Literature DB >> 20022047

Validation of a high fidelity adult ureteroscopy and renoscopy simulator.

Michael A White1, Alexander P Dehaan, Doyle D Stephens, Andrew A Maes, Thomas J Maatman.   

Abstract

PURPOSE: Surgical simulation technology may efficiently train and accurately assess the acquisition of many skills. Surgical simulators often lack realism and can be expensive at $3,000 to more than $60,000. We assessed the face, content and construct validity of a newly developed, anatomically accurate, reasonably priced high fidelity ureteroscopy and renoscopy trainer.
MATERIALS AND METHODS: A total of 46 participants, including attending urologists, urology residents, medical students and industry representatives, assessed the face and content validity of the simulator using a standard questionnaire. Ten experienced ureteroscopists with greater than 30 procedures per year and 10 novice ureteroscopists with 0 were assessed on the ability to perform flexible ureteroscopy, renoscopy and intrarenal basket extraction of a lower pole calculus using the adult ureteroscopy trainer (Ideal Anatomic Modeling, Holt, Michigan). Subject performance was assessed by an experienced ureteroscopist using a checklist, global rating scale and time to task completion.
RESULTS: Of participants 100% rated the trainer as realistic and easy to use, and thought it was a good training tool, 98% thought that it would serve as a good training format and 96% would recommend it to urology trainees. All participants recommended it for use in residency programs and 96% would or would have used it during residency. Only 37.5% vs 100% of experienced vs novice ureteroscopists would use it to practice. Of participants 9% foresaw a problem with the trainer. On the trainer experienced ureteroscopists scored significantly higher on the global rating scale (mean +/- SD 33.1 +/- 1.3 vs 15.0 +/- 2.7, p <0.0001) and checklist (4.1 +/- 1.0 vs 2.4 +/- 1.1, p = 0.004), and required less time to complete the task (141.2 +/- 40.1 vs 447.2 +/- 301.7 seconds, p = 0.01).
CONCLUSIONS: Our preliminary study suggests the face, content and construct validity of the adult ureteroscopy trainer as a high fidelity ureteroscopy and renoscopy trainer. Copyright 2010 American Urological Association. Published by Elsevier Inc. All rights reserved.

Entities:  

Mesh:

Year:  2010        PMID: 20022047     DOI: 10.1016/j.juro.2009.10.013

Source DB:  PubMed          Journal:  J Urol        ISSN: 0022-5347            Impact factor:   7.450


  16 in total

1.  Validation of the ArthroS virtual reality simulator for arthroscopic skills.

Authors:  J J Stunt; G M M J Kerkhoffs; C N van Dijk; G J M Tuijthof
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2014-06-11       Impact factor: 4.342

Review 2.  Update on resident training models for ureteroscopy.

Authors:  Ephrem O Olweny; Margaret S Pearle
Journal:  Curr Urol Rep       Date:  2011-04       Impact factor: 3.092

3.  A high-fidelity, virtual-reality, transurethral resection of bladder tumor simulator: Validation as a tool for training.

Authors:  Jonathan Moore; Stewart Whalen; Neal Rowe; Jason Y Lee; Michael Ordon; Andrea G Lantz Powers
Journal:  Can Urol Assoc J       Date:  2022-04       Impact factor: 1.862

4.  The efficacy of laparoscopic skills training in a Mobile Simulation Unit compared with a fixed site: a comparative study.

Authors:  Vicki Xafis; Wendy Babidge; John Field; Meryl Altree; Nicholas Marlow; Guy Maddern
Journal:  Surg Endosc       Date:  2013-02-07       Impact factor: 4.584

Review 5.  Simulation-based training and assessment in urological surgery.

Authors:  Abdullatif Aydin; Nicholas Raison; Muhammad Shamim Khan; Prokar Dasgupta; Kamran Ahmed
Journal:  Nat Rev Urol       Date:  2016-08-23       Impact factor: 14.432

6.  Validation of the PASSPORT V2 training environment for arthroscopic skills.

Authors:  J J Stunt; G M M J Kerkhoffs; T Horeman; C N van Dijk; G J M Tuijthof
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2014-08-08       Impact factor: 4.342

Review 7.  Pushing the boundaries of ureteroscopy: current status and future perspectives.

Authors:  Petrisor Geavlete; Razvan Multescu; Bogdan Geavlete
Journal:  Nat Rev Urol       Date:  2014-06-03       Impact factor: 14.432

8.  Comparative performance of high-fidelity training models for flexible ureteroscopy: Are all models effective?

Authors:  Shashikant Mishra; Rajan Sharma; Akhilesh Kumar; Pradeep Ganatra; Ravindra B Sabnis; Mahesh R Desai
Journal:  Indian J Urol       Date:  2011-10

Review 9.  Training in ureteroscopy for urolithiasis.

Authors:  Christian Seitz; Harun Fajkovic
Journal:  Arab J Urol       Date:  2013-09-16

Review 10.  The current role of simulation in urological training.

Authors:  Ryan Preece
Journal:  Cent European J Urol       Date:  2015-03-27
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