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Preliminary evaluation of a genitourinary skills training curriculum for medical students.
J Urol 2009; 182(2):668-73JU

Abstract

PURPOSE

Basic urology training in medical school is considered important for many medical and surgical disciplines. We developed a 2-day intensive genitourinary skills training curriculum for medical students beginning their clinical clerkship training years and evaluated the initial experience with this program.

MATERIALS AND METHODS

All 94 third-year medical students at the University of California, Irvine were required to participate in a 5.5-hour genitourinary examination skills training program. The teaching course included 1.5 hours of didactic lecture and video presentation with questions and answers, followed by 5, 45-minute hands-on stations including male Foley catheter placement, female Foley catheter placement, testicular examination and digital rectal examination training with a standardized patient, virtual reality cystourethroscopy and, lastly, a urologist led tutorial of abnormal genitourinary findings. The students completed questionnaires before and after the course concerning their experience. At the end of the course the students rated the usefulness of each part of the curriculum and evaluated the faculty. In addition, they were required to complete a multiple choice examination that included 4 genitourinary specific questions.

RESULTS

All 94 medical students completed the genitourinary skills training course. Before the course less than 10% of students reported comfort with genitourinary skills, including testicular examination (5%), digital rectal examination (10%), male Foley catheter placement and female Foley catheter placement (2%). Following the course the comfort level improved in all parameters of digital rectal examination (100%) and testicular examination, male Foley catheter placement and female Foley catheter placement (98%). The students rated in the order of most to least useful training 1) standardized patient for testicular examination and digital rectal examination teaching, 2) male Foley catheter placement and female Foley catheter placement training, 3) didactic lecture, 4) tutorial of abnormal genitourinary examination findings and 5) virtual reality cystourethroscopy. On the examination questions following the course 80% to 98% of the class answered each urology content question correctly.

CONCLUSIONS

An intensive skills training curriculum significantly improved medical student comfort and knowledge with regard to basic genitourinary skills including testicular examination, rectal examination, and Foley catheter placement in the male and female patient. Further followup will be performed to determine the application of these skills during clinical clerkship rotations.

Authors+Show Affiliations

Department of Urology, University of California Irvine, Orange, California 92868-3298, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Studies
Journal Article

Language

eng

PubMed ID

19539310

Citation

Kaplan, Adam G., et al. "Preliminary Evaluation of a Genitourinary Skills Training Curriculum for Medical Students." The Journal of Urology, vol. 182, no. 2, 2009, pp. 668-73.
Kaplan AG, Kolla SB, Gamboa AJ, et al. Preliminary evaluation of a genitourinary skills training curriculum for medical students. J Urol. 2009;182(2):668-73.
Kaplan, A. G., Kolla, S. B., Gamboa, A. J., Box, G. N., Louie, M. K., Andrade, L., ... McDougall, E. M. (2009). Preliminary evaluation of a genitourinary skills training curriculum for medical students. The Journal of Urology, 182(2), pp. 668-73. doi:10.1016/j.juro.2009.04.037.
Kaplan AG, et al. Preliminary Evaluation of a Genitourinary Skills Training Curriculum for Medical Students. J Urol. 2009;182(2):668-73. PubMed PMID: 19539310.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preliminary evaluation of a genitourinary skills training curriculum for medical students. AU - Kaplan,Adam G, AU - Kolla,Surendra B, AU - Gamboa,Aldrin J R, AU - Box,Geoffrey N, AU - Louie,Michael K, AU - Andrade,Lorena, AU - Santos,Rosanne T, AU - Gan,Jennifer M, AU - Moskowitz,Ross M, AU - Shell,Cynthia, AU - Gustin,William, AU - Clayman,Ralph V, AU - McDougall,Elspeth M, Y1 - 2009/06/17/ PY - 2009/01/07/received PY - 2009/6/23/entrez PY - 2009/6/23/pubmed PY - 2009/8/7/medline SP - 668 EP - 73 JF - The Journal of urology JO - J. Urol. VL - 182 IS - 2 N2 - PURPOSE: Basic urology training in medical school is considered important for many medical and surgical disciplines. We developed a 2-day intensive genitourinary skills training curriculum for medical students beginning their clinical clerkship training years and evaluated the initial experience with this program. MATERIALS AND METHODS: All 94 third-year medical students at the University of California, Irvine were required to participate in a 5.5-hour genitourinary examination skills training program. The teaching course included 1.5 hours of didactic lecture and video presentation with questions and answers, followed by 5, 45-minute hands-on stations including male Foley catheter placement, female Foley catheter placement, testicular examination and digital rectal examination training with a standardized patient, virtual reality cystourethroscopy and, lastly, a urologist led tutorial of abnormal genitourinary findings. The students completed questionnaires before and after the course concerning their experience. At the end of the course the students rated the usefulness of each part of the curriculum and evaluated the faculty. In addition, they were required to complete a multiple choice examination that included 4 genitourinary specific questions. RESULTS: All 94 medical students completed the genitourinary skills training course. Before the course less than 10% of students reported comfort with genitourinary skills, including testicular examination (5%), digital rectal examination (10%), male Foley catheter placement and female Foley catheter placement (2%). Following the course the comfort level improved in all parameters of digital rectal examination (100%) and testicular examination, male Foley catheter placement and female Foley catheter placement (98%). The students rated in the order of most to least useful training 1) standardized patient for testicular examination and digital rectal examination teaching, 2) male Foley catheter placement and female Foley catheter placement training, 3) didactic lecture, 4) tutorial of abnormal genitourinary examination findings and 5) virtual reality cystourethroscopy. On the examination questions following the course 80% to 98% of the class answered each urology content question correctly. CONCLUSIONS: An intensive skills training curriculum significantly improved medical student comfort and knowledge with regard to basic genitourinary skills including testicular examination, rectal examination, and Foley catheter placement in the male and female patient. Further followup will be performed to determine the application of these skills during clinical clerkship rotations. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/19539310/Preliminary_evaluation_of_a_genitourinary_skills_training_curriculum_for_medical_students_ L2 - https://www.jurology.com/doi/full/10.1016/j.juro.2009.04.037?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -