A B FIGURE 1. Citations of postoperative (A) and intraoperative (B) adverse event classifications systems over the last decade. Web of Science citation search (09/2021) comparing the usage of standardized postoperative and intraoperative events in clinical studies. The Clavien-Dindo classification system is cited in clinical research trials at approximately 270-times the rate of all intraoperative event classification systems combined
BackgroundUrology trainees experience high burnout, and there is an urgent need for acceptable and effective interventions. The current study evaluated Reboot coaching workshops (Reboot‐C), a tailored intervention based on cognitive–behavioural principles, with urology trainees.ObjectiveOur primary objective was to evaluate the acceptability of Reboot‐C among urology trainees. In addition, this study aimed to investigate whether there were changes in confidence, resilience, depression and burnout levels.Materials and methodA single‐arm design was used, including pre‐ and post‐online questionnaires and semi‐structured interviews.ResultTwenty‐one urology trainees replied to the survey, attended both Reboot‐C workshops and responded to the post‐intervention questionnaire. Thirteen of 21 (61%) urology trainees participated in the interview. Participating in Reboot‐C was associated with significant improvements in resilience and confidence and a significant reduction in burnout. However, there was no significant reduction in depression. Qualitative data indicated that Reboot was acceptable and helped participants develop useful skills.ConclusionThese findings pave the way for more conclusive studies on the efficacy of Reboot‐C for surgeons.
Background The coronavirus pandemic has had an indisputable impact on surgical training. The qualitative effect on the perceived confidence and capability of trainees has been widely reported. In order to fully delineate the scope of the problem, quantitative data is also required. Methods This cross-sectional study collected compared data on the laparoscopic skills (pre- and post-pandemic) of first-year urology residents in the United Kingdom, who attended the annual Urology Simulation Boot Camp (USBC) in 2018 and 2019 (pre-pandemic), and 2021 (post-pandemic). Results Pre-pandemic group performance was significantly better in 2 out of 4 tasks (Task 3 p < 0.001) (Task 4 p = 0.003) during the practice session. During the assessment, pre-pandemic group performance was better (p = 0.017) for Task 2 and significantly faster (p = 003) for Task 4. Conclusions Our results provide evidence to support the notion that the coronavirus pandemic has had a tangible and detrimental effect on the technical skills of surgical trainees.
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