Page 13 - CUA 2020_Technology and Training_v2

Moderated Posters 6: Training, Evaluation

competent PGTs in technical skills obtained significantly higher scores in on December 13 and 14, 2019. The Maslach Burnout Inventory (MBI)
the cognitive tasks. However, there was no significant correlation when questionnaire was administered to these residents, and answers were col-
comparing cognitive tasks scores with PVP task scores, nor with ICK lected anonymously. Descriptive statistics were used to analyze the data.
task scores. Similarly, there was no significant correlation between both Results: Pertinent findings from the survey were that 94.6% of respondents
technical skills scores (r=0.29; p=0.11). reported fatigue, 27% are dissatisfied with the balance between their per-
Conclusions: Competency in technical skills is associated with higher sonal and professional lives, 84.8% find it difficult to engage in self-care
cognitive tasks scores, although a positive correlation has not been activities, 54.1% feel emotionally drained a few times a week or more,
demonstrated in this small study. Formal evaluation of urology residents and, 29.7% feel burnt out from their work a few times a week or more.
should, therefore, include both cognitive and technical skills evaluations Conclusions: This study enabled us to confirm that urology chief residents
to provide a well-rounded assessment of the trainee. are affected by burnout. Fatigue was universal among all trainees and
more than a quarter reported being dissatisfied with their current balance
MP-6.8 between professional and personal lives. Strategies proven beneficial in
reducing burnout include increasing self-wellness, seeking professional
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Heterogeneity in urology teaching curricula among Canadian assistance to reflect on stressors and life/career priorities, as well as
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urology residency programs structured mentorship programs. These are examples of how we can use
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Uday Mann , Jasmir G. Nayak , Premal Patel 1 this data to tailor interventions accordingly.
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1 Section of Urology, University of Manitoba, Winnipeg, MB, Canada References
Introduction: Postgraduate education is moving to a competency-based 1. Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in burnout and
curriculum in an effort to standardize the quality of graduating trainees. satisfaction with work‐life balance in physicians and the general
The learning experiences in each institution are likely variable, as no US working population between 2011 and 2014. Mayo Clin Proc
standard exists regarding the teaching curriculum offered in residency. 2015;90:1600-13. https://doi.org/10.1016/j.mayocp.2015.08.023
The objective of this study is to examine the various curricula among 2. North AC, McKenna PH, Sener A, et al. Burnout in urology‐find-
Canadian urology residency programs and to identify which teaching ings from the 2016 AUA annual census. Urol Pract 2018;5:489-94.
modalities are prioritized by program directors (PDs). https://doi.org/10.1016/j.urpr.2017.11.004
Methods: A 10-question survey was sent electronically to PDs at all 12 3. Marchalik D, Goldman CC, Carvalho FFL, et al. Resident burnout in
urology residency programs across Canada. Questions were designed to USA and European urology residents: An international concern. BJU
quantify the time allotted for teaching and to assess the various teaching Int 2019;124:349‐56. https://doi.org/10.1111/bju.14774
modalities prioritized by programs to ensure the successful training of 4. Waxman BP. Caring and sharing: Strategies for recognizing
their graduates. We assessed each program’s perceived value of written/ and surviving burnout in surgeons. ANZ J Surg 2011;81:493-4.
oral exams, didactic sessions, and simulation sessions. Responses were https://doi.org/10.1111/j.1445-2197.2011.05803.x
assessed using a Likert scale and a ranking format. Descriptive statistics 5. Maslach C, Jackson S, Leiter M. Maslach Burnout Inventory Manual.
were performed. Menlo Park, CA: Mind Garden, 2010.
Results: Overall survey response rate from residency PDs was 75% (9/12);
67% of programs designated one day of teaching per week, whereas 33%
split this over two days. Review of chapters directly from Campbell’s- MP-6.10
Walsh Urology textbook were deemed the most valuable teaching ses- Pursuit of post-residency training and perception of job
sion. Oral exams were also prioritized, whereas most programs felt that availability among graduating Canadian urologists
simulation labs contributed the least to residency education. All programs Thomas Canil , Monica Farcas 1
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included review of the core urology textbook in their weekly teaching, 1 Urology, St. Michael’s Hospital, Toronto, ON, Canada
while 67% of programs included faculty-led didactic sessions and case Introduction: Job availability and eventual employment has been a point of
presentations; 44% of programs included resident-led sessions. Oral anxiety for Canadian urology graduates. Surgical graduates across Canadian
exams and simulation labs were the least commonly included teaching residency programs have expressed increasing dissatisfaction surrounding
sessions. job availability, with corresponding increased pursuit of fellowship-level
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Conclusions: We found significant heterogeneity in the teaching sessions training. In this study, we hope to characterize fellowship training among
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prioritized and offered in current urology residency curricula. As we urology trainees and how this influenced their employment.
move to standardize the quality of graduating trainees, understanding Methods: A survey study was circulated to Canadian urology graduates
the impact of variable educational opportunities on residency education between 2010 and 2015. The names of participants were obtained for
may become increasingly important. the individual universities and were cross-referenced with the CUA. A
separate survey was submitted to program directors in order to obtain
MP-6.9 their perspective of graduates training.
Results: We obtained contact information for 123 eligible participants
Burnout in chief residents among Canadian urology residency with 64 responses. Approximately 70% of respondents completed a fel-
programs lowship, with the majority being one year in duration. In evaluating
Jeannette Johnstone , Adam Gabara , Naji J. Touma 1 motivation for pursuing additional training, 11% cited lack of comfort
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1 Faculty of Health Science/Urology, Queen’s University, Kingston, for independent practice, 36% a lack of job availability, and 84% to
ON, Canada; Faculty of Health Science/School of Medicine, Queen’s obtain subspecialized training in an area of interest. As it pertains to
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University, Kingston, ON, Canada employment, 95% of overall respondents are now employed full-time,
Introduction: Burnout is a hot topic of discussion in medicine, including with 80% being employed within six months of completing their train-
urology, which has reported higher rates than other fields. Burnout among ing. Subspecialty training was cited by 38% as the most helpful factor in
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urologists has increased from 41% to 63.6% during the 2011–2014 interval obtaining employment, however, personality was considered the most
in the AUA census. A recent study assessing burnout in urology trainees influential factor employers considered. The majority of program direc-
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in the U.S. and Europe revealed that burnt out trainees were less likely to tors encouraged fellowship-level training for residents, with an equivalent
pursue urology again as compared to their non-burnt out colleagues (46% proportion citing the opportunity for subspecialization.
vs. 81% and 57% vs. 85%, respectively). Dissatisfaction with work/life Conclusions: Most trainees graduating from Canadian urology programs
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balance, and lack of access to mental health services were associated with are seeking out fellowship training. This is largely motivated by job avail-
increased burnout. In our study, we wanted to assess the state of burnout ability, along with the pursuit of subspecialty training — a practice that
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and services available in Canadian urology residency programs. is encouraged by most program directors. Job availability overall appears
Methods: Thirty-seven chief residents among the Canadian urology resi- to be adequate, with high overall employment rates and minimal time
dency programs attended the Queen’s Urology Exam Skills Test (QUEST) for job acquisition.
CUAJ • June 2020 • Volume 14, Issue 6(Suppl2) S113