Role of Active Mentoring During Flexible Ureteroscopy Training

Ganesamoni, Raguram; Mishra, Shashikant; Kumar, Akhilesh; Ganpule, Arvind; Vyas, Jigish; Ganatra, Pradeep; Sabnis, Ravindra; Desai, Mahesh

doi:10.1089/end.2012.0258

Cited by 11 publications

(9 citation statements)

References 12 publications

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“…Flexible ureteroscopy (fURS) is increasingly used as a first‐line treatment and it is not surprising that in some countries it exceeds all other modalities by up to 30% . fURS has become popular with urologists, as it is easy to learn, is associated with high stone‐free rates, and is acceptable to patients .…”

Section: Introductionmentioning

confidence: 99%

Single‐use disposable digital flexible ureteroscopes: an ex vivo assessment and cost analysis

et al. 2018

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Section: Introductionmentioning

confidence: 99%

Single‐use disposable digital flexible ureteroscopes: an ex vivo assessment and cost analysis

et al. 2018

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“…While RIRS needs a structured training program with virtual reality or high fidelity non-virtual reality models, microperc can be more easily mastered by any Urologist who is trained in standard PCNL. [2324]…”

Section: Introductionmentioning

confidence: 99%

Current role of microperc in the management of small renal calculi

et al. 2013

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‘Microperc’ is a recently described technique in which percutaneous renal access and lithotripsy are performed in a single step using a 16 G micropuncture needle. ‘Mini-microperc’ is a further technical modification in which an 8 Fr sheath is used to allow insertion of ultrasonic or pneumatic lithoclast probe with suction. The available evidence indicates that microperc is safe and efficient in the management of small renal calculi in adult and pediatric population. It can also be used for renal calculi in ectopic kidneys and bladder calculi. The high stone clearance rate and lower complication rate associated with microperc make it a viable alternative to retrograde intrarenal surgery.

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“…Their effect on the outcome was assessed by a global rating scale (GRS), the task completion time (TCT) and the learning curve. Validation studies were found in 14 articles ( Table 2 ) [7–32] .…”

Section: Resultsmentioning

confidence: 99%

“…Randomised controlled trials (RCTs) were reported in four articles [10,14,21,33] . Matsumoto et al [10] investigated the effect of bench-model fidelity, whereas Wilhelm et al [14] and Watterson et al [33] investigated the acquisition of skills using a computer-based VR endourological simulator.…”

Section: Validation Studiesmentioning

confidence: 99%

Training in ureteroscopy for urolithiasis

Seitz

Fajković

2014

Arab Journal of Urology

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ObjectivesTo provide an insight into the current status of semi-rigid and flexible ureteroscopy, following new curricula for training methods, including training with models, virtual reality and active mentoring.MethodsWe systematically reviewed previous reports, including articles in English identified using the following strategy: (‘ureteroscopy’[Mesh]) or (‘urolithiasis’[Mesh]) AND (‘education’[Mesh]), or (‘teaching’[Mesh]). Abstracts submitted at congresses were not included. Relevant articles that were identified as references in the retrieved articles were also included.ResultsThe terms (‘urolithiasis’[Mesh] AND ‘education’[Mesh]) retrieved 106 articles, of which five were included. The terms (‘urolithiasis’[Mesh] AND ‘teaching’[Mesh]) retrieved six articles, of which three were included. The terms (‘ureteroscopy’[Mesh] AND ‘education’[Mesh]) retrieved 29 articles, of which 21 were included. The terms (‘ureteroscopy’[Mesh] AND ‘teaching’[Mesh]) retrieved eight articles, of which seven were included. Remaining articles were found in the reference section of retrieved articles. Finally, 43 articles were included. Four randomised controlled trials with level 1b evidence were included. Currently there is no standard teaching method for ureteroscopy and the number of cases to reach competence has not yet been defined. However, simulation-based training has been shown to be effective, cost-effective, and to increase patient safety.ConclusionsSimulators lead to a more rapid acquisition of skills in ureteroscopy than do conventional training methods, and improve the performance of future surgeons. Flexible ureteroscopy simulators are a promising tool for training, and have the advantage of minimising the need for learning the procedures on patients. A didactic and clinical curriculum, including surgical videotape reviews as well as operative mentoring, enables a rapid progression in already experienced endourologists. However, there are few reports specifically addressing the skills necessary for training.

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Role of Active Mentoring During Flexible Ureteroscopy Training

Abstract: Mentorship during flexible ureteroscopy training results in higher GRS and lower TCT at the end of the training. Self-assessment GRS by trainee does not correlate well with the skills acquired.

Cited by 11 publications

References 12 publications

Single‐use disposable digital flexible ureteroscopes: an ex vivo assessment and cost analysis

Single‐use disposable digital flexible ureteroscopes: an ex vivo assessment and cost analysis

Current role of microperc in the management of small renal calculi

Training in ureteroscopy for urolithiasis

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