Presentation Authors: Bhaskar Somani, Southampton, United Kingdom, Ben Van Cleynenbreugel, Leuven, Belgium, Ali Gozen, Heilbronn, Germany, Andreas Skolarikos, Athens, Greece, Christian Wagner, Gronau, Germany, John Beatty, Leicester, United Kingdom, Sas Barmoshe, Brusels, Belgium, Jose Maria Gaya, Barcelona, Spain, Theodoros Kalogeropoulos, Athens, Greece, Faba Oscar Rodriguez, Barcelona, Spain, Rafael Salas Sanchez, Paris, France, Marek Schmidt, Prague, Czech Republic, Siena Giampaolo, Florence, Italy, Gio Pini, Milan, Italy, Joan Palou, Barcelona, Spain, Robert Geraghty, Southampton, United Kingdom, Domenico Veneziano*, Calabria, Italy
Introduction: The European Basic Laparoscopic Urological Skills (EBLUS) is a programme offered to residents and urologists who want to improve their basic skills in laparoscopy. It includes an on-line theoretical course, hands-on-training (HOT) by expert tutors on a set of training-box exercises and finally a standardized exam for skill-assessment and certification. Our aim was to assess the predictors of success for the EBLUS exams over the last 6 years.
Methods: The European School of Urology (ESU) has been conducting the EBLUS courses and examination over the last 6 years (2013-2018) either at the European Urology Residents Education Programme (EUREP) in Prague or during other International/National dedicated ESU events in over 40 countries. Trainees were asked on their experience of previous laparoscopic procedures (assisted or performed) and the availability of HOT training or simulator/box trainer for them to practice. _x000D_
There was also an online theoretical course, 4 HOT tasks (1-peg transfer; 2-pattern cutting; 3-single knot tying; and 4-clip and cut) and the trainer assessment of depth perception, bimanual dexterity and efficiency. To pass the EBLUS exams the trainees needed to pass all 4 tasks and the trainer assessment.
Results: A total of 875 EBLUS exams were delivered from 2013 until 2017 (EUREP, n=385; and other ESU events, n=490). Complete data was available for 533 (61%) participants of which 295 (55%) passed the exams (Table 1). The pass-rate increased on a yearly basis from 35% to 70% from 2013 to 2017 (p < 0.001). The pass rates were similar between EUREP (56%) and other ESU events (55%). Overall, the total number of trainees who passed task 1, 2, 3 and 4 were 418, 360, 355, and 356 respectively. The significant predictors of success were number of laparoscopic procedures assisted and passing task 1 and 2 of the exams (p < 0.05).
Conclusions: Over the last few years more trainees have passed the EBLUS exams with data suggesting that they are better prepared for it. Trainees who spend more time on simulators/box trainers and in laparoscopic procedures perform better and have a higher pass-rate. There is seems to be no difference between the EBLUS results collected from EUREP or other ESU events, which confirms the robustness of the training and exams conducted worldwide.