PD19-12 THE IMPACT OF REMOTE MONITORING AND SUPERVISION ON RESIDENT TRAINING USING NEW ACGME & ABU UROLOGY MILESTONE CRITERIA

Abstract

You have accessJournal of UrologyTechnology & Instruments: Surgical Education & Skills Assessment III1 Apr 2015PD19-12 THE IMPACT OF REMOTE MONITORING AND SUPERVISION ON RESIDENT TRAINING USING NEW ACGME & ABU UROLOGY MILESTONE CRITERIA Ilan Safir, Adam Shrewsberry, Kenneth Ogan, Chad Ritenour, Catrina White, Jane Kimberl, Jerry Sullivan, and Muta Issa Ilan SafirIlan Safir More articles by this author , Adam ShrewsberryAdam Shrewsberry More articles by this author , Kenneth OganKenneth Ogan More articles by this author , Chad RitenourChad Ritenour More articles by this author , Catrina WhiteCatrina White More articles by this author , Jane KimberlJane Kimberl More articles by this author , Jerry SullivanJerry Sullivan More articles by this author , and Muta IssaMuta Issa More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.711AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The new Joint Initiative of The Accreditation Council for Graduate Medical Education (ACGME) and The American Board of Urology (ABU) propose semi-annual assessment of training milestones for urology residents. The objective of this study is to determine the impact of remote monitoring and supervision (RMS) in integrated endourology suites (IES) on residents achieving the milestones. METHODS First-year urology residents were asked to evaluate RMS in IES using a 25-question survey. Each IES was equipped with live visual, audio, and telestration communication allowing faculty members to supervise residents remotely. The questionnaire included three sections: overall acceptability (8 questions), impact on training (11 questions) and pre- and post-training self-assessment of milestones (6 questions). Sections 1 & 2 used a linear visual scale of 1-10. For section 3, we used the Patient Care Milestone #7 (endoscopic procedures for lower and upper urinary tracts) and Patient Care Milestone #9 (office-based procedures). RESULTS 19 residents completed the survey. Overall acceptability and satisfaction with RMS was high with a mean score of 9.1 out of 10. Majority of residents (18/19) felt very comfortable (scores of 8-10/10) being alone with the patient under remote supervision. Residents reported significant positive impact on the quality of training with regard to the following (mean scores): autonomy without compromising safety (8.6), level of supervision (8.4), achieving proficiency & independence (8.3), quality of education (8.1), rate of learning (8.1), clinical evaluation (7.9), clinical decisions (7.8), benefit of immediate feedback (7.6), and reducing the number of cases required to achieve proficiency (7.5). Residents perceived no issues with under- or over-supervision, and expressed that RMS should be the standard of training in residency programs. After 4 months of RMS, residents reported 2.47 and 2.53 mean level increases (out of a total of 5) in Patient Care Milestones for endoscopic procedures of the lower and upper urinary tracts, respectively. Furthermore, residents reported a 2.79 mean level increase (out of a total of 5) in Patient Care Milestone for office-based procedures. CONCLUSIONS Remote monitoring and supervision (RMS) in integrated endourology suites (IES) enhances resident education and training. Using the new ACGME training milestones, the study demonstrated an increase in competency levels reported by residents following a relatively short period of training under RMS. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e396 Peer Review Report Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ilan Safir More articles by this author Adam Shrewsberry More articles by this author Kenneth Ogan More articles by this author Chad Ritenour More articles by this author Catrina White More articles by this author Jane Kimberl More articles by this author Jerry Sullivan More articles by this author Muta Issa More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...