Urology simulation boot camp: A perspective from non-UK delegates.

Boot camp de simulación en urología: perspectiva de los delegados no británicos.

Journal

Actas urologicas espanolas
ISSN: 2173-5786
Titre abrégé: Actas Urol Esp (Engl Ed)
Pays: Spain
ID NLM: 101771154

Informations de publication

Date de publication:
Historique:
received: 17 01 2020
revised: 08 03 2020
accepted: 22 03 2020
pubmed: 19 9 2020
medline: 9 7 2021
entrez: 18 9 2020
Statut: ppublish

Résumé

Medical simulation has become an integral part of modern-day surgical training. Despite its benefits, it is still not widely incorporated in the curriculum of trainees. The Urology Boot Camp (USBC) is an innovative 5-day course aimed at trainees entering the UK training scheme. Since its implementation, there's been increasing interest by non-UK trainees. To assess the experiences of non-UK trainees in the USBC, both quantitatively and qualitatively, including skills progression analysis. This double-group cohort retrospective study included 20 delegates from non-UK countries and 76 trainees from UK who attended the USBC in 2017 and 2018. Trainees undertook pre- and post-course MCQs, pre-course operative experience questionnaires and a 12-month post-course survey on the usefulness of the skills acquired. Differences in mean MCQ scores between UK and non-UK delegates at baseline and after the course were assessed by the independent T-test. Each core urology procedural skill was evaluated by an expert and graded according to a Likert scale (1-5). The Kruskal-Wallis test was used to assess the differences in the scores between both groups on endourological techniques. A Likert scale (1-5) was used to grade the participants' answers to the post-course 12-month survey. Trainees from UK scored significantly higher in the pre-course MCQ assessment, however after completion of the boot camp, no significant difference was noted. There were no differences between the groups at e-BLUS completion times, and both groups significantly improved their results. A 12-month post-course survey on the utility of training during the boot camp and qualitative evaluation of the course by overseas delegates was very positive. The USBC is a valuable learning experience that leads to improvement of technical and soft skills of UK and non-UK trainees alike.

Sections du résumé

BACKGROUND
Medical simulation has become an integral part of modern-day surgical training. Despite its benefits, it is still not widely incorporated in the curriculum of trainees. The Urology Boot Camp (USBC) is an innovative 5-day course aimed at trainees entering the UK training scheme. Since its implementation, there's been increasing interest by non-UK trainees.
OBJECTIVE
To assess the experiences of non-UK trainees in the USBC, both quantitatively and qualitatively, including skills progression analysis.
DESIGN, SETTING AND PARTICIPANTS
This double-group cohort retrospective study included 20 delegates from non-UK countries and 76 trainees from UK who attended the USBC in 2017 and 2018. Trainees undertook pre- and post-course MCQs, pre-course operative experience questionnaires and a 12-month post-course survey on the usefulness of the skills acquired.
OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS
Differences in mean MCQ scores between UK and non-UK delegates at baseline and after the course were assessed by the independent T-test. Each core urology procedural skill was evaluated by an expert and graded according to a Likert scale (1-5). The Kruskal-Wallis test was used to assess the differences in the scores between both groups on endourological techniques. A Likert scale (1-5) was used to grade the participants' answers to the post-course 12-month survey.
RESULTS AND LIMITATIONS
Trainees from UK scored significantly higher in the pre-course MCQ assessment, however after completion of the boot camp, no significant difference was noted. There were no differences between the groups at e-BLUS completion times, and both groups significantly improved their results. A 12-month post-course survey on the utility of training during the boot camp and qualitative evaluation of the course by overseas delegates was very positive.
CONCLUSIONS
The USBC is a valuable learning experience that leads to improvement of technical and soft skills of UK and non-UK trainees alike.

Identifiants

pubmed: 32943271
pii: S0210-4806(20)30151-0
doi: 10.1016/j.acuro.2020.03.013
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng spa

Sous-ensembles de citation

IM

Pagination

49-56

Informations de copyright

Crown Copyright © 2020. Publicado por Elsevier España, S.L.U. All rights reserved.

Auteurs

M O Sundelin (MO)

Departamento de Urología, Hospital Universitario de Aarhus, Aarhus, Dinamarca.

J D C Silva (JDC)

Hospital Universitario de Motol, Praga, República Checa.

A V Daele (AV)

Departamento de Urología, Hospital Universitario UZ Leuven, Lovaina, Bélgica.

V Savopoulos (V)

Hospital Universitario de Lusaka, Lusaka, Zambia.

G M Pirola (GM)

Departamento de Urología, Usl Toscana Sud Est, Hospital San Donato, Italia.

S Ranasinghe (S)

Universidad de Queensland, Brisbane, Australia.

B V Cleynenbreugel (BV)

Departamento de Urología, Hospital Universitario UZ Leuven, Lovaina, Bélgica.

C S Biyani (CS)

Hospital Universitario St. James's, Leeds, Reino Unido. Electronic address: shekharbiyani@hotmail.com.

M Kailavasan (M)

Leicester General Hospital, Leicester, Reino Unido.

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Classifications MeSH