Ureteroscopy and cystoscopy training: comparison between transparent and non-transparent simulators
Identifieur interne : 003980 ( Ncbi/Curation ); précédent : 003979; suivant : 003981Ureteroscopy and cystoscopy training: comparison between transparent and non-transparent simulators
Auteurs : Wen-Gang Hu ; Jia-Yu Feng ; Jin Wang ; Ya-Jun Song ; Xiao-Ting Xu ; Hong Zhou ; Chi-Bing HuangSource :
- BMC Medical Education [ 1472-6920 ] ; 2015.
Abstract
Simulators have been widely used to train operational skills in urology, how to improve its effectiveness deserves further investigation. In this paper, we evaluated training using a novel transparent anatomic simulator, an opaque model or no simulator training, with regard to post-training ureteroscopy and cystoscopy proficiency.
Anatomically correct transparent and non-transparent endourological simulators were fabricated. Ten experienced urologists provided a preliminary evaluation of the models as teaching tools. 36 first-year medical students underwent identical theoretical training and a 50-point examination of theoretical knowledge. The students were randomly assigned to receive training with the transparent simulator (Group 1), the non-transparent simulator (Group 2) or detailed verbal instruction only (Group 3). 12 days after the training session, the trainees’ skills at ureteral stent insertion and removal were evaluated using the Uro-Scopic Trainer and rated on an Objective Structured Assessment of Technical Skills (OSATS) scale.
The new simulators were successfully fabricated in accordance with the design parameters. Of the ten urologists invited to evaluate the devices, 100 % rated the devices as anatomically accurate, 90 % thought both models were easy to use and 80 % thought they were good ureteroscopy and cystoscopy training tools. The scores on the theoretical knowledge test were comparable among the training groups, and all students were able to perform ureteral stent insertion and removal. The mean OSATS scores of groups 1, 2 and 3 were21.83 ± 3.64, 18.50 ± 4.03 and 15.58 ± 2.23 points, respectively, (
Simulator training allowed students to achieve higher ureteroscopic and cystoscopic proficiency, and transparent simulators were more effective than non-transparent simulators.
Url:
DOI: 10.1186/s12909-015-0380-8
PubMed: 26032174
PubMed Central: 4457046
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Wen-Gang Hu<affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation>Le document en format XML
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China</wicri:noCountry></affiliation></author><author><name sortKey="Wang, Jin" sort="Wang, Jin" uniqKey="Wang J" first="Jin" last="Wang">Jin Wang</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author><author><name sortKey="Song, Ya Jun" sort="Song, Ya Jun" uniqKey="Song Y" first="Ya-Jun" last="Song">Ya-Jun Song</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author><author><name sortKey="Xu, Xiao Ting" sort="Xu, Xiao Ting" uniqKey="Xu X" first="Xiao-Ting" last="Xu">Xiao-Ting Xu</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author><author><name sortKey="Zhou, Hong" sort="Zhou, Hong" uniqKey="Zhou H" first="Hong" last="Zhou">Hong Zhou</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author><author><name sortKey="Huang, Chi Bing" sort="Huang, Chi Bing" uniqKey="Huang C" first="Chi-Bing" last="Huang">Chi-Bing Huang</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26032174</idno><idno type="pmc">4457046</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4457046</idno><idno type="RBID">PMC:4457046</idno><idno type="doi">10.1186/s12909-015-0380-8</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000747</idno><idno type="wicri:Area/Pmc/Curation">000747</idno><idno type="wicri:Area/Pmc/Checkpoint">000226</idno><idno type="wicri:Area/Ncbi/Merge">003980</idno><idno type="wicri:Area/Ncbi/Curation">003980</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Ureteroscopy and cystoscopy training: comparison between transparent and non-transparent simulators</title><author><name sortKey="Hu, Wen Gang" sort="Hu, Wen Gang" uniqKey="Hu W" first="Wen-Gang" last="Hu">Wen-Gang Hu</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author><author><name sortKey="Feng, Jia Yu" sort="Feng, Jia Yu" uniqKey="Feng J" first="Jia-Yu" last="Feng">Jia-Yu Feng</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author><author><name