Mp39-10 Teaching the Male Genitourinary Examination to Internal Medicine Residents: Urology Led Didactics Improve Confidence in Skills and Likelihood of Examination

You have accessJournal of UrologyEducation Research II (MP39)1 May 2024MP39-10 TEACHING THE MALE GENITOURINARY EXAMINATION TO INTERNAL MEDICINE RESIDENTS: UROLOGY LED DIDACTICS IMPROVE CONFIDENCE IN SKILLS AND LIKELIHOOD OF EXAMINATION Leah Beland, Alex Silberzweig, Andrea Moyer, and Jessica Kreshover Leah BelandLeah Beland , Alex SilberzweigAlex Silberzweig , Andrea MoyerAndrea Moyer , and Jessica KreshoverJessica Kreshover View All Author Informationhttps://doi.org/10.1097/01.JU.0001008644.01945.6c.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: This study aimed to assess the impact of urology-led genitourinary (GU) exam didactics on the proficiency and confidence of internal medicine residents in conducting and interpreting GU examinations. Given the limited formal education in GU exams for internal medicine residents, this study sought to address this critical gap in training, potentially enhancing the quality of care provided to male patients with GU complaints in primary care settings. METHODS: In this single institution prospective study, a 45-minute hands-on course was conducted over 6 weekly sessions for all internal medicine residents using simulated models with normal and abnormal pathologies. Didactics were created and facilitated by one urology attending and two residents. Pre- and post-course surveys assessing prior GU exam education, likelihood and comfort performing GU exams, and confidence in interpreting findings were distributed. Levels of comfort/confidence were interpreted using a 5-point scale (very uncomfortable=0, uncomfortable=1, neither/nor=2, comfortable=3, very comfortable=4). RESULTS: Fifty-five participants completed the pre-course and 74 completed the post-course survey. More than half of participants (56%) had no prior formal GU exam education. After course completion, participants felt significantly more comfortable performing a testicular/scrotal exam (2±0.82 vs 2.95±0.55; p<0.0001) and DRE (2.04±0.86 vs 2.91±0.55; p<0.0001) and were significantly more confident interpreting findings of the testicular/scrotal exam (1.85±0.83 vs 2.92±0.57; p<0.0001) and DRE (1.70±0.86 vs 2.72±0.69; p<0.0001). Overall, 88% reported they were more likely to perform a male GU examination after course completion. CONCLUSIONS: There is a lack of formal GU exam training for internal medicine residents, which may impact the ability and willingness to perform exams and interpret GU findings. Formal education during medical training improves comfort and confidence with GU examinations as well as likelihood of performing GU examinations. Ultimately, this may expedite diagnoses and improve access to care for many men presenting with GU complaints in the primary care setting. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e655 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Leah Beland More articles by this author Alex Silberzweig More articles by this author Andrea Moyer More articles by this author Jessica Kreshover More articles by this author Expand All Advertisement PDF downloadLoading ...