Page 1 - CUA2019 Abstracts - Miscellaneous/Other

2019 CUA Abstr
2019 CUA AbstrACtsACts

Poster Session 5: Training & Evaluation

June 30, 2019; 0730–0900

MP-5.1 committee member. A numeric mean score was calculated for each indi-
Deficits in urological knowledge and skills among family medicine vidual aspect surveyed to create an overall rank list of the components.
residents in Canada Independent samples t-test (two groups) was used to compare the scores
2
1
Sahar Saleem , Trustin S. Domes , Keith F. Rourke 1 of program directors vs. program committee members and francophone
1 Division of Urology, University of Alberta, Edmonton, AB, Canada; programs vs. anglophone programs.
2 Division of Urology, University of Saskatchewan, Saskatoon, SK, Canada Results: A total of 43 urologists involved in the application process answered
Introduction: The last 10 years have seen a decline in formal undergraduate — all program directors and at least two members per selection commit-
urological education throughout Canada. Given the large volume of uro- tee. The three most important aspects overall were rotation performance
logical presentations in family practice, trainees need to acquire the req- at their institution (4.95±0.21), quality of reference letters from a urologist
uisite urological knowledge and skills to serve their patients. The objective (4.60±0.62), and interview performance (4.49±0.63). Table 1 provides the
of this study is to determine the perceived level of urological knowledge mean score, standard deviation, and rank of each individual aspect sur-
and skills among Canadian family medicine residents. veyed. There were no statistically significant differences between program
Methods: A 15-item anonymous online survey was distributed via email to all directors and committee members for mean score of any aspect surveyed.
Canadian Family Medicine Program Directors from September to December Compared to anglophone programs, francophone programs gave a statisti-
2018 and distributed to their current residents. The survey obtained data cally more significant importance to French proficiency (p<0.001) and pre-
on demographics, training, undergraduate urology experience, self-reported clinical academic performance (p=0.0272), while giving less importance
experience/proficiency in interpreting urological investigations, performing to English proficiency (p<0.001).
common urological procedures, and managing common urological condi- Conclusions: CanURP are similar in their ranking of clinical ability as the
tions. Descriptive statistics were used to summarize data. most important selection criteria. Previous research experience, especially
Results: The questionnaire was completed by 142 family medicine residents outside of the field of urology, and future career ambitions matter less when
with representation from the prairie provinces (27.5%), Ontario (33.4%), considering future residents.
and Quebec (40.1%). A total of 39.4% of respondents completed a urology This paper has a figure, which may be viewed online at:
rotation during medical school and 29.1% felt that their medical training https://2019.cua.events/webapp/lecture/138
adequately prepared them for the urological aspects of family medicine. For
urological clinical skill proficiency, the majority felt proficient performing MP-5.3
a digital rectal exam (58.5%), while the minority felt proficient with a male The current status of undergraduate urology education in Canada
genitourinary examination (40.1%), uncomplicated male (34.5%) and female Samya Vellani , Trustin S. Domes 1
2
(45.8%) urethral catheterization, and difficult catheterization (9.1%). For 1 Division of Urology, University of Saskatchewan, Saskatoon, SK, Canada
managing common urological conditions, the majority felt comfortable anag- Canadian Undergraduate Urology Curriculum Committee
ing urinary tract infections (97.2%), kidney stones (74.6%), female inconti- Introduction: Given how common urological presentations are in gen-
nence (62.7%), benign prostatic hyperplasia (62.7%), retention (57.0%), and eral practice, there is concern that education gaps may exist in the under-
hematuria (55.6%), while the minority felt comfortable managing erectile graduate curricula in Canadian medical schools. To determine the current
dysfunction (41.5%), scrotal swelling (34.7%), and scrotal pain (25.7%). status of undergraduate urology education in Canada, a pan-Canadian
Conclusions: There are significant deficiencies in urological knowledge survey was conducted.
and skills among family medicine residents in Canada, possibly as a con- Methods: In the fall of 2018, a structured electronic survey was adminis-
sequence of inadequate educational experiences during medical training. tered to the undergraduate urology education directors of all 17 Canadian
medical schools. The survey assessed multiple factors, including: hours of
MP-5.2 instruction, when and if urological topics are covered, use of standardized
Survey of Canadian urology programs: Which elements of the patients (SPs) to teach male rectal and genital examinations, amount of
CaRMS application are the most important? urological exposure during clerkship, adequacy of content, and the pre-
1
2
David-Dan Nguyen , Jason Lee , Roger Valdivieso , Julie Franc-Guimond , paredness of graduating students.
3
3
Naeem Bhojani 3 Results: The survey response rate was 100%. There is considerable variation
1 Faculty of Medicine, McGill University, Montréal, QC, Canada; Division in the duration (mean total duration: 22.5±17.2 hours [5–75]) of instruction
2
3
of Urology, University of Toronto, Toronto, ON, Canada; Division of and when urological topics are taught in the curriculum. Schools cover the
Urology, Université de Montréal Hospital Centre, Montréal, QC, Canada majority of core content areas, however, erectile dysfunction (29.4%),
Introduction: Determining which aspects of the application are most impor- urotrauma (35.3%), and pediatric urology topics (41.2%) are underrep-
tant when applying to residency programs can be challenging for students. resented. Most schools (64.7%) use SPs to teach male rectal and genital
Due to the lack of current and reliable information on the criteria for examinations. One school has a mandatory urology clerkship rotation (one
Canadian urology residency programs (CanURP), we set out to survey each week) and the other 16 schools offer a selective (median two weeks), with
program about which criteria of the application are the most important 24.3% (5–50%) of students completing this experience. Most education
to further provide transparency and to offer the programs an idea of how directors (64.7%) believe the curricular time devoted to urology is inad-
their criteria compare. equate; 29.4% feel that their graduates are unprepared to diagnose and
Methods: An electronic survey was sent to all 13 CanURP (program direc- treat common urological problems and 76.5% strongly agree/agree that a
tors and selection committees). It asked respondents to rate each aspect national curriculum would be useful at their school.
of the application on a five-point Likert scale. Following a 100% response Conclusions: There is significant heterogeneity in the duration of instruc-
rate from program directors, the same survey was sent to each selection tion and timing of urological topics in Canadian medical schools. There is a
S112 CUAJ • June 2019 • Volume 13, Issue 6(Suppl5)
© 2019 Canadian Urological Association