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Aydin, Abdullatif; Ahmed, Kamran; Raison, Nicholas; Abe, Takashige; Brunckhorst, Oliver; Van Hemelrijck, Mieke; Ahmed, Hashim; Shinohara, Nobuo; Zhu, Wei; Zeng, Guohua; Sfakianos, John; Tewari, Ashutosh; Gözen, Ali; Rassweiler, Jens; Skolarikos, Andreas; Kunit, Thomas; Knoll, Thoman; Moltzahn, Felix; Thalmann, George; Powers, Andrea Lantz; Chew, Ben; Khan, Muhammad Shamim; Dasgupta, Prokar

671 The Effect of Supplementary Simulation-Based Procedural Training: The SIMULATE Randomised Controlled Clinical and Educational Trial

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  • Medientyp: E-Artikel
  • Titel: 671 The Effect of Supplementary Simulation-Based Procedural Training: The SIMULATE Randomised Controlled Clinical and Educational Trial
  • Beteiligte: Aydin, Abdullatif; Ahmed, Kamran; Raison, Nicholas; Abe, Takashige; Brunckhorst, Oliver; Van Hemelrijck, Mieke; Ahmed, Hashim; Shinohara, Nobuo; Zhu, Wei; Zeng, Guohua; Sfakianos, John; Tewari, Ashutosh; Gözen, Ali; Rassweiler, Jens; Skolarikos, Andreas; Kunit, Thomas; Knoll, Thoman; Moltzahn, Felix; Thalmann, George; Powers, Andrea Lantz; Chew, Ben; Khan, Muhammad Shamim; Dasgupta, Prokar
  • Erschienen: Oxford University Press (OUP), 2022
  • Erschienen in: British Journal of Surgery
  • Sprache: Englisch
  • DOI: 10.1093/bjs/znac268.044
  • ISSN: 0007-1323; 1365-2168
  • Schlagwörter: Surgery
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Aim</jats:title> <jats:p>To evaluate whether surgical trainees undergoing additional simulation, compared to conventional training, are able to achieve proficiency sooner with better patient outcomes.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>This international, multicentre randomised controlled superiority trial recruited urology trainees (n=94) who had performed ≤10 ureterorenoscopy (URS) cases, as a selected index procedure, with no prior simulation experience. Recruits were randomised to simulation-based training or non-simulation-based training groups, the latter of which is the current standard of training. Training sessions were conducted for the simulation arm, utilising an expert-developed multi-modality training curriculum. The primary outcome was the number of procedures required to achieve proficiency, defined as achieving a score of ≥28 on an OSATS scale, on 3 consecutive operations, without complications. Inpatient surgical complications were also recorded. All participants were followed up for 25 procedures or over 18 months.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>A total of 1140 cases were performed by 65 participants where proficiency was achieved in 21 simulation and 18 conventional participants over a median of 8 and 9 procedures, respectively (HR: 1.41 [95% CI 0.72–2.75]). More participants reached proficiency in the simulation arm in flexible ureterorenoscopy, requiring fewer number of procedures (HR 0.89 [95% CI 0.39–2.02]). Significant differences were observed in overall comparison of OSATS scores between groups (mean difference 1.42 [95% CI 0.91–1.92]; p&amp;lt;0.001), with fewer total complications (15 vs 37; p=0.003) and ureteric injuries (3 vs 9; p&amp;lt;0.001) in the simulation group.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>Simulation-based training demonstrated higher overall proficiency and fewer procedures were required to achieve proficiency in the complex form of the index procedure with surgical complications.</jats:p> </jats:sec>