Login to Access Video or Poster Abstract: MP51-09
Sources of Funding: none

Introduction

Iatrogenic urethral catheter related injuries are common and have been shown to correlate with inadequate training among medical professionals. Urethral catheterization (UC) is a common procedure and often one of the first attempted by medical trainees. Simulation training enhances medical procedure teaching by decreasing trainee anxiety, improving patient safety and efficiently tailoring the experience for the learners, thus optimizing education. We sought to create an efficacious simulation model to teach medical students and residents male UC.

Methods

We developed a 50-minute educational curriculum utilizing didactic presentation and a banana with ends removed and longitudinal core created as a simulation model for the male urethra (&[Prime]Penana&[Prime]). The presentation focused on UC indications, male urethral anatomy, structure of standard and Coude catheters, and safe technique for UC. Procedural teaching utilized modified Payton technique; 1) Expert demonstration, 2) Explanation of steps, 3) Expert-guided Learner performance, 4) Learner-guided learner performance, 5) Independent Learner performance. Subjects completed pre and post intervention survey assessments to determine efficacy. Surveys measured learner knowledge and self-reported confidence at performing male UC.

Results

126 learners participated in the workshop and (29 MS1, 40 MS2, and 60 PGY1) completed pre and post assessments. Prior to intervention, among medical students 36% and 1% had observed UC and 6% and 0% had performed UC using standard Foley and Coude, respectively. Following intervention, combined knowledge scores increased from 13±16% to 85±20% correct. On a 10 point scale, learners self reported confidence increased from 3.3±2.1 to 8.2±1.5 for male urethral anatomy, 1.7±1.4 to 7.9±1.6 for standard Foley UC, and 1.2±0.6 to 7.8±1.9 for Coude UC. On a 10 point scale with 10 representing very helpful, learners described the Penana model with a mean value of 8.6±1.9. Finally, 78% and 20% were extremely likely and likely, respectively, to recommend the course to a friend.

Conclusions

The Penana is a highly efficacious simulation model for teaching medical students and residents safe UC technique. The low cost and universal availability of the materials makes the model easily accessible for any resource-limited education setting.

Funding

none