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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Urology 1/2015

High acceptability of a newly developed urological practical skills training program

BMC Urology > Ausgabe 1/2015
Anna H. de Vries, Scheltus J. van Luijk, Albert J. J. A. Scherpbier, Ad J. M. Hendrikx, Evert L. Koldewijn, Cordula Wagner, Barbara M. A. Schout
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12894-015-0084-8) contains supplementary material, which is available to authorized users.

Competing interests

The authors A.H. de Vries, S.J. van Luijk, A.J.J.A. Scherpbier, A.J.M. Hendrikx, E.L. Koldewijn, C. Wagner and B.M.A. Schout declare that they have no competing interests or financial ties to disclose.

Authors’ contributions

AdV performed statistical and qualitative analysis of the data, contributed to data interpretation and wrote the first draft of the manuscript. SvL made a substantial contribution to the acquisition of data as moderator of the semi-structured focus-group interviews. AS contributed to the conception and design of the study (optimizing questionnaire) and the interpretation of data. AH made a substantial contribution to the conception and design of the study (optimizing questionnaire) and data collection. EK and CW contributed to the interpretation of the data and the second draft of the manuscript. BS designed the study, contributed to data collection, the analysis of qualitative data and interpretation of data. All authors critically revised the manuscript and gave their final approval before submission.



Benefits of simulation training are widely recognized, but its structural implementation into urological curricula remains challenging. This study aims to gain insight into current and ideal urological practical skills training and presents the outline of a newly developed skills training program, including an assessment of the design characteristics that may increase its acceptability.


A questionnaire was sent to the urology residents (n = 87) and program directors (n = 45) of all Dutch teaching hospitals. Open- and close-ended questions were used to determine the views on current and ideal skills training and the newly developed skills training program. Eight semi-structured interviews were conducted with 39 residents and 15 program directors. All interviews were audiotaped, fully transcribed, and thereafter analyzed.


Response was 87.4 % for residents and 86.7 % for program directors. Residents appeared to be still predominantly trained ‘by doing’. Structured practical skills training in local hospitals takes place according to 12 % of the residents versus 44 % of the program directors (p < 0.001). Ideally, residents prefer to practice certain procedures on simulation models first, especially in endourology. The majority of residents (92 %) and program directors (87 %) approved of implementing the newly developed skills training program (p = 0.51). ‘Structured scheduling’, ‘use of peer teaching’ and ‘high fidelity models’ were indicated as design characteristics that increase its acceptability.


Current urological residency training consists of patient-related ‘learning by doing’, although more practice on simulation models is desired. The acceptability of implementing the presented skills-training program is high. Design characteristics that increase its acceptability are structured scheduling, the use of peer teaching and high fidelity models.
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