Page 12 - CUA 2020_Technology and Training_v2

2020 CUA Abstracts

MP-6.6
Influence of musical background on surgical skills acquisition
2
2
1
Ryan Sun , Wendy Wang , Cole Kubay , Sean Fernando , Andrew Fast ,
2
2
Christopher Dutka , Kianna Cadogan , Darrel E. Drachenberg 1
2
2
1 Section of Urology, University of Manitoba, Winnipeg, MB, Canada; College
2
of Medicine, University of Manitoba, Winnipeg, MB, Canada
Introduction: Surgical skills require high levels of psychomotor, visual-
spatial, and depth perception functions, which are similarly applied in
musical tasks. It has, therefore, been speculated that musicians and sur-
geons may have common cerebral specialization, and that musical back-
ground may have a positive impact on surgical training. In limited studies,
correlation has been found between musical education and microsurgi-
2
cal and laparoscopic performance. In this study, we aim to investigate
1
the influence of musical background on the acquisition of surgical skills.
Methods: We conducted a prospective, cross-sectional study involving
novice medical trainees with no prior surgical exposure. Each subject was
MP-6.5. Fig. 2. Number of open simple prostatectomies performed per year asked to complete detailed questionnaire on their level of musical experi-
(based on 2018 case volume). ence, a validated dexterity test using the Purdue Pegboard, and surgical
tasks, including laparoscopic peg transfer and basic suturing. Statistical
analysis was performed to compare between those with and without
musical backgrounds.
Results: A total of 27 first-year medical students without surgical experi-
ence were included; 17 (63%) had background of musical instrument
play. The musical group had a faster performance on the dexterity test
(p=0.042), laparoscopic peg transfer (p=0.006), and a faster but non-
significant baseline suture speed compared to the non-musical group
(p=0.08). These differences were more pronounced in musicians with
increasing years of musical experience. A second suture attempt after
standardized five-minute practice showed significant improvement for
both groups, with a narrowing difference between the two groups.
Conclusions: Based on this study involving trainees with no prior surgi-
cal experience, musical experience correlated with increased dexterity
and faster performance of basic surgical skills at baseline. There is no
observed difference in rate of improvement, and more work is underway
to elucidate differences in learning curve and optimal mode of training.
References
1. Moustaki M, Masud D, Hachach-Haram N, et al. Effect of com-
puter games and musical instruments on microsurgery. J Plast
Reconstr Aesthet Surg 2017;70:982-4. https://doi.org/10.1016/j.
bjps.2017.02.014
2. Boyd T, Jung I, Van Sickle K, et al. Music experience influences
laparoscopic skills performance. JSLS 2008;12:292-4.
MP-6.7
MP-6.5. Fig. 3. Use of preoperative transrectal ultrasound for prostate volume Is there a correlation between cognitive and technical skills
evaluation in 13 Canadian academic centers. during urology objective structured clinical examinations?
1
1
1
Ahmed Ibrahim , Anne Yin , Yasser Noureldin , Serge Carrier , Mélanie
1
annual OSP exposure remains limited. While this intervention is given Aube-Peterkin , Sero Andonian 1
1
a high degree of importance (category A) during residency training as 1 Urology, McGill University, Montreal, QC, Canada
per the Royal College’s practice guidelines, it may be unrealistic to reach Introduction: The worldwide paradigm shift toward competency-based
these national standards considering the annual case OSP volumes in medical education necessitated incorporation of simulators for objective
academic Canadian urology faculties. assessment of technical skills. The aim of the present study was to assess
Reference the relationship between the technical and cognitive skills during urology
1. Nickel JC, Aaron L, Barkin J, et al. Canadian Urological Association objective structured clinical examinations (OSCEs)
guideline on male lower urinary tract symptoms/benign pros- Methods: This study was conducted after obtaining the local institutional
tatic hyperplasia (MLUTS/BPH): 2018 update. Can Urol Assoc J ethics approval and informed consents. Postgraduate trainees (PGTs)
2018;12:303-12. https://doi.org/10.5489/cuaj.5616 from the four urology training programs in the province of Quebec were
recruited for this study during a semi-annual urology OSCE. Participants
were from post-graduate years (PGY) 3, 4, and 5. Technical skills were
assessed by two stations (photo-selective vaporization of the prostate
[PVP] simulator and laparoscopic intracorporeal knot [ICK] stations).
Competency scores were noted for both tasks. PGTs who obtained com-
petency in both tasks were considered competent in technical skills.
Furthermore, cognitive skills were assessed during 13 oral OSCE stations.
Correlation between technical and cognitive skills was calculated.
Results: Twenty-nine PGTs who attended the OSCE voluntarily partici-
pated in this study. The mean age of participants was 29.5±0.7 years and
five (17.2%) were female. When compared with non-competent PGTs,
S112 CUAJ • June 2020 • Volume 14, Issue 6(Suppl2)