PD41-03 VALIDATION OF THE EUROPEAN SIMULATE URETERORENOSCOPY TRAINING CURRICULUM

Abstract

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment II1 Apr 2017PD41-03 VALIDATION OF THE EUROPEAN SIMULATE URETERORENOSCOPY TRAINING CURRICULUM Abdullatif Aydin, Kamran Ahmed, Takashige Abe, Thomas Kunit, Nicholas Raison, Oliver Brunckhorst, Thomas Wood, Talisa Ross, Karl-Dietrich Sievert, Muhammad Shamim Khan, and Prokar Dasgupta Abdullatif AydinAbdullatif Aydin More articles by this author , Kamran AhmedKamran Ahmed More articles by this author , Takashige AbeTakashige Abe More articles by this author , Thomas KunitThomas Kunit More articles by this author , Nicholas RaisonNicholas Raison More articles by this author , Oliver BrunckhorstOliver Brunckhorst More articles by this author , Thomas WoodThomas Wood More articles by this author , Talisa RossTalisa Ross More articles by this author , Karl-Dietrich SievertKarl-Dietrich Sievert More articles by this author , Muhammad Shamim KhanMuhammad Shamim Khan More articles by this author , and Prokar DasguptaProkar Dasgupta More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1882AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Recent developments in surgical education suggest that training using a range of simulators of different modalities, within a curriculum, may be much more effective. Furthermore, emphasis must also be placed on nontechnical skills training. The aim of this study is to assess the face, content, construct and transfer components of validity of the newly-developed SIMULATE ureterorenoscopy (URS) training curriculum. METHODS A comprehensive training curriculum was developed by experts (n=21) and residents (n=25) using the Delphi process. The curriculum consists of virtual reality, dry-lab and full immersion simulation modalities. Upon completion, 30 residents were invited for training using the curriculum on two separate occasions in the UK (n=15) and Austria (n=15). The former cohort were also given the opportunity to use fresh frozen cadavers with fluoroscopy. Participants were taught and assessed, using OSATS, by endourology and education specialists, all of whom were also invited for an evaluation survey following the training program. Construct validity was assessed using a One-way ANOVA test to evaluate the level of progress throughout the training. Residents were followed up at their institutions and assessed for technical skills, using OSATS, and nontechnical skills, using a modified NOTSS score for URS on their first (n=12) and fourth (n=11) cases to evaluate transfer validity. RESULTS Participants rated that the training significantly improved their skills (mean: 4.2/5) and that they gained transferrable skills (mean: 4.2/5). A One-way ANOVA test revealed significant improvement in both semi-rigid URS (p<0.0001) and flexible URS (p=0.0003) skills, with consecutive cases throughout the course of the curriculum and the first operating room performance (n=12). Statistically significant improvement was observed in non-technical skills from between the training and first operating room performance (p<0.0001). Of the used modalities, flexible URS (mean: 4.3/5) and stone fragmentation (mean: 4.3/5) were rated to be the strongest aspects of the UroMentor. In contrast, both the dry-lab models scored the highest with regards to instrument handling, laser stone fragmentation and stone extraction. C-arm control was the most highly rated aspect of fresh frozen cadavers (mean: 4.7/5). CONCLUSIONS The SIMULATE URS curriculum revealed face, content, construct and validity. Participants are currently being followed up in the operating room for 25 URS procedures and will compared to an arm with no simulation experience, as part of the on-going SIMULATE randomised controlled trial. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e807-e808 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Abdullatif Aydin More articles by this author Kamran Ahmed More articles by this author Takashige Abe More articles by this author Thomas Kunit More articles by this author Nicholas Raison More articles by this author Oliver Brunckhorst More articles by this author Thomas Wood More articles by this author Talisa Ross More articles by this author Karl-Dietrich Sievert More articles by this author Muhammad Shamim Khan More articles by this author Prokar Dasgupta More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

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