MP35-07 DEVELOPMENT AND VALIDATION OF A SIMULATOR-BASED TEST IN TRANSURETHRAL RESECTION OF BLADDER TUMORS ESTABLISHING PASS/FAIL STANDARDS

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment II (MP35)1 Apr 2019MP35-07 DEVELOPMENT AND VALIDATION OF A SIMULATOR-BASED TEST IN TRANSURETHRAL RESECTION OF BLADDER TUMORS ESTABLISHING PASS/FAIL STANDARDS Sarah Bube*, Rikke Hansen, Claus Dahl, Lars Konge, and Nessn Azawi Sarah Bube*Sarah Bube* More articles by this author , Rikke HansenRikke Hansen More articles by this author , Claus DahlClaus Dahl More articles by this author , Lars KongeLars Konge More articles by this author , and Nessn AzawiNessn Azawi More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000555997.64251.5bAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: To develop a simulator-based test with ability to discriminate between competency levels and establish a pass/fail score for proficiency-based simulator training in TURB. METHODS: Forty-nine doctors were recruited from Departments of Urology in the Oresund Region, Denmark in the period of Apr to Sept 2018. Prior to inclusion, the TURB MentorTM virtual reality (VR) simulator, Simbionix, was assessed at an expert meeting selecting clinically relevant cases and metrics. Training sessions were done on identical simulators at two simulation training centers at Department of Urology, Roskilde Zealand University Hospital and Copenhagen Academy for Medical Education and Simulation. All participants performed three TURB procedures on the VR simulator. Simulator metrics were analyzed with analysis of variance (ANOVA) and metrics with ability to discriminate between groups were combined in a total simulator score (TSS). Finally, a pass/fail score was identified using the contrasting groups' method. RESULTS: Elleven simulator metrics were found eligible of which four had significant discrimination ability between the three competency levels: resected pathology (%) (p=0.008), cutting in bladder wall (n) (p=0.004), time (s) (p=0.034), and inspection of bladder wall (%) (p=0.002). The internal structure of the TSS [(resected pathology*inspection of bladder wall)/time] was acceptable with intraclass correlation, Cronbach's α: 0.85. The mean TSS was significantly lower in the novice group than in the intermediates (p=0.011) and experienced group (p<0.001) (Table 1). A pass/fail score of 21 was identified (Fig 1). CONCLUSIONS: Validity evidence for a VR simulator-based test has been established including a pass/fail score identifying TURB competence. The test can be used for accreditation in a proficiency-based TURB simulator training program prior to supervised procedures. Source of Funding: None. Roskilde, Denmark; Copenhagen, Denmark; Roskilde, Denmark; Copenhagen, Denmark; Roskilde, Denmark© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e507-e507 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sarah Bube* More articles by this author Rikke Hansen More articles by this author Claus Dahl More articles by this author Lars Konge More articles by this author Nessn Azawi More articles by this author Expand All Advertisement PDF downloadLoading ...