Abstracts from the Abstracts from the Mid-Atlantic Section of the AUA 2021

MA-AUA 2021 Abstracts Moderated Poster Session 5: Surgical Technology/Imaging The Utilization of Perfused Cadaver Simulation in Urologic Training D. McClelland, L. O’Connor, J. Barnard, A. Hajiran, C. Crigger, T. Trump, E. Bacharach, A. Elbakry, Z. Werner, C. Morley, D. Grabo, A. Luchey West Virginia University, Morgantown, WV, USA Introduction and Objective: Today’s residents are tasked with learning a broader skillset than ever before. This had led to concern that residents are not prepared for independent practice after residency. The objective of this study was to determine if participating in a surgical training session using perfused fresh human cadavers (PFHC) had a positive effect on urology residents’ confidence in performing open and endoscopic procedures. Methods: Urology residents at our institution participated in a surgical training session in the West Virginia University Fresh Tissue Training Program, which utilized fresh, never frozen cadavers with vascular perfusion. The session consisted of performing different urologic procedures (open and endoscopic) on the PFHCs. Residents were given a survey to rate their confidence in different urologic procedures before, after, and 6 months after the session. Each procedure on the survey had 3-6 questions associated with it, with scores ranging from 0 (no confidence) to 4 (great confidence). Scores for each procedure before and after the session were compared. Results: Six residents participated in the session. There was an increase in the score for every procedure performed after the session. Scores at 6 month follow up remained higher than the pre-session scores. Residents believed the session was a true simulation of the conditions of live surgery and would increase their confident in handling future intra-operative consults. Conclusions: PFHCs offer an excellent opportunity to teach a wide variety of urologic procedures to residents. Incorporation of PFHCs may be very useful in urologic training, and further studies on its use are warranted. MP5-04 Nephrolithiasis Nutritional Counseling: Comparison of Patient Satisfaction between Face-to-Face and Telehealth Modalities K. Schilling 1 , R. Wilson 1 , A. Ewing 2 , J. Smith 3 , C. Bailey 2 , W. Springhart 2 1 University of South Carolina School of Medicine Greenville, Greenville, SC, USA; 2 Prisma Health Upstate, Greenville, SC, USA; 3 Penn State College of Medicine, Hershey, PA, USA Introduction and Objective: Fostered by improved and more readily- available technologies, and further propelled into the mainstream during the COVID-19 pandemic, telephone and virtual video appointments have been increasingly utilized to provide medical care. The increased ease and convenience of telehealth appointments can expand access to patients who experience time or transportation barriers to in-person appointments. We sought to examine and compare patient satisfaction following in-person or telehealth appointments for nephrolithiasis nutritional counseling. Methods: Ninety-six patients with a previous diagnosis of nephrolithiasis underwent an initial in-person nutrition consultation, between May 2019-February 2021. Patients were then randomly assigned in-person or virtual telehealth nutrition follow-up, and surveyed on their experiences. Patients with virtual follow-up completed the Telemedicine Satisfaction Questionnaire (TSQ), on a 5-point Likert scale, while patients with in-person follow-up completed an 8-question modified TSQ (technology-related questions were removed). Results: Of the 96 patients who provided survey responses, 46 participated in virtual follow-up appointments, while 50 patients had in-person visits. Greater than 90% of those who participated in virtual visits “agreed” or “strongly agreed” that they were satisfied with the quality of service provided through telemedicine. Over 82%of patients reported an intent to use telemedicine services again. Amajority of patients also reported better access to healthcare services, comfort with the technology and in communication with their provider, and time saved. When responses following in-person and virtual visit surveys were compared, no statistically significant difference was found (Table 1). Conclusions: Telemedicine is an adequate method of providing health care services without compromising patient satisfaction. MP5-03 33