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. 2012 Jun;6(3):168–174. doi: 10.5489/cuaj.11248

Appendix 1.

Survey

Part 1 Part 2
1. I am a program director
  1. Yes

  2. No

1. What remediation do you provide for a resident who is identified as having a deficiency in surgical/operative skills?
  1. Extra operative time with designated faculty

  2. Additional simulation training specifically focused on the technique or procedure of identified deficiency

  3. Faculty tutorial sessions related to operative deficiency

2. How many residents do you have in your training program?
  1. 1–3

  2. 4–6

  3. 7–10

  4. 11–14

  5. 15 or more

2. What are the average duty hours for the residents in your urology training program?
  1. Less than 50h

  2. 51–60h

  3. 61–70h

  4. 71–80h

  5. More than 80h

3. Do you utilize the In Service Examination as part of your yearly resident evaluation process?
  1. Yes

  2. No

3. Do you have a dedicated urology training curriculum in place at your institution?
  1. Yes

  2. No

4. What do you use as the “passing score” you expect the residents in your program to achieve on the ISE?
  1. >30th percentile

  2. >40th percentile

  3. >50th percentile

  4. >60th percentile

4. How many hours per week do the residents spend in this curriculum?
  1. 1h

  2. 2h

  3. 3–5h

  4. 6–9h

  5. 10h or more

5. What remediation do you enlist for residents who do not “pass” the ISE?
  1. Required reading

  2. Additional examinations

  3. Faculty tutorials in the area of deficiency

5. Do you do regular curriculum evaluation with your residents?
  1. Yes

  2. No

6. Do you have a structured approach to evaluating residents’ technical skills?
  1. Yes, but unspecified

  2. In simulation centre

  3. By OSCE exam stations

  4. Using ex vivo animal preparations

  5. Using live animals

  6. Using structured intraoperative assessment

  7. Global rating scale

  8. Checklist

  9. No

6. Do you think that technical skills evaluation should be part of the Royal College certification process?
  1. Yes

  2. No

7. How do you teach technical skills?
  1. Dedicated teaching time in simulation centre

  2. Virtual reality

  3. Live animals

  4. Physical training models

  5. Ex-vivo animal preparations

  6. Cadavers

8. Who participates in skills training?
  1. Voluntary faculty members

  2. Paid teaching assistant

9. Faculty are compensated for teaching?
  1. Yes

  2. No

10. Do you use an intra-operative assessment device for resident evaluation?
  1. Yes

  2. No