\/05\/Matt_Coward_full-214x300.jpeg\" alt=\"Matt Coward, MD, FACS\" width=\"214\" height=\"300\" \/><\/a><figcaption class=\"caption wp-caption-text\">R. Matthew Coward, MD, FACS<br \/>Director of Male Reproductive Medicine and Surgery<br \/>Assistant Professor of Urology<\/figcaption><\/figure>\n<\/div>\n<\/div><script>\n\n    (function($) {\n        $(\"body, html\").addClass(\"heels_full_width_overflow\");\n    })(jQuery);\n\n   <\/script>\n   <div style=\"background-color:#4b9cd3;\" class=\"full-width-contained whitebackground \">\n<blockquote style=\"border-left: 5px solid #ffffff;\">\n<p class=\"lead\" style=\"color: #ffffff;\">&#8220;My experience in Japan as an AUA\/JUA Scholar was the opportunity of a lifetime. It was extraordinary to be able to represent the AUA at the JUA meeting alongside the leadership of both organizations, and experience the culture, food, and sights of beautiful Kobe while at the same time also seeing first-hand the Japanese practice of urology.&#8221;<\/p>\n<h3 style=\"text-align: right; color: #ffffff; link-decoration: none;\"><a class=\"white\" href=\"https:\/\/www.med.unc.edu\/urology\/directory\/r-matthew-coward-md-facs\/\">R. Matthew Coward, MD, FACS<\/a><\/h3>\n<\/blockquote>\n<\/div>\n<p>During his time at Kobe University with andrologists Dr. Chiba and Dr. Okada, Dr. Coward noted that their Urology Department, including how it functions as a residency training program, the types of procedures they do, their surgical techniques and equipment, and overall urological care in Japan, are remarkably similar to ours here in the United States.<\/p>\n<p>With that in mind, Dr. Coward noted the differences in culture, patient expectations, insurance coverage, and healthcare systems lead to slight differences in the delivery of care.<\/p>\n<p>One such example is that every patient who receives general anesthesia for surgery is admitted for at least one night, with larger surgeries having lengthy stays. As a result, many urological procedures that are performed under anesthesia here in the United States are done under local or spinal anesthesia in order to treat the patient as a same-day or outpatient procedure.<\/p>\n<p>When reflecting on male reproductive care Dr. Coward noted that Japanese men are facing similar struggles with access to care and healthcare delivery as men here in the United States. Both are compounded by a significant lack of providers relative to the scope of their national problem. Additionally, in Japan, the cultural mindset of &#8216;business first&#8217; has lead to the majority of care for men of reproductive age delivered at night after business hours and on the weekends.<\/p>\n\n\n<div class=\"responsive \">\n<div>\n<a href=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2019\/05\/35d070da-66ae-4234-b5a5-08b6a7d268e6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5500\" src=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2019\/05\/35d070da-66ae-4234-b5a5-08b6a7d268e6.jpg\" alt=\"\" width=\"1024\" height=\"768\" \/><\/a><br \/>\n<\/div>\n<div>\n<a href=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2019\/05\/IMG_7173-e1557583711370.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5499\" src=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2019\/05\/IMG_7173-e1557583711370.jpeg\" alt=\"\" width=\"1022\" height=\"768\" \/><\/a><br \/>\n<\/div>\n<div>\n<a href=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2019\/05\/IMG_7550-e1557583742893.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5498\" src=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2019\/05\/IMG_7550-e1557583742893.jpeg\" alt=\"\" width=\"1024\" height=\"768\" \/><\/a><br \/>\n<\/div>\n<\/div>\n<h2>AUA\/Japanese Urological Association (JUA) Academic Exchange Program<\/h2>\n<p><a name=\"jua\"><\/a><br \/>\nThe AUA\/JUA Academic Exchange Program allows young academic urologists to benefit from the sharing of knowledge and experiences with colleagues in Japan. Medical advances are often the result of fruitful collaboration, and this fellowship is designed to facilitate such opportunities.<\/p>\n<p>This reciprocal program includes a 2-4 week educational experience at an academic center(s) in Japan and attendance at the JUA Annual Meeting. During the exchange, participants observe urologic surgeries\/procedures, attend clinics, present lectures and take part in staff activities. The exchanges are &#8220;observation only&#8221; \u2013 participants do not perform hands-on surgery.