MP33-12 DO PEDIATRICIANS ROUTINELY PERFORM GENITOURINARY EXAMINATIONS DURING WELL-CHILD VISITS? A REVIEW FROM A LARGE TERTIARY PEDIATRIC HOSPITAL

INTRODUCTION AND OBJECTIVES:Pediatric urology, like all pediatric subspecialties, relies heavily upon the referral patterns of general pediatricians. The GU exam is often omitted by primary care providers due to its uncomfortable nature. Based on previously reported rates, we hypothesize that 20-25% of male well child visits did not record a genital exam.METHODS:998 consecutive male well child visits at our institution were reviewed. Visits took place across the institutions’s main tertiary center and community-based practice locations. These visits were evaluated for documentation within EPIC EMR of a detailed GU exam, as well as all abnormal findings from these exams. Additionally, past medical and surgical histories of each child were reviewed to determine if a diagnosis of undescended testicles (UDT) was noted.RESULTS:Pediatricians at our institution document GU exams an astonishing 99.1% of the time during well child visits. Interestingly, and significantly different from the previously reported rate...