MP47-10 CROWD-SOURCED ASSESSMENT OF SURGICAL SKILLS PROGRESSION AMONG UROLOGY RESIDENTS (2020)

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment II (MP47)1 Apr 2020MP47-10 CROWD-SOURCED ASSESSMENT OF SURGICAL SKILLS PROGRESSION AMONG UROLOGY RESIDENTS Rajiv Karani*, Shlomi Tapiero, Krista Larson, Jaime Landman, and Ralph V. Clayman Rajiv Karani*Rajiv Karani* More articles by this author , Shlomi TapieroShlomi Tapiero More articles by this author , Krista LarsonKrista Larson More articles by this author , Jaime LandmanJaime Landman More articles by this author , and Ralph V. ClaymanRalph V. Clayman More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000902.010AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Surgical skills proficiency is a key element of resident training, yet objective tracking of progress is generally absent in most training programs. We developed a group of manipulative exercises to test surgical skills among urology residents over time using the Crowd-Sourced Assessment of Technical Skills (C-SATS®). METHODS: Over a 3-year period, all urology residents at the University of California, Irvine, were evaluated at 3-month intervals. Residents completed 3 laboratory-based skills tasks: open knot tying (OKT), laparoscopic peg transfer (LPT), and robotic suturing (RS). All tasks were video-recorded and uploaded to the C-SATS platform. Each video was evaluated by 32 independent reviewers using the Objective Structured Assessment of Technical Skills, Global Operative Assessment of Laparoscopic Skills, and the Global Evaluative Assessment of Robotic Skills scoring systems for OKT, LPT, and RS, respectively. Scores were converted to a 100-point scale for consistent analysis. The difference between task scores stratified by postgraduate year (PGY) was analyzed using student’s T-test, one-way ANOVA, and repeated measures ANOVA. RESULTS: Fifteen residents completed a total of 108 sessions (PGY-1=20, PGY-2=22, PGY-3=24, PGY-4=24, PGY-5=18) (Figure 1). PGY-3 through PGY-5 residents had significantly higher mean LPT and RS scores compared to PGY-1 and PGY-2 residents (75.9 vs. 69.5, p<0.001 and 78.8 vs. 74.1, p<0.001, respectively). OKT scores did not differ significantly among the PGY groups. Using ANOVA, mean OKT score for the entire cohort was highest, followed by RS and LPT (87 vs. 77 vs. 73.4, p<0.001); this difference was observed across all PGYs. In the 6 participants who completed 11 consecutive sessions, LPT and RS scores improved significantly with a linear trend (scores increased from 64.5 to 76, and 73.9 to 81.5, respectively, p<0.05). CONCLUSIONS: Among residents, laparoscopic peg transfer and robotic suturing skills improve over time; significant improvement in these skills is first observed among PGY-3 residents. Open knot tying skills are proficient upon entering residency and do not significantly improve thereafter. Source of Funding: N/A © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e687-e688 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rajiv Karani* More articles by this author Shlomi Tapiero More articles by this author Krista Larson More articles by this author Jaime Landman More articles by this author Ralph V. Clayman More articles by this author Expand All Advertisement PDF downloadLoading ...