<\/p>\n<p><strong><a style=\"float: right;\" href=\"https:\/\/www.auanet.org\/international\/academic-exchanges\/exchange-programs\/japan\"><u>Learn More About The Program<\/u><\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>During his time at Kobe University with andrologists Dr. Chiba and Dr. Okada, Dr. Coward noted that their Urology Department, including how it functions as a residency training program, the types of procedures they do, their surgical techniques and equipment, and overall urological care in Japan, are remarkably similar to ours here in the United &hellip; <a href=\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/\" aria-label=\"Read more about Dr. Matthew Coward Participates in the AUA\/JUA Academic Exchange Program\">Read more<\/a><\/p>\n","protected":false},"author":79967,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[57],"class_list":["post-5497","post","type-post","status-publish","format-standard","hentry","category-news","tag-coward","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dr. Matthew Coward Participates in the AUA\/JUA Academic Exchange Program | Department of Urology<\/title>\n<meta name=\"description\" content=\"Dr. Matthew Coward spent two weeks in Japan as an ambassador for the AUA as part of the AUA\/JUA Academic Exchange Program. During his time in Japan, Dr. Coward attended the JUA Annual Meeting, lecturing on &quot;Novel Approaches to the Evaluation and Management of Azoospermia\u201d and doing an observership at Kobe University alongside andrologists Dr. Koji Chiba and Dr. Keisuke Okada.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dr. Matthew Coward Participates in the AUA\/JUA Academic Exchange Program\" \/>\n<meta property=\"og:description\" content=\"Dr. Matthew Coward spent two weeks in Japan as an ambassador for the AUA as part of the AUA\/JUA Academic Exchange Program. During his time in Japan, Dr. Coward attended the JUA Annual Meeting, lecturing on &quot;Novel Approaches to the Evaluation and Management of Azoospermia\u201d and doing an observership at Kobe University alongside andrologists Dr. Koji Chiba and Dr. Keisuke Okada.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/\" \/>\n<meta property=\"og:site_name\" content=\"Department of Urology\" \/>\n<meta property=\"article:published_time\" content=\"2019-05-29T10:00:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-04-08T20:03:58+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2019\/05\/Matt_Coward_full.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"914\" \/>\n\t<meta property=\"og:image:height\" content=\"1280\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Bradley Olson\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Dr. Matthew Coward Participates in the AUA\/JUA Academic Exchange Program\" \/>\n<meta name=\"twitter:description\" content=\"Dr. Matthew Coward spent two weeks in Japan as an ambassador for the AUA as part of the AUA\/JUA Academic Exchange Program. During his time in Japan, Dr. Coward attended the JUA Annual Meeting, lecturing on &quot;Novel Approaches to the Evaluation and Management of Azoospermia\u201d and doing an observership at Kobe University alongside andrologists Dr. Koji Chiba and Dr. Keisuke Okada.\" \/>\n<meta name=\"twitter:creator\" content=\"@UNCurology\" \/>\n<meta name=\"twitter:site\" content=\"@UNCurology\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bradley Olson\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/\"},\"author\":{\"name\":\"Bradley Olson\",\"@id\":\"https:\/\/www.med.unc.edu\/urology\/#\/schema\/person\/e181406b46f5e69f26f8c788b9eb227f\"},\"headline\":\"Dr. Matthew Coward Participates in the AUA\/JUA Academic Exchange Program\",\"datePublished\":\"2019-05-29T10:00:08+00:00\",\"dateModified\":\"2020-04-08T20:03:58+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/\"},\"wordCount\":597,\"publisher\":{\"@id\":\"https:\/\/www.med.unc.edu\/urology\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2019\/05\/Matt_Coward_full-214x300.jpeg\",\"keywords\":[\"Coward\"],\"articleSection\":[\"News\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/\",\"url\":\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/\",\"name\":\"Dr. Matthew Coward Participates in the AUA\/JUA Academic Exchange Program | Department of Urology\",\"isPartOf\":{\"@id\":\"https:\/\/www.med.unc.edu\/urology\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.med.unc.edu\/urology\/dr-matthew-coward-participates-in-the-aua-jua-academic-exchange-program\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2019\/05\/Matt_Coward_full-214x300.jpeg\",\"datePublished\":\"2019-05-29T10:00:08+00:00\",\"dateModified\":\"2020-04-08T20:03:58+00:00\",\"description\":\"Dr. Matthew Coward spent two weeks in Japan as an ambassador for the AUA as part of the AUA\/JUA Academic Exchange Program. 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