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Simulation-based ureteroscopy training: a systematic review.

Oliver Brunckhorst1, Abdullatif Aydin1, Hamid Abboudi1

  • 1MRC Centre for Transplantation, King's College London, King's Health Partners, London, United Kingdom; Department of Urology, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, London, United Kingdom.

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|August 19, 2014
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Summary
This summary is machine-generated.

This review identifies effective ureteroscopy simulators for training, including high-fidelity and virtual reality models. Further research is needed to develop comprehensive curricula focusing on both technical and nontechnical skills.

Keywords:
Interpersonal and Communication SkillsPatient CarePractice-Based Learning and Improvementassessmentretrograde intrarenal surgery (RIRS)simulationureterorenoscopyureteroscopyvalidation

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Area of Science:

  • Urology
  • Medical Simulation
  • Surgical Education

Background:

  • Simulation is a widely used method for surgical training.
  • Various modalities exist for ureteroscopy (URS) simulation.

Purpose of the Study:

  • To identify available ureteroscopy simulators.
  • To evaluate the evidence for their effectiveness.
  • To provide recommendations for simulation-based URS training.

Main Methods:

  • Systematic review following PRISMA guidelines.
  • Literature search conducted in PubMed, EMBASE, and Cochrane Library.
  • Included 20 articles on ureteroscopy simulators.

Main Results:

  • Three high-fidelity bench models (Uro-Scopic Trainer, Scope Trainer, adult ureteroscopy trainer) demonstrated validity and educational impact.
  • The URO Mentor is the sole virtual-reality system with extensive validation.
  • A low-fidelity model showed comparable effectiveness at a significantly lower cost; porcine models also noted.

Conclusions:

  • Validated ureteroscopy simulators are available for training.
  • Higher-level studies are needed, with a focus on nontechnical skills.
  • A formalized curriculum integrating simulation and nontechnical skills is the next step.