[3] Incorporation of the fluoroless C-Arm Trainer at the American Urological Association hands-on training of percutaneous renal access: Pilot study
Objective: To assess the usefulness of incorporating the C-Arm Trainer (CAT) simulator into the annual American Urological Association (AUA) hands-on course for training of the percutaneous nephrolithotomy (PCNL) procedure. Methods: This prospective study was conducted during the annual meeting of t...
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| Autores principales: | , , , , , , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Taylor & Francis Group
2018
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/056e392258ae4a3ba615699c49840263 |
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| Sumario: | Objective: To assess the usefulness of incorporating the C-Arm Trainer (CAT) simulator into the annual American Urological Association (AUA) hands-on course for training of the percutaneous nephrolithotomy (PCNL) procedure. Methods: This prospective study was conducted during the annual meeting of the AUA in 2017. The course included four stations for training the ‘bull’s eye’ technique for obtaining fluoroscopic-guided percutaneous renal access (PCA) using the CAT. After a didactic session, all participants were asked to complete a short questionnaire and undergo a pre-test to obtain a PCA in the posterior middle calyx. This was followed by 30-min practice on the simulator prior to undergoing a post-test. All participants were assessed during the pre-test and the post-test using a four-item checklist. Furthermore, all participants were asked to complete a qualitative analysis self-assessment questionnaire after the pre- and the post-test. Immediately after the course, all participants were invited to complete a course evaluation questionnaire. At 2 months after the course, all participants were asked to respond to a post-course survey to assess the usefulness and clinical impact of the course. Results: A total of 38 physicians, who attended the hands-on course, voluntarily participated in the study. Most of them were attending urologists (79%), with a mean of 9-years of independent practice. Only 21.1% had previous practice on PCNL simulators. Compared with the pre-test, there was significant improvement in the checklist total score (P < 0.001), temporal demands (P = 0.003), situational stress (P = 0.003), and performance (P=0.003) during the post-test. The participants considered the CAT very useful for training in PCA (score 5.3/6). A total of 14 (36%) participants responded to the course evaluation questionnaire, seven (50%) evaluated the course as excellent, four (28.6%) as very good, and three (21.4%) as good. Conclusion: The CAT simulator was considered useful for training in PCA. There was significant improvement in the qualitative and quantitative parameters during the post-test compared with the pre-test. |
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