You have accessJournal of UrologyCME1 Apr 2023MP66-01 EFFECT OF COMPLICATIONS ON UROLOGY TRAINEES: AN EPIDEMIOLOGICAL SURVEY William Du Comb, Brittany Milliner, Joshua Palka, and Kristina Suson William Du CombWilliam Du Comb More articles by this author , Brittany MillinerBrittany Milliner More articles by this author , Joshua PalkaJoshua Palka More articles by this author , and Kristina SusonKristina Suson More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003329.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Death, taxes and surgical complications are all guarantees for urologists. Trainees are taught to diagnose and operate; however, little formal education is provided on coping with surgical complications. As such, we also sought to assess how prepared trainees feel to handle complications upon completion of their programs. METHODS: After obtaining IRB approval, an electronic survey was distributed to all ACGME accredited urology programs via email. The survey consisted of 15 questions regarding surgical complications. RESULTS: Overall, 106 residents and fellows responded. Average age of responders was 31 years old. Senior level residents (PGY4-6) comprised the majority (58.5%) of responses. Junior residents (PGY2-3) and interns (PGY1) represented 29.3% and 8.5% of respondents, respectively. Fellows accounted for 8.5% of responses. Discussion of the case among peers was the main coping mechanism (98.1%), while 83% stated they discussed the case with faculty. Over a quarter (26.4%) of trainees used alcohol to cope with their complication, and 38.7% utilized exercise. Thirty percent of trainees were uncertain or denied existence of a mental health support system at their institution. Surgical complications affected trainees by causing performance anxiety (70%), loss of confidence (70.7%), and excessive thoughts regarding the complication (70%). Trainees also expressed emotional damage including feelings of anxiety/fear (72%), sadness/grief/depression (68%), and feelings of being overwhelmed, helpless, or hopeless (51.5%). Just over half of responders lost sleep over their complications. Thirty-seven percent of trainees felt they were unsure or did not feel prepared to handle complications upon graduation. CONCLUSIONS: Although complications are inevitable for urologists, residents may suffer psychologic consequences when they occur and often feel unsure/unprepared for managing them upon graduation. Further research into didactic complication preparation is warranted. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e931 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information William Du Comb More articles by this author Brittany Milliner More articles by this author Joshua Palka More articles by this author Kristina Suson More articles by this author Expand All Advertisement PDF downloadLoading ...