Kozan Andrei Adrian, Chan Luke Huiming, Biyani Chandra Shekhar
Department of Urology, Hull University Teaching Hospitals NHS Trust, Castle Hill Hospital, Cottingham, UK.
Department of Urology, Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital, Sheffield, UK.
Res Rep Urol. 2020 Mar 17;12:111-128. doi: 10.2147/RRU.S237808. eCollection 2020.
Simulation has emerged as an effective solution to increasing modern constraints in surgical training. It is recognized that a larger proportion of surgical complications occur during the surgeon's initial learning curve. The simulation takes the learning curve out of the operating theatre and facilitates training in a safe and pressure-free environment whilst focusing on patient safety. The cost of simulation is not insignificant and requires commitment in funding, human resources and logistics. It is therefore important for trainers to have evidence when selecting various simulators or devices. Our non-systematic review aims to provide a comprehensive up-to-date picture on urology simulators and the evidence for their validity. It also discusses emerging technologies and future directions. Urologists should embed evidence-based simulation in training programs to shorten learning curves while maintaining patient safety and work should be directed toward a validated and agreed curriculum.
模拟已成为解决现代外科手术培训中日益增加的限制的有效方法。人们认识到，较大比例的手术并发症发生在外科医生的初始学习曲线阶段。模拟将学习曲线从手术室中移出，在关注患者安全的同时，在安全且无压力的环境中促进培训。模拟的成本并非微不足道，需要在资金、人力资源和后勤方面投入。因此，培训人员在选择各种模拟器或设备时拥有证据很重要。我们的非系统性综述旨在全面、最新地介绍泌尿外科模拟器及其有效性的证据。它还讨论了新兴技术和未来方向。泌尿外科医生应将基于证据的模拟纳入培训计划，以缩短学习曲线，同时确保患者安全，并且工作应朝着经过验证且达成共识的课程方向进行。
