Education, Simulation & Virtual Reality

Moderated Poster Session

MP19-9 - A Structured Model for training Transurethral Resection of prostate and bladder tumour (TUR-P/BT) at an Intensive Urology Simulation Boot camp: Trainee’s feedback

Saturday, September 22
2:00 PM - 4:00 PM
Location: Room 241

Introduction & Objective :

There has been a shift in attitudes towards surgical training with an emphasis on demonstrating a level of competency prior to operative exposure. In addition, the European Working Time Directive and advances in medical therapy have reduced the numbers of TUR-P/BT being performed. Simulation based teaching is a widely accepted training method and is being used to help hone trainees’ skills in TURs. An intensive 5-day Urology Simulation Boot-camp was run in Leeds to teach junior trainees technical and non-technical skills, including TUR-P/BT.


This study aims to report the feedback from candidates and explore the suitability of such a programme to be delivered as part of the training curriculum.


Methods : In 2017, 42 UK urology trainees took part in the boot camp. The module had six stations and participants spent an intensive 4hr period learning about the equipment and developing their operative skills on using SAMED tissue models and TURMentor Virtual Reality (VR) models. Filling an Ellick evacuator and performing a bladder washout to clear clots was also covered. Faculty to candidate ratio was 1:1. Feedback on course structure and learning points was obtained upon completion, with ratings from 1 (low) to 5 (high).


Results : Qualitative and quantitative feedback was obtained as in Table 1:

Overall the feedback was positive, receiving a mean score of 4.33. Teaching on the resectoscope equipment was highly rated, mean score 4.7, highlighting the importance of covering the fundamentals. The SAMED model for TURP received praise (mean rating 4.5) but occasional systems failures negatively impacted VR model feedback (mean rating 4.1). These were resolved for TURBT exercises. Table 2, shows mean number of attempts over the 5 days:


Conclusions : Our structured and systematic training model incorporating cognitive knowledge with practicing basic steps of the procedure and dealing with complications was well received with improvement in trainee’s knowledge and confidence. The results support a high level of face-validity for a multi-component teaching curriculum for TUR training.

Jamie V Krishnan

Core Surgical Trainee
Leeds Teaching Hospitals NHS Trust

Name- J V Krishnan
Credentials- BMBS, MMedSc, MRCS
Grade- Core Surgical Trainee (CT2)
Centre- Royal Hallamshire Hospital, Sheffield

Presentation(s):

    Send Email for Jamie V Krishnan

    Matthew Young

    Urologist
    LTHT

    Presentation(s):

      Send Email for Matthew Young

      Sunjay Jain

      Presentation(s):

        Send Email for Sunjay Jain

        Grigorios Athanasiadis

        Presentation(s):

          Send Email for Grigorios Athanasiadis

          Agapios Gkentzis

          Presentation(s):

            Send Email for Agapios Gkentzis

            Chandra S Biyani

            Presentation(s):

              Send Email for Chandra S Biyani

              Gulam Nabi

              Presentation(s):

                Send Email for Gulam Nabi


                Assets

                MP19-9 - A Structured Model for training Transurethral Resection of prostate and bladder tumour (TUR-P/BT) at an Intensive Urology Simulation Boot camp: Trainee’s feedback



                Attendees who have favorited this

                Please enter your access key

                The asset you are trying to access is locked. Please enter your access key to unlock.

                Send Email for MP19-9 - A Structured Model for training Transurethral Resection of prostate and bladder tumour (TUR-P/BT) at an Intensive Urology Simulation Boot camp: Trainee’s feedback