Universidade do Estado do Pará - Laboratory of Morphophysiology Applied to Health - Belém (PA) - Brazil.
Universidade do Estado do Pará - Department of Microsurgery - Experimental Surgery Laboratory - Belém (PA) - Brazil.
Acta Cir Bras. 2024 Aug 5;39:e394724. doi: 10.1590/acb394724. eCollection 2024.
To evaluate the impact of simulators on the training of urology residents in retrograde intrarenal surgery (RIRS).
The study involved training eight urology residents, using two artificial simulators; one developed by the Universidade Estadual do Pará, using three-dimensional printing technology, and the other one patented by the medical equipment manufacturer Boston Scientific The qualification of residents took place through a training course, consisting of an adaptation phase (S0), followed by three training sessions, with weekly breaks between them (S1, S2 and S3). Study members should carry out a RIRS in a standardized way, with step-by-step supervision by the evaluator using a checklist. The participants' individual performance was verified through a theoretical assessment, before and after training (pre- and post-training), as well as by the score achieved in each session on a scale called global psychomotor skill score. In S3, residents performed an analysis of the performance and quality of the simulation, by completing the scale of student satisfaction and self confidence in learning (SSSCL).
At the end of the course, everyone was able to perform the procedure in accordance with the standard. The training provided a learning gain and a considerable improvement in skills and competencies in RIRS, with p < 0.05. SSSCL demonstrated positive feedback, with an overall approval rating of 96%.
Artificial simulators proved to be excellent auxiliary tools in the training of urology residents in RIRS.
评估模拟器对逆行性肾内手术（RIRS）培训泌尿科住院医师的影响。
本研究涉及使用两种人工模拟器对 8 名泌尿科住院医师进行培训；一个是由巴西北里奥格兰德州立大学使用三维打印技术开发的，另一个是由医疗设备制造商波士顿科学公司获得专利的。住院医师的资格通过培训课程获得，该课程包括适应阶段（S0），然后是三个培训课程，每周休息一次（S1、S2 和 S3）。研究成员应通过评估员使用检查表进行逐步监督，以标准化的方式进行 RIRS。参与者的个人表现通过理论评估进行验证，包括培训前后（培训前和培训后），以及在称为全球运动技能评分的量表上每个课程的得分。在 S3 中，住院医师通过完成学生满意度和学习自信量表（SSSCL）对模拟的表现和质量进行分析。
在课程结束时，每个人都能够按照标准进行手术。培训提供了学习收益，并显著提高了 RIRS 的技能和能力，p < 0.05。SSSCL 提供了积极的反馈，整体满意度为 96%。
人工模拟器被证明是 RIRS 培训泌尿科住院医师的优秀辅助工具。
