MRC Centre for Transplantation, King's College London, Department of Urology, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, London, UK.
MRC Centre for Transplantation, King's College London, Department of Urology, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, London, UK.
Eur Urol Focus. 2018 Jul;4(4):614-620. doi: 10.1016/j.euf.2017.03.006. Epub 2017 Mar 31.
Simulation-based training offers an acceptable adjunct to the traditional mentor-apprentice model in helping trainees to traverse the early stages of the learning curve for ureteroscopy and percutaneous renal surgery. In addition, nontechnical skills are increasingly important in preventing adverse events in the operating room, and simulation-based training can be used for training in such skills. Incorporation of simulation into formalised, standardised, and validated curricula offers an applicable method for training residents.
To develop a curriculum for urolithiasis procedures incorporating technical and nontechnical skills training for implementation across Europe.
DESIGN, SETTING, AND PARTICIPANTS: An international panel of experts from EULIS, EUREP, ESU and ESUT was consulted in five stages. The study incorporated a mix of qualitative and quantitative data for collection and analysis. Responses were drawn out in (1) an opinion survey and (2) a curriculum development survey, which were discussed in (3) a focus group meeting. Group responses from this meeting were analysed for themes, which were discussed at (4) a focus group meeting, where consensus was reached among the group. Data analysis and integration at this stage were used to draft the curriculum.
All group meetings were transcribed from the focus group discussion. Eight themes were generated, into which all data were categorised. These were: need for a training curriculum; curriculum objectives; curriculum structure; curriculum content; teaching platforms and tools; assessment and certification; validation and implementation; and global integration of the curriculum. A curriculum, including recommended simulators for use, was subsequently proposed.
We propose a comprehensive curriculum for training in urolithiasis. Additional planning is required for full validation and implementation before it can be used to train residents.
Stone disease accounts for a major proportion of surgical interventions worldwide. We describe a consensus guideline for effective training of stone surgeons.
基于模拟的培训为受训者在输尿管镜检查和经皮肾手术的学习曲线早期提供了一种可接受的辅助传统师徒模式。此外，非技术技能在预防手术室不良事件中变得越来越重要，而基于模拟的培训可以用于此类技能的培训。将模拟纳入正式、标准化和经过验证的课程为培训住院医师提供了一种可行的方法。
制定一个包含技术和非技术技能培训的结石病手术课程，以便在欧洲实施。
设计、设置和参与者：咨询了来自 EULIS、EUREP、ESU 和 ESUT 的国际专家小组，共分为五个阶段。该研究结合了定性和定量数据进行收集和分析。反应是在（1）意见调查和（2）课程开发调查中得出的，这些调查在（3）焦点小组会议中进行了讨论。从这次会议中得出的小组意见进行了主题分析，在（4）焦点小组会议上进行了讨论，在会议上达成了小组共识。在这一阶段的数据分析和整合被用来起草课程。
所有小组会议都从焦点小组讨论中记录下来。产生了 8 个主题，所有数据都归入这些主题。这些主题包括：培训课程的需求；课程目标；课程结构；课程内容；教学平台和工具；评估和认证；验证和实施；以及课程的全球整合。随后提出了一个包括推荐使用的模拟器的课程。
我们提出了一个全面的结石病培训课程。在将其用于培训住院医师之前，还需要进行充分的验证和实施规划。
结石病占全球手术干预的很大一部分。我们描述了一种有效的结石外科医生培训的共识指南。
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