ORLANDO, FL USA (UroToday.com) - Medical education has long had to strike a balance when providing adequate training to novices and young doctors. The question arises: how do you train them effectively, and does their involvement in patient care affect outcomes? In this study, Lee and colleagues offer an answer in the case of fellow and chief-resident participation during robot-assisted radical prostatectomy (RARP).

auaThey evaluated perioperative outcomes of three scenarios depending on who was present at the surgical console: attending only (n=91), attending and fellow (n=152), and attending and chief resident (n=145). The measures included patient characteristics (ranging from demographics to disease-specific measures including Sexual Health Inventory for Men, AUA Symptom Score, Gleason score, etc) as well as perioperative outcomes (including estimated blood loss, length of stay, surgical margins, operative time, etc.).

Their results demonstrated that although fellow and chief-resident involvement is associated with increased operative times (89.3 versus 125.4 minutes when compared to attending-only group), it is not associated with worsened oncologic or functional outcomes up to 1 year, postoperatively.

This work reinforces the concept that although time-intensive, training can be safe and does not compromise efficacy when performed under adequate supervision.

Presented by Ziho Lee at the American Urological Association (AUA) Annual Meeting - May 16 - 21, 2014 - Orlando, Florida USA

University of Pennsylvania, Philadelphia, PA USA

Written by Martin Hofmann, MD, University of California (Irvine), and medical writer for UroToday.com

 

Calendar
Upcoming urology industry events
April 27-29, 2018 / European Society for Medical Oncology Update for Practising Oncologists
European Society for Medical Oncology Update for Practising Oncologists
May 14, 2018 / InterContinental Mark Hopkins Hotel
SITC Cancer Immune Responsiveness Workshop
May 16-17, 2018 / InterContinental Mark Hopkins Hotel
SITC Immuno-Oncology Biomarkers: State of the Art Workshop
May 17, 2018 / Moscone Convention Center North/South, San Francisco, CA
SAU 2018 Annual Meeting at the AUA
Journals
Print publications focusing on urological cancer treatments through original commentary & articles

Everyday Urology™ - Oncology Insights

From the Editor

Prostate Cancer and Prostatic Diseases

From the Editor