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- W3021336584 abstract "INTRODUCTION AND OBJECTIVE: The goal of surgical residency is to create independently operating surgeons. The Accreditation Council for Graduate Medical Education (ACGME) has designated minimum case numbers that surgical resident must meet prior to graduation. While these case numbers are the benchmark for graduation as an independent surgeon, there is no data in the literature assessing if these numbers hold evidence for urology residents. To study this, we compared urology resident's autonomy during two common procedures to their number of cases logged for each procedure using a real-time smart phone application. METHODS: We utilized the myTIPreport mobile application from 12/18-11/19. Attending evaluations were logged post-operatively assessing the perceived autonomy of PGY 2's & 3's for transurethral bladder tumor resections (TURBT) and Ureteroscopies (URS). The Zwisch scale was used to assess the perceived autonomy. Independence was calculated as an autonomy score of Supervision Only or higher. Each myTIPreport evaluation was correlated with the number of cases logged for each individual procedure in the ACGME case logs at the time of evaluation and recorded. RESULTS: A total of 101 paired evaluations, 33 for TURBT and 68 for URS, from 5 residents were analyzed. For TURBT's, all residents received a rating of Supervision Only at least twice prior to the ACGME minimum required case number of 100 for Transurethral cases. For URS, all residents (4/4) with evaluations before the ACGME minimum required case number of 60 received a rating of Supervision Only at least once. CONCLUSIONS: For the procedures TURBT and URS, residents achieved surgical independence before the ACGME minimum case number. In the case of TURBT, residents were seen as independent much earlier than the designated ACGME case minimum, whereas for URS the minimum case number was an adequate benchmark for surgical independence. More data is needed to determine at what case number there is a progression in autonomy for each specific step of the case to best tailor resident specific educational needs.Source of Funding: None" @default.
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- W3021336584 date "2020-04-01" @default.
- W3021336584 modified "2023-09-25" @default.
- W3021336584 title "MP66-02 USE OF A MOBILE APPLICATION TO ASSESS WHEN UROLOGY RESIDENTS BECOME SURGICALLY INDEPENDENT" @default.
- W3021336584 doi "https://doi.org/10.1097/ju.0000000000000941.02" @default.
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