背景:北美性医学会(SMSNA)研究金提供性健康领域的各种经验:勃起功能障碍,佩罗尼的病,男性不育,男性性腺功能减退(低睾酮),重建(包括男性失禁),良性前列腺增生,性别确认手术,性心理健康,和女性性功能障碍。
目的:评估基线和后训练营对这些领域的理解和信任。
方法:2023年,目前在SMSNA认可的奖学金中注册的31名泌尿科医师中有28名参加了在明尼阿波利斯进行的为期3.5天的培训训练营。明尼苏达。参与者被要求完成训练营前和训练营后的调查。训练营课程提供了美国泌尿外科协会指南和基于案例的讲座,用尸体(阴茎手术)和模型(胶原酶培训)进行动手临床培训,以及与行业的互动。
结果:知识的变化,独立性,并信任执行这些程序,以及未来训练营的计费问题和反馈。
结果:预训练营调查显示,居住体验差异很大。报告的时间与专家教员是最大的良性前列腺增生和最少的女性性功能障碍,性别确认手术,睾丸激素低。独立进行手术的预营信心最低的是阴茎移植手术和抬高神经血管束。训练营后的结果揭示了几个领域的信心显着改善(P≤.03):皮罗尼病的病灶内注射,手动建模,阴茎折叠术,阴茎嫁接程序,提升神经血管束。随着充气(P=.05)和半刚性(P=.08)阴茎假体的插入,信心有提高的趋势。人工尿道括约肌手术无显著改善(P=.12)。参与者对训练营的评分很高,并要求明年的训练营对女性性功能障碍有更多的内容,男性失禁,睾丸激素低,以及更多的实践技能会议和基于案例的讲座格式。
结论:提供具有动手指导的训练营可以显着提高泌尿科医师的知识和信心。
■作为主要力量,这项研究是第一个专业训练营的泌尿科医生在主题的男性的健康,考虑到动手和尸体实验室,以及突出工业和医药产品。小样本量是主要限制。
结论:目前的SMSNA研究员在性健康领域表现出不同水平的经验和信心。通过将教学讲座与实践培训相结合的主题,可以看到明显的信心改善。
BACKGROUND: Sexual Medicine Society of North America (SMSNA) fellowships offer variable experience in sexual health domains: erectile dysfunction, Peyronie\'s disease, male infertility, male hypogonadism (low testosterone), reconstruction (including male incontinence), benign prostatic hyperplasia, gender affirmation surgery, sexual mental health, and female sexual dysfunction.
OBJECTIVE: To evaluate baseline and postbootcamp understanding and trust in these domains.
METHODS: In 2023, 28 of 31 urologists currently enrolled in SMSNA-endorsed fellowships participated in a 3.5-day training bootcamp in Minneapolis, Minnesota. Participants were asked to complete pre- and postbootcamp surveys. The bootcamp curriculum offered American Urological Association guidelines and case-based lectures, hands-on clinical training with cadavers (penile surgery) and models (collagenase training), and interaction with industry.
RESULTS: Changes in knowledge, independence, and trust in performing the procedures, as well as billing issues and feedback for future bootcamps.
RESULTS: Prebootcamp surveys revealed vastly varied residency experience. Reported time with an expert faculty member was greatest for benign prostatic hyperplasia and least for female sexual dysfunction, gender affirmation surgery, and low testosterone. The lowest prebootcamp confidence in performing surgery independently was for penile grafting procedures and elevating the neurovascular bundle. Postbootcamp results revealed several areas of significant improvement in confidence (P ≤ .03): intralesional injections for Peyronie\'s disease, manual modeling, penile plication, penile grafting procedures, and elevating the neurovascular bundle. There was a trend for improved confidence with the insertion of inflatable (P = .05) and semirigid (P = .08) penile prostheses. Nonsignificant improvement occurred in artificial urinary sphincter surgery (P = .12). Participants graded the bootcamp very highly and requested that next year\'s bootcamp have more content on female sexual dysfunction, male incontinence, and low testosterone, as well as more hands-on skills sessions and case-based lecture formats.
CONCLUSIONS: Offering a bootcamp with hands-on instruction could significantly improve urologists\' knowledge and confidence.
UNASSIGNED: As the main strength, this study was the first specialized bootcamp for urologists in the subject of men\'s health, taking into account hands-on and cadaver laboratories, as well as highlighting industrial and pharmaceutical products. The small sample size was the major limitation.
CONCLUSIONS: Current SMSNA fellows present with varied levels of experience and confidence across sexual health domains. Notable confidence improvements were seen with topics that combined didactic lectures with hands-on trainings.