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A Method to Evaluate Trainee Progression During Simulation Training at the Urology Simulation Boot Camp (USBC)

Mithun Kailavasan1, Vishwanath Hanchanale2, Sanjay Rajpal3

  • 1Royal Derby Hospital, Derby, United Kingdom.

Journal of Surgical Education
|September 4, 2018
PubMed
Summary

The Urology Simulation Boot Camp (USBC) significantly improved urology trainees' skills and knowledge. While competence progression was evident, long-term skill retention requires further investigation.

Keywords:
Competence progressionInterpersonal and Communication SkillsMedical KnowledgeNontechnical skillsPatient CarePractice-Based Learning and ImprovementProfessionalismSimulationSurgical educationSurgical skillsTURP

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Urology Training

Background:

  • Urology trainees require structured skill development.
  • Simulation-based training offers a controlled environment for acquiring surgical skills.

Purpose of the Study:

  • To evaluate skills progression in urology trainees at the Urology Simulation Boot Camp (USBC).
  • To assess the effectiveness of 32 hours of 1:1 simulation training on urological skills.

Main Methods:

  • A single-group cohort study involving 33 urology trainees.
  • Pre- and post-course MCQ assessments and expert-graded procedural skill evaluations were conducted.
  • Competence progression was measured by the change in scores between baseline and final assessments.

Main Results:

  • Mean MCQ scores improved by 16.7% (p < 0.001).
  • Instrument knowledge and assembly skills improved, with 87.9% scoring "A" post-course versus 44.4% at baseline (p < 0.001).
  • European-Basic Laparoscopic skills assessment time improved by a mean of 439s (p < 0.001).

Conclusions:

  • The USBC effectively aids urology trainees in competence progression across various simulated urological skills.
  • The study highlights the utility of a simple grading system for guiding future training needs in simulation courses.
  • Long-term skill retention following the USBC remains undetermined and warrants further study.