LBA01-05 SIMULATION IN UROLOGICAL TRAINING AND EDUCATION (SIMULATE): AN INTERNATIONAL RANDOMISED CONTROLLED CLINICAL AND EDUCATIONAL TRIAL TO DETERMINE THE EFFECT OF SIMULATION-BASED SURGICAL TRAINING

Abstract

You have accessJournal of UrologyLate-Breaking Abstracts (LBA1)1 Apr 2020LBA01-05 SIMULATION IN UROLOGICAL TRAINING AND EDUCATION (SIMULATE): AN INTERNATIONAL RANDOMISED CONTROLLED CLINICAL AND EDUCATIONAL TRIAL TO DETERMINE THE EFFECT OF SIMULATION-BASED SURGICAL TRAINING Abdullatif Aydin*, Kamran Ahmed, Mieke Van Hemelrijck, Hashim Ahmed, Takashige Abe, Wei Zhu, John Sfakianos, Ali Serdar Gözen, Thomas Kunit, Andreas Skolarikos, Nicholas Raison, Felix Moltzahn, Thomas Knoll, Andrea Lantz, Ahmed Al-Jabir, Oliver Brunckhorst, Ben Chew, George Thalmann, Jens Rassweiler, Nobuo Shinohara, Mantu Gupta, Ashutosh Tewari, Guohua Zeng, Muhammad Shamim Khan, and Prokar Dasgupta Abdullatif Aydin*Abdullatif Aydin* More articles by this author , Kamran AhmedKamran Ahmed More articles by this author , Mieke Van HemelrijckMieke Van Hemelrijck More articles by this author , Hashim AhmedHashim Ahmed More articles by this author , Takashige AbeTakashige Abe More articles by this author , Wei ZhuWei Zhu More articles by this author , John SfakianosJohn Sfakianos More articles by this author , Ali Serdar GözenAli Serdar Gözen More articles by this author , Thomas KunitThomas Kunit More articles by this author , Andreas SkolarikosAndreas Skolarikos More articles by this author , Nicholas RaisonNicholas Raison More articles by this author , Felix MoltzahnFelix Moltzahn More articles by this author , Thomas KnollThomas Knoll More articles by this author , Andrea LantzAndrea Lantz More articles by this author , Ahmed Al-JabirAhmed Al-Jabir More articles by this author , Oliver BrunckhorstOliver Brunckhorst More articles by this author , Ben ChewBen Chew More articles by this author , George ThalmannGeorge Thalmann More articles by this author , Jens RassweilerJens Rassweiler More articles by this author , Nobuo ShinoharaNobuo Shinohara More articles by this author , Mantu GuptaMantu Gupta More articles by this author , Ashutosh TewariAshutosh Tewari More articles by this author , Guohua ZengGuohua Zeng 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/10.1097/JU.0000000000000946.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Introduction: With increasing challenges in modern surgical training, simulation has been hypothesised to enhance progression along the initial phase of the surgical learning curve. SIMULATE is the first international multicentre study investigating the effect and transferability of surgical simulation on operating performance and patient outcomes. Methods: This international, multicentre randomised controlled superiority trial recruited urology trainees (n=94) who had performed =10 ureterorenoscopy (URS) cases, as a selected index procedure, with no prior simulation experience. Recruits were randomised to simulation-based training (SBT) or non-simulation-based training (NSBT) groups, the latter of which is the current standard of training. Training sessions were conducted for the SBT arm, utilising an expert-developed training curriculum. The primary outcome was the number of procedures required to achieve proficiency, defined as achieving an OSATS score of =28 on 3 consecutive operations, without complications. Secondary outcomes included number of surgical complications and stone-free status in each arm. All participants were followed up for 25 procedures or over 18 months. Results: A total of 65 participants continued follow-up from the SBT (n=32) and NSBT (n=33) arms, performing a total of 1140 procedures (593 vs 547). Proficiency was reached in 21 SBT and 18 NSBT participants (OR: 1.59 [95% CI 0.59-4.33]) over 9.6 and 10.9 sessions (HR: 1.41 [95% CI 0.72-2.75]), respectively. Sub-analysis for semi-rigid URS demonstrated proficiency in 19 SBT and 16 NSBT participants (p=0.38) over 7.8 vs 9.9 sessions. In flexible URS, 20 SBT and 9 NSBT participants reached proficiency (p=0.04) over 8.1 vs 7.3 sessions. The SBT group scored =28 (OSATS) in 310 (52.3%) cases in comparison to 234 (42.8%) in the NSBT group (p<0.0001). In total, 15 vs 36 surgical complications were reported (p=0.15), with fewer Grade =3 Clavien-Dindo seen in the SBT (n=3) group compared to NSBT (n=9). Fewer non-stone-free patients were observed (p=0.87) in SBT (n=39) than NSBT (n=50). Conclusions: There was no statistical significance in the overall number of procedures required to reach proficiency between the two groups. However, fewer complications, better clinical outcomes, and a higher number of participants reaching proficiency in flexible URS indicate a positive trend in favour of SBT and affirm the role of simulation training for more complex procedures; (ISCRTN 12260261). Source of Funding: The Urology Foundation © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1021-e1021 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Abdullatif Aydin* More articles by this author Kamran Ahmed More articles by this author Mieke Van Hemelrijck More articles by this author Hashim Ahmed More articles by this author Takashige Abe More articles by this author Wei Zhu More articles by this author John Sfakianos More articles by this author Ali Serdar Gözen More articles by this author Thomas Kunit More articles by this author Andreas Skolarikos More articles by this author Nicholas Raison More articles by this author Felix Moltzahn More articles by this author Thomas Knoll More articles by this author Andrea Lantz More articles by this author Ahmed Al-Jabir More articles by this author Oliver Brunckhorst More articles by this author Ben Chew More articles by this author George Thalmann More articles by this author Jens Rassweiler More articles by this author Nobuo Shinohara More articles by this author Mantu Gupta More articles by this author Ashutosh Tewari More articles by this author Guohua Zeng More articles by this author Muhammad Shamim Khan More articles by this author Prokar Dasgupta More articles by this author Expand All Advertisement PDF downloadLoading ...

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