Page 2 - CUA2019 Abstracts - Miscellaneous/Other

Poster session 5: training & Evaluation

perceived need for more urological instruction by most education directors, (49.6%), followed by endourology at 14.1%, and pediatric urology at
who welcome a national curriculum as a strategy to address this need. 10%. Most abstracts were Canadian-based, with 39.2% and 22.8% from
Ontario and Québec, respectively. Research type was primarily retrospec-
MP-5.4 tive (51.1%) and prospective (24.6%), with less than 5% based on ran-
domized control trials. Abstracts were presented as unmoderated posters,
Perceptions on Competence by Design (CBD) in urology moderated posters, and podium presentations at rates of 48.4%, 40.5%,
Zhan Tao (Peter) Wang , Ernest Chan , Adam Forster , Alp Sener , Sumit and 11.2%, respectively. Published abstracts averaged an impact factor
1,2
1
3
1
Dave 1,2,4 , Jennifer Vergel De Dios , Saad Chahine 6,7,8 of the journals of 3.68 and average time to publication was 18 months.
5
1 Department of Surgery, Division of Urology, Schulich School of Medicine Analysis of factors predicting abstract publication showed significance
& Dentistry, London, ON, Canada; Department of Surgery, Division of for type of presentation (p=0.046), with subsection analysis indicating
2
Pediatric Surgery, Schulich School of Medicine & Dentistry, London, ON, an odds ratio of 3.4 (p=0.033) for podium presentation compared to
Canada; Schulich School of Medicine & Dentistry, London, ON, Canada; unmoderated poster, and 1.88 (p=0.038) compared to moderated poster.
3
4 Department of Pediatrics, Schulich School of Medicine & Dentistry, Conclusions: Around 40% of abstracts were published, with podium pre-
London, ON, Canada; Department of Anesthesia & Perioperative sentations being a strong predictor of publication success.
5
Medicine, Schulich School of Medicine & Dentistry, London, ON, Canada;
6 Department of Medicine, Schulich School of Medicine & Dentistry,
London, ON, Canada; Centre for Education Research & Innovation, MP-5.7
7
Schulich School of Medicine & Dentistry, London, ON, Canada; Faculty Developing ergonomic habits in robotic-assisted surgery:
8
of Education, Western University, London, ON, Canada Association between cognitive workload, technical performance,
Introduction: The Royal College of Physicians and Surgeons of Canada and armrest use
has begun implementing Competence by Design (CBD). However, it is Jethro C.C. Kwong , Jason Lee 2
1
unclear how much urology trainees and faculty know about CBD, their 1 Faculty of Medicine, University of Toronto, Toronto, ON, Canada;
attitudes towards this change in medical pedagogy, and their willingness 2 Division of Urology, Department of Surgery, University of Toronto,
to embrace and participate in this new model of medical training. Toronto, ON, Canada
Methods: This cross-sectional study was conducted through an online Introduction: Developing proper ergonomic habits in robotic-assisted sur-
survey, which was administered to all trainees and faculty at Canadian gery (RAS) can be challenging for novices, as they are often preoccupied
urology programs prior to the implementation of CBD. The final survey with learning the novel surgical platform and with task completion. We
consisted of eight demographic questions, 17 five-point Likert items, one sought to explore the relationship between cognitive workload, technical
visual analog scale (VAS) question, 11 multiple-choice questions, and performance, and armrest use in RAS.
two open-ended questions. Methods: Participants were recruited to perform two basic tasks on the
Results: A total of 74 participants (38 faculty and 36 trainees) across da Vinci robot: ring transfer (RT) and suturing (ST). Task completion time
12 universities responded with a completion rate of 82.4%. This corre- and armrest use data was collected and technical performance was video-
sponded to an overall response rate of 20.5%. Overall, there was a lack of recorded. Cognitive workload was assessed with the NASA Task Load
resounding enthusiasm towards this shift to CBD in urology. Although both Index (NASA-TLX). Technical performance was evaluated by three expert
trainees and faculty had overall positive perceptions of CBD on assess- raters using the Global Evaluative Assessment of Robotic Skills (GEARS)
ment, teaching and readiness (Table 1), most agreed that this transition will tool. Correlation analyses were conducted to determine associations
be costly and associated with increased requirements for time, funding, between performance metrics and cognitive workload.
