Standardized Criteria to Judge Diagnostic Urethrocystoscopy Skills

Study Overview
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Brief Summary
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Develop a tool to objectively quantify technical skills necessary to perform diagnostic cystoscopy (using Objective Structured Assessment of Technical Skills- OSATS). Develop criteria by which surgeons skills in diagnostic cystoscopy can be evaluated or judged. Develop an intervention (1.5 hour workshop) which can be replicated by other residency programs in order to enhance learning of diagnostic cystoscopy. The workshop should be adequate for practicing Gynecologists as well as they already have experience with diagnostic hysteroscopy which uses many of the same concepts.

Detailed Description
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The OSATS and a written examination will be used to assess residents skills and knowledge pertinent to diagnostic urethrocystoscopy. All residents will be tested on anatomic replica of human bladder for baseline competency using the above tools. Then approximately half will be randomly selected to undergo an educational intervention (a workshop teaching diagnostic urethrocystoscopy). As we are interested in short-term acquisition, about a week later all residents will be retested using the same methods. Grades on the exam will be kept confidential.

Official Title
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Standardized Criteria to Judge Diagnostic Urethrocystoscopy Skills

Conditions
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Urethrocystoscopy Skills

Intervention / Treatment
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* Other: educational workshop
* Other: no intervention (usual resident activities)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All Obstetrics & Gynecology and Urology resident physicians training at the University of Cincinnati Exclusion Criteria: Any above resident with extensive training in cystoscopy

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>The intervention group will view a 20 minute video, receive a 30 minute didactic lecture on urethrocystoscopy, and 30 minute coaching/practice performing diagnostic cystoscopy on anatomic replicas of the human bladder. | Other: educational workshop<br>* The intervention group will view a 20 minute video, receive a 30 minute didactic lecture on urethrocystoscopy, and 30 minute coaching/practice performing diagnostic cystoscopy on anatomic replicas.<br>* Other names: educational workshops, cystoscopy classes, cystoscopy certificate;|
| Placebo Comparator: 2<br>The control group will be instructed to read a urethrocystoscopy textbook chapter at home | Other: no intervention (usual resident activities)<br>* usual activities<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| measure competency and change in urethrocystoscopy skills |  | 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Establish validity and reliability of measurement tools (OSATS) used to evaluate urethrocystoscopy skills |  | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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urethrocystoscopy, cystoscopy, objective structured assessment of surgical skills (OSATS)