Department of Urology, University of California-Irvine, Orange, California 92868, USA.
J Urol. 2010 Nov;184(5):2089-93. doi: 10.1016/j.juro.2010.06.097. Epub 2010 Sep 17.
To assist practicing urologists incorporate laparoscopic renal surgery into their practice we established a 5-day mini-fellowship program with a mentor, preceptor and a potential proctor at our institution. We report the impact of our mini-fellowship program at 3-year followup.
A total of 106 urologists underwent laparoscopic ablative (44) or laparoscopic reconstructive (62) renal surgery training. The 1:2 teacher-to-attendee experience included tutorial sessions, hands-on inanimate and animate skills training, and clinical case observations. Participants were asked to complete a detailed questionnaire on laparoscopic practice patterns 1, 2 and 3 years after the mini-fellowship.
The questionnaire response rate at 1 to 3 years was 77%, 65% and 68%, respectively. Of responders 72%, 71% and 71% performed laparoscopic renal surgery at 1 to 3 years, respectively. Of the 106 participants 32 (39%) had previous laparoscopic experience, including 78% who responded to the questionnaire at 3 years. Of those surgeons there was an increase in the practice of laparoscopic radical nephrectomy (88% vs 72%), nephroureterectomy (56% vs 13%), pyeloplasty (40% vs 6%) and partial nephrectomy (32% vs 6%) at 3 years. Of the 106 participants 74 (70%) were laparoscopy naïve, including 48 (65%) who responded to the questionnaire at 3 years. The take rate in this group was 76%, 52%, 34% and 23% for laparoscopic radical nephrectomy, nephroureterectomy, pyeloplasty and partial nephrectomy, respectively. Of the participants 90% indicated that they would recommend this training to a colleague.
An intensive 5-day laparoscopic ablative and reconstructive renal surgery course enabled postgraduate urologists to effectively introduce and expand the volume and breadth of their laparoscopic renal surgery practice.
为了帮助执业泌尿科医生将腹腔镜肾脏手术纳入他们的实践，我们在我们的机构设立了一个为期 5 天的迷你研究员计划，其中包括导师、指导教授和潜在的主治医生。我们报告了我们的迷你研究员计划在 3 年随访时的影响。
共有 106 名泌尿科医生接受了腹腔镜消融（44 例）或腹腔镜重建（62 例）肾脏手术培训。1:2 的师生比例包括教程、动手非生物和生物技能培训以及临床病例观察。参与者被要求在迷你研究员计划后 1、2 和 3 年完成一份关于腹腔镜实践模式的详细问卷。
1 至 3 年的问卷回复率分别为 77%、65%和 68%。在回答者中，72%、71%和 71%分别在 1 至 3 年内进行了腹腔镜肾脏手术。在 106 名参与者中，有 32 名（39%）有以前的腹腔镜经验，其中 78%在 3 年内回答了问卷。在这些外科医生中，腹腔镜根治性肾切除术（88%比 72%）、肾输尿管切除术（56%比 13%）、肾盂成形术（40%比 6%）和部分肾切除术（32%比 6%）的实践有所增加。在 106 名参与者中，有 74 名（70%）是腹腔镜新手，其中 48 名（65%）在 3 年内回答了问卷。在这个组中，腹腔镜根治性肾切除术、肾输尿管切除术、肾盂成形术和部分肾切除术的接受率分别为 76%、52%、34%和 23%。90%的参与者表示他们会向同事推荐这种培训。
一个强化的 5 天腹腔镜消融和重建肾脏手术课程使泌尿科研究生能够有效地引入和扩大他们的腹腔镜肾脏手术实践的数量和广度。
