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01-09-2015

Simulation-based ureteroscopy skills training curriculum with integration of technical and non-technical skills: a randomised controlled trial

Authors: Oliver Brunckhorst, Shahab Shahid, Abdullatif Aydin, Craig McIlhenny, Shahid Khan, Syed Johar Raza, Arun Sahai, James Brewin, Fernando Bello, Roger Kneebone, Muhammad Shamim Khan, Prokar Dasgupta, Kamran Ahmed

Published in: Surgical Endoscopy | Issue 9/2015

Abstract

Background

Current training modalities within ureteroscopy have been extensively validated and must now be integrated within a comprehensive curriculum. Additionally, non-technical skills often cause surgical error and little research has been conducted to combine this with technical skills teaching. This study therefore aimed to develop and validate a curriculum for semi-rigid ureteroscopy, integrating both technical and non-technical skills teaching within the programme.

Methods

Delphi methodology was utilised for curriculum development and content validation, with a randomised trial then conducted (n = 32) for curriculum evaluation. The developed curriculum consisted of four modules; initially developing basic technical skills and subsequently integrating non-technical skills teaching. Sixteen participants underwent the simulation-based curriculum and were subsequently assessed, together with the control cohort (n = 16) within a full immersion environment. Both technical (Time to completion, OSATS and a task specific checklist) and non-technical (NOTSS) outcome measures were recorded with parametric and non-parametric analyses used depending on the distribution of our data as evaluated by a Shapiro–Wilk test.

Results

Improvements within the intervention cohort demonstrated educational value across all technical and non-technical parameters recorded, including time to completion (p < 0.01), OSATS scores (p < 0.001), task specific checklist scores (p = 0.011) and NOTSS scores (p < 0.001). Content validity, feasibility and acceptability were all demonstrated through curriculum development and post-study questionnaire results.

Conclusions

The current developed curriculum demonstrates that integrating both technical and non-technical skills teaching is both educationally valuable and feasible. Additionally, the curriculum offers a validated simulation-based training modality within ureteroscopy and a framework for the development of other simulation-based programmes.

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Title: Simulation-based ureteroscopy skills training curriculum with integration of technical and non-technical skills: a randomised controlled trial
Authors: Oliver Brunckhorst
Shahab Shahid
Abdullatif Aydin
Craig McIlhenny
Shahid Khan
Syed Johar Raza
Arun Sahai
James Brewin
Fernando Bello
Roger Kneebone
Muhammad Shamim Khan
Prokar Dasgupta
Kamran Ahmed
Publication date: 01-09-2015
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 9/2015
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-014-3996-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Simulation-based ureteroscopy skills training curriculum with integration of technical and non-technical skills: a randomised controlled trial

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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