Sunday June 30, 2019 from 07:30 to 09:00
Deficits in urological knowledge and skills among family medicine residents in Canada
Sahar Saleem1, Trustin S. Domes2, Keith F. Rourke1.
1Division of Urology, University of Alberta, Edmonton, AB, Canada; 2Division of Urology, University of Saskatchewan, Saskatoon, SK, Canada
Introduction: The last 10 years have seen a decline in formal undergraduate urological education throughout Canada. Given the large volume of urological presentations in family practice, trainees need to acquire the requisite urological knowledge and skills to serve their patients. The objective of this study is to determine the perceived level of urological knowledge and skills among Canadian family medicine residents.
Methods: A 15-item anonymous online survey was distributed via email to all Canadian Family Medicine Program Directors from September to December 2018 and distributed to their current residents. The survey obtained data on demographics, training, undergraduate urology experience, self-reported experience/proficiency in interpreting urological investigations, performing common urological procedures, and managing common urological conditions. Descriptive statistics were used to summarize data.
Results: The questionnaire was completed by 142 family medicine residents with representation from the prairie provinces (27.5%), Ontario (33.4%), and Quebec (40.1%). A total of 39.4% of respondents completed a urology rotation during medical school and 29.1% felt that their medical training adequately prepared them for the urological aspects of family medicine. For urological clinical skill proficiency, the majority felt proficient performing a digital rectal exam (58.5%), while the minority felt proficient with a male genitourinary examination (40.1%), uncomplicated male (34.5%) and female (45.8%) urethral catheterization, and difficult catheterization (9.1%). For managing common urological conditions, the majority felt comfortable managing urinary tract infections (97.2%), kidney stones (74.6%), female incontinence (62.7%), benign prostatic hyperplasia (62.7%), retention (57.0%), and hematuria (55.6%), while the minority felt comfortable managing erectile dysfunction (41.5%), scrotal swelling (34.7%), and scrotal pain (25.7%).
Conclusions: There are significant deficiencies in urological knowledge and skills among family medicine residents in Canada, possibly as a consequence of inadequate educational experiences during medical training.