nach oben

27.03.2019 | Original Article

Validation of the endoscopic stone treatment step 1 (EST-s1): a novel EAU training and assessment tool for basic endoscopic stone treatment skills—a collaborative work by ESU, ESUT and EULIS

verfasst von: Domenico Veneziano, Achilles Ploumidis, Silvia Proietti, Theodoros Tokas, Guido Kamphuis, Giovanni Tripepi, Ben Van Cleynenbreugel, Ali Gozen, Alberto Breda, Joan Palou, Kemal Sarica, Evangelos Liatsikos, Kamran Ahmed, Bhaskar K. Somani, ESU Training Group

Erschienen in: World Journal of Urology

Einloggen, um Zugang zu erhalten

Abstract

Introduction

The endoscopic stone treatment step 1 (EST s1) protocol has been developed after 2 years of collaborative work between different European Association of Urology (EAU) sections.

Objectives

In this study, we added construct validity evidence to the EST s1 curriculum.

Materials and methods

The EST-s1 curriculum includes four standardized tasks: flexible cystoscopy, rigid cystoscopy, semi-rigid URS and flexible URS. Validation was performed during the annual 2016 EUREP meeting in Prague. 124 participants provided information on their endoscopic logbook and carried out these 4 tasks during a DVD recorded session. Recordings were anonymized and blindly assessed independently by five proctors. Inter-rater reliability was checked on a sample of five videos by the calculation of intra-class correlation coefficient. Task-specific clinical background of participants was correlated with their personal performance on the simulator. Breakpoint analysis was used to define the minimum number of performed cases, to be considered “proficient”. “Proficient” and “Non-proficient” groups were compared for construct validity assessment. Likert scale-based questionnaires were used to test content and to comment on when the EST-s1 exams should be undertaken within the residency program.

Results

124 participants (105 final-year residents and 19 faculty members) took part in this study. The breakpoint analysis showed a significant change in performance curve at 36, 41, 67 and 206 s, respectively, corresponding to 30, 60, 25 and 120 clinical cases for each of the 4 tasks. EST-s1 was scored as a valid training tool, correctly representing the procedures performed in each task. Experts felt that this curriculum is best used during the third year of residency training.

Conclusion

Our validation study successfully demonstrated correlation between clinical expertise and EST-s1 tasks, adding construct validity evidence to it. Our work also demonstrates the successful collaboration established within various EAU sections.

Geraghty R, Jones P, Somani BK (2017) Worldwide trends of urinary stone disease treatment over the last two decades: a systematic review. J Endourol 31(6):547–556CrossRef

Brunckhorst O, Aydin A, Abboudi H, et al. Simulation-based ureteroscopy training: a systematic review. J Surg Educ. 2015;72(1):135-43.CrossRef

Seitz C, Fajkovic H (2014) Training in ureteroscopy for urolithiasis. Arab J Urol 12(1):42–48. https://doi.org/10.1016/j.aju.2013.08.010 CrossRefPubMed

Veneziano D, Ahmed K, Van Cleynenbreugel BSEP, Gözen AS, Palou J, Sarica K, Liatsikos EN, Sanguedolce F, Honeck P, Alvarez-Maestro M, Papatsoris A, Kallidonis P, Greco F, Breda A, Somani B (2017) Development methodology of the novel endoscopic stone treatment step 1 (EST s1) training/assessment curriculum. J Endourol. https://doi.org/10.1089/end.2017.0248 CrossRefPubMed

Türk C, Neisius A, Petrik A, Seitz C, Skolarikos A, Tepeler A, Thomas K, Dabestani S, Drake T, Grivas N, Ruhayel Y (2017) EAU guidelines on urolithiasis

Hananel D, Stubbs J, Sweet R (2015) Simulator development—from idea to prototype to product. In: Aggarwal R, Korndorfer J, Cannon-Bowers J (ed) ACS principles and practice for simulation and surgical education research. American College of Surgeons, Chicago, pp 138–152

Brinkman W, Tjiam IM, Schout BMA, Hendrikx AJM, Witjes JA, Scherpbier AJJA, et al. Designing simulator-based training for nephrostomy procedure: an integrated approach of cognitive task analysis (CTA) and 4-component instructional design (4C/ID). J Endourol. 2011;25:A29-A

Khamis NN, Satava RM, Alnassar SA, Kern DE (2016) A stepwise model for simulation-based curriculum development for clinical skills, a modification of the six-step approach. Surg Endosc 30(1):279–287. https://doi.org/10.1007/s00464-015-4206-x CrossRef

EST s1 video instructions. https://uroweb.org/education/online-education/surgicaleducation/endoscopic-stone-treatment-est/

10.

