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- Title
High educational impact of a national simulation-based urological curriculum including technical and non-technical skills.
- Authors
Vries, Anna; Schout, Barbara; Merriënboer, Jeroen; Pelger, Rob; Koldewijn, Evert; Muijtjens, Arno; Wagner, Cordula; de Vries, Anna H; Schout, Barbara M A; van Merriënboer, Jeroen J G; Pelger, Rob C M; Koldewijn, Evert L; Muijtjens, Arno M M
- Abstract
<bold>Background: </bold>Although simulation training is increasingly used to meet modern technology and patient safety demands, its successful integration within surgical curricula is still rare. The Dutch Urological Practical Skills (D-UPS) curriculum provides modular simulation-based training of technical and non-technical basic urological skills in the local hospital setting. This study aims to assess the educational impact of implementing the D-UPS curriculum in the Netherlands and to provide focus points for improvement of the D-UPS curriculum according to the participants.<bold>Methods: </bold>Educational impact was assessed by means of qualitative individual module-specific feedback and a quantitative cross-sectional survey among residents and supervisors. Twenty out of 26 Dutch teaching hospitals participated. The survey focussed on practical aspects, the D-UPS curriculum in general, and the impact of the D-UPS curriculum on the development of technical and non-technical skills.<bold>Results: </bold>A considerable survey response of 95 % for residents and 76 % for supervisors was obtained. Modules were attended by junior and senior residents, supervised by a urologist, and peer teaching was used. Ninety percent of supervisors versus 67 % of residents judged the D-UPS curriculum as an important addition to current residency training (p = 0.007). Participants' aggregated general judgement of the modules showed a substantial percentage favorable score (M ± SE: 57 ± 4 %). The impact of training on, e.g., knowledge of materials/equipment and ability to anticipate on complications was high, especially for junior residents (77 ± 5 and 71 ± 7 %, respectively). Focus points for improvement of the D-UPS curriculum according to the participants include adaptation of the training level to residents' level of experience and focus on logistics.<bold>Conclusion: </bold>The simulation-based D-UPS curriculum has a high educational impact. Residents and supervisors consider the curriculum to be an important addition to current residency training. Focus points for improvement of the D-UPS curriculum according to the participants include increased attention to logistics and integration of a spiral learning approach.
- Subjects
UROLOGY; PATIENT safety; CURRICULUM; UROLOGISTS; LOGISTICS; EDUCATION; TRAINING
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2017, Vol 31, Issue 2, p928
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-016-5060-1