Description and validation of realistic and structured endourology training model

Area of Science:

• Urology
• Surgical Education
• Medical Simulation

Background:

• Endourology training traditionally relies on varied methods.
• A standardized, validated training model is crucial for skill acquisition.
• Combining bench models with animal simulations offers a comprehensive approach.

Purpose of the Study:

• To validate a novel endourology training model.
• The model integrates non-biological, biological bench models, and porcine models for injury simulation.
• To assess the model's face, content, and constructive validity.

Main Methods:

• A 16-hour training program with 40 participants across three levels: theoretical, bench model practice, and porcine model practice.
• Trainees practiced ureteroscopy and lithotripsy simulation in a porcine model.
• Face, content, and constructive validity were evaluated by comparing trainee and expert performance.

Main Results:

• Face and content validity assessments were satisfactory.
• Significant improvements were observed in trainee performance from initial to final tasks in the animal model, particularly in procedural knowledge and Holmium laser lithotripsy.
• Initial trainee scores at Level III were significantly lower than expert scores.

Conclusions:

• The validated endourology training model effectively enhances technical and non-technical skills.
• The structured use of diverse simulation models (bench and animal) is key to improving fundamental endourological skills.
• This training approach provides a realistic and effective learning environment.