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Training in ureteroscopy for urolithiasis.

Christian Seitz¹, Harun Fajkovic¹

¹Department of Urology, Medical University of Vienna, Vienna General Hospital, Vienna, Austria.

Arab Journal of Urology

|May 29, 2015

Summary

This summary is machine-generated.

Simulation-based training significantly improves ureteroscopy skills acquisition for surgeons. This approach enhances patient safety and is more cost-effective than traditional methods for learning ureteroscopy.

Keywords:

(f)URS, (flexibe) ureteroscopy GRS, global rating scale Learning curve Lithotripsy OCEBM, Oxford Centre for Evidence-Based Medicine RCT, randomised controlled trial TCT, task completion time Training Ureteroscopy Urolithiasis VR, virtual reality

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Area of Science:

Urology
Medical Education
Surgical Training

Background:

Current training for semi-rigid and flexible ureteroscopy lacks standardized methods.
Defining the number of cases required for surgical competence remains an open question.
There is a need for effective training curricula in ureteroscopy.

Purpose of the Study:

To review current training methodologies for semi-rigid and flexible ureteroscopy.
To evaluate the effectiveness of new curricula including simulation, virtual reality, and mentoring.

Main Methods:

Systematic review of English-language articles on ureteroscopy, urolithiasis, education, and teaching.
Inclusion of relevant articles identified through reference lists of retrieved papers.
Analysis of randomized controlled trials with level 1b evidence.

Main Results:

Simulation-based training is effective, cost-efficient, and improves patient safety in ureteroscopy.
No standardized teaching method or defined competence threshold currently exists for ureteroscopy.
Four randomized controlled trials with level 1b evidence were included in the review.

Conclusions:

Simulators accelerate skill acquisition and improve surgeon performance in ureteroscopy.
Flexible ureteroscopy simulators offer a promising, patient-sparing training solution.
Didactic and clinical curricula, including mentoring, aid experienced endourologists' progression.