[Sex-specific differences in surgical confidence: results of the Endo Workshop of the German Society of Residents in Urology 2022].

Geschlechtsspezifische Unterschiede im chirurgischen Selbstvertrauen: Ergebnisse des Endo-Workshops der German Society of Residents in Urology 2022.

Publisher: Springer Medizin Country of Publication: Germany NLM ID: 9918384886606676 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2731-7072 (Electronic) Linking ISSN: 27317064 NLM ISO Abbreviation: Urologie Subsets: MEDLINE

Original Publication: [Heidelberg, Germany] : Springer Medizin, [2022]-

Internship and Residency* ; Urology*/education ; Clinical Competence*; Humans ; Female ; Male ; Germany ; Prospective Studies ; Adult ; Sex Factors ; Urologic Surgical Procedures/education ; Societies, Medical ; Simulation Training/methods

Background: Simulation-based training is gaining importance in urologic residents training.
Objectives: This prospective study evaluated the influence of the Endo Workshop of the German Society of Residents in Urology e. V. (GeSRU) on surgical confidence.
Materials and Methods: GeSRU Endo Workshop 2022 included 1 h simulation-based training sessions on stone removal using ureteroscopy (URS) and transurethral resection of the bladder (TURB). Using an online questionnaire, surgical confidence was assessed before and after the workshop. Surgical assessment relied on the global rating scale (GRS).
Results: Overall, 40 residents participated: 25 (62.5%) men and 15 (37.5%) women. In URS assessment, men vs. women achieved an average of 26.6 vs. 26.1/35 points on the GRS (p = 0.7) and completed the task in 8.1 ± 1.9 vs. 9.9 ± 0.4 min (p < 0.001). In TURB assessment, men vs. women achieved an average of 26.0 vs. 27.3/35 points on the GRS (p = 0.3) and required 7.6 ± 1.9 vs. 7.7 ± 2.2 min (p = 0.9), respectively. Among participants who answered the baseline survey and the evaluation (n = 33), 16 (80%) men vs. 3 (23%) women had surgical confidence to perform URS before (p = 0.01), and 19 (95%) men vs. 7 (54%) women after the workshop (p = 0.03). Regarding the performance of TURB, 10 (50%) men vs. 7 (54%) women reported surgical confidence before (p = 0.1), and 15 (75%) men vs. 10 (77%) women after the workshop (p = 1.0). An increase in surgical confidence to perform URS and TURB was reported by 9 (45%) and 10 (50%) men and 9 (69%) and 8 (62%) women, respectively.
Conclusions: Endourologic simulation-based training increases surgical confidence of both female and male residents. Despite comparable surgical outcomes, women approach URS with lower surgical confidence compared to their male counterparts.
(© 2024. The Author(s).)

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Keywords: Endourology; GeSRU; Residency; Simulation-based training; Surgical education
Local Abstract: [Publisher, German] HINTERGRUND: Simulationstrainings gewinnen in der Ausbildung von Ärzt:innen in Weiterbildung (ÄiW) an Bedeutung. [Publisher, German] Mit dieser prospektiven Arbeit wurde der Einfluss des Endo-Workshops der German Society of Residents in Urology e. V. (GeSRU) auf das chirurgische Selbstvertrauen evaluiert. [Publisher, German] Der GeSRU Endo-Workshop 2022 umfasste ein Simulationstraining zur Steinsanierung mittels Ureterorenoskopie (URS) und zur transurethralen Resektion der Blase (TURB). Mittels Online-Fragebogen wurde das chirurgische Selbstvertrauen vor und nach dem Workshop erhoben. Das operative Assessment erfolgte mittels Global Rating Scale (GRS). [Publisher, German] Von 40 Teilnehmenden waren 25 (62,5 %) männlich und 15 (37,5 %) weiblich. In der URS-Aufgabe erreichten männliche vs. weibliche Teilnehmende durchschnittlich 26,6 vs. 26,1/35 Punkte der GRS (p = 0,7) und schlossen die Aufgabe in 8,1 ± 1,9 vs. 9,9 ± 0,4 min ab (p < 0,001). In der Durchführung der TURB erreichten männliche vs. weibliche Teilnehmende durchschnittlich 26,0 vs. 27,3/35 Punkte der GRS (p = 0,3) und benötigten hierfür 7,6 ± 1,9 vs. 7,7 ± 2,2 min (p = 0,9). Unter den Teilnehmenden mit beantworteter Basisbefragung und Evaluation (n = 33), hatten 16 (80 %) männliche vs. 3 (23 %) weibliche vor (p = 0,01) und 19 (95 %) männliche vs. 7 (54 %) weibliche Teilnehmende nach dem Workshop (p = 0,03) ein chirurgisches Selbstvertrauen, eine URS durchzuführen. Bezüglich der Durchführung einer TURB hatten 10 (50 %) männliche vs. 7 (54 %) weibliche vor (p = 0,1) und 15 (75 %) männliche vs. 10 (77 %) weibliche nach dem Workshop ein chirurgisches Selbstvertrauen (p = 1,0). Eine Zunahme des chirurgischen Selbstvertrauens für die Durchführung einer URS bzw. TURB hatten 9 (45 %) bzw. 10 (50 %) männliche und 9 (69 %) bzw. 8 (62 %) weibliche Teilnehmende. [Publisher, German] Simulationsbasiertes Training steigert das chirurgische Selbstvertrauen. Bei vergleichbaren operativen Ergebnissen gehen weibliche ÄiW mit einem geringeren chirurgischen Selbstvertrauen an eine URS heran.

Date Created: 20240827 Date Completed: 20241108 Latest Revision: 20241125

20241126

PMC11549232

10.1007/s00120-024-02429-w

39190147