Kaya Coşkun, Aydin Mehmet Erhan, Gezmiş Cem Tuğrul, Kalkanli Arif, Ortaç Mazhar, Kadioğlu Ateş
Department of Urology, University of Health Sciences Eskişehir City Health Application and Research Center, Eskişehir, Turkey.
Department of Urology, Taksim Education and Research Hospital, İstanbul, Turkey.
BMC Med Educ. 2025 Mar 30;25(1):461. doi: 10.1186/s12909-025-07032-x.
Operative dictation (OD) is a critical component of surgical documentation, yet its formal teaching is often overlooked in residency training. This study aimed to evaluate the inclusion of OD training in urology residency programs and assess awareness and practices among urology residents (URs) and staff urologists (SUs).
A structured questionnaire was developed to explore OD practices, awareness, and training methods. The questionnaire consisted of four sections: demographic characteristics, OD practices, awareness of OD as a skill, and formal OD training. It was distributed via e-mail to URs and SUs whose contact information was obtained from the Turkish Urological Association's Central Anatolia Branch. Descriptive statistics were used to analyze the data.
The survey was sent to 252 participants and achieved a response rate of 86.9% (n = 219). Among the respondents, 61 were URs (27.8%) and 158 were SUs (72.1%). Most participants (96.7% of URs and 98.2% of SUs) reported no formal OD training during residency, informal methods, such as reviewing old ODs and guidance from senior residents, were commonly cited as learning approaches. Despite recognizing the importance of structured OD templates, participants highlighted the absence of standardized training curricula. Similar responses from experienced and novice surgeons suggest that this gap has persisted for decades.
This study highlights the lack of formal OD training in urology residency programs and the reliance on informal methods. Integrating standardized OD training modules into residency curricula is essential to improve documentation quality and medico-legal reliability. Future research should explore the effectiveness of educational interventions and develop universal guidelines for OD practices.
Not applicable.
手术记录（OD）是外科手术文件的关键组成部分，但在住院医师培训中其正式教学常常被忽视。本研究旨在评估泌尿外科住院医师培训项目中OD培训的纳入情况，并评估泌尿外科住院医师（URs）和泌尿外科 staff（SUs）的意识和实践情况。
设计一份结构化问卷，以探讨OD实践、意识和培训方法。问卷包括四个部分：人口统计学特征、OD实践、对OD作为一项技能的认识以及正式的OD培训。通过电子邮件将问卷分发给从土耳其泌尿外科协会中安纳托利亚分会获取联系信息的URs和SUs。使用描述性统计分析数据。
该调查共发送给252名参与者，回复率为86.9%（n = 219）。在受访者中，61名是URs（27.8%），158名是SUs（72.1%）。大多数参与者（96.7%的URs和98.2%的SUs）报告在住院医师培训期间没有接受过正式的OD培训，常见的学习方法是诸如查阅旧的OD记录和接受高年资住院医师指导等非正式方法。尽管认识到结构化OD模板的重要性，但参与者强调缺乏标准化的培训课程。经验丰富的外科医生和新手外科医生的类似回答表明，这一差距已经存在了几十年。
本研究凸显了泌尿外科住院医师培训项目中缺乏正式的OD培训以及对非正式方法的依赖。将标准化的OD培训模块纳入住院医师课程对于提高文件质量和医疗法律可靠性至关重要。未来的研究应探索教育干预措施的有效性，并制定OD实践的通用指南。
不适用。
