Objective Assessment and Standard Setting for Basic Flexible Ureterorenoscopy Skills Among Urology Trainees Using Simulation-Based Methods - Beyond the Abstract

The curricular reform occurring in the world of medical education centers around the concept of competence and pushes educators to ensure that residency produces graduates who meet a minimum standard of technical and non-technical ability. When relating these concepts to procedural skills, there are a number of ways in which this standard can be defined. One way that continues to grow in popularity amongst program directors and academics is the idea of ‘entrustability’, that is, the concept that newly qualified physicians and surgeons should be viewed as trustworthy in their execution of necessary clinical and surgical skills. In this study, we used a traditional standard setting method to determine entrustability standards for a core procedural skill amongst urologists, flexible ureteroscopy (fURS). We approached graduating urology residents and asked them to complete a series of straightforward, simulation-based ureteroscopic tasks, and scored their endoscopic skills using both a global rating scale (GRS) and a simple categorization based on how ‘entrustable’ they are based on said performance (entrustable, borderline, not entrustable). Ratings were completed by both expert surgeons and crowd-workers, using the CSATS© platform.

The utility of intravenous ketamine for the management of intraoperative penile erection: a retrospective single-center analysis of endourological surgeries over a 4-year.

To assess the prevalence of intraoperative penile erection in our endourology practice and the utility of intravenous ketamine in the management of the condition.

Of 402 endoscopic urological procedures performed in our clinic over a 4-year (2015-2019) period, a total of 9 cases with intraoperative penile erection impeding instrumentation during endourological surgery were included.

The cost of operating room delays in an endourology center.

This study sought to characterize delays and estimate resulting costs during nephrolithiasis surgery.

Independent observers documented delays during ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) procedures.

Objective Assessment and Standard Setting for Basic Flexible Ureterorenoscopy Skills among Urology Trainees using Simulation-based Methods.

To objectively assess the performance of graduating urology residents performing flexible ureterorenoscopy (fURS) using a simulation-based model and to set an entrustibility standard or benchmark for use across the educational spectrum.

A novel flexible ureteroscope with omnidirectional bending tip using joystick-type control unit (URF-Y0016): initial validation study in bench models.

The conventional flexible ureteroscope has limited access into the lower calyx and often causes biomechanical stress to surgeons. Recently, a novel flexible ureteroscope with an omnidirectional bending tip with a joystick-type control unit (URF-Y0016; Olympus, Japan) was developed.

Robot-Assisted Laparoscopic Urachal Excision using Hidden Incision Endoscopic Surgery (HIdES) Technique in Pediatric Patients.

While laparoscopic urachal excision in children has been well reported, there is limited data on a robot-assisted surgical (RAS) approach. The hidden incision endoscopic surgery (HIdES) technique is an established method of eliminating visible scars following a number of RAS urologic procedures.

Worldwide survey of flexible ureteroscopy practice: a survey from European Association of Urology sections of young academic urologists and uro-technology groups.

To understand the current practice of flexible ureteroscopy (fURS), we conducted a worldwide survey among urologists with a special interest in endourology.

A 42-question survey was designed after an initial consultation with European Association of Urology young academic urologists (YAU) and uro-technology (ESUT) groups.

Extracorporeal shock-wave lithotripsy: is it still valid in the era of robotic endourology? Can it be more efficient?

The aim of the article is to evaluate the actual role of extracorporeal shock-wave lithotripsy (ESWL) in the management of urolithiasis based on the new developments of flexible ureterorenoscopy (FURS) and percutaneous nephrolithotomy (PCNL).

Technical developments in transurethral resection of bladder tumours.

Bladder cancer is one of the most common malignancies worldwide. The transurethral resection of bladder tumour (TURB) remains the gold standard in both diagnostics and treatment. Because of the importance of TURB in bladder cancer management and the fact that TURB is one of the most commonly performed urologic procedures, it is the subject of continuous technological development.

Fluoroscopy-use during ureterorenoscopy: are urologists concerned about radiation exposure? A nationwide survey in Belgium and The Netherlands.

Introduction: To evaluate the use and awareness of radiation during URS among Belgian and Dutch urologists.Material and methods: An online questionnaire was send to all members of the Belgian and Dutch Association of Urology.