title: Simulators help improve student confidence to acquire skills in urology.
abstract: OBJECTIVE
  To know the level of confidence of fifth year medical students in order to perform maneuvers in bladder catheterization and rectal examination before and after training with simulators. To be able to assess student satisfaction regarding the use of the simulation as a learning method.
  
  
  METHODS
  The study was conducted in the Simulation Center of the Faculty of Medicine. A total of 173 students who completed a practical workshop on the subject of Urology participated. The students were asked to answer anonymous questionnaires on their level of confidence in performing a bladder catheterization and rectal examination before and after the workshop as well as their satisfaction in using the simulation as a training tool. The workshops were organized using groups of 10 students. A teacher or a resident in that area of expertise supervised each student individually, resolving their doubts and teaching them the proper technique.
  
  
  RESULTS
  All the evaluations made on the different abilities were significantly higher after training (P<.001). Significant differences were found in the confidence level between men and women before the training regarding male urethral catheterization maneuvers and recognition of normal or pathological prostate, The confidence level was lower in women (P<.05). These differences disappeared after training. The level of overall satisfaction with the workshop was high, going from 4.47 ± 0.9 to a maximum score of 5.
  
  
  CONCLUSIONS
  Simulation is a training method that helps improve the confidence of the medical student in performing a bladder catheterization and digital rectal examination.
authors: Unidad de Educación Médica y Centro de Simulación, Facultad de Medicina, Universidad de Navarra, Pamplona, España. Electronic address: cristinard@unav.es.
authors: M C
authors: MC
authors: Rodríguez-Díez
authors: Unidad de Educación Médica y Centro de Simulación, Facultad de Medicina, Universidad de Navarra, Pamplona, España.
authors: N
authors: N
authors: Díez
authors: Departamento de Urología, Clínica Universidad de Navarra, Pamplona, España.
authors: I
authors: I
authors: Merino
authors: Departamento de Urología, Clínica Universidad de Navarra, Pamplona, España.
authors: J M
authors: JM
authors: Velis
authors: Departamento de Urología, Clínica Universidad de Navarra, Pamplona, España.
authors: A
authors: A
authors: Tienza
authors: Departamento de Urología, Clínica Universidad de Navarra, Pamplona, España.
authors: J E
authors: JE
authors: Robles-García
mesh_terms: D002983:Clinical Competence; D051517:Digital Rectal Examination; D005260:Female; D006801:Humans; D008297:Male; D020377:Self Efficacy; D000066908:Simulation Training; D014546:Urinary Catheterization; D014572:Urology / Q000193:education*
keywords: Digital rectal exam; Estudiantes de medicina; Medical students; Sondaje uretral; Tacto rectal; Urethral catheterization