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- Title
Graduating resident and fellow readiness for general urologic practice during the COVID-19 pandemic: A survey-based assessment of trainees and program directors.
- Authors
Waisanen, Kyle; Hennig, Finn; Lutnick, Ellen; Parmar, Gaganjot; Baetzhold, Daniel; Iskhakov, Nathaniel; Saade, Kiana; Peterson, Matthew; Nader, Nader D.; Chevli, Kent
- Abstract
INTRODUCTION: Our goal was to compare the perceived readiness of graduating urologic residents and fellows to program directors (PDs) in U.S.-based postgraduate training programs. Additionally, we set out to assess the impact of COVID-19 on postgraduation plans to pursue fellowship training. METHODS: Graduating residents, fellows, and PDs of accredited residency/fellowship programs in the U.S. were surveyed. The ranked preparedness of trainees to perform common urologic procedures was measured using a Likert scale from 1 (not comfortable) to 5 (fully proficient). The impact of COVID-19 was measured using a three-point Likert scale. Chisquared and Kruskal-Wallis analyses were used to compare the groups. RESULTS: From 93 responders, 21 were residents, 19 were fellows, 24 were residency PDs, and 29 were fellowship PDs. The median levels of comfort for trans-urethral resection of the prostate, hydrocelectomy, vasectomy, and urethral sling were at or above (=3) moderate for both PDs and trainees. PDs were more likely to report underperformance for hypospadias repair (60% vs. 39%), penile prosthesis implantation (39% vs. 26%), and orthotopic neobladder formation (57% vs. 18%) than the trainees. Fifty-three (57.0%) of the surveyors felt that COVID-19 did not impact the trainees' comfort in performing general urologic procedures. COVID-19 influenced trainees' decision to pursue a fellowship or opt to practice as general urologists (p=0.002). CONCLUSIONS: Our study suggests there may be a self-reported discrepancy between graduating trainees and their PDs regarding trainees' comfort levels performing general urologic procedures.
- Subjects
UNITED States; GRADUATE education; UROLOGY; SCALE analysis (Psychology); EXECUTIVES; MEDICAL fellowships; INTERNSHIP programs; KRUSKAL-Wallis Test; PENILE prostheses; PHYSICIANS' attitudes; CHI-squared test; DECISION making in clinical medicine; ATTITUDE (Psychology); HOSPITAL medical staff; SURVEYS; VASECTOMY; HYPOSPADIAS; HUMAN comfort; TRANSURETHRAL prostatectomy; MEDICAL slings; MEDICAL practice; COVID-19; UROLOGICAL surgery; JOB performance
- Publication
Canadian Urological Association Journal, 2024, Vol 18, Issue 7, pE212
- ISSN
1911-6470
- Publication type
Article
- DOI
10.5489/cuaj.8639