MP-9 Development and National implementation of virtual urology electives during COVID-19 pandemic
Friday June 28, 2019 from 21:45 to 22:15

David M. Mikhail, United States


Department of Urology

Northwell Health


Development and national implementation of virtual urology electives during COVID-19 pandemic

David M. Mikhail1, Ezra Margolin2, Alan Paniagua-Cruz1, Michael Feuerstein1, John Sfakianos3, Louis Kavoussi4, Gina Badalato2, Lee Richstone1.

1Urology, Lenox Hill Hospital, Manhattan, NY, United States; 2Urology, Columbia University, Manhattan, NY, United States; 3Urology, Mount Sinai Health System, New York, NY, United States; 4Urology, Northwell Health, New Hyde Park, NY, United States

Virtual Sub-Internship in Urology Working Group (Society of Academic Urologists).

Introduction: The COVID-19 pandemic hindered in-person rotations internationally. The SAU predicted the problem would be amplified for elective students and proactively developed a committee which developed a thorough, multi-faceted guidebook and curriculum. We surveyed the country’s programs and all students regarding virtual electives (VE) during the pandemic.

Methods: The vSIU guidebook was distributed to all 142 member programs in June 2020. Programs were encouraged to offer VE. We developed surveys Using a previously published comprehensive framework for evaluating technology-enhanced learning. Following the interview cycle, surveys were distributed to all registered SAU programs and AUA students.

Results: A total of 156 students (30%) and 58 programs (41%) responded. 74 (47%) students participated in one or more VE of the 30 (21%) programs offered. Of these VE, 63% were 2-weeks, 47% were full-time, and 77% were accredited. VE consisted of a range of didactics, clinical/surgical sessions, and self-directed learning. 68% of programs utilized the SAU guidebook and assessment tools. The most important goals for both groups were assessing culture and "a good fit" (>50% rated “extremely important”), and these goals were achieved by >75% of students and PDs. Overall, 77% of PDs and 78% of students rated the VE “very good” or “excellent.” Longer elective duration, full-time commitment, and utilization of the SAU guidebook and assessment tools were associated with higher ratings (p<0.05). Although the majority found VE less effective than in person, about 3/4 of PDs and 1/2 of students would recommend incorporating virtual components into future electives – especially for teaching foundational knowledge.

Conclusions: The vSIU was a successful nationwide initiative to provide virtual urological education to senior medical students. The electives were highly rated and achieved the most important objectives for students and programs. The most successful courses were those with longer duration, full-time commitment, and utilization of SAU resources.


Lectures by David M. Mikhail

© 2022 CUA 74th Annual Meeting