and administrative support (Table 2). Furthermore, there were significant Results: A total of 12 participants were included in the study (Table 1).
concerns regarding the lack of valid assessment tools and evidence for Armrest use did not improve with console experience for RT (ρ=0.167;
the validity of entrustable professional activities. p=0.60) or ST (ρ=0.092; p=0.78). For RT, console experience corre-
Conclusions: While this survey has demonstrated an appreciation for the lated with reduced cognitive workload (ρ=-0.596; p=0.04), however, no
benefits of CBD, challenges are equally anticipated. CBD in urology will correlations were seen between NASA-TLX vs. armrest use (R=-0.124;
be a fertile research area with several important educational questions p=0.70) and armrest use vs. GEARS (R=0.324; p=0.30). For ST, higher
regarding the model’s effectiveness and consequences, providing col- cognitive workload correlated with longer completion times (R=0.581;
laborative opportunities among all Canadian programs. p=0.05), reduced armrest use (R=-0.662; p=0.02), and lower GEARS
scores (R=-0.584; p=0.05). Armrest use decreased with higher mental
MP-5.6 demand (p=0.02), physical demand (p=0.03), and self-rated performance
(p<0.01) on NASA-TLX. Although higher armrest use was not associated
Publication outcomes of abstracts presented at the Canadian with better overall GEARS scores (R=0.575; p=0.051), it correlated with
Urological Association annual meeting higher bimanual dexterity ratings (R=0.758; p<0.01).
Haider Abed , Alina Abbasi , Katherine Li , Samir Sami , Nicholas E. Conclusions: Higher cognitive workloads can lead to poor armrest use.
1
1
1
2
Power This suggests that ergonomic habits may improve with familiarity and
2
1 Medicine, Western University, London, ON, Canada; Urology, London comfort with a given task. However, armrest use did not impact technical
2
Health Sciences Centre, London, ON, Canada performance in our cohort.
Introduction: The Canadian Urological Association (CUA) serves an inte- This paper has a figure, which may be viewed online at:
gral role in the dissemination and discussion of current trends in the https://2019.cua.events/webapp/lecture/144
advancement of urology. It allows physicians and researchers to showcase
current work and receive appropriate feedback. We aim to review publi-
cation rates and factors associated with publication of abstracts from the MP-5.8
65th (2010) and 70th (2015) annual meeting of the CUA. Changes in surgical experience during urological training prior to
Methods: All abstracts presented at the meeting were evaluated and sys- the introduction of Competence by Design (CBD): A comparison
tematically searched for matching manuscripts indexed in PubMed or between 1986, 1997, 2003, and 2017
Google Scholar. Descriptive analysis was used to identify trends and Nick Dean , Adam Kinnaird , Nathan Hoy , Max Levine , Niels-E.B.
1
1
1
1
logistic regression models to determine factors associated with manuscript Jacobsen , Michael P. Chetner 1
1
publication, such as subspecialty, location of origin, basic/clinical, type of 1 Division of Urology, University of Alberta, Edmonton, AB, Canada
research (retrospective, prospective, etc), and presentation type. Introduction: In 2018, the Royal College of Physicians and Surgeons
Results: A total of 556 abstracts were evaluated, with an overall publi- of Canada mandated a switch in medical residency education to a
cation rate of 41.7%; 2010 and 2015 had rates of 36.1% and 46.1%, Competence by Design (CBD) structure that will affect urology training.
respectively. The majority of abstracts had a primary focus on oncology The CBD model requires meeting all entrustrable professional activities
CUAJ • June 2019 • Volume 13, Issue 6(Suppl5) S113