NE-AUA 2006 Annual Meeting, September 28 - 30, 2006, The Westin Hotel & Rhode Island Convention Center Providence, Rhode Island
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Testicular Self-Examination: Education and Tutorial
Andrew Horowitz, BS1, Edward R. Feller, MD2, Anthony A. Caldamone, MD3.
1Brown Medical School, Providence, RI, USA, 2Brown Medical School -Bio Med Community Health, Providence, RI, USA, 3Division of Pediatric Urology, Hasbro Children’s Hospital, Providence, RI,

Background: Early diagnosis and treatment of testicular cancer have been shown to enhance survival; thus patient knowledge regarding testicular cancer and testicular self-examination (TSE) is the best proactive measure to protect male patients from this disease. We surveyed pediatricians and family doctors as to their practice regarding TSE and developed a web-based teaching syllabus.
Methods: A survey examined pediatrician and family doctor practices of educating patients regarding testicular cancer and teaching TSE. Investigative-designed questionnaires were sent by standard mail, e-mail, and fax to physicians compiled from the director of the major Brown University teaching hospitals; all statistical analyses were performed with State v.8. Design of the website used Dreamweaver MX 2004; educational video used Final Cut Pro; and educational animated cartoon used Adobe After Effects.
Results: Responses were received from 209 of 458 physicians (54.6%); results showed 147 (71%) physicians educate all male adolescents on testicular cancer, and 141 (67.8%) physicians teach TSE to all male adolescents. The majority of physicians felt that there was inadequate non-medical media coverage regarding testicular cancer, and also commented that public awareness of testicular cancer is significantly owed to celebrity exposure. Physicians also expressed the need for other educational efforts, including age-appropriate pamphlets (74.2%), videos (16.7%), and websites (10.5%). The TSE website created as a result of this survey allows visual and auditory education for patients based on their comprehension level, while the content becomes progressively more detailed for each age group. An animated cartoon is available for young adolescent patients and an educational video is present for all other age groups. Physicians are able to print age-specific summary pages as a pamphlet for their patients, which also contains the website address in which the patients are able to access the comprehensive testicular cancer education for their age group.
Conclusions: Our data shows that most physicians indicated that more effective teaching tools and increased patient awareness are needed. Patient education is an opportunity which can be aided by age-appropriate pamphlets, video, and website. Results support our current initiative in developing age-specific website, video, and animated cartoon.
url: http://bms.brown.edu/pubhealth/mph/chc/TSE/index.htm


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