MP73-19 URETEROSCOPY SIMULATION - A SYSTEMATIC REVIEW OF CURRENT TRAINING MODALITIES

Abstract

You have accessJournal of UrologyStone Disease: Evaluation III1 Apr 2014MP73-19 URETEROSCOPY SIMULATION - A SYSTEMATIC REVIEW OF CURRENT TRAINING MODALITIES Oliver Brunckhorst, Abdullatif Aydin, Hamid Abboudi, Muhammad Khan, Prokar Dasgupta, and Kamran Ahmed Oliver BrunckhorstOliver Brunckhorst More articles by this author , Abdullatif AydinAbdullatif Aydin More articles by this author , Hamid AbboudiHamid Abboudi More articles by this author , Muhammad KhanMuhammad Khan More articles by this author , Prokar DasguptaProkar Dasgupta More articles by this author , and Kamran AhmedKamran Ahmed More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2372AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Various simulation models are available for training and assessment of ureteroscopy and they are a common adjunct to OR training. This systematic review aims to: 1. Identify the available simulators for diagnostic and therapeutic ureteroscopy; 2. Explore the evidence for their effectiveness using the characteristic criterion; and 3. Recommend a curriculum based on the available literature. METHODS This study was performed using the guidelines set out by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement. A literature search was performed using the PubMed, EMBASE and Cochrane Library Databases for research articles describing the validation and training of simulators in ureteroscopy. RESULTS 20 out of a 527 potentially relevant articles were included. Three high-fidelity bench models are available. The Uro-Scopic Trainer has proven face, construct and concurrent validity whilst the Scope Trainer has undergone content, construct and predictive validity. The Adult Ureteroscopy Trainer, has demonstrated face, content and construct validity. The URO mentor is the one virtual reality system available. Extensive validation via ten studies shows face, content, construct, concurrent and predictive validity. All but the Adult Ureteroscopy Trainer have an established educational impact proven. A cost effective non-commercially available low-fidelity model has demonstrated educational impact comparable to its high fidelity counterpart at teaching novices at 185 times less the price. Additionally three studies have described the use of porcine ex-vivo models for training, however validation studies are lacking. With current levels of evidence the simulators could now be incorporated into a formalised curriculum for validation. However, small sample sizes coupled with the lack of randomised controlled studies leaves room for further investigation. Cost-effectiveness and non-technical skills of ureteroscopy simulations requires further scrutiny. CONCLUSIONS Simulators need rigorous validation to justify the high cost associated with them and current models require strengthening of evidence. The next step for the ureteroscopy simulators is incorporation into a formalized and validated curriculum integrated with a non-technical skills aspect. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e872 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Oliver Brunckhorst More articles by this author Abdullatif Aydin More articles by this author Hamid Abboudi More articles by this author Muhammad Khan More articles by this author Prokar Dasgupta More articles by this author Kamran Ahmed More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...