PD24-09 MALE AND FEMALE UROLOGY RESIDENTS ACQUIRE SURGICAL PROFICIENCY AT DIFFERENT RATES

Abstract

You have accessJournal of UrologyEducation Research IV (PD24)1 Sep 2021PD24-09 MALE AND FEMALE UROLOGY RESIDENTS ACQUIRE SURGICAL PROFICIENCY AT DIFFERENT RATES Daniel Nethala, Shannon Smith, Leah Beland, Manish Vira, David Chan, Michael Schwartz, Simon Hall, Louis Kavoussi, and Jessica Kreshover Daniel NethalaDaniel Nethala More articles by this author , Shannon SmithShannon Smith More articles by this author , Leah BelandLeah Beland More articles by this author , Manish ViraManish Vira More articles by this author , David ChanDavid Chan More articles by this author , Michael SchwartzMichael Schwartz More articles by this author , Simon HallSimon Hall More articles by this author , Louis KavoussiLouis Kavoussi More articles by this author , and Jessica KreshoverJessica Kreshover More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002017.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Previous studies of surgical residents have shown that males and females acquire surgical skill at different rates. To date, it remains unclear if this difference exists in urology. To study this, we compared the surgical autonomy of male and female urology residents using a smart phone application and compared it to their number of cases performed. METHODS: myTIPreport was used from 12/2018-1/2021 at a single institution. Attending evaluations of resident surgical autonomy for Laparoscopic Nephrectomy (LNx), Transurethral Resection Of Prostate (TURP), Transurethral Resection Of Bladder Tumor (TURBT), Ureteroscopy (URS) were analyzed. The Zwisch scale was used to rate resident autonomy on a scale of 1 to 5. Each individual myTIPreport evaluation was correlated with the resident's number of specific cases logged at the time of evaluation in the ACGME case logs. Each procedure was then separated based on resident gender and the data was plotted. Linear regression was performed to determine the line of best fit. RESULTS: A total of 12 male and 5 female residents with paired evaluations and case logs were included. For the procedures LNx, TURP, TURBT, and URS there were 60, 75, 75, and 140 male and 26, 22, 31, and 52 female respectively paired evaluations with case number. For the more advanced procedures LNx and TURP, Passive Help (score=3) was assumed to be surgically proficient. In this case, Males achieved surgical proficiency 28 and 18 cases respectively sooner than females. For TURBT and URS, Supervision Only (score=4) was assumed to be surgically proficient. In this case, Males achieved surgical proficiency 49 and 4 cases respectively sooner than females. CONCLUSIONS: Male Urology Residents acquire surgical skill at a faster rate than Females for the procedures LNx, TURP, TURBT, and URS. While the rate of achieving proficiency was faster for males for all procedures, all females with more than 5 cases logged eventually became surgically proficient in each procedure. More data is needed to determine the factors affecting the female learning curve to better target learning opportunities. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e429-e429 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Daniel Nethala More articles by this author Shannon Smith More articles by this author Leah Beland More articles by this author Manish Vira More articles by this author David Chan More articles by this author Michael Schwartz More articles by this author Simon Hall More articles by this author Louis Kavoussi More articles by this author Jessica Kreshover More articles by this author Expand All Advertisement Loading ...