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Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence.
Urology. 2020 Jun 20 [Online ahead of print]U

Abstract

OBJECTIVE

To assess whether a focused, simulation training course can improve trainee surgical knowledge and confidence in the treatment of male stress urinary incontinence.

MATERIALS AND METHODS

Urology residents participated in a prosthetic education course as part of the 2018 SUPS and SMSNA annual meeting. The course included didactic lectures and a hands-on cadaveric laboratory. Participants completed questionnaires before and after the lab (2 weeks and 6 months) to assess procedural knowledge and confidence. Analysis of lab responses was performed using the Wilcoxon signed rank test for matched pairs.

RESULTS

Thirty-two residents (median age 29, range 27-34) participated in the course. The majority were postgraduate year 4 (63%) or postgraduate year 5 (20%). Most participants reported minimal AUS or sling experience with 50% and 94% reporting less than 5 cases, respectively. Overall score from the knowledge assessment improved significantly between the pre-lab versus 2-week post-lab (P = .02) and pre-lab versus 6-month post-lab (P = .01). Similarly, procedural confidence improved between pre-lab vs 2-week post-lab (P < .001) and pre-lab versus 6-month post-lab (P < .001). Knowledge and confidence assessments were not different between year of residency training or pre-lab experience.

CONCLUSIONS

Simulation training improves knowledge and confidence in prosthetic surgery for male stress incontinence. In the current climate of reduced exposure and limited availability of prosthetic educators, simulation courses can provide much needed educational value.

Authors+Show Affiliations

Division of Urologic Surgery, Duke University School of Medicine, Durham, NC. Electronic address: aaron.lentz@duke.edu.Boston University Medical Center, Boston, MA.Division of Urologic Surgery, Duke University School of Medicine, Durham, NC.Division of Urologic Surgery, Duke University School of Medicine, Durham, NC.University of Rochester, NY.Dartmouth-Hitchcock Medical Center, Lebanon, NH.Boston University Medical Center, Boston, MA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32574602

Citation

Lentz, Aaron C., et al. "Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence." Urology, 2020.
Lentz AC, Rodríguez D, Chandrapal JC, et al. Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence. Urology. 2020.
Lentz, A. C., Rodríguez, D., Chandrapal, J. C., Davis, L. G., Ghazi, A., Gross, M. S., & Munarriz, R. (2020). Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence. Urology. https://doi.org/10.1016/j.urology.2020.06.008
Lentz AC, et al. Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence. Urology. 2020 Jun 20; PubMed PMID: 32574602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence. AU - Lentz,Aaron C, AU - Rodríguez,Dayron, AU - Chandrapal,Jason C, AU - Davis,Leah G, AU - Ghazi,Ahmed, AU - Gross,Martin S, AU - Munarriz,Ricardo, Y1 - 2020/06/20/ PY - 2020/04/21/received PY - 2020/05/16/revised PY - 2020/06/09/accepted PY - 2020/6/24/pubmed PY - 2020/6/24/medline PY - 2020/6/24/entrez JF - Urology JO - Urology N2 - OBJECTIVE: To assess whether a focused, simulation training course can improve trainee surgical knowledge and confidence in the treatment of male stress urinary incontinence. MATERIALS AND METHODS: Urology residents participated in a prosthetic education course as part of the 2018 SUPS and SMSNA annual meeting. The course included didactic lectures and a hands-on cadaveric laboratory. Participants completed questionnaires before and after the lab (2 weeks and 6 months) to assess procedural knowledge and confidence. Analysis of lab responses was performed using the Wilcoxon signed rank test for matched pairs. RESULTS: Thirty-two residents (median age 29, range 27-34) participated in the course. The majority were postgraduate year 4 (63%) or postgraduate year 5 (20%). Most participants reported minimal AUS or sling experience with 50% and 94% reporting less than 5 cases, respectively. Overall score from the knowledge assessment improved significantly between the pre-lab versus 2-week post-lab (P = .02) and pre-lab versus 6-month post-lab (P = .01). Similarly, procedural confidence improved between pre-lab vs 2-week post-lab (P < .001) and pre-lab versus 6-month post-lab (P < .001). Knowledge and confidence assessments were not different between year of residency training or pre-lab experience. CONCLUSIONS: Simulation training improves knowledge and confidence in prosthetic surgery for male stress incontinence. In the current climate of reduced exposure and limited availability of prosthetic educators, simulation courses can provide much needed educational value. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/32574602/Cadaveric_Laboratory_Simulation_Training_of_Male_Stress_Urinary_Incontinence_Treatment_Improves_Trainee_Knowledge_and_Confidence L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(20)30706-8 DB - PRIME DP - Unbound Medicine ER -
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