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Standardized Office Cystoscopy Training for Advanced Practice Providers in Urology
Susanne Quallich1, Shelly Lajiness2, Jim Kovarik3
1Division of Andrology, General and Community Urology, Department of Urology, Michigan Medicine, Ann Arbor, Michigan.
Urology Practice
|June 15, 2023
Summary
This study proposes a standardized training curriculum for advanced practice providers performing flexible cystoscopy. This framework aims to ensure high-quality, reproducible outcomes in outpatient urology care.
Area of Science:
- Urology
- Medical Education
- Healthcare Workforce Development
Background:
- Cystoscopy is a common urological procedure for hematuria evaluation and bladder cancer monitoring.
- Workforce challenges in urology necessitate exploring alternative procedural options.
- Advanced practice providers (APPs) are well-positioned to acquire cystoscopy skills.
Purpose of the Study:
- To develop an evidence-based training curriculum for flexible cystoscopy.
- To target this curriculum towards APPs in outpatient urology settings.
- To standardize APP training for cystoscopy procedures.
Main Methods:
- A comprehensive review and synthesis of existing world literature.
- Development of an evidence-based proposal for a flexible cystoscopy training curriculum.
- Creation of clinical and technical knowledge domains and skills checklists.
Main Results:
- Identified 10 appropriate primary sources from 49 evaluated.
- Developed specific knowledge domains for APP cystoscopy training in the U.S.
- Created skills checklists for training, evaluation, and privileging.
Conclusions:
- A framework for standardizing outpatient flexible cystoscopy training for U.S. APPs is proposed.
- Adoption of this framework will establish quality standards for APP procedural roles.
- This standardization is crucial for integrating APPs into the urological healthcare team.
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