A Novel Cadaveric Simulation Program in Urology

作者：Ahmed Kamran^*; Aydin Abdullatif; Dasgupta Prokar; Khan Muhammad Shamim; McCabe John E

来源：Journal of Surgical Education, 2015, 72(4): 556-565.

DOI：10.1016/j.jsurg.2015.01.005

• surgical education
• fresh-frozen cadavers
• urology
• surgical simulation
• procedural training

OBJECTIVE: To evaluate the urology human cadaver training program developed by the British Association of Urological Surgeons.
DESIGN: This prospective, observational comparative study recruited urology residents, with different levels of experience, in 2 sessions of a 3-day modular cadaveric operative urology training. Participants performed various procedures on fresh-frozen cadaveric specimens, as per module, supervised by certified urological surgeons. At the conclusion of each module, all residents and faculty were invited to complete an evaluation survey.
SETTING: The training days were hosted by the British Association of Urological Surgeons at the University of Manchester Surgical Skills and Simulation Centre.
PARTICIPANTS: A total of 81 urology residents were recruited, with a maximum of 14 participants attending each module, over 2 sessions. We allocated 2 participants to each cadaver with access to all necessary equipment and guidance.
RESULTS: A total of 102 evaluation surveys were received from the trainees and faculty; a response rate of 94%. All procedures scored a mean of 3 on 5 for face validity, which is higher than the acceptability range. Regarding content validity, participants and faculty rated all aspects >= 3 on 5. Respondents held a positive view of the cadaver sessions and believed them to be useful for learning anatomy and steps of an operation (mean = 4.54) and as a confidence booster for performing a procedure (mean = 4.33). Furthermore, it was thought that the training program significantly improved skills (mean = 4.11), gave transferrable skills for the operating room (mean = 4.21), and was feasible to be incorporated into training programs (mean = 4.29). Human cadaveric simulation was rated as the best mode of simulation-based training for all the procedures in the curriculum.
CONCLUSIONS: This study on cadaveric simulation training demonstrated face and content validities. It also showed feasibility, acceptability, a high value for educational influence and cost-effectiveness for cadaveric simulation. A simulation-based training pathway has been proposed for effective procedural training in urology.

• 出版日期2015-8