Department of Urology, Columbia University Irving Medical Center, New York, New York.
Paul L. Foster School of Medicine, Texas Tech Health Sciences Center, El Paso, Texas.
Urol Pract. 2024 Jul;11(4):761-768. doi: 10.1097/UPJ.0000000000000587. Epub 2024 May 29.
Since the integration of the intern year into urology residencies, programs are mandated to introduce fundamental skills to junior residents. Our goal was to assess the impact of one such program: the 2023 New York Section of the AUA (NYS-AUA) EMPIRE (Educational Multi-institutional Program for Instructing REsidents) Boot Camp.
Junior urology residents from all 10 NYS-AUA institutions attended a free EMPIRE Boot Camp on June 9, 2023. The seminar covered procedural skills including urethral catheterization, cystoscopy, renal and bladder ultrasound, transrectal prostate ultrasound with biopsy, and an introduction to robotics/laparoscopy. Sessions focused on urologic emergencies and postoperative scenarios. Participants completed questionnaires before, immediately after, and 6 months post course, assessing comfort with procedures and overall program quality using a 5-point Likert scale and free text responses. Tests compared pre and immediate/6-month post scores.
Forty junior residents, along with faculty and resident instructors from all 10 NYS-AUA programs, participated. Of the 40 trainees, 35 (87.5%) completed pre- and immediate post-boot camp surveys, while 23 (57.5%) responded to the 6-month follow-up survey. Ratings showed significant improvement in comfort with basic urologic technical skills for 13 out of 14 domains (93%) immediately after the course and at the 6-month mark. Attendees reported notably higher comfort levels in managing obstructive pyelonephritis ( = .003) and postoperative complications ( = .001) following didactic sessions.
A skills-based, free collaborative urology boot camp for junior residents is feasible and can be effective. Trainees reported improved comfort performing certain technical skills and managing urologic emergencies both immediately after the course and at 6 months of follow-up.
自实习年纳入泌尿科住院医师培训以来，各项目都必须向初级住院医师传授基本技能。我们的目标是评估这样一个项目的影响：2023 年纽约泌尿外科学会（NYS-AUA）帝国（教育多机构住院医师指导计划）训练营。
来自纽约州 10 个 NYS-AUA 机构的初级泌尿科住院医师于 2023 年 6 月 9 日参加了免费的帝国训练营。该研讨会涵盖了程序技能，包括尿道插管、膀胱镜检查、肾脏和膀胱超声、经直肠前列腺超声引导活检以及机器人/腹腔镜介绍。课程重点介绍泌尿科急症和术后情况。参与者在课程前、立即后和 6 个月后完成问卷，使用 5 分李克特量表和自由文本回复评估对程序的舒适度和整体课程质量。测试比较了前测和即时/6 个月后测的分数。
共有 40 名初级住院医师，以及来自纽约州 10 个 NYS-AUA 项目的教职员工和住院医师导师参加了培训。在 40 名受训者中，35 名（87.5%）完成了训练营前和即时后调查，而 23 名（57.5%）回答了 6 个月的随访调查。评分显示，在课程结束后立即和 6 个月时，14 个领域中的 13 个（93%）的基本泌尿科技术技能舒适度显著提高。参加者报告说，在理论课程后，在处理梗阻性肾盂肾炎（ =.003）和术后并发症（ =.001）方面，舒适度水平明显提高。
为初级住院医师举办基于技能的、免费的协作泌尿科训练营是可行且有效的。受训者报告称，在课程结束后立即和 6 个月的随访中，他们在执行某些技术技能和处理泌尿科急症方面的舒适度有所提高。
