Trainee experience of emergency urological procedures: A national survey of the United Kingdom and Ireland
BAUS ePoster online library. Cashman S. Jun 25, 2019; 259485; P12-10
Sophia Cashman
Sophia Cashman
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Abstract
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INTRODUCTION

There is concern amongst urology trainees about the exposure to emergency urology surgery during training, and inadequate preparation for consultant posts. We evaluated senior urology trainee experience in a range of emergency procedures, and whether they felt they would be confident to perform them independently by the end of training.

Materials and Methods

An online survey was created and sent to senior trainees (ST5+) in the UK and Ireland.

RESULTS

In total, 94 responses were received. The majority of trainees surveyed had performed debridement of Fournier's gangrene (94.7%), open insertion of suprapubic catheter (81.9%) and penile fracture repair (78.7%). However only 21.3% had performed an emergency nephrectomy, over 90% had not explored a bleeding pelvis post TURP and almost half (43.6%) had not performed a loin approach to a kidney. The majority of trainees (81.9%) felt confident debriding Fournier's gangrene independently, however confidence in independently performing all other procedures was much lower. Only a third felt that by the end of training they could perform either primary repair or Psoas hitch/Boari flap for ureteric injury, and just 8.8% felt that they would be able to independently perform an emergency nephrectomy. The majority of these procedures are in the GMC curriculum and expected to be taught and assessed for completion of training.

CONCLUSION

This survey highlights significant deficiencies in the experience and confidence of Urology trainees in the UK and Ireland. Methods, including the use of cadaveric courses, must be implemented to address these essential competencies in the GMC curriculum.
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