Department of Urology, Catharina Hospital Eindhoven, The Netherlands.
Department of Urology, Catharina Hospital Eindhoven, The Netherlands.
Eur Urol. 2014 Feb;65(2):490-6. doi: 10.1016/j.eururo.2013.10.036. Epub 2013 Nov 6.
In 2011, the European Basic Laparoscopic Urological Skills (E-BLUS) examination was introduced as a pilot for the examination of final-year urologic residents.
In this study, we aimed to answer the following research questions: What level of laparoscopic skills do final-year residents in urology have in Europe, and do the participants of the E-BLUS pass the examination according to the validated criteria?
DESIGN, SETTING, AND PARTICIPANTS: Participants of the examination were final-year urology residents from different European countries taking part in the European Urology Residents Education Program in 2011 and 2012.
The E-BLUS exam consists of five tasks validated for the training of basic urologic laparoscopic skills.
Performances of the tasks were recorded on DVD and analysed by an objective rater. Time and number of errors made in tasks 1-4 were noted. Furthermore, all expert laparoscopic urologists were asked to score participants on a global rating scale (1-5) based on three items: depth perception, bimanual dexterity, and efficiency. Participants were asked to complete a questionnaire on prior training and laparoscopic experience.
Seventy DVD recordings were analysed. Most participants did not pass the time criteria on task 4 (90%), task 2 (85.7%), task 1 (74.3%), and task 5 (71.4%). Task 3 was passed by 84.3%. The overall quality score was passed by 64%. When combining time and quality, only three participants (4.2%) passed the examination according to the validated criteria. According to the questionnaire, 61% did not have the opportunity to train in laparoscopic skills.
The results of the E-BLUS examination show that the level of basic laparoscopic skills among European residents is low. Although quality of performance is good, most residents do not pass the validated time criteria. Regular laparoscopic training or a dedicated fellowship should improve the laparoscopic level of residents in urology.
2011 年，欧洲基础腹腔镜泌尿外科技能（E-BLUS）考试作为泌尿外科住院医师期末考核的试点引入。
本研究旨在回答以下研究问题：欧洲泌尿外科住院医师的腹腔镜技能水平如何，以及 E-BLUS 考试是否符合既定标准？
设计、设置和参与者：参加 2011 年和 2012 年欧洲泌尿外科住院医师教育计划的来自不同欧洲国家的泌尿外科住院医师参加了该考试。
E-BLUS 考试由 5 项任务组成，这些任务已通过验证，用于培训基本的泌尿外科腹腔镜技能。
任务的表现被记录在 DVD 上，并由客观评分员进行分析。记录任务 1-4 中所犯错误的时间和次数。此外，所有专家腹腔镜泌尿科医师都根据三项指标（深度感知、双手灵巧性和效率）对参与者进行了 1-5 分的总体评分。参与者被要求根据三项指标（深度感知、双手灵巧性和效率）对参与者进行 1-5 分的总体评分。参与者被要求根据三项指标（深度感知、双手灵巧性和效率）对参与者进行 1-5 分的总体评分。参与者被要求完成一份关于先前培训和腹腔镜经验的问卷。
分析了 70 个 DVD 录像。大多数参与者未能通过任务 4（90%）、任务 2（85.7%）、任务 1（74.3%）和任务 5（71.4%）的时间标准。任务 3 通过率为 84.3%。整体质量评分通过率为 64%。当结合时间和质量时，只有 3 名参与者（4.2%）符合既定标准。根据问卷调查，61%的参与者没有机会接受腹腔镜技能培训。
E-BLUS 考试结果表明，欧洲住院医师的基本腹腔镜技能水平较低。尽管表现质量良好，但大多数住院医师未能通过既定的时间标准。定期的腹腔镜培训或专门的奖学金应该会提高泌尿外科住院医师的腹腔镜水平。
