The neurourology multidisciplinary team meeting as a potential teaching tool during the third cycle of medical study

2018 
Introduction/Background The Neuro-urology is a medical speciality, practiced by numerous urologists and doctors in physical medicine and rehabilitation (PMR), and corresponds to a need in terms of medical formation. In our hospital, during their studies, the interns in the Urology and PMR departments participate in weekly Neuro-Urology Multidisciplinary Team Meetings (MTM). This meeting could be a teaching place of this speciality. Our objective was to restructure MTM so that interns acquire skills to take in charge neurological urinary disorders, and also to evaluate the interest of the MTM as a teaching tool. Material and method Inter-alia, to restructure MTM, we taught a specific lesson at the beginning of the semester, distributed a booklet on neuro-urology and the meetings were more livened up. The assessment consisted of an anonymous evaluation by the interns of their perception of their knowledge, results expressed in median, and an assessment by the teacher of their knowledge from 2 clinical cases, results expressed in number of objectives acquired. It concerned 2 groups of interns: those before the intention of transforming the MTM (G1), with an evaluation only at the end of the semester (E1); and those who benefited on the restuctured MTM (G2), with evaluations at the beginning and the end of the semester (E2 and E3). Results The G1 interns perceived themselves at ease (median at 4.5) but their knowledge was not so good (6 objectives acquired/17). The G2 interns progressed, they significantly improved their own evaluation (median which went from 2 to 5/7, P  = 0.018) and their knowledge, the number of objectives acquired passing from 6 to 14/17. Conclusion This work has shown the feasibility of transforming MTM as a teaching tool in the field of neuro-urology for interns.
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