@Article{,
AUTHOR = {Joseph Haddad, Christopher Anderson, Jonathan Heinlen, Kelly Stratton, Adamantios Mellis, Harry Herr, Michael Cookson, Sanjay Patel},
TITLE = {Improving the quality of operative reports  for transurethral resection of bladder tumor surgery in resident education},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {24},
YEAR = {2017},
NUMBER = {5},
PAGES = {8976--8981},
URL = {http://www.techscience.com/CJU/v24n5/60912},
ISSN = {1488-5581},
ABSTRACT = {<b>Introduction:</b> To assess the quality of resident dictations for transurethral resection of bladder tumor (TURBT). One indicator of surgical quality is the completeness of the operative report. Surprisingly, there is a paucity of standardized operative templates for TURBT and little formalized instruction for learners. The quality of TURBT dictations was assessed and areas of improvement were determined after implementation of a 10 item TURBT checklist.<br/>

<b>Materials and methods:</b> A retrospective review of the last 50 TURBT operative reports dictated by residents was performed. A "TURBT checklist" was used assessing 10 key factors in documentation. A formal training session regarding TURBT dictations was given with TURBT checklists handed out to each trainee. Fifty TURBT dictations were subsequently analyzed.<br/>

<b>Results:</b> TURBT dictations improved across the board following checklist implementation. Total number of checklist items dictated increased to 7.0 from 2.6 prior (p<0.05). When stratified by resident experience, TURBT dictations improved across different resident years (p<0.05). Junior resident dictations statistically improved in every checklist item (p < 0.05). Senior resident dictations improved in almost every category but only two reached statistical significance. A regression model demonstrated checklist implantation to be a significant predictor of improvement in mean number of checklist items dictated independent of PGY level.<br/>

<b>Conclusions:</b> Our study demonstrates that prior to implementation, TURBT operative dictations performed by residents lacked many of the critical components required for a quality TURBT. However, once properly instructed, a relatively simple "checklist" can be easily implemented and serve as a teaching tool for residents in training to ensure critical procedural elements are documented.},
DOI = {}
}