A Novel Cadaveric Simulation Program in Urology

Ahmed, Kamran; Aydın, Abdullatif; Dasgupta, Prokar; Khan, Muhammad Shamim; McCabe, Jennifer E.

doi:10.1016/j.jsurg.2015.01.005

Cited by 74 publications

(58 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ahmed et al [28] conducted a study reviewing the merits of cadaveric simulation and found that cadaveric simulation was vastly more preferred as a mode of training (mean 4.26/5) than other types such as live animals (3.33) and animal tissue (2.78).…”

Section: Discussionmentioning

confidence: 99%

Validation of the Advanced Scope Trainer for Flexible Ureterorenoscopy Training

Al-Jabir

Aydın

Abe

et al. 2017

Urology

Self Cite

View full text Add to dashboard Cite

ObjectiveTo validate the Advanced Scope Trainer (AST; Mediskills, Northampton, UK). The AST is a currently unvalidated simulator, developed for flexible ureterorenoscopy (fURS) training.This study aims to assess the face, content, construct and concurrent validity to assess the level of transferability of skills to the OR. Materials and MethodsThis prospective, observational and comparative study recruited novices (n=19) and trainees (n=34) with participants performing a diagnostic fURS, followed by removal of a lower pole stone, on the AST. 15 participants performed a fURS on fresh frozen cadavers to assess concurrent validity. Trainees were supervised by expert urologists (n=7) during each procedure. Performance was evaluated using the validated OSATS assessment. Face and content validity were demonstrated by anonymous surveys from participants and faculty.

show abstract

Section: Discussionmentioning

confidence: 99%

Validation of the Advanced Scope Trainer for Flexible Ureterorenoscopy Training

Al-Jabir

Aydın

Abe

et al. 2017

Urology

Self Cite

View full text Add to dashboard Cite

show abstract

“…High-fidelity (very lifelike) models tend to be more expensive but the importance of fidelity in skill acquisition is thought to be more significant in more senior trainees, suggesting that when starting on the learning curve, it is concept of the procedure which is more important than the physical substrate. 19,20 Cadaveric-based simulation has been shown to offer a superior training experience, allowing trainees to complete full operative procedures. The British Association of Urological Surgeons (BAUS) human cadaver training programme uses FFC and it is the first modular cadaveric programme in urology.…”

Section: Discussionmentioning

confidence: 99%

“…The British Association of Urological Surgeons (BAUS) human cadaver training programme uses FFC and it is the first modular cadaveric programme in urology. 20 Cadavers remain an expensive resource with a limited supply, although Ahmed et al have recently demonstrated that incorporating endourological procedures into a modular training programme using cadavers is both effective and helps to mitigate the financial cost. 20 Embalming confers benefits including improved durability, reduced exposure to pathogens and the ability to re-use a cadaver for multiple training events.…”

Section: Discussionmentioning

confidence: 99%

“…[12][13][14][15] For ureterorenoscopy, a range of virtual-reality simulators, bench models, hybrid systems and fresh cadaveric models have been described. [16][17][18] There have not been any published descriptions of the use of Thiel cadavers as training models for ureterorenoscopy. In this study we aimed to assess the potential role of Thiel cadavers in skill acquisition for ureterorenoscopy.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ureterorenoscopy Training on Cadavers Embalmed by Thiel's Method: Simulation or a Further Step Towards Reality? Initial Report

2016

CEJU

View full text Add to dashboard Cite

Abstract:Objective: The technique of ureterorenoscopy has a significant learning curve. Cadavers embalmed by the Thiel method have been successfully used in simulation training for a number of surgical specialties, including urology. Here we present the first report to assess the plausibility of using Thiel cadavers in ureterorenoscopy simulation. Materials and methods:The two day inaugural 'Masterclass in Flexible Ureterorenoscopy' was run with 6 participants performing semi-rigid and flexible ureterorenoscopy on three Thiel cadavers under the guidance of three experienced endourologists. A qualitative questionnaire was delivered to the participants and faculty. Three key domains were assessed, namely tissue characteristics (colour, consistency, vulnerability) of the cadaveric bladder, ureter and pelvicalyceal system, anatomical features and procedural aspects (quality of vision, irrigation, scope navigation). A five-point Likert score was used to assess responses.Data regarding the level of training and experience in endourology were also collected. Video recordings of the procedures were made. Results: 8 questionnaires were collected (5 delegates, 3 faculty). All participants completed cadaveric ureterorenoscopy using semi-rigid and flexible ureteroscopes.75% reported the overall quality of tissue in the cadaveric bladder, ureters and pelvicalyceal system as high or excellent. 50% reported the cadaveric bladder as being softer than in a live patient whilst five out of eight thought that the cadaveric ureter was softer and more prone to trauma. The same number also reported that the intramural ureter was somewhat stiffer than in live patients and that ureteric anatomical narrowings were preserved in the cadavers. Overall , the tissues were reported as being paler than in live patients. Four out of eight strongly agreed with overall quality of the cadaveric model, three agreed and one respondent remained neutral. The quality of vision and irrigation in the upper urinary tracts was reported as high. Conclusions:Thiel cadavers have been shown to have excellent tissue characteristics, as well as being durable and reusable, thereby improving their cost-effectiveness. We have described the first use of Thiel cadavers in a designated ureterorenoscopy course, with high levels of delegate satisfaction. Further work is required to develop the role of Thiel cadavers as part of integrated, modular urology training.

show abstract

“…Gettman et al 8 Fresh frozen cadavers (FFC) were utilised for rigid and flexible cystoscopy by two studies 11 12 and received a LoR of 2. Bowling et al 11 demonstrated construct B validity amongst 29 obstetric residents whilst Ahmed et al 12…”

Section: Urethrocystoscopymentioning

confidence: 99%