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Development and Validation of a Simulation Model for Ureteral Stent Placement
Nicole J Wood1, Laura J Cheng2, Dylan Buller3
1From the Department of Urogynecology, Hartford Hospital, Hartford, CT.
Urogynecology (Philadelphia, Pa.)
|November 11, 2024
Summary
This study developed a novel, low-cost simulation model for ureteral stent placement training. The model effectively differentiates surgeon skill levels, proving valid for practicing cystoscopy procedures.
Area of Science:
- Urology
- Medical Simulation
- Surgical Education
Background:
- Ureteral stent placement is a common urological procedure.
- Currently, validated training models for cystoscopy with ureteral stent placement are lacking.
- Effective simulation training is crucial for surgical skill development.
Purpose of the Study:
- To develop and validate a novel endoscopic simulation model for training ureteral stent placement.
- To assess the model's construct validity by comparing performance across different experience levels.
Main Methods:
- A low-cost, low-fidelity simulation model was constructed using readily available materials.
- Participants included novices, advanced learners, and experts in urology and related surgical fields.
- Performance was evaluated using validated assessment scales (GOALS, GRS) and procedure-specific metrics.
Main Results:
- The simulation model demonstrated significant differences in performance between novice, advanced, and expert surgeons (P < 0.001).
- Higher levels of experience correlated significantly with improved performance on the model (P < 0.001).
- A passing score of 63 was established, and participants found the model realistic.
Conclusions:
- The developed ureteral stenting simulation model is affordable, easy to construct, and reproducible.
- The model is validated and reliable for practicing ureteral stent placement prior to live surgery.
- This simulation offers a valuable tool for surgical training and improving patient safety.
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