MP47-19 THE LEGO EXERCISE: ASSESSMENT OF CORE COMPETENCIES IN UROLOGY RESIDENCY INTERVIEWS

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment II (MP47)1 Apr 2020MP47-19 THE LEGO EXERCISE: ASSESSMENT OF CORE COMPETENCIES IN UROLOGY RESIDENCY INTERVIEWS Kathryn A Marchetti*, Scott R Hawken, Kate H Kraft, Blake Hamilton, Gary J Faerber, and Sapan N Ambani Kathryn A Marchetti*Kathryn A Marchetti* More articles by this author , Scott R HawkenScott R Hawken More articles by this author , Kate H KraftKate H Kraft More articles by this author , Blake HamiltonBlake Hamilton More articles by this author , Gary J FaerberGary J Faerber More articles by this author , and Sapan N AmbaniSapan N Ambani More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000902.019AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The urology residency match is among the most competitive, thus distinguishing strong applicants has become increasingly challenging. While traditional interviews are frequently utilized to rank applicants, these interviews are often biased, are not standardized, and do not explicitly address ACGME core competencies. We hypothesized a team-based exercise in the urology residency interview centered on building LEGOs adequately assesses ACGME core competences. METHODS: From 2014-2017, medical students interviewing for urology residency positions at two institutions participated in a LEGO building activity. Applicants were randomly paired and assigned roles as “architect” — describing how to construct a LEGO structure — or “builder” — constructing the same structure with loose LEGO pieces. Participants used only verbal cues to assemble the structure. Each participant was graded using a standardized rubric assessing ACGME core competencies of interpersonal communication, problem-based learning, professionalism, and hand-eye coordination as an indicator of surgical skill or patient care. Each of these areas was evaluated on a 5-point scale by two reviewers. Total scores were combined with a possible minimum of 16 and maximum of 80. The distribution of scores across applicants was characterized. Qualitative assessment was performed to search for themes. RESULTS: A total of 176 applicants participated in the exercise. Overall, 28% were women. For both architects and builders, there was a maximum total score of 80, and minimum of 34 and 32, respectively (Figure 1). Both distributions show shift to the left with mean scores of 64.3 and 65.9, and median scores of 69 and 65.5, respectively, with standard deviation of 12 for both. Successful pairs excelled with consistent nomenclature and clear directionality. Ineffective pairs miscommunicated with false affirmations, inconsistent nomenclature, and lack of patience. CONCLUSIONS: The LEGO exercise allowed for assessment of applicant’s ACGME core competencies including interpersonal communication, problem-based learning, professionalism, and patient care. The rubric distinguished and quantified strong versus poor performers. This interview activity aided in distinguishing competitive applicants for the urology residency match. Source of Funding: Edward J McGuire Research Professorship Endowment © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e692-e692 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kathryn A Marchetti* More articles by this author Scott R Hawken More articles by this author Kate H Kraft More articles by this author Blake Hamilton More articles by this author Gary J Faerber More articles by this author Sapan N Ambani More articles by this author Expand All Advertisement PDF downloadLoading ...