[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:	Yasser Noureldin, David Hoening, Philip Zhao, Sammy Elsamra, Joshua Stern, Geoffrey Gaunay, Piruz Motamedinia, Zeph Okeke, Ardeshir Rastinehad, Robert Sweet
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/056e392258ae4a3ba615699c49840263
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spelling	oai:doaj.org-article:056e392258ae4a3ba615699c498402632021-12-02T12:07:16Z[3] Incorporation of the fluoroless C-Arm Trainer at the American Urological Association hands-on training of percutaneous renal access: Pilot study2090-598X10.1016/j.aju.2018.10.050https://doaj.org/article/056e392258ae4a3ba615699c498402632018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X1830144Xhttps://doaj.org/toc/2090-598XObjective: 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.Yasser NoureldinDavid HoeningPhilip ZhaoSammy ElsamraJoshua SternGeoffrey GaunayPiruz MotamediniaZeph OkekeArdeshir RastinehadRobert SweetTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S3- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Yasser Noureldin David Hoening Philip Zhao Sammy Elsamra Joshua Stern Geoffrey Gaunay Piruz Motamedinia Zeph Okeke Ardeshir Rastinehad Robert Sweet [3] Incorporation of the fluoroless C-Arm Trainer at the American Urological Association hands-on training of percutaneous renal access: Pilot study
description	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.
format	article
author	Yasser Noureldin David Hoening Philip Zhao Sammy Elsamra Joshua Stern Geoffrey Gaunay Piruz Motamedinia Zeph Okeke Ardeshir Rastinehad Robert Sweet
author_facet	Yasser Noureldin David Hoening Philip Zhao Sammy Elsamra Joshua Stern Geoffrey Gaunay Piruz Motamedinia Zeph Okeke Ardeshir Rastinehad Robert Sweet
author_sort	Yasser Noureldin
title	[3] Incorporation of the fluoroless C-Arm Trainer at the American Urological Association hands-on training of percutaneous renal access: Pilot study
title_short	[3] Incorporation of the fluoroless C-Arm Trainer at the American Urological Association hands-on training of percutaneous renal access: Pilot study
title_full	[3] Incorporation of the fluoroless C-Arm Trainer at the American Urological Association hands-on training of percutaneous renal access: Pilot study
title_fullStr	[3] Incorporation of the fluoroless C-Arm Trainer at the American Urological Association hands-on training of percutaneous renal access: Pilot study
title_full_unstemmed	[3] Incorporation of the fluoroless C-Arm Trainer at the American Urological Association hands-on training of percutaneous renal access: Pilot study
title_sort	[3] incorporation of the fluoroless c-arm trainer at the american urological association hands-on training of percutaneous renal access: pilot study
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/056e392258ae4a3ba615699c49840263
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[3] Incorporation of the fluoroless C-Arm Trainer at the American Urological Association hands-on training of percutaneous renal access: Pilot study

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