Resident Impact on Patient &amp; Surgeon Satisfaction and Outcomes: Evidence for Health System Support for Urology Education

Holland, Bradley; Patel, Neil; Sulaver, Randy; Stevenson, Bradford; Healey, Jessica; Severino, William; Baron, Thomas; Lieber, David; Roszhart, D.A.; McVary, Kevin T.; Köhler, Tobias

doi:10.1016/j.urology.2019.04.043

Cited by 9 publications

(4 citation statements)

References 16 publications

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“…23,24,28,32,35 Moreover, Benjamin et al reported that reoperations were not significantly associated with residents' performance in a 6-month follow-up period. This was also reported by Ku et al, and Yip et al 26,30,31 Impact on the operative time 24,25,27,30 Interestingly, Ku et al reported that patients that underwent surgeries by residents did not significantly stay in hospitals for longer periods although the operative time was significantly prolonged in these patients. 31 Longer operative time was also reported by Holland et al 32 .…”

Section: Impact On the Rates Of Reoperationsupporting

confidence: 61%

“…This was also reported by Ku et al, and Yip et al 26,30,31 Impact on the operative time 24,25,27,30 Interestingly, Ku et al reported that patients that underwent surgeries by residents did not significantly stay in hospitals for longer periods although the operative time was significantly prolonged in these patients. 31 Longer operative time was also reported by Holland et al 32 . Löppenberg et al 35 reported that both residents and post-graduate students had an increased risk of prolonged operative time.…”

Section: Impact On the Rates Of Reoperationsupporting

confidence: 61%

“…30 In the study by Ku et al, which assessed the performance during radical prostatectomy in 5,736 patients, they reported that residents' presence was not significantly associated with the presence of complications or the need to perform a blood transfusion. 31 In 2019, Holland et al reported that the rate of complications was higher in the resident group, but not significant. 32 Moreover, the involvement of residents in inpatient care significantly decreased the rate of complications.…”

Section: The Risk To Develop Complicationsmentioning

confidence: 98%

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Impact of residents’ involvement in urological surgeries: a systematic review

Basaif

Almukhlifi²,

Alsubaie

et al. 2021

Int J Community Med Public Health

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Many investigations have reported the impact of resident involvement in urological surgeries. We aimed to conduct this systematic review to create enough evidence regarding this impact based on the outcomes obtained from the relevant studies. We have performed both manual and electronic search through many databases like Google Scholar, Web of science, PubMed, Scopus, Cochrane library, the international standard randomised controlled trial number registry, and the world health organization virtual health library to obtain all the relevant citations. Our intended outcomes included the risk of developing complications, operative time, and rate of reoperations. We have included 17 studies that reported the impact of residents’ involvement in urological surgical operations. while some studies reported some complications, the risk of developing complications was not significantly associated with residents' involvement according to most studies. Only one study reported that complications were significantly associated with residents’ involvement. The rate of reoperation and readmission after the primary surgery was also non-significant. On the other hand, most of the included studies showed that residents’ involvement was significantly associated with increased hospital stay and prolonged operative time. Our results indicate the residents’ involvement does not impact the overall safety of the urological procedures and that this practice should be encouraged with adequate supervision.

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Section: Impact On the Rates Of Reoperationsupporting

confidence: 61%

Section: Impact On the Rates Of Reoperationsupporting

confidence: 61%

Section: The Risk To Develop Complicationsmentioning

confidence: 98%

See 1 more Smart Citation

Impact of residents’ involvement in urological surgeries: a systematic review

Basaif

Almukhlifi²,

Alsubaie

et al. 2021

Int J Community Med Public Health

View full text Add to dashboard Cite

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“…Given that participation of urology residents in patient care impacts patient satisfaction and outcomes (14) and residents with better leadership and directional skills are more efficient in the operating room (15), we must also arm our surgical trainees with solid NCS in communication, leadership, and administration. NCS in surgery have been correlated with higher patient satisfaction scores, lower rates of burnout, greater academic success, improved patient-physician relationships (16), lower rates of adverse iatrogenic events in surgery (17), and advanced technical skills (15).…”

Section: Introductionmentioning

confidence: 99%

Implementation and assessment of a novel non-clinical skills curriculum for urology residents

et al. 2023

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BackgroundUrology is an increasingly competitive specialty that procures a highly selected and clinically excellent cohort of residents. However, other training needs such as leadership and professional development go underrecognized despite an identified need for formal training in these areas. The aim of this study was to implement, evaluate, and pilot a non-clinical skills curriculum, a novel individualized professional development workshop series, at a single institution.MethodsEighteen urology residents (15/year, 3 graduates/year) participated in this study over the course of two academic years. A pre-curriculum needs assessment was completed by 15 residents in Year 1 for purposes of curriculum design. The curriculum itself was a series of 1-hour monthly workshops given by an expert speaker on topics relevant to healthcare delivery, leadership and career promotion across various contexts. Survey-based assessments tracked gains in subject knowledge and satisfaction via a pre-post test design.ResultsThe pre-curriculum needs assessment indicated that trainees desired additional instruction in non-clinical skills (ps>0.1) and endorsed formal teaching to ensure success in their future careers (p<0.001). Trainees reported pre- to post-curriculum gains across each individual learning topic (Mean=20%, p<0.001) with an aggregate increase in subject knowledge of 17% for senior residents and 21% for junior residents (p<0.001).ConclusionA non-clinical skills curriculum implemented as a pilot ‘Hidden Curriculum’ for urology trainees was feasible and resulted in significant gains in non-clinical subject knowledge. Workshops were highly rated and trainees reported high satisfaction with the curriculum.

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