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however exposure may vary across training programs. Simulation surgical training has proven to be a valid and an increasingly popular method to teach surgical skills and enhance resident performance in the operating room. The aim of our study is to determine if a focused training course on prosthetic surgery for male incontinence can improve resident knowledge and confidence. METHODS: As part of the 2018 SUPS and the Sexual Medicine Society of North America Annual Meeting, urology residents participated in a structured course which included didactic lectures and a hands-on cadaveric laboratory. Participants completed surveys before the lab as well as 2 weeks and 6 months after. Surveys consisted of 30 multiple-choice questions to assess procedural knowledge and self-confidence regarding prosthetic surgery for male stress urinary incontinence. Analysis assessing pre and post lab responses were performed using the Wilcoxon signed rank test for matched pairs. Secondarily, resident training year and previous AUS and sling experience were assessed. RESULTS: A total of 32 urology residents participated in the course. Median age [IQR] was 29 [27-34] and a majority were at the PGY 4 (63%) or PGY 5 (20%) level. Most of participants had minimal previous AUS or sling experience with 50% and 94% reporting less than 5 cases respectively. Overall score from the knowledge assessment was significantly improved between the pre-lab vs 2week post-lab (p[0.02) and pre-lab vs 6-month post-lab (p[0.01). Similarly, procedural confidence was improved between pre-lab vs 2week post-lab (p<0.001) and pre-lab vs 6-month post-lab (p<0.001). On descriptive analysis, knowledge and confidence assessments were not different between year of residency training or pre-lab experience. CONCLUSIONS: Simulation training of urologic residents improves both knowledge and confidence in prosthetic surgery for male stress urinary incontinence. Furthermore, the benefit is maintained at least 6 months following course completion. In the current climate of educational constraints and limited prosthetic educator availability, simulation courses play an important role in providing valuable hands on education.

MP47-10 CROWD-SOURCED ASSESSMENT OF SURGICAL SKILLS PROGRESSION AMONG UROLOGY RESIDENTS