You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment I1 Apr 2017MP51-09 THE “PENANA”: A NOVEL, COST EFFECTIVE, AND HIGHLY EFFICACIOUS MODEL FOR TEACHING MALE URETHRAL ANATOMY AND SAFE FOLEY CATHETER TECHNIQUE Matthew Truesdale, Maya Overland, Christy Boscardin, and Kirsten Greene Matthew TruesdaleMatthew Truesdale More articles by this author , Maya OverlandMaya Overland More articles by this author , Christy BoscardinChristy Boscardin More articles by this author , and Kirsten GreeneKirsten Greene More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1618AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Iatrogenic urethral catheter related injuries are common and have been shown to correlate with inadequate training among medical professionals. Urethral catheterization (UC) is a common procedure and often one of the first attempted by medical trainees. Simulation training enhances medical procedure teaching by decreasing trainee anxiety, improving patient safety and efficiently tailoring the experience for the learners, thus optimizing education. We sought to create an efficacious simulation model to teach medical students and residents male UC. METHODS We developed a 50-minute educational curriculum utilizing didactic presentation and a banana with ends removed and longitudinal core created as a simulation model for the male urethra (″Penana″). The presentation focused on UC indications, male urethral anatomy, structure of standard and Coude catheters, and safe technique for UC. Procedural teaching utilized modified Payton technique; 1) Expert demonstration, 2) Explanation of steps, 3) Expert-guided Learner performance, 4) Learner-guided learner performance, 5) Independent Learner performance. Subjects completed pre and post intervention survey assessments to determine efficacy. Surveys measured learner knowledge and self-reported confidence at performing male UC. RESULTS 126 learners participated in the workshop and (29 MS1, 40 MS2, and 60 PGY1) completed pre and post assessments. Prior to intervention, among medical students 36% and 1% had observed UC and 6% and 0% had performed UC using standard Foley and Coude, respectively. Following intervention, combined knowledge scores increased from 13±16% to 85±20% correct. On a 10 point scale, learners self reported confidence increased from 3.3±2.1 to 8.2±1.5 for male urethral anatomy, 1.7±1.4 to 7.9±1.6 for standard Foley UC, and 1.2±0.6 to 7.8±1.9 for Coude UC. On a 10 point scale with 10 representing very helpful, learners described the Penana model with a mean value of 8.6±1.9. Finally, 78% and 20% were extremely likely and likely, respectively, to recommend the course to a friend. CONCLUSIONS The Penana is a highly efficacious simulation model for teaching medical students and residents safe UC technique. The low cost and universal availability of the materials makes the model easily accessible for any resource-limited education setting. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e697 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Matthew Truesdale More articles by this author Maya Overland More articles by this author Christy Boscardin More articles by this author Kirsten Greene More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...