Illuminating Gaps in Laser Education in Urology Residency Programs

Area of Science:

• Urology
• Medical Education
• Laser Technology

Background:

• Urologists employ diverse laser technologies, yet standardized education is lacking.
• The American Urological Association (AUA) offers online resources but no mandatory curriculum.
• Significant knowledge gaps exist regarding laser technologies among urology residents and attendings.

Purpose of the Study:

• To identify knowledge deficits in laser technologies within the AUA New England Section.
• To inform curriculum development for resident education and skills courses.
• To assess current understanding and attitudes towards laser use in urology.

Main Methods:

• Anonymous questionnaire distributed to urology residents and attendings in 12 New England programs.
• Participants encouraged to answer without external resources.
• Assessment of basic laser information, applications, and safety parameters.

Main Results:

• 72 residents and 62 attendings participated (62% response rate).
• Common applications include nephrolithiasis, urothelial cancer, prostate, and strictures.
• Significant confusion noted regarding laser parameters (wavelength, Joules, Watts) and types (Ho:YAG vs. Moses, Tm vs. Tm-fiber).
• Knowledge of nominal optical hazard distance was negligible.
• Residents reported lower confidence than attendings, with both groups rating knowledge lower post-questionnaire.

Conclusions:

• Substantial knowledge gaps in laser technology exist among urologists.
• Deficiencies are acknowledged, but proactive self-education is low (25-32%).
• A standardized, updated laser education program is essential to enhance knowledge and patient safety.