Category: Education, Simulation & Virtual Reality
Introduction & Objective :
Bedside suprapubic catheterization (SPC) is a fundamental skill required of all urology trainees. Ultrasound guidance during SPC insertion can minimize complications, and its use is recommended in clinical practice guidelines. However, a lack of affordable simulation models and the unpredictability of bedside SPCs make learning this procedure difficult for trainees. We developed and initially validated a low-cost ultrasound-compatible SPC simulator that allows trainees to safely and deliberately practice the task while acquiring skills that are transferable to bedside SPCs.
The SPC simulator consists of 7 components (Table 1). 7 staff urologists and 4 interventional radiologists conducted a SPC using the model with ultrasound guidance (Figures 1 and 2). To assess for face and content validity, each participant rated the model using a 5-point Likert scale on 3 domains: anatomic realism, usefulness as a training tool, and overall reaction.
Results : Participants were in practice for an average of 10 years (range 2-23), and the median number of SPCs performed was 50. For the domains, anatomic realism scored a mean of 4.1 (mean of 4.0 for sonographic realism). Usefulness as a training tool scored a mean of 4.3, and the mean for overall reaction was 4.4. Participants strongly agreed that the model should be incorporated into urology residency (mean=4.4), the skills are transferable to patients (mean=4.3), and its use would improve trainee confidence (mean=4.6). The cost of the model is approximately $48 CAD, and can be used multiple times during one session.
Conclusions : This novel, low-cost, easily reproducible ultrasound-compatible SPC training simulator received positive evaluations from urologists and interventional radiologists as a useful model for teaching bedside ultrasound-guided SPC insertion. This model will be integrated into our annual urology boot camp curriculum for first-year residents, which will allow for the evaluation of trainees as they learn SPC on the model with instruction and feedback. Additional research is required for construct validation.
Yuding Wang– Department of Surgery, Division of Urology, McMaster University, Hamilton, Ontario, Canada
Udi Blankstein– McMaster University, Hamilton, Ontario, Canada
Jen Hoogenes– Clinical Research Coordinator, McMaster University, Hamilton, Ontario, Canada
Ali Al-Hashimi– McMaster University, Hamilton, Ontario, Canada
Edward Matsumoto– McMaster University, Hamilton, Ontario, Canada
Department of Surgery, Division of Urology, McMaster University
Hamilton, Ontario, Canada
Clinical Research Coordinator
Hamilton, Ontario, Canada
Jen Hoogenes, MS, MSc, PhD; Clinical Research Coordinator, Department of Surgery, Division of Urology, McMaster University in Hamilton, Ontario, Canada.