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

MA-AUA 2021 Abstracts Display Posters Trends in Hospital Opioid Use after Urological Trauma M. Rostom 1 , A. Gabrielson 1 , R. Fransman 2 , N. Gupta 1 , S. Wang 1 , A. Holler 1 , I. Pan 1 , E. Haut 2 , J. Sakran 2 , J. Hagshenas 2 , A. Cohen 1 1 Johns Hopkins Brady Urology Institute, Baltimore, MD, USA; 2 Johns Hopkins Department of General Surgery, Baltimore, MD, USA Introduction and Objective: Following trauma, increased opioid use is associated with inferior outcomes and increased risk of opioid dependence, particularly in vulnerable populations. In contrast, multimodal analgesia following trauma results indecreasedpain and readmission. Currently there is a paucity of data describing opioid usage following urological trauma. We assess utilization of opioids andmultimodal pain regimens following urologic trauma. Methods: We retrospectively examined 121 patients hospitalized following urologic trauma from 2016-2021. Inpatient and discharge utilization of opioids, multimodal analgesia and length of stay were stratified by affected organ. Analyses were performed in STATAwith p<0.05 reaching significance. Results: 121 patients were assessed; affected organ andmechanism of injury are shown in Table 1A. Displayed in Figure 1, though differences in average opioidmorphine equivalence (OMEQ) per day are not significant (p = 0.368), bladder injuries incurred higher mean OMEQ than other urological injuries with 14 (88%) requiring surgery and 8 (50%) associated with pelvic fracture. ISS’s were significantly different between trauma groups (p=0.011) with multiorgan trauma having the highest average. In nearly all groups, OMEQ prescribed at discharge is less than average inpatient OMEQ. Shown in Table 1B, 87 (73%) patients were given acetaminophen in the hospital, but only 12 (10%) used non-opioid NSAIDs despite significantly lower average OMEQ prescriptions per day with acetaminophen use (p = 0.009). Conclusions: Multimodal analgesia is severely underutilized following urological trauma. Combined with the development of opioid tolerance over long hospital stays, this creates an avenue for opioid misuse following discharge and opportunities for improvement. DP-14 4WeekVirtual Urology Course Focused on TeachingNon-Urology Students A. Quinn, E. Mann, M. Le Roux, C. Clark, C. Lallas Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA Introduction and Objective: Medical student exposure to urology has traditionally been limited to students planning to specialize in the field. During COVID-19 pandemic, interest increased on online courses providing exposure specialized fields. Our four-week discussion and case-based urology course, guided by the American Urology Association medical student curriculum, was created to cover high-yield topics for fourth year students and has been primarily taken by students who are not planning to specialize in urology or “non-intended students”. We aimed to determine if our online course provided sufficient exposure to urology for non-intended students. Methods: A 24-question survey was emailed to 15 non-intended students enrolled in Jefferson’s URO430 course over a 5-month period. The survey sought to determine overall satisfaction, perceived usefulness of the course, and specific feedback for the course. Results: Atotal of 11 students (73%) completed the survey. 64%of respondents were female and 45%were applying to a procedural specialty. 91%of students had no urology exposure during their clinical curriculum. The average reported time on the course was 15 hours per week. 100% of respondents agreed that they gained a lot from the course and that it would help them in residency. Mean overall satisfaction was 9.4 on 1-10 scale. 10/11 agreed that discussion boards and online lectures were useful. Conclusions: URO430 was an unexpected positive outcome of virtual learning and provided exposure to non-intended students. Moreover, URO430 has doubled the number of students taking a urology course at our institution. All surveyed found our course to be useful and believed that it would help them during residency. In a final testament to its success, it will be included in the curriculum for next year. We believe that a virtual course in urology is an excellent way to expose students to our specialty in a curriculum that does not otherwise have that capacity. DP-13 51