Urethral catheterization:The need for adequate undergraduate exposure

Ezenwa, Ekene; Ibadin, E.; Obarisiagbon, EO; Agugbui, J.O.; Osaigbovon, Emmanuel O

doi:10.1016/j.afju.2015.10.006

Cited by 1 publication

(3 citation statements)

References 8 publications

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“…Unsurprisingly, similar findings were described in multiple studies across the globe, with reports of confidence rates ranging between 6% and 25% in similarly experienced groups of doctors [5,6,9,15]. Other studies described a high confidence level amongst junior doctors coupled with high procedural volume; however, there were gaps in procedural knowledge and identifying complications that required finetuning despite the high confidence [8,9]. Nevertheless, in our experience, low confidence amongst interns was most likely associated with poor procedural knowledge and practical experience.…”

Section: Discussionsupporting

confidence: 87%

“…A recent Irish study surveying a cohort with a similar postgraduate experience as ours reported a significantly higher number of catheterizations with an average of 16 ± 7.8 catheterizations per doctor [15]. Other studies from the Philippines and Nigeria report higher procedure numbers as well [8,9].…”

Section: Discussionsupporting

confidence: 62%

“…Forsythe et al present similar results where around 55% of FY 1 and 2 doctors did not perform more than one male catheterization, with a higher proportion not performing a female catheterization [7]. Multiple other studies in France, Ireland, Nigeria, the Philippines, and the United Kingdom report similar outcomes [4][5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 78%

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Transurethral Catheterization in Early Training: The Impact of Peer-Led Mentorship

Mubarak

Isa

Saeed

2021

Surgery Research and Practice

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Introduction. Transurethral catheterization (TUC) is a common hospital procedure. According to the literature, junior doctors contribute to the majority of TUC-related injuries. Our aim is to evaluate the immediate and long-term impact of a short procedure-centric TUC workshop on junior doctor’s confidence, procedural knowledge, and ability to identify potential complications of catheterization. Materials and Methods. Intern doctors were invited to attend a one-hour workshop on TUC. A questionnaire was completed before and after the workshop. Three months later, the questionnaire was readministered to assess the workshop’s long-term impact. The questionnaire consisted of three domains. A: experience, training, and confidence levels (using 5-point Likert scales), B: procedural knowledge (the highest possible score was 10 points), and C: identification of TUC-related complications (the highest possible score was 3 points). Results. 81 interns participated and reported a confidence level of 3.03 ± 1.05 in performing a straightforward TUC. Preworkshop domain B and domain C were 3.92 ± 1.63 and 1.75 ± 0.69 points, respectively. After the workshop, reported confidence levels improved to 3.71 + 1.02 ( p < 0.05 ). Likewise, the scores in domains B and C increased significantly to 8.85 ± 1.40 ( p < 0.005 ) and 2.65 ± 0.6 ( p < 0.005 ), respectively. Three months later, the same parameters were evaluated, and confidence levels were higher than those of the preworkshop levels at 3.83 ± 0.77 ( p < 0.05 ). The average domain B score was 7.85 ± 1.88 ( p < 0.005 ), and domain C score was 2.69 ± 0.53 ( p < 0.005 ). All scores reported after three months were significantly better than the preworkshop levels ( p < 0.005 ), but there were no statistically significant differences when compared to the immediate postworkshop scores ( p > 0.05 ). Conclusion. Short peer-led TUC workshops positively impact intern doctors’ confidence levels, procedural knowledge, and identifying complications.

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