Skip to main content

27.03.2019 | Original Article

Validation of the endoscopic stone treatment step 1 (EST-s1): a novel EAU training and assessment tool for basic endoscopic stone treatment skills—a collaborative work by ESU, ESUT and EULIS

verfasst von: Domenico Veneziano, Achilles Ploumidis, Silvia Proietti, Theodoros Tokas, Guido Kamphuis, Giovanni Tripepi, Ben Van Cleynenbreugel, Ali Gozen, Alberto Breda, Joan Palou, Kemal Sarica, Evangelos Liatsikos, Kamran Ahmed, Bhaskar K. Somani, ESU Training Group

Erschienen in: World Journal of Urology

Einloggen, um Zugang zu erhalten

Abstract

Introduction

The endoscopic stone treatment step 1 (EST s1) protocol has been developed after 2 years of collaborative work between different European Association of Urology (EAU) sections.

Objectives

In this study, we added construct validity evidence to the EST s1 curriculum.

Materials and methods

The EST-s1 curriculum includes four standardized tasks: flexible cystoscopy, rigid cystoscopy, semi-rigid URS and flexible URS. Validation was performed during the annual 2016 EUREP meeting in Prague. 124 participants provided information on their endoscopic logbook and carried out these 4 tasks during a DVD recorded session. Recordings were anonymized and blindly assessed independently by five proctors. Inter-rater reliability was checked on a sample of five videos by the calculation of intra-class correlation coefficient. Task-specific clinical background of participants was correlated with their personal performance on the simulator. Breakpoint analysis was used to define the minimum number of performed cases, to be considered “proficient”. “Proficient” and “Non-proficient” groups were compared for construct validity assessment. Likert scale-based questionnaires were used to test content and to comment on when the EST-s1 exams should be undertaken within the residency program.

Results

124 participants (105 final-year residents and 19 faculty members) took part in this study. The breakpoint analysis showed a significant change in performance curve at 36, 41, 67 and 206 s, respectively, corresponding to 30, 60, 25 and 120 clinical cases for each of the 4 tasks. EST-s1 was scored as a valid training tool, correctly representing the procedures performed in each task. Experts felt that this curriculum is best used during the third year of residency training.

