"Self-Designed Simulation-Based Laparoscopic Training Program for Urology Residents: Results After 6 Years of...

Area of Science:

• Urology
• Surgical Education
• Medical Simulation

Background:

• Laparoscopic surgery (LAP) presents a steep learning curve for residents.
• A standardized training framework is needed to transition skills acquisition from patients to simulation labs.
• Current simulation-based training lacks widespread implementation in daily practice.

Purpose of the Study:

• To present a structured, self-designed laparoscopic training program for urology residents.
• To evaluate the program's effectiveness in knowledge acquisition and skills development.
• To assess resident feedback on the training components and overall program.

Main Methods:

• A blended learning approach combining theoretical (Moodle) and practical (box trainer, porcine model) components.
• Residents participated in experimental surgery sessions and annual European Basic Laparoscopic Urologic Skills (E-BLUS) examinations.
• Anonymous online surveys were used to collect resident feedback on the program.

Main Results:

• 82% of residents passed the theoretical online exam.
• Practical simulation was considered essential by 45% for improving surgical technique and by 64% for building confidence.
• 90% valued E-BLUS evaluation for improving dexterity and surgical safety, though only 2 residents passed.

Conclusions:

• The developed LAP training program effectively integrates knowledge, skills, and objective evaluation in a safe setting.
• The program is structured, reproducible, and positively received by residents.
• Commitment is essential for the success of this systematic laparoscopic training framework.