Matsuda Tadashi, Ono Yoshinari, Terachi Toshiro, Naito Seiji, Baba Shiro, Miki Tsuneharu, Hirao Yoshihiko, Okuyama Akihiko
Endoscopic Surgical Skill Qualification System Committee, Japanese Urological Association, and Japanese Society of Endourology and ESWL, Japan.
J Urol. 2006 Nov;176(5):2168-72; discussion 2172. doi: 10.1016/j.juro.2006.07.034.
The Japanese Urological Association, and Japanese Society of Endourology and ESWL have established the Endoscopic Surgical Skill Qualification System in urological laparoscopy. The system consists of a urological section as well as gynecology and general surgery sections. We present details of the Endoscopic Surgical Skill Qualification System and year 1 results.
Endoscopic Surgical Skill Qualification System requirements test the ability to complete common laparoscopic surgeries in each field. In urology applicants are required to complete adrenalectomies or nephrectomies appropriately and safely. Applicants should have 2 years of experience with laparoscopic practice, in addition to having completed a 6-year formal urological training program. Also, each surgeon must have performed more than 20 laparoscopic surgeries. According to assessment guidelines applicant skills are assessed by 2 referees who view unedited videotapes showing the entire laparoscopic procedure. To establish these referees 6 expert referees were first selected and 23 were then chosen from 36 referee applicants. Each referee had completed more than 100 laparoscopic surgeries and was chosen after video assessments by the 6 initial expert referees.
Of 5,600 certified urologists in Japan 205 applied to this system in its first year, including 6 expert referees and 36 referee applicants. After video assessments by the referees 136 applicants were certified as having appropriate skills, resulting in a 66% pass rate.
The Endoscopic Surgical Skill Qualification System has just started but it has drawn a lot of attention from the public. We hope that this qualification system will help prevent complications of urological laparoscopic surgeries and promote safer surgical procedures.
日本泌尿外科学会、日本腔内泌尿外科学会和体外冲击波碎石学会建立了泌尿外科腹腔镜手术的内镜手术技能资格认证系统。该系统包括泌尿外科部分以及妇科和普通外科部分。我们介绍了内镜手术技能资格认证系统的详细情况及第一年的结果。
内镜手术技能资格认证系统要求测试在各个领域完成常见腹腔镜手术的能力。在泌尿外科，要求申请者能够适当且安全地完成肾上腺切除术或肾切除术。申请者除了要完成6年的正规泌尿外科培训项目外，还应有2年的腹腔镜手术实践经验。此外，每位外科医生必须已完成超过20例腹腔镜手术。根据评估指南，申请者的技能由2名评审员评估，他们观看展示整个腹腔镜手术过程的未编辑录像带。为选定这些评审员，首先选出6名专家评审员，然后从36名评审员申请者中选出23名。每位评审员都已完成超过100例腹腔镜手术，并且是在6名初始专家评审员进行视频评估后选定的。
在日本5600名获得认证的泌尿外科医生中，第一年有205人申请该系统，其中包括6名专家评审员和36名评审员申请者。经评审员进行视频评估后，136名申请者被认证具备适当技能，通过率为66%。
内镜手术技能资格认证系统刚刚起步，但已引起公众的广泛关注。我们希望这个资格认证系统将有助于预防泌尿外科腹腔镜手术的并发症，并促进更安全的手术操作。
