Validity of a sponge trainer as a simple training model for percutaneous renal access

Objective: To evaluate the efficacy of our simply designed trainer for junior urologists to acquire the initial skills for percutaneous renal access (PRA). Subjects and methods: Three sponge sheets (60 × 50 × 10 cm) were arranged horizontally over each other. A rectangular groove was made in the mid...

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Autores principales: Ahmad M. Tawfik, Ahmed S. El-Abd, Mohamed Abo El-Enen, Yasser A. Farahat, Mohamed A. El-Bendary, Osama M. El-Gamal, Mohamed G. Soliman, Abdelhameed M. El-Bahnasy, Mohamed Rasheed
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Publicado: Taylor & Francis Group 2017
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Acceso en línea:https://doaj.org/article/f5a2182a18834ae6acc69a71a0c4fc69
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spelling oai:doaj.org-article:f5a2182a18834ae6acc69a71a0c4fc692021-12-02T12:07:16ZValidity of a sponge trainer as a simple training model for percutaneous renal access2090-598X10.1016/j.aju.2017.04.002https://doaj.org/article/f5a2182a18834ae6acc69a71a0c4fc692017-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300669https://doaj.org/toc/2090-598XObjective: To evaluate the efficacy of our simply designed trainer for junior urologists to acquire the initial skills for percutaneous renal access (PRA). Subjects and methods: Three sponge sheets (60 × 50 × 10 cm) were arranged horizontally over each other. A rectangular groove was made in the middle sheet to accommodate an inflated balloon of a Foley catheter, radio-opaque metal balls, metal rings, or a plastic tube that were sequentially placed for the four training tasks. In each session, 18 trainees were asked to pass a fluoroscopically guided puncture needle from a surface point to the placed object in middle sheet. Clinical impact of training was evaluated by an experience survey on a 5-piont Likert scale (for model usefulness, tactile and fluoroscopic-guidance feedback) and success rate in further mentored practice. Results: There was a gradual increase in tasks’ and sessions’ scores over the training sessions. According to the experience survey after first clinical practice, the mean (SD) score for overall model usefulness by trainees was 3.8 (0.9) with high fluoroscopic guidance reality [3.6 (1.1)] but poor tactile realism [2.3 (0.9)]. On mentored PRA, the success rate for trainees was 78.3%. Conclusion: Our early evaluation showed our novel, cost-effective and reproducible sponge trainer could be an effective training model for PRA with a beneficial impact on subsequent clinical practice.Ahmad M. TawfikAhmed S. El-AbdMohamed Abo El-EnenYasser A. FarahatMohamed A. El-BendaryOsama M. El-GamalMohamed G. SolimanAbdelhameed M. El-BahnasyMohamed RasheedTaylor & Francis GrouparticlePCNLPercutaneous renal access (PRA)Training modelModel validityDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 3, Pp 204-210 (2017)
institution DOAJ
collection DOAJ
language EN
topic PCNL
Percutaneous renal access (PRA)
Training model
Model validity
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle PCNL
Percutaneous renal access (PRA)
Training model
Model validity
Diseases of the genitourinary system. Urology
RC870-923
Ahmad M. Tawfik
Ahmed S. El-Abd
Mohamed Abo El-Enen
Yasser A. Farahat
Mohamed A. El-Bendary
Osama M. El-Gamal
Mohamed G. Soliman
Abdelhameed M. El-Bahnasy
Mohamed Rasheed
Validity of a sponge trainer as a simple training model for percutaneous renal access
description Objective: To evaluate the efficacy of our simply designed trainer for junior urologists to acquire the initial skills for percutaneous renal access (PRA). Subjects and methods: Three sponge sheets (60 × 50 × 10 cm) were arranged horizontally over each other. A rectangular groove was made in the middle sheet to accommodate an inflated balloon of a Foley catheter, radio-opaque metal balls, metal rings, or a plastic tube that were sequentially placed for the four training tasks. In each session, 18 trainees were asked to pass a fluoroscopically guided puncture needle from a surface point to the placed object in middle sheet. Clinical impact of training was evaluated by an experience survey on a 5-piont Likert scale (for model usefulness, tactile and fluoroscopic-guidance feedback) and success rate in further mentored practice. Results: There was a gradual increase in tasks’ and sessions’ scores over the training sessions. According to the experience survey after first clinical practice, the mean (SD) score for overall model usefulness by trainees was 3.8 (0.9) with high fluoroscopic guidance reality [3.6 (1.1)] but poor tactile realism [2.3 (0.9)]. On mentored PRA, the success rate for trainees was 78.3%. Conclusion: Our early evaluation showed our novel, cost-effective and reproducible sponge trainer could be an effective training model for PRA with a beneficial impact on subsequent clinical practice.
format article
author Ahmad M. Tawfik
Ahmed S. El-Abd
Mohamed Abo El-Enen
Yasser A. Farahat
Mohamed A. El-Bendary
Osama M. El-Gamal
Mohamed G. Soliman
Abdelhameed M. El-Bahnasy
Mohamed Rasheed
author_facet Ahmad M. Tawfik
Ahmed S. El-Abd
Mohamed Abo El-Enen
Yasser A. Farahat
Mohamed A. El-Bendary
Osama M. El-Gamal
Mohamed G. Soliman
Abdelhameed M. El-Bahnasy
Mohamed Rasheed
author_sort Ahmad M. Tawfik
title Validity of a sponge trainer as a simple training model for percutaneous renal access
title_short Validity of a sponge trainer as a simple training model for percutaneous renal access
title_full Validity of a sponge trainer as a simple training model for percutaneous renal access
title_fullStr Validity of a sponge trainer as a simple training model for percutaneous renal access
title_full_unstemmed Validity of a sponge trainer as a simple training model for percutaneous renal access
title_sort validity of a sponge trainer as a simple training model for percutaneous renal access
publisher Taylor & Francis Group
publishDate 2017
url https://doaj.org/article/f5a2182a18834ae6acc69a71a0c4fc69
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