Domenico Veneziano1,2, Kamran Ahmed3, Ben Van Cleynenbreugel4, Ali Gozen5, Joan Palou6, Kemal Sarica7, Evangelos Liatsikos8, Francesco Sanguedolce6, Patrick Honeck9, Mario Alvarez-Maestro10, Athanasios Papatsoris11, Panagiotis Kallidonis8, Francesco Greco12, Alberto Breda6, Bhaskar K Somani13. 1. Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal - ICVS/3B's, PT Government Associate Laboratory, Braga/Guimarães, Portugal. 2. Department of Urology and Kidney Transplant, GOM Reggio Calabria, Italy. 3. Department of Urology, Guy's Hospital, London, United Kingdom. 4. Department of Urology, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Louvain, Belgium. 5. Department of Urology, Klinikum Heilbronn, Heilbronn, Germany. 6. Department of Urology, Fundació Puigvert, Universitat Autònoma de Barcelona, Barcelona, Spain. 7. Department of Urology, Dr. Lütfi Kǵrdar Kartal Research and Training Hospital, Istanbul, Turkey. 8. Department of Urology, University of Patras, Patras, Greece. 9. Department of Urology, Klinikverbund Südwest, Sindelfingen, Germany. 10. Department of Urology, Hospital Universitario La Paz, Madrid, Spain. 11. University Department of Urology, Sismanoglio General Hospital, Athens, Greece. 12. Department of Urology, Federico II University, Naples, Italy. 13. Department of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Abstract
Background: Simulation-based technical skill assessment is a core topic of debate, especially in high-risk environments. After the introduction of the E-BLUS (European Basic Laparoscopic Urological Skills) exam for basic laparoscopy, no more technical training/assessment urological protocols have been developed in Europe. Objective: We describe the methodology used in the development of the novel Endoscopic Stone Treatment step 1 (EST s1) assessment curriculum. Materials and Methods: The "full life cycle curriculum development" template was followed for curriculum development. A cognitive task analysis was run to define the most important steps and details of retrograde intrarenal surgery, in accordance with European Association of Urology (EAU) Urolithiasis guidelines. Training tasks were created between April 2015 and September 2015. Tasks and metrics were further analyzed by a consensus meeting with the European Section of Urolithiasis (EULIS) board in February 2016. A review, aimed to study available simulators and their accordance with task requirements, was subsequently run in London in March 2016. After initial feedback and further tests, content validity of this protocol was achieved during European Urology Residents Education Programme (EUREP) 2016. Results: The EST s1 curriculum development, took 23 months. Seventy-two participants tested the five preliminary tasks during EUREP 2015, with sessions of 45 minutes each. Likert-scale questionnaires were filled out to score the quality of training. The protocol was modified accordingly and 25 participants tested the four tasks during the hands-on training sessions of the European Section of Uro-Technology (ESUT) 2016 congress. One hundred thirty-four participants finally participated in the validation study in EUREP 2016. During the same event, 10 experts confirmed content validity by filling out a Likert-scale questionnaire. Conclusion: We described a reliable and replicable methodology that can be followed to develop training/assessment protocols for surgical procedures. The expert consensus meetings, strict adherence to guidelines, and updated literature search toward an Endourology curriculum allowed correct training and assessment protocol development. It is the first step toward standardized simulation training in Endourology with a potential for worldwide adoption.
Background: Simulation-based technical skill assessment is a core topic of debate, especially in high-risk environments. After the introduction of the E-BLUS (European Basic Laparoscopic Urological Skills) exam for basic laparoscopy, no more technical training/assessment urological protocols have been developed in Europe. Objective: We describe the methodology used in the development of the novel Endoscopic Stone Treatment step 1 (EST s1) assessment curriculum. Materials and Methods: The "full life cycle curriculum development" template was followed for curriculum development. A cognitive task analysis was run to define the most important steps and details of retrograde intrarenal surgery, in accordance with European Association of Urology (EAU) Urolithiasis guidelines. Training tasks were created between April 2015 and September 2015. Tasks and metrics were further analyzed by a consensus meeting with the European Section of Urolithiasis (EULIS) board in February 2016. A review, aimed to study available simulators and their accordance with task requirements, was subsequently run in London in March 2016. After initial feedback and further tests, content validity of this protocol was achieved during European Urology Residents Education Programme (EUREP) 2016. Results: The EST s1 curriculum development, took 23 months. Seventy-two participants tested the five preliminary tasks during EUREP 2015, with sessions of 45 minutes each. Likert-scale questionnaires were filled out to score the quality of training. The protocol was modified accordingly and 25 participants tested the four tasks during the hands-on training sessions of the European Section of Uro-Technology (ESUT) 2016 congress. One hundred thirty-four participants finally participated in the validation study in EUREP 2016. During the same event, 10 experts confirmed content validity by filling out a Likert-scale questionnaire. Conclusion: We described a reliable and replicable methodology that can be followed to develop training/assessment protocols for surgical procedures. The expert consensus meetings, strict adherence to guidelines, and updated literature search toward an Endourology curriculum allowed correct training and assessment protocol development. It is the first step toward standardized simulation training in Endourology with a potential for worldwide adoption.
Entities:
Keywords:
EST s1; curriculum development; endoscopy; methodology; simulation; stone treatment; training
Authors: Domenico Veneziano; Achilles Ploumidis; Silvia Proietti; Theodoros Tokas; Guido Kamphuis; Giovanni Tripepi; Ben Van Cleynenbreugel; Ali Gozen; Alberto Breda; Joan Palou; Kemal Sarica; Evangelos Liatsikos; Kamran Ahmed; Bhaskar K Somani Journal: World J Urol Date: 2019-03-27 Impact factor: 4.226