Cloutier Jonathan, Traxer Olivier
aDepartment of Urology, Tenon University Hospital, Marie Curie University, Paris, France bDepartment of Urology, Saint-François d'Assise Hospital, University Hospital Center of Quebec, Quebec City, Canada.
Curr Opin Urol. 2015 Mar;25(2):143-52. doi: 10.1097/MOU.0000000000000143.
Nowadays, accessibility to the operative room is becoming more limited for medical students and residents, principally due to decreasing operative time, increasing waiting list, ethical consideration and legal issue in case of any complications. Simulation models have gained in popularity and are now considered a major component in the training and skill development of medical students and residents before coming to the operative room. In this review, we summarized and discussed the relevant aspect of ureteroscopy training models and gave an overview of the advantage in skill acquisition while training with a high-fidelity model.
Currently, there is an increase in surgical programs trying to implement endourology training models into the curriculum. The training simulators that would allow the medical students and residents to rapidly reach an autonomous level are yet to be developed. Several ureteroscopy models have been described and validated; however, the transposition of skill acquisition into real-life surgery is not properly demonstrated.
Training reduces the learning curve for novice medical students or residents. However, further studies are still needed to better define the impact of skill acquisition in real life and its sustainability.
如今，医学生和住院医师进入手术室的机会越来越有限，主要原因是手术时间减少、等待名单增加、伦理考量以及出现任何并发症时的法律问题。模拟模型越来越受欢迎，现在被认为是医学生和住院医师进入手术室之前培训和技能发展的主要组成部分。在本综述中，我们总结并讨论了输尿管镜检查培训模型的相关方面，并概述了使用高保真模型进行培训时在技能获取方面的优势。
目前，越来越多的外科项目试图将腔内泌尿外科培训模型纳入课程。能够让医学生和住院医师迅速达到自主水平的培训模拟器尚未开发出来。已经描述并验证了几种输尿管镜检查模型；然而，技能获取在现实手术中的转化情况尚未得到充分证明。
培训可缩短新手医学生或住院医师的学习曲线。然而，仍需要进一步研究以更好地确定技能获取在现实生活中的影响及其可持续性。
