WCE 2017: Quality in Minimally Invasive Surgery: Standardization of Training
Currently, the field of MIS does not implement standardized training due to technical, non-technical, and affective domains. One particular reason Dr. Richstone noted that MIS is lacking in standardization is because the approach is outdated. Traditional methods are time or repetition based rather than proficiency (communication, teamwork, affective domains) based.
Dr. Richstone called for an embrace of simulation for validated procedure specific models, such as: cystoscopy, ureteroscopy and PCNL, Lap radical/partial, ureteral reimplantation, robotic partial and radical nephrectomies. In terms of evaluation of proficiency, Dr. Richstone recommended several validated assessment tools, including: simulator performance metrics, Global Evaluative Assessment of Robotic Skills (GEARS) and Crowdsourced Assessment of Technical Skill (CSATS).
Because standardization of training would be costly, time consuming, and resource and expertise dependent, Dr. Richstone proposed centralized curricula that are feasible and validated. Dr. Richstone concluded with a call to action: create a centralized approach to the standardization of training highlighting several key features: technical/nontechnical domains, incorporate simulation, validated assessment tools, and consider the cost/feasibility.
Presented by: Lee Richstone, MD
Affiliation: Northwell Health, Smith Institute for Urology, North Shore University Hospital New Hyde Park, New York
Written by: Taylor Capretz, Department of Urology, University of California-Irvine at 35th World Congress of Endourology– September 12-16, 2017, Vancouver, Canada.