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UPJ INSIGHT Surgical Preparation by Urology Trainees in 2021: The Interplay of Video and Print Resources
By: Joshua M. Eccles, MD; Nathan Michalak, MD; Jay D. Raman, MD; Susan M. MacDonald, MD | Posted on: 01 Sep 2022
Eccles JM, Michalak N, Raman JD, MacDonald SM. Surgical preparation by urology trainees in 2021: the interplay of video and print resources. Urol Pract. 2022;9(5)512-518.
Study Need and Importance
Technological advances have caused a generational shift. Modern-day urology trainees have a wide variety of video sources in addition to standard print materials to prepare for operative procedures. We queried what sources (both print and video) and what combinations are used by urology residents.
What We Found
Of the 108 responding residents, 87% use a video source, of which YouTube (93%), American Urological Association (AUA) Core Curriculum Videos (84%) and institutional/attending-specific videos (46%) are most common (see Figure). Video quality (81%) is the most commonly used criterion for video selection. The majority of residents use videos to supplement print sources, with 43% using videos a quarter to half of their preparation time, and 35% half to three-quarters of the time. When asked to rank their top 3 sources overall combining print and video, of 104 respondents, 25% of residents reported YouTube as their top source and 75% included it in their top 3. There was no significant correlation between program year level and use of YouTube as a top source. While 75% of residents reported that they were aware the AUA Core Curriculum contains a video section, only 23% of residents were aware of the AUA YouTube channel.
Limitations
The major limitation of this study is the sample size. With 108 respondents we were able to capture less than 10% of current urology residents; however, this may be a representative sample given the even distribution in terms of program year level.
Interpretation for Patient Care
This study clearly demonstrates the use of video in combination with print sources for operative preparation and that residents heavily rely on YouTube, which may include videos of variable educational quality. Continued emphasis on the production and accessibility of high-quality, peer-reviewed videos is needed by the AUA. Publicity for available sources and a streamlined user interface would help direct residents to the most educationally dense video sources.
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