Conclusion

Our validation study successfully demonstrated correlation between clinical expertise and EST-s1 tasks, adding construct validity evidence to it. Our work also demonstrates the successful collaboration established within various EAU sections.
Literatur
1.
Zurück zum Zitat Geraghty R, Jones P, Somani BK (2017) Worldwide trends of urinary stone disease treatment over the last two decades: a systematic review. J Endourol 31(6):547–556CrossRef Geraghty R, Jones P, Somani BK (2017) Worldwide trends of urinary stone disease treatment over the last two decades: a systematic review. J Endourol 31(6):547–556CrossRef
2.
Zurück zum Zitat Brunckhorst O, Aydin A, Abboudi H, et al. Simulation-based ureteroscopy training: a systematic review. J Surg Educ. 2015;72(1):135-43.CrossRef Brunckhorst O, Aydin A, Abboudi H, et al. Simulation-based ureteroscopy training: a systematic review. J Surg Educ. 2015;72(1):135-43.CrossRef
4.
Zurück zum Zitat Veneziano D, Ahmed K, Van Cleynenbreugel BSEP, Gözen AS, Palou J, Sarica K, Liatsikos EN, Sanguedolce F, Honeck P, Alvarez-Maestro M, Papatsoris A, Kallidonis P, Greco F, Breda A, Somani B (2017) Development methodology of the novel endoscopic stone treatment step 1 (EST s1) training/assessment curriculum. J Endourol. https://doi.org/10.1089/end.2017.0248 CrossRefPubMed Veneziano D, Ahmed K, Van Cleynenbreugel BSEP, Gözen AS, Palou J, Sarica K, Liatsikos EN, Sanguedolce F, Honeck P, Alvarez-Maestro M, Papatsoris A, Kallidonis P, Greco F, Breda A, Somani B (2017) Development methodology of the novel endoscopic stone treatment step 1 (EST s1) training/assessment curriculum. J Endourol. https://​doi.​org/​10.​1089/​end.​2017.​0248 CrossRefPubMed
5.
Zurück zum Zitat Türk C, Neisius A, Petrik A, Seitz C, Skolarikos A, Tepeler A, Thomas K, Dabestani S, Drake T, Grivas N, Ruhayel Y (2017) EAU guidelines on urolithiasis Türk C, Neisius A, Petrik A, Seitz C, Skolarikos A, Tepeler A, Thomas K, Dabestani S, Drake T, Grivas N, Ruhayel Y (2017) EAU guidelines on urolithiasis
6.
Zurück zum Zitat Hananel D, Stubbs J, Sweet R (2015) Simulator development—from idea to prototype to product. In: Aggarwal R, Korndorfer J, Cannon-Bowers J (ed) ACS principles and practice for simulation and surgical education research. American College of Surgeons, Chicago, pp 138–152 Hananel D, Stubbs J, Sweet R (2015) Simulator development—from idea to prototype to product. In: Aggarwal R, Korndorfer J, Cannon-Bowers J (ed) ACS principles and practice for simulation and surgical education research. American College of Surgeons, Chicago, pp 138–152
7.
Zurück zum Zitat Brinkman W, Tjiam IM, Schout BMA, Hendrikx AJM, Witjes JA, Scherpbier AJJA, et al. Designing simulator-based training for nephrostomy procedure: an integrated approach of cognitive task analysis (CTA) and 4-component instructional design (4C/ID). J Endourol. 2011;25:A29-A Brinkman W, Tjiam IM, Schout BMA, Hendrikx AJM, Witjes JA, Scherpbier AJJA, et al. Designing simulator-based training for nephrostomy procedure: an integrated approach of cognitive task analysis (CTA) and 4-component instructional design (4C/ID). J Endourol. 2011;25:A29-A
11.
Zurück zum Zitat Korndorffer JR, Kasten SJ, Downing SM (2010) A call for the utilization of consensus standards in the surgical education literature. Am J Surg 199(1):99–104CrossRef Korndorffer JR, Kasten SJ, Downing SM (2010) A call for the utilization of consensus standards in the surgical education literature. Am J Surg 199(1):99–104CrossRef
12.
Zurück zum Zitat Sweet RM, Hananel D, Lawrenz F (2010) A unified approach to validation, reliability, and education design for for surgical technical skills training. Arch Surg 145(2):197–201CrossRef Sweet RM, Hananel D, Lawrenz F (2010) A unified approach to validation, reliability, and education design for for surgical technical skills training. Arch Surg 145(2):197–201CrossRef
13.
Zurück zum Zitat Goldenberg M, Lee JY (2018) Surgical education, simulation, and simulators—updating the concept of validity. Curr Urol Rep 19:52CrossRef Goldenberg M, Lee JY (2018) Surgical education, simulation, and simulators—updating the concept of validity. Curr Urol Rep 19:52CrossRef
14.
Zurück zum Zitat Vassiliou MC, Feldman LS, Andrew CG, Bergman S, Leffondrè K, Stanbridge D, Fried GM (2005) A global assessment tool for evaluation of intraoperative laparoscopic skills. Am J Surg 190:107–113CrossRef Vassiliou MC, Feldman LS, Andrew CG, Bergman S, Leffondrè K, Stanbridge D, Fried GM (2005) A global assessment tool for evaluation of intraoperative laparoscopic skills. Am J Surg 190:107–113CrossRef
15.
Zurück zum Zitat Jones RH, Molitoris BA (1984 Aug 15) A statistical method for determining the breakpoint of two lines. Anal Biochem 141(1):287–290CrossRef Jones RH, Molitoris BA (1984 Aug 15) A statistical method for determining the breakpoint of two lines. Anal Biochem 141(1):287–290CrossRef
16.
Zurück zum Zitat Sarmah P, Voss J, Ho A, Veneziano D, Somani B. Low vs high fidelity: the importance of ‘realism’ in the simulation of a stone treatment procedure. Curr Opin Urol. 2017;27:316–322.CrossRef Sarmah P, Voss J, Ho A, Veneziano D, Somani B. Low vs high fidelity: the importance of ‘realism’ in the simulation of a stone treatment procedure. Curr Opin Urol. 2017;27:316–322.CrossRef
17.
Zurück zum Zitat Brinkman WM, Tjiam IM, Schout BMA, Muijtjens AMM, Van Cleynenbreugel B, Koldewijn EL et al (2014) Results of the European basic laparoscopic urological skills examination. Eur Urol. 65(2):490–496CrossRef Brinkman WM, Tjiam IM, Schout BMA, Muijtjens AMM, Van Cleynenbreugel B, Koldewijn EL et al (2014) Results of the European basic laparoscopic urological skills examination. Eur Urol. 65(2):490–496CrossRef
20.
Zurück zum Zitat Kowalewski TM, Sweet R, Lendvay TS et al (2015) Validation of the AUA BLUS tasks. J Urol 195:998–1005CrossRef Kowalewski TM, Sweet R, Lendvay TS et al (2015) Validation of the AUA BLUS tasks. J Urol 195:998–1005CrossRef
21.
Zurück zum Zitat Regehr G, MacRae H, Reznick RK et al (1998) Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination. Acad Med 73:993–997CrossRef Regehr G, MacRae H, Reznick RK et al (1998) Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination. Acad Med 73:993–997CrossRef
23.
Zurück zum Zitat Brunckhorst O, Shadid S, Aydin A, Khan S, Mcllhenny C, Brewin J (2015) The relationship between technical and nontechnical skills within a simulation-based ureteroscopy training environment. J Surg Educ 72(5):1039–1044CrossRef Brunckhorst O, Shadid S, Aydin A, Khan S, Mcllhenny C, Brewin J (2015) The relationship between technical and nontechnical skills within a simulation-based ureteroscopy training environment. J Surg Educ 72(5):1039–1044CrossRef
Metadaten
Titel
Validation of the endoscopic stone treatment step 1 (EST-s1): a novel EAU training and assessment tool for basic endoscopic stone treatment skills—a collaborative work by ESU, ESUT and EULIS
verfasst von
Domenico Veneziano
Achilles Ploumidis
Silvia Proietti
Theodoros Tokas
Guido Kamphuis
Giovanni Tripepi
Ben Van Cleynenbreugel
Ali Gozen
Alberto Breda
Joan Palou
Kemal Sarica
Evangelos Liatsikos
Kamran Ahmed
Bhaskar K. Somani
ESU Training Group
Publikationsdatum
27.03.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
World Journal of Urology
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-019-02736-4

Patrone im Penis bringt Urologen in Gefahr

30.05.2024 Operationen am Penis Nachrichten

In Lebensgefahr brachte ein junger Mann nicht nur sich selbst, sondern auch das urologische Team, das ihm zu Hilfe kam: Er hatte sich zur Selbstbefriedigung eine scharfe Patrone in die Harnröhre gesteckt.

15% bedauern gewählte Blasenkrebs-Therapie

29.05.2024 Urothelkarzinom Nachrichten

Ob Patienten und Patientinnen mit neu diagnostiziertem Blasenkrebs ein Jahr später Bedauern über die Therapieentscheidung empfinden, wird einer Studie aus England zufolge von der Radikalität und dem Erfolg des Eingriffs beeinflusst.

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.