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26-07-2023 | Botulinum Toxin | Original Article

Design, implementation and assessment of a novel, introductory curriculum into female, neurological and urodynamic urology: a 7-year experience of urology simulation bootcamp course

Authors: Andrei Adrian Kozan, Roland Morley, Ahmad Abdul Rahman, Chandra Shekhar Biyani, Graeme Urwin, Mamoun Elmamoun, Vishwanath Hanchanale, Libby Slemeck, Carmel Ramage, Fiona Marsh, Alison Downey, Mary Garthwaite, Ased Ali

Published in: World Journal of Urology | Issue 9/2023

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Abstract

Purpose

To present the seven-year experience of a multi-component and interactive module on female, neurological and urodynamic urology (FNUU) training at the UK National Urology Simulation Bootcamp Course (USBC) and demonstrate trainee satisfaction and competency progression.

Methods

During the week-long USBC, a four-hour module on FNUU was designed which consisted of short interactive presentations with an emphasis on practical stations in urodynamics, intravesical botulinum toxin injection, urethral bulking injection, female pelvic examination and, initially, mid-urethral tapes (subsequently replaced with percutaneous sacral nerve evaluation). The trainee’s level of knowledge, operative experience and confidence were assessed pre- and post-course. The practical assessment consisted of preparation and intravesical administration of botulinum toxin, female pelvic examination, urodynamic trace interpretation or mid-urethral tape simulation. Trainee feedback was also collected.

Results

Two-hundred sixty-one newly appointed urology trainees participated in the USBC during this period. A high level of satisfaction was constantly reported. The highest rated session was urethral bulking with 72% being very satisfied, followed by Botox and urodynamics. The final assessment showed 70% had achieved level 4 competency in cystoscopy and Botox. Qualitative feedback was also obtained.

Conclusion

To our knowledge, this is the first module of its kind, and it shows that it is feasible to develop, implement and evaluate an introductory curriculum into FNUU that is reproducible over a 7-year period with very positive feedback.
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Literature
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Metadata
Title
Design, implementation and assessment of a novel, introductory curriculum into female, neurological and urodynamic urology: a 7-year experience of urology simulation bootcamp course
Authors
Andrei Adrian Kozan
Roland Morley
Ahmad Abdul Rahman
Chandra Shekhar Biyani
Graeme Urwin
Mamoun Elmamoun
Vishwanath Hanchanale
Libby Slemeck
Carmel Ramage
Fiona Marsh
Alison Downey
Mary Garthwaite
Ased Ali
Publication date
26-07-2023
Publisher
Springer Berlin Heidelberg
Keyword
Botulinum Toxin
Published in
World Journal of Urology / Issue 9/2023
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-023-04522-9

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