(429) A Pilot Assessment of Urologic Surgery Resident Attitudes on Utilization of MyTipReport Feedback Software in Inflatable Penile Prosthesis Placement Surgery- A single-site pilot study
Authors: Mehr J , Green T , Slovacek H , Mann P , Supak D , Khallafalla K , Wang R 
Published: May 2023

Abstract

Introduction
MyTipReport is an innovative online software that allows for capturing, sharing, and reviewing feedback in medical education amongst students, residents, and educators. There has been extensive research into the utilization and integration of this software into medical residency programs to evaluate and provide feedback to learners. However, there is a paucity of literature regarding evaluation of resident attitudes and beliefs in the role this software plays to establish surgical competency.

Objective
At a single, high-volume institution performing Inflatable Penile Prosthesis cases, our objective is to evaluate resident attitudes regarding utilization of MyTipReport in their competency assisting and performing Inflatable Penile Prosthesis operations.

Methods
From December 2021 to May 2022, residents were evaluated using MyTipReport during all resident staffed penile prosthesis surgeries. Residents were evaluated through a number of crucial steps during Inflatable Penile Prosthesis placement. Trainees who have utilized MyTipReport then completed a standardized survey to assess if the feedback system provided by MyTipReport has provided benefit in their training, specifically in regard to Inflatable Penile Prosthesis placement surgery, Figure 1. Two-tailed t-test was used to determine difference in mean survey response score between sub-groups. P value &lt;0.05 was used to define significance.

Results
A total of 7 residents performed 44 penile implant surgeries at a single Urology residency program and utilized MyTipReport for feedback. All 7 completed the survey. Of the included cohort, 28.6% of respondents (n=2) were senior residents, and 71.4% were junior residents (n=5). Additionally, 57.1% (n=4) respondents were male and 42.9% (n=3) were female. Mean survey responses for the cohort are summarized in Figure 2. All 7 respondents answered Question 9 and Question 10 with “5 - Overall Positive”, with a mean response of 5. For Questions 1-8 of the survey, no statistically significant difference in mean response was noted between senior residents and junior residents (p&gt;0.05), as depicted in Table 1. When stratified between male and female residents, there was a statistically significant difference in mean response for Question 2, “How do you feel MyTipReport feedback has impacted your confidence as a resident on Inflatable Penile Prosthesis placement surgeries?”, with a mean response of 3.5 for the male residents versus 5 for the female residents, respectively (p&lt;0.05), shown in Table 1.

Conclusions
Initial incorporation of the MyTipReport feedback software in a single-site Urology Residency program as a means of evaluating and providing feedback in IPP placement operations shows promising early results. Resident attitudes toward using the MyTipReport software to receive feedback are overall positive. Understanding ways to improve and optimize the utilization of MyTipReport in Urology residency program education should be the focus of future studies prior to expanded application and implementation.

Disclosure
Any of the authors act as a consultant, employee or shareholder of an industry for: Run Wang, MD, FACS is a consultant for Boston Scientific and Teleflex.