Cent European J Urol. 2015;68(2):207-11. doi: 10.5173/ceju.2015.522. Epub 2015 Mar 27.
The current role of simulation in urological training.
Central European journal of urology
Ryan Preece
Affiliations
Affiliations
- Cardiff University School of Medicine, Department of Urology, Cardiff, United Kingdom.
PMID: 26251745
PMCID: PMC4526607 DOI: 10.5173/ceju.2015.522
Abstract
INTRODUCTION: Simulation is becoming an increasingly popular educational tool in numerous surgical specialities, including urology. This article reviews the current role of urological simulators; discussing their need, availability, incorporation and current limitations.
MATERIAL AND METHODS: A literature review of the electronic databases Medline, Embase and Google Scholar was performed.
RESULTS: For increasingly limited urological training programs, simulation can act as a valuable adjunct to clinical training. Evidence suggests that simulation enables the trainee to bypass the early, error-prone part of the surgical learning curve. It should be incorporated into proficiency-based curricula, with junior trainees initially beginning with low fidelity simulators to grasp basic surgical skills before moving onto full-procedural simulation as they progress through their training. A wide variety of simulators of differing fidelity are currently available, teaching both technical (eg. cystoscopy) and non-technical (eg. communication) urological surgical skills. Whist numerous studies have assessed the face, content and construct validity of various urological simulators, further work needs to be undertaken to determine whether the skills learnt actually improve trainee performance in the operating room. Then, educators will be able to make informed decisions about whether these resource demanding (financially and in terms of demands on faculty) simulators are a worthwhile educational tool.
CONCLUSIONS: Although further investigation is required, urological simulators appear to have a considerable role for developing both technical and non-technical urological skills in an increasingly restricted educational environment in modern urogynecology.
Keywords: educational models; simulation; training; urology
References
- Eur Urol. 2013 Nov;64(5):786-98 - PubMed
- J Gastrointest Surg. 2008 Feb;12(2):213-21 - PubMed
- BJU Int. 2011 Dec;108(11):1698-702 - PubMed
- J Endourol. 2010 Apr;24(4):635-40 - PubMed
- J Endourol. 2010 Sep;24(9):1521-8 - PubMed
- J Urol. 2008 May;179(5):1690-9 - PubMed
- J Urol. 2010 Feb;183(2):673-7 - PubMed
- Eur Urol. 2005 Sep;48(3):458-63; discussion 463 - PubMed
- J Urol. 2012 Apr;187(4):1385-91 - PubMed
- Int J Surg. 2014;12(2):103-8 - PubMed
- Med Educ. 2004 Oct;38(10):1095-102 - PubMed
- Surg Endosc. 2015 Sep;29(9):2728-35 - PubMed
- N Engl J Med. 2006 Dec 21;355(25):2695-6 - PubMed
- BJU Int. 2013 Mar;111(3):518-23 - PubMed
- Surgery. 2006 Jul;140(1):25-33 - PubMed
- J Urol. 2001 Nov;166(5):1658-61 - PubMed
- J Surg Educ. 2014 May-Jun;71(3):339-44 - PubMed
- World J Surg. 2013 May;37(5):945-52 - PubMed
- J Natl Cancer Inst. 2007 Aug 1;99(15):1171-7 - PubMed
- J Urol. 2002 Mar;167(3):1243-7 - PubMed
- J Urol. 2009 Feb;181(2):778-82 - PubMed
- BJU Int. 2010 Jan;105(2):234-9 - PubMed
- BJU Int. 2015 Jun;115(6):994-1003 - PubMed
- BJU Int. 2010 Jul;106(2):226-31; discussion 231 - PubMed
- Urol Oncol. 2009 Mar-Apr;27(2):193-8 - PubMed
- J Urol. 2009 Mar;181(3):1289-96 - PubMed
- BMJ. 2004 Feb 21;328(7437):418-9 - PubMed
- J Endourol. 2014 Jun;28(6):717-21 - PubMed
- J Endourol. 2006 Jan;20(1):69-73 - PubMed
- Int J Surg. 2012;10(3):163-6 - PubMed
- J Endourol. 2006 Apr;20(4):266-71 - PubMed
- J Endourol. 2015 Feb;29(2):240-5 - PubMed
- BJU Int. 2010 Sep;106(6):850-4 - PubMed
- BJU Int. 2011 Mar;107(5):806-10 - PubMed
- J Laparoendosc Adv Surg Tech A. 2013 Dec;23(12):992-8 - PubMed
- J Endourol. 2002 Sep;16(7):451-5 - PubMed
- J Urol. 2011 Sep;186(3):1019-24 - PubMed
- Med Educ. 2010 Jan;44(1):50-63 - PubMed
- J Endourol. 2003 Aug;17(6):355-63 - PubMed
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