Assessment and Maintenance of Competence in Urology

Overview

Journal Nat Rev Urol

Specialty Urology

Date 2010 Jun 23

PMID 20567253

Citations 10

Authors

Kamran Ahmed

Muhammed Jawad

Prokar Dasgupta

Ara Darzi

Thanos Athanasiou

Mohammad Shamim Khan

Affiliations

Soon will be listed here.

Abstract

Urology is becoming increasingly reliant on inter-disciplinary collaboration. As a result of this interaction and developments in technology, the existing system of training, certification and recertification needs revision. The skill-set required of urologists has become multidimensional. As the field of urology continues to evolve, the recognition of the need for objective and efficient certification for trainees and a recertification program for specialists has increased. Training programs need to provide a curriculum focused on knowledge, communication, cognitive and technical skills, with the inclusion of simulation-based training. For specialists, the benefits of teaching through mentorship should be evaluated, and outcome-based assessment of patient morbidity and mortality needs to be further developed and validated.

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References

Zhang Y, Ou T, Jia J, Gao W, Cui X, Wu J . Novel biologic model for percutaneous renal surgery learning and training in the laboratory. Urology. 2008; 72(3):513-6. DOI: 10.1016/j.urology.2008.05.016. View

Yang R, Bellman G . Laparoscopic urethrovesical anastomosis: a model to assess surgical competency. J Endourol. 2006; 20(9):679-82. DOI: 10.1089/end.2006.20.679. View

Nicholson D, Chalk C, Funnell W, Daniel S . Can virtual reality improve anatomy education? A randomised controlled study of a computer-generated three-dimensional anatomical ear model. Med Educ. 2006; 40(11):1081-7. DOI: 10.1111/j.1365-2929.2006.02611.x. View

Dickinson I, Watters D, Graham I, Montgomery P, Collins J . Guide to the assessment of competence and performance in practising surgeons. ANZ J Surg. 2009; 79(3):198-204. DOI: 10.1111/j.1445-2197.2008.04839.x. View

Matsumoto E, Pace K, Honey R . Virtual reality ureteroscopy simulator as a valid tool for assessing endourological skills. Int J Urol. 2006; 13(7):896-901. DOI: 10.1111/j.1442-2042.2006.01436.x. View

Collins J, Civil I, Sugrue M, Balogh Z, Chehade M . Surgical education and training in Australia and New Zealand. World J Surg. 2008; 32(10):2138-44. DOI: 10.1007/s00268-008-9680-z. View

Allen I . Doctors crossing borders: Europe's new reality. CMAJ. 2009; 180(2):158-61. PMC: 2621290. DOI: 10.1503/cmaj.081817. View

Ahmed K, Keeling A, Fakhry M, Ashrafian H, Aggarwal R, Naughton P . Role of virtual reality simulation in teaching and assessing technical skills in endovascular intervention. J Vasc Interv Radiol. 2010; 21(1):55-66. DOI: 10.1016/j.jvir.2009.09.019. View

Marinopoulos S, Dorman T, Ratanawongsa N, Wilson L, Ashar B, Magaziner J . Effectiveness of continuing medical education. Evid Rep Technol Assess (Full Rep). 2007; (149):1-69. PMC: 4781050. View

10.

Chou D, Abdelshehid C, Clayman R, McDougall E . Comparison of results of virtual-reality simulator and training model for basic ureteroscopy training. J Endourol. 2006; 20(4):266-71. DOI: 10.1089/end.2006.20.266. View

11.

Haynes A, Weiser T, Berry W, Lipsitz S, Breizat A, Dellinger E . A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009; 360(5):491-9. DOI: 10.1056/NEJMsa0810119. View

12.

Brehmer M, Swartz R . Training on bench models improves dexterity in ureteroscopy. Eur Urol. 2005; 48(3):458-63. DOI: 10.1016/j.eururo.2005.04.031. View

13.

Sweet R . Review of trainers for transurethral resection of the prostate skills. J Endourol. 2007; 21(3):280-4. DOI: 10.1089/end.2007.9979. View

14.

Fraser S, Klassen D, Feldman L, Ghitulescu G, Stanbridge D, Fried G . Evaluating laparoscopic skills: setting the pass/fail score for the MISTELS system. Surg Endosc. 2003; 17(6):964-7. DOI: 10.1007/s00464-002-8828-4. View

15.

Shah J, Montgomery B, Langley S, Darzi A . Validation of a flexible cystoscopy course. BJU Int. 2002; 90(9):833-5. DOI: 10.1046/j.1464-410x.2002.03089.x. View

16.

Beard J, Choksy S, Khan S . Assessment of operative competence during carotid endarterectomy. Br J Surg. 2007; 94(6):726-30. DOI: 10.1002/bjs.5689. View

17.

Crossley J, McDonnell J, Cooper C, McAvoy P, Archer J, Davies H . Can a district hospital assess its doctors for re-licensure?. Med Educ. 2008; 42(4):359-63. DOI: 10.1111/j.1365-2923.2007.02977.x. View

18.

Undre S, Sevdalis N, Healey A, Darzi S, Vincent C . Teamwork in the operating theatre: cohesion or confusion?. J Eval Clin Pract. 2006; 12(2):182-9. DOI: 10.1111/j.1365-2753.2006.00614.x. View

19.

Jacomides L, Ogan K, Cadeddu J, Pearle M . Use of a virtual reality simulator for ureteroscopy training. J Urol. 2003; 171(1):320-3. DOI: 10.1097/01.ju.0000101515.70623.4a. View

20.

Knudsen B, Matsumoto E, Chew B, Johnson B, Margulis V, Cadeddu J . A randomized, controlled, prospective study validating the acquisition of percutaneous renal collecting system access skills using a computer based hybrid virtual reality surgical simulator: phase I. J Urol. 2006; 176(5):2173-8. DOI: 10.1016/j.juro.2006.07.011. View