Mariotti Antonio C H, Torricelli Fabio C M, Andrade Weslley S, Mitre Anuar I, Arap Marco A
Institute of Education and Research, Hospital Sírio Libanês, São Paulo, Brazil.
Transl Androl Urol. 2018 Apr;7(2):274-279. doi: 10.21037/tau.2018.03.18.
Minimally invasive surgeries are increasingly common as the first option for most urological diseases. However, laparoscopic techniques are difficult to master, especially for surgeons who were not trained during their residency programs. Therefore, postgraduate courses are important for such matters. This study aims to evaluate the results of postgraduate courses in minimally invasive urological surgery.
A specific questionnaire was used to evaluate the impact of the course on urologists' professional activities. The questionnaire also evaluated demographic data and previous surgical experience. The postgraduate course was divided into 10 monthly modules, each one with 36 hours of activities, from March to December. All students of the laparoscopic postgraduate course from the last five years were enrolled in the study.
Forty-one students were included in the study. Thirty-nine students were male (95.1%), and the mean age was 39.5 years (range, 30-60 years). Students from all regions of the country were enrolled. Thirty (73.2%) students had minor laparoscopic experience. All students improved their laparoscopic skills and were able to include new procedures in their daily surgical practice. Eleven students (26.8%) had no laparoscopic experience, and all of them started to perform laparoscopic procedures. The median level of impact on professional life was 75 points (range, 0-100 points).
The postgraduate course is an appropriate way to acquire urological laparoscopic skills. The annual course allowed improvement and initiation of laparoscopic procedures, which significantly impacted urologists' daily activities.
微创手术作为大多数泌尿系统疾病的首选治疗方式越来越普遍。然而,腹腔镜技术难以掌握,尤其是对于那些在住院医师培训期间未接受过相关培训的外科医生。因此,研究生课程对于此类问题很重要。本研究旨在评估微创泌尿外科手术研究生课程的效果。
使用一份特定问卷来评估该课程对泌尿外科医生专业活动的影响。问卷还评估了人口统计学数据和既往手术经验。研究生课程分为10个月度模块,从3月至12月,每个模块有36小时的活动。纳入了过去五年腹腔镜研究生课程的所有学生。
41名学生纳入研究。39名学生为男性(95.1%),平均年龄39.5岁(范围30 - 60岁)。来自该国所有地区的学生均有纳入。30名(73.2%)学生有少量腹腔镜经验。所有学生的腹腔镜技能均得到提高,且能够在日常手术实践中纳入新的手术方式。11名学生(26.8%)无腹腔镜经验,他们所有人都开始进行腹腔镜手术。对职业生活的影响程度中位数为75分(范围0 - 100分)。
研究生课程是获得泌尿外科腹腔镜技能的合适途径。年度课程使腹腔镜手术技能得到提高并得以开展,这对泌尿外科医生的日常活动产生了显著影响。