Implementation and assessment of a novel non-clinical skills curriculum for urology residents

BackgroundUrology is an increasingly competitive specialty that procures a highly selected and clinically excellent cohort of residents. However, other training needs such as leadership and professional development go underrecognized despite an identified need for formal training in these areas. The aim of this study was to implement, evaluate, and pilot a non-clinical skills curriculum, a novel individualized professional development workshop series, at a single institution.MethodsEighteen urology residents (15/year, 3 graduates/year) participated in this study over the course of two academic years. A pre-curriculum needs assessment was completed by 15 residents in Year 1 for purposes of curriculum design. The curriculum itself was a series of 1-hour monthly workshops given by an expert speaker on topics relevant to healthcare delivery, leadership and career promotion across various contexts. Survey-based assessments tracked gains in subject knowledge and satisfaction via a pre-post test design.ResultsThe pre-curriculum needs assessment indicated that trainees desired additional instruction in non-clinical skills (ps>0.1) and endorsed formal teaching to ensure success in their future careers (p<0.001). Trainees reported pre- to post-curriculum gains across each individual learning topic (Mean=20%, p<0.001) with an aggregate increase in subject knowledge of 17% for senior residents and 21% for junior residents (p<0.001).ConclusionA non-clinical skills curriculum implemented as a pilot ‘Hidden Curriculum’ for urology trainees was feasible and resulted in significant gains in non-clinical subject knowledge. Workshops were highly rated and trainees reported high satisfaction with the curriculum

Signal clarity: an account of the variability in infant quantity discrimination tasks

Infants have shown variable success in quantity comparison tasks, with infants of a given age sometimes successfully discriminating numerical differences at a 2:3 ratio but requiring 1:2 and even 1:4 ratios of change at other times. The current explanations for these variable results include the two‐systems proposal – a theoretical framework that suggests that there are multiple systems at play and that these systems do not communicate early in infancy, leading to failure in certain numerical comparisons. An alternative proposal is that infants may be attending to continuous extent dimensions in these tasks rather than number per se. However, neither of these two main proposals is independently capable of accounting for the previously published data. Recently the Signal Clarity Hypothesis was proposed to account for and predict the variability (Cantrell & Smith, 2013). According to this hypothesis, infants’ variable success may be understood from a framework of statistical learning taken together with the signal‐to‐noise ratio generated by control procedures in habituation tasks. Here we test specific predictions made by the Signal Clarity Hypothesis. Across four experiments assessing 9‐month old discriminations of small and large sets (2 vs. 4 and 3 vs. 4), we demonstrate that infant success can be predicted by this novel approach and, further, that infants may discriminate smaller ratios of change than previously believed (3:4 numerical change and 2:3 cumulative area change)