Training in percutaneous nephrolithotomy: The learning curve and options

Area of Science:

• Urology
• Surgical Education
• Medical Simulation

Background:

• Percutaneous nephrolithotomy (PCNL) is a primary endoscopic treatment for kidney stones.
• PCNL presents a significant challenge with a steep learning curve for surgeons.
• Current training methods face limitations, including working-hour restrictions.

Purpose of the Study:

• To review current percutaneous nephrolithotomy (PCNL) training approaches.
• To analyze the learning curve associated with PCNL.
• To recommend a structured training program for urologists in training.

Main Methods:

• Systematic review of publications on PCNL training.
• Inclusion of studies on simulator training and surgical education.
• Consideration of the impact of working-hour restrictions on training.

Main Results:

• Effective PCNL training requires foundational knowledge acquisition.
• Basic skills development through various training models is essential.
• Supervised clinical practice and continuous learning are critical for proficiency.

Conclusions:

• PCNL is a challenging procedure demanding a structured learning approach.
• Simulation and structured programs can mitigate challenges posed by restricted training hours.
• Enhanced training protocols are vital for improving the PCNL learning curve.