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[Simulation-based training in urology: A systematic literature review].

G Fiard1, J-L Descotes1, J Troccaz2

  • 1Service d'urologie, CHU Grenoble-Alpes, CS 10217, 38043 Grenoble cedex 9, France; Université Grenoble Alpes, CNRS, Grenoble INP, TIMC-IMAG, 38000 Grenoble, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|May 4, 2019
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Summary

Simulation tools for surgical training in urology are numerous, covering diverse procedures. However, their validation levels vary significantly, impacting their suitability for training. Careful consideration of validation, cost, and availability is crucial when selecting simulators.

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Urology

Background:

  • Simulation-based training is increasingly vital in surgical education.
  • Recent reforms in medical studies mandate simulation use.
  • This study focuses on simulation tools for urological surgical training.

Purpose of the Study:

  • To systematically review available urological surgical simulators.
  • To assess the validation levels of these simulators.
  • To provide insights for selecting appropriate training tools.

Main Methods:

  • Systematic literature review using Medline database.
  • Search terms: "urology" and "simulator".
  • Included 106 studies after excluding irrelevant articles and those lacking full text.

Main Results:

  • 106 studies analyzed, classifying simulators into 7 categories.
  • Categories include: laparoscopic, robotic, ureteroscopy, PCNL, endoscopic bladder/prostate, basic skills, and ultrasound-guided prostate interventions.
  • Most simulators showed apparent and content validity, but construct and predictive validity were often insufficient.

Conclusions:

  • Numerous urological simulators exist for various procedures.
  • Validation levels are inconsistent, necessitating careful selection.
  • Factors like cost, student interest, and availability should guide simulator choice.