sortKey="Wang, Jin" sort="Wang, Jin" uniqKey="Wang J" first="Jin" last="Wang">Jin Wang</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author><author><name sortKey="Song, Ya Jun" sort="Song, Ya Jun" uniqKey="Song Y" first="Ya-Jun" last="Song">Ya-Jun Song</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author><author><name sortKey="Xu, Xiao Ting" sort="Xu, Xiao Ting" uniqKey="Xu X" first="Xiao-Ting" last="Xu">Xiao-Ting Xu</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author><author><name sortKey="Zhou, Hong" sort="Zhou, Hong" uniqKey="Zhou H" first="Hong" last="Zhou">Hong Zhou</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author><author><name sortKey="Huang, Chi Bing" sort="Huang, Chi Bing" uniqKey="Huang C" first="Chi-Bing" last="Huang">Chi-Bing Huang</name><affiliation><nlm:aff id="Aff1">Department of Urology, Second Affiliated Hospital, Third Military Medical University, XinQiao Street, ShaPingBa, Chongqing 400037 People’s Republic of China</nlm:aff><wicri:noCountry code="subfield">Chongqing 400037 People’s Republic of China</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Medical Education</title><idno type="eISSN">1472-6920</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Simulators have been widely used to train operational skills in urology, how to improve its effectiveness deserves further investigation. In this paper, we evaluated training using a novel transparent anatomic simulator, an opaque model or no simulator training, with regard to post-training ureteroscopy and cystoscopy proficiency.</p></sec><sec><title>Methods</title><p>Anatomically correct transparent and non-transparent endourological simulators were fabricated. Ten experienced urologists provided a preliminary evaluation of the models as teaching tools. 36 first-year medical students underwent identical theoretical training and a 50-point examination of theoretical knowledge. The students were randomly assigned to receive training with the transparent simulator (Group 1), the non-transparent simulator (Group 2) or detailed verbal instruction only (Group 3). 12 days after the training session, the trainees’ skills at ureteral stent insertion and removal were evaluated using the Uro-Scopic Trainer and rated on an Objective Structured Assessment of Technical Skills (OSATS) scale.</p></sec><sec><title>Results</title><p>The new simulators were successfully fabricated in accordance with the design parameters. Of the ten urologists invited to evaluate the devices, 100 % rated the devices as anatomically accurate, 90 % thought both models were easy to use and 80 % thought they were good ureteroscopy and cystoscopy training tools. The scores on the theoretical knowledge test were comparable among the training groups, and all students were able to perform ureteral stent insertion and removal. The mean OSATS scores of groups 1, 2 and 3 were21.83 ± 3.64, 18.50 ± 4.03 and 15.58 ± 2.23 points, respectively, (<italic>p</italic> = 0.001).</p></sec><sec><title>Conclusions</title><p>Simulator training allowed students to achieve higher ureteroscopic and cystoscopic proficiency, and transparent simulators were more effective than non-transparent simulators.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bradley, P" uniqKey="Bradley P">P Bradley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Robison, Ra" uniqKey="Robison R">RA Robison</name></author><author><name sortKey="Liu, Cy" uniqKey="Liu C">CY Liu</name></author><author><name sortKey="Apuzzo, Ml" uniqKey="Apuzzo M">ML Apuzzo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="White, Ma" uniqKey="White M">MA White</name></author><author><name sortKey="Dehaan, Ap" uniqKey="Dehaan A">AP 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Hamstra</name></author><author><name sortKey="Hillard, Ml" uniqKey="Hillard M">ML Hillard</name></author><author><name sortKey="Arble, Ep" uniqKey="Arble E">EP Arble</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matsumoto, Ed" uniqKey="Matsumoto E">ED Matsumoto</name></author><author><name sortKey="Hamstra, Sj" uniqKey="Hamstra S">SJ Hamstra</name></author><author><name sortKey="Radomski, Sb" uniqKey="Radomski S">SB Radomski</name></author><author><name sortKey="Cusimano, Md" uniqKey="Cusimano M">MD Cusimano</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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