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Simulation-based training for flexible cystoscopy - A randomized trial comparing two approaches.

Sarah Bube^1,2, Julia Dagnaes-Hansen^2,3, Oria Mahmood^2,4

¹Department of Urology, Roskilde Hospital, Zealand University Hospital, University of Copenhagen, Zealand Region, Roskilde, Denmark.

|January 11, 2020

Summary

This summary is machine-generated.

A new simulation-based training program did not significantly improve clinical outcomes compared to traditional methods. Further research into mastery learning is recommended for consistent surgical skill development.

Keywords:

Directed self-regulated learning Education Flexible cystoscopy Health profession Mastery learning Medicine Testing effect Transfer Virtual reality simulators

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Area of Science:

Medical Education
Surgical Simulation
Endoscopic Training

Background:

Simulation-based training (SBT) enhances trainee experimentation and retention.
This study compared a novel SBT program with directed self-regulated learning and post-testing against traditional SBT.

Purpose of the Study:

To evaluate if an enhanced SBT program improves clinical outcomes compared to traditional SBT.

Main Methods:

A randomized trial with 32 novice participants practicing endoscopic procedures.
Intervention group: independent practice with post-test. Control group: traditional instruction and practice.
Clinical performance assessed via Global Rating Scale (GRS) on patient cystoscopies.

Main Results:

No significant difference in mean GRS between groups (p=0.63).
High internal consistency of the GRS (Cronbach's α = 0.91).
Both groups showed significant improvement from first to second procedure (p=0.004).

Conclusions:

Enhanced SBT did not yield superior clinical transfer compared to traditional SBT.
Neither program ensured consistent patient performance, suggesting a need for mastery learning approaches.
Simulation-based mastery learning may be crucial for achieving predefined proficiency levels.