WCE 2018: Just a Nudge: Applying Behavioral Incentives to Engage Residents in Quality Improvement Education

Paris, France (UroToday.com) The authors of this presentation were seeking to compare the participation and overall engagement of residents in a urology program when these residents were presented with two different incentives: team-based or individual incentives.

Both groups, the team, and individual incentive group, were given a curriculum via Qstream. Qstream is online, usable on one’s mobile device, and is specialty-specific. The provided curriculum was identical between the two groups, and automatically recorded the participation of those using the software. Total participation was 453 residents across 36 different residency programs across the United States.

Data analysis demonstrated that team-based incentives were much more effective in eliciting resident participation: all participation percentages for the team-based incentive group were significantly higher with p-values under 0.05.

On a more general scale, this study depicts the possibility of implementing a multi-institutional, web-based curriculum that has the ability to automatically assess who is attending the online lectures/activities (Figure 1). This certainly shows potential for resident training and education as the Qstream technology advances in the years to come. 

UroToday WCE2018 Example of automated attendance recording software for Qstream
Figure 1: Example of automated attendance recording software for Qstream.

The authors felt the power of their study was adequate, however, they felt the need to encourage the audience to investigate the effects of behavioral interventions in urologic education at their own institutions.

Presented by: Charles Scales, Associate Professor, Duke University Medical Center, Division of Urology, Durham, North Carolina
Co-Authors: Ashley Johnston1 , Eugene Cone1,  Jonathan Bergman2, Tannaz Moin3, Arlene Fink4, B. Price Kerfoot5,
Author Affiliation:
1. Duke University Medical Center, Division of Urology, Durham, North Carolina
2. University of California Los Angeles, Department of Urology, Los Angeles, California
3. University of California Los Angeles, Division of Endocrinology, Los Angeles, California
4. University of California Los Angeles, Department of Medicine, Los Angeles, California
5. Harvard Medical School, Boston, Massachusetts

Written by: Mitchell O’Leary, Department of Urology, University of California-Irvine) medical writer for UroToday.com at the 36th World Congress of Endourology (WCE) and SWL - September 20-23, 2018 Paris, France