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Evaluation of the Tendencies of Urology Residents in Different Training Centers in Turkey on the Use of Fluoroscopy in Operations

Aim: To evaluate the tendency, knowledge, awareness and behavior
patterns of urology residents training at different institutions in
Turkey about the use of fluoroscopy in operations. Methods: The
13-questioned survey prepared using “Google Forms©” as of 01.03.2021
was shared for four weeks in the “WhatsApp®” application group, which
includes 279 urology residents studying with university hospitals and
training and research hospitals in Turkey. One hundred and thirteen
participants, who completed the questionnaire were included in the
study. Results: Of the 113 urology residents included in the study, 56
(49.6%) were studying in university hospitals and 57 (50.4%) were in
training and research hospitals. 67.3% of the residents stated that
they never hesitated to participate in the operations which fluoroscopy
was used. Additionally, the residents stated that, also 43.4% of the
auxiliary healthcare staff frequently refrain from being involved in
these cases(p <0.001). While 21 (37.5%) of the residents
trained in the university hospital reported that they hesitated from
these cases, this rate was found that 16 (28.2%) of the residents who
were trained in the training and research hospitals and a significant
difference was observed between two groups (p <0.016). Among
residents, the rate of using radioprotective lead apron was 94.7%, and
the rate of thyroid shield use was 98.2%. While the rate of using
radiation protective glasses was 1.8%, it was learned that none of the
residents used radioprotective gloves. Only 5.3% of the residents
stated that they are trained in subjects about the harmful radiation
effect. Conclusion: Urology residents in Turkey do not receive
sufficient training on the harmful effects of fluoroscopy, which they
frequently use in their daily practice. In addition, the residents whom
training in university hospitals are more scared of the radiation
exposure from fluoroscopy than their colleagues working in training and
research hospitals.