{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T09:04:46Z","timestamp":1743498286191},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,11,14]],"date-time":"2019-11-14T00:00:00Z","timestamp":1573689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2019,11,14]],"date-time":"2019-11-14T00:00:00Z","timestamp":1573689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Priapism is a urologic emergency managed by both emergency medicine (EM) providers and urologists. Attitudes regarding its management and understanding of education of non-urology trainees in this area are poorly defined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to describe attitudes toward priapism management among multiple stakeholders and define the current state of priapism education among EM residency programs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Surveys were developed and distributed online to EM residency leadership, EM residents, and urology providers. Each solicited attitudes and preferences regarding independent priapism management by EM providers. EM residents were further queried about their educational and clinical experiences in priapism management, and EM residency leadership were surveyed about their educational curricula. Responses among all 3 groups were compared using Fisher\u2019s exact tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure<\/jats:title><jats:p>Quantitative and descriptive responses were solicited regarding EM providers\u2019 management of acute ischemic priapism and current priapism curricula for EM residents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>91 EM residency program directors and assistant program directors (31.6% of programs), 227 EM residents (14.7% of programs), and 94 urologists (6.3% of survey recipients) responded. All geographic regions and all years of EM training were represented. Over 90% of all surveyed groups felt that EM providers should independently manage priapism in practice. 17% of senior EM residents felt \u201cnot at all\u201d confident in managing priapism; and 25.5% had never primarily managed this entity in training. 81% of programs had a formalized priapism curriculum, of which 19% included treatment simulation. However, 36% of residents felt that current curricula were insufficient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Implications<\/jats:title><jats:p>Widespread approval from both EM providers and urologists support EM-based management for uncomplicated cases of acute ischemic priapism. Current educational curricula for EM trainees may not be sufficient to prepare them to manage this entity in practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strengths &amp; Limitations<\/jats:title><jats:p>This is the first study to examine provider attitudes toward EM-based management of priapism and assess the current state of education in this area with input from all key stakeholders. This survey was limited in its scope and the response rate was lower than desired.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Urologists support independent priapism management by EM providers, but an educational gap remains for EM trainees who do not feel adequately trained to manage this independently in practice.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2019.10.011","type":"journal-article","created":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T02:08:03Z","timestamp":1573783683000},"page":"159-162","update-policy":"http:\/\/dx.doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Perspectives on Priapism Education in Emergency Medicine"],"prefix":"10.1093","volume":"17","author":[{"given":"Jessica C.","family":"Dai","sequence":"first","affiliation":[{"name":"Department of Urology , Seattle, Washington , USA"},{"name":"University of Washington , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas S.","family":"Franzen","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine , Seattle, Washington , USA"},{"name":"Harborview Medical Center , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas S.","family":"Lendvay","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology , Seattle, Washington , USA"},{"name":"Seattle Children\u2019s Hospital , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin A.","family":"Ostrowski","sequence":"additional","affiliation":[{"name":"Department of Urology , Seattle, Washington , USA"},{"name":"University of Washington , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J.","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Urology , Seattle, Washington , USA"},{"name":"University of Washington , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,11,14]]},"reference":[{"issue":"4 Pt 1","key":"2023011111064306600_bib1","first-page":"1318","article-title":"American Urological Association guideline on the management of priapism","volume":"170","author":"Montague","year":"2003","journal-title":"J\u00a0Urol"},{"key":"2023011111064306600_bib2","first-page":"2418","article-title":"Nationwide emergency department visits for priapism in the United States","volume":"10","author":"Stein","year":"2013","journal-title":"J\u00a0Sex Med"},{"key":"2023011111064306600_bib3","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/j.jemermed.2017.01.040","article-title":"The 2016 Model of the Clinical Practice of Emergency Medicine","volume":"52","author":"Counselman","year":"2017","journal-title":"J\u00a0Emerg Med"},{"key":"2023011111064306600_bib4","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.jemermed.2003.12.011","article-title":"Emergency evaluation and treatment of priapism","volume":"26","author":"Vilke","year":"2004","journal-title":"J\u00a0Emerg Med"},{"key":"2023011111064306600_bib5","article-title":"Emergency Medicine Defined Key Index Procedure Minimums. 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