The impact of a structured clinical training course on interns’ self-reported confidence with core clinical urology skills

• Published in: Irish journal of medical science 2018-02, Vol.187 (1), p.255-260
• Main Authors: Browne, C., Norton, S., Nolan, J. M., Whelan, C., Sullivan, J. F., Quinlan, M., Sheikh, M., Mc Dermott, T. E. D., Lynch, T. H., Manecksha, R. P.
• Format: Article
• Language: English
• Subjects: Clinical Competence - standards; Education - standards; Family Medicine; Female; General Practice; Humans; Internal Medicine; Male; Medicine; Medicine & Public Health; Original Article; Self Report; Surveys and Questionnaires; Urinary Catheterization - standards; Urology - education
• ISSN: 0021-1265; 1863-4362
• DOI: 10.1007/s11845-017-1616-x

Background Undergraduate training in core urology skills is lacking in many Irish training programmes. Aims Our aim was to assess newly qualified doctors’ experience and confidence with core urological competencies. Methods A questionnaire survey covering exposure to urology and confidence with core clinical skills was circulated to all candidates. The group then attended a skills course covering male/female catheterisation, insertion of three-way catheters, bladder irrigation and management of long-term suprapubic catheters. The groups were re-surveyed following the course. Results Forty-five interns completed the pre-course questionnaire (group 1) and 27 interns completed the post-course questionnaire (group 2). 24/45 (53%) had no experience of catheter insertion on a patient during their undergraduate training. 26/45 (58%) were unsupervised during their first catheter insertion. 12/45 (27%) had inserted a female catheter. 18/45 (40%) had inserted a three-way catheter. 12/45 (27%) had changed a suprapubic catheter. 40/45 (89%) in group 1 reported ‘good’ or ‘excellent’ confidence with male urinary catheterisation, compared to 25/27 (92.5%) in group 2. 18/45 (40%) in group 1 reported ‘none’ or ‘poor’ confidence with female catheterisation, compared to 7/27 (26%) in group 2. 22/45 (49%) in group 1 reported ‘none’ or ‘poor’ confidence with insertion of three-way catheters, compared to 2/27 (7%) in group 2. 32/45 (71%) in group 1 reported ‘none’ or ‘poor’ confidence in changing long-term suprapubic catheters, falling to 3/27 (11%) in group 2. Conclusion This study raises concerns about newly qualified doctors’ practical experience in urology. We suggest that this course improves knowledge and confidence with practical urology skills and should be incorporated into intern induction.