TY - JOUR
T1 - Performing in the surgical amphitheater of today
T2 - Perception of urologists conducting live case demonstrations
AU - Salami, Simpa S.
AU - Elsamra, Sammy E.
AU - Motato, Hector
AU - Leavitt, David A.
AU - Friedlander, Justin I.
AU - Paoli, Michele A.
AU - Duty, Brian
AU - Okeke, Zeph
AU - Smith, Arthur D.
PY - 2014/9/1
Y1 - 2014/9/1
N2 - Purpose: To evaluate the perception of urologists who have participated in live case demonstrations (LCDs) regarding safety, educational value/benefits, and ethics. Methods: A 19-question anonymous survey was sent to urologists who performed and/or moderated LCDs at the World Congress of Endourology meetings from 2008 to 2012. E-survey was distributed via e-mail, and automatic reminders were sent 2 weeks after original distribution if no response was obtained. Results: Eighty-one percent (92/113) of the urologists responded to the survey of whom 75% practice full time in an academic setting. Only 48.0% were fellowship trained, however. More than 60% had performed more than five LCDs at their home and/or away institutions. Performing LCD at an away institution was associated with a higher level of anxiety when compared with performing LCDs at a home institution (79.8% vs 34.6%; P<0.01). Respondents considered film equipment and crew; audience and moderator discussions; unfamiliar team, instruments and tools; language barrier; and having to narrate the procedure, as distractors. Seventy-nine percent considered LCD as an ethical practice, and 90.5% regarded LCDs as a "beneficial" and a "great way" to educate. Similarly, considering the various factors and conditions associated with LCDs, 95% would agree to participate in another LCD. Conclusion: LCDs are perceived to be an effective mode of education by performers and moderators of LCDs. Standard guidelines and policies are needed, however, for the selection of patient, surgeon and team, equipment, and facility. Studies are needed to evaluate the impact of this education process.
AB - Purpose: To evaluate the perception of urologists who have participated in live case demonstrations (LCDs) regarding safety, educational value/benefits, and ethics. Methods: A 19-question anonymous survey was sent to urologists who performed and/or moderated LCDs at the World Congress of Endourology meetings from 2008 to 2012. E-survey was distributed via e-mail, and automatic reminders were sent 2 weeks after original distribution if no response was obtained. Results: Eighty-one percent (92/113) of the urologists responded to the survey of whom 75% practice full time in an academic setting. Only 48.0% were fellowship trained, however. More than 60% had performed more than five LCDs at their home and/or away institutions. Performing LCD at an away institution was associated with a higher level of anxiety when compared with performing LCDs at a home institution (79.8% vs 34.6%; P<0.01). Respondents considered film equipment and crew; audience and moderator discussions; unfamiliar team, instruments and tools; language barrier; and having to narrate the procedure, as distractors. Seventy-nine percent considered LCD as an ethical practice, and 90.5% regarded LCDs as a "beneficial" and a "great way" to educate. Similarly, considering the various factors and conditions associated with LCDs, 95% would agree to participate in another LCD. Conclusion: LCDs are perceived to be an effective mode of education by performers and moderators of LCDs. Standard guidelines and policies are needed, however, for the selection of patient, surgeon and team, equipment, and facility. Studies are needed to evaluate the impact of this education process.
KW - Adult
KW - Age Factors
KW - Aged
KW - Attitude of Health Personnel
KW - Faculty, Medical
KW - Fellowships and Scholarships/statistics & numerical data
KW - Health Care Surveys/statistics & numerical data
KW - Humans
KW - Middle Aged
KW - Performance Anxiety/psychology
KW - Surveys and Questionnaires
KW - Teaching Rounds
KW - Urologic Surgical Procedures/education
KW - Urology/education
UR - http://www.scopus.com/inward/record.url?scp=84906879761&partnerID=8YFLogxK
U2 - 10.1089/end.2014.0094
DO - 10.1089/end.2014.0094
M3 - Article
C2 - 24854833
AN - SCOPUS:84906879761
SN - 0892-7790
VL - 28
SP - 1121
EP - 1126
JO - Journal of Endourology
JF - Journal of Endourology
IS - 9
ER -