Presented by: David Bouhadana MD
Division of Urology, McGill University, Montreal, QC, Canada

Introduction

Competency in interpreting genitourinary (GU) imaging is an important skill for urologists. However, no nationally accredited GU imaging curriculum exists for urology residency training programs. The main objectives of our study were to 1) characterize GU imaging training in Canada; (2) evaluate residents’ self-perceived competencies in interpreting GU imaging; (3) explore program directors’ (PD) and residents’ perceptions regarding the current imaging curriculum and suggestions for future directions.

Materials

From November to December 2022, a survey examining current imaging education in residency, perceived resident imaging knowledge, avenues for improvement in imaging education, and the role of point-of-care ultrasound within urology was distributed to all Canadian urology PDs and residents.

Results

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All PDs (13/13) and 40% (72/178) of residents completed the survey. Only two programs had a formal GU imaging curriculum. PDs and residents reported trainees were least comfortable interpreting Doppler ultrasound of renal, gonadal, and penile vessels. PDs reported that residents were most comfortable with non-contrast computed tomography (CT) scans (9.5/10), CT urogram (9.3/10), and retrograde pyelography (9.3/10). All but one PD  favoured increasing imaging training in their program. PDs highlighted the lack of time in the curriculum (n=3) and lack of educators (n=3) as the primary barriers to increasing imaging training in their program.

Conclusion

The majority of both PDs and residents believed that there needed to be more imaging training offered at their institution. However, addressing this is challenging due to the limited time in the curriculum and the need for available educators.

Funding

None

Co-Authors

Sarah Elbaz, MD (c)
Faculty of Medicine, Laval University, Montreal, QC, Canada

Rose DiIoa, MD
Division of Radiology, McGill University, Montreal, QC, Canada

Anne Xuan-Lan Nguyen, MD
Division of Opthalmology, University of Toronto, Toronto, Ontario, Canada

Diana Benea, MD
Division of Neurology, McGill University, Montreal, QC, Canada

David-Dan Nguyen, MD, MPH
Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada

Paul Perrotte, MD
Division of Urology, University of Montréal, Montreal, QC, Canada

Samuel Lagabrielle, MD
Division of Urology, Sherbrooke University, Sherbrooke, QC, Canada

Jason Lee, MD
Division of Urology, University of Toronto, Toronto, Ontario, Canada

Peter Metcalfe, MD
Division of Urology, University of Alberta, Edmonton, AB, Canada

Isabelle Hardy, MD
Department of Ophthalmology, University of Montréal, Montreal, QC, Canada

Rehana Jaffer, MD
Department of Diagnostic Radiology, McGill University, Montreal, QC, Canada

Naeem Bhojani, MD
Division of Urology, Centre hospitalier de l’Université de Montréal, Montreal, QC, Canada