Messick S (1994) Validity of psychological assessment: validation of inferences from persons' responses and performance as scientific inquiry into score meaning. Am Psychol 50:741–749. https://doi.org/10.1037/0003-066X.50.9.741 CrossRef

11.

Korndorffer JR, Kasten SJ, Downing SM (2010) A call for the utilization of consensus standards in the surgical education literature. Am J Surg 199(1):99–104CrossRef

12.

Sweet RM, Hananel D, Lawrenz F (2010) A unified approach to validation, reliability, and education design for for surgical technical skills training. Arch Surg 145(2):197–201CrossRef

13.

Goldenberg M, Lee JY (2018) Surgical education, simulation, and simulators—updating the concept of validity. Curr Urol Rep 19:52CrossRef

14.

Vassiliou MC, Feldman LS, Andrew CG, Bergman S, Leffondrè K, Stanbridge D, Fried GM (2005) A global assessment tool for evaluation of intraoperative laparoscopic skills. Am J Surg 190:107–113CrossRef

15.

Jones RH, Molitoris BA (1984 Aug 15) A statistical method for determining the breakpoint of two lines. Anal Biochem 141(1):287–290CrossRef

16.

Sarmah P, Voss J, Ho A, Veneziano D, Somani B. Low vs high fidelity: the importance of ‘realism’ in the simulation of a stone treatment procedure. Curr Opin Urol. 2017;27:316–322.CrossRef

17.

Brinkman WM, Tjiam IM, Schout BMA, Muijtjens AMM, Van Cleynenbreugel B, Koldewijn EL et al (2014) Results of the European basic laparoscopic urological skills examination. Eur Urol. 65(2):490–496CrossRef

18.

Fried GM. FLS assessment of competency using simulated laparoscopic tasks. J Gastrointest Surg. 2008;12(2):210–2. https://doi.org/10.1007/s00345-015-1657-6(World J Urol) CrossRefPubMed

19.

Veneziano D, Minervini A, Beatty J et al (2016 Apr) Construct, content and face validity of the camera handling trainer (CHT): a new E-BLUS training task for 30° laparoscope navigation skills. World J Urol 34(4):479–484. https://doi.org/10.1007/s00345-015-1657-6(Epub 2015 Aug 6) CrossRefPubMed

20.

Kowalewski TM, Sweet R, Lendvay TS et al (2015) Validation of the AUA BLUS tasks. J Urol 195:998–1005CrossRef

21.

Regehr G, MacRae H, Reznick RK et al (1998) Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination. Acad Med 73:993–997CrossRef

22.

Wood TC, Raison N, Haldar S et al (2016) Training tools for nontechnical skills for surgeons—a systematic review. J Surg Educ. https://doi.org/10.1016/j.jsurg.2016.11.017 CrossRefPubMed

23.

Brunckhorst O, Shadid S, Aydin A, Khan S, Mcllhenny C, Brewin J (2015) The relationship between technical and nontechnical skills within a simulation-based ureteroscopy training environment. J Surg Educ 72(5):1039–1044CrossRef

Titel: Validation of the endoscopic stone treatment step 1 (EST-s1): a novel EAU training and assessment tool for basic endoscopic stone treatment skills—a collaborative work by ESU, ESUT and EULIS
verfasst von: Domenico Veneziano
Achilles Ploumidis
Silvia Proietti
Theodoros Tokas
Guido Kamphuis
Giovanni Tripepi
Ben Van Cleynenbreugel
Ali Gozen
Alberto Breda
Joan Palou
Kemal Sarica
Evangelos Liatsikos
Kamran Ahmed
Bhaskar K. Somani
ESU Training Group
Publikationsdatum: 27.03.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: World Journal of Urology
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-019-02736-4

Neu im Fachgebiet Urologie

Alphablocker schützt vor Miktionsproblemen nach der Biopsie

16.05.2024 alpha-1-Rezeptorantagonisten Nachrichten

Nach einer Prostatabiopsie treten häufig Probleme beim Wasserlassen auf. Ob sich das durch den periinterventionellen Einsatz von Alphablockern verhindern lässt, haben australische Mediziner im Zuge einer Metaanalyse untersucht.

Neue S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Viel pflanzliche Nahrung, seltener Prostata-Ca.-Progression

12.05.2024 Prostatakarzinom Nachrichten

Ein hoher Anteil pflanzlicher Nahrung trägt möglicherweise dazu bei, das Progressionsrisiko von Männern mit Prostatakarzinomen zu senken. In einer US-Studie war das Risiko bei ausgeprägter pflanzlicher Ernährung in etwa halbiert.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen