MP01-11 VIRTUAL REALITY-BASED VALIDATION OF THE ERUS CERTIFIED TRAINING PROGRAMS INTENSIVE SIMULATION MODULE: RESULTS FROM A HIGH-VOLUME ROBOTIC SURGERY TRAINING CENTRE (2018)

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment I1 Apr 2018MP01-11 VIRTUAL REALITY-BASED VALIDATION OF THE ERUS CERTIFIED TRAINING PROGRAMS INTENSIVE SIMULATION MODULE: RESULTS FROM A HIGH-VOLUME ROBOTIC SURGERY TRAINING CENTRE Alessandro Larcher, Filippo Turri, Lorenzo Bianchi, Cristina Ferriero, Paolo Umari, Andres Clinckaert, Pieter Uvin, Vincenzo Ficarra, Alessandro Volpe, Giacomo Novara, Christian Gratzke, Giorgio Gandaglia, Nicola Fossati, and Alexandre Mottrie Alessandro LarcherAlessandro Larcher More articles by this author , Filippo TurriFilippo Turri More articles by this author , Lorenzo BianchiLorenzo Bianchi More articles by this author , Cristina FerrieroCristina Ferriero More articles by this author , Paolo UmariPaolo Umari More articles by this author , Andres ClinckaertAndres Clinckaert More articles by this author , Pieter UvinPieter Uvin More articles by this author , Vincenzo FicarraVincenzo Ficarra More articles by this author , Alessandro VolpeAlessandro Volpe More articles by this author , Giacomo NovaraGiacomo Novara More articles by this author , Christian GratzkeChristian Gratzke More articles by this author , Giorgio GandagliaGiorgio Gandaglia More articles by this author , Nicola FossatiNicola Fossati More articles by this author , and Alexandre MottrieAlexandre Mottrie More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.117AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Simulation has a crucial role in robotic surgery training and the ERUS Curriculum and Structured courses include an intensive simulation module [ISM]. The aim of the study is to validate the ISM measuring the impact of the training program on the participant performance using objective metrics derived from virtual reality skill simulator. METHODS 76 ERUS Curriculum or Structured course trainees participated at the ISM into a high-volume robotic surgery training centre. ISM consisted of 5 days of virtual reality simulation, dry-lab simulation on synthetic models and wet-lab simulation on cadaveric canine and living porcine models combined with theoretical sessions on technical and non-technical skills. Each participant received a baseline assessment before and a final assessment after the ISM. Participants’ performance was measured using objective computed-generated metrics to exclude any human-related bias in the assessment. Assessments consisted of the overall score [OS] in a set of 5 skill simulator exercises, namely Matchboard 2, Energy Switching 2, Ring Walk 3, Suture Sponge 2 and Tubes. OS at baseline and final assessment were compared using Wilcoxon test. RESULTS Median participants' age was 33 (interquartile range 30-39). 40% were residents, 34% were fellows and 36% were staff members. 44% had no console experience, 38% performed individual steps but not a full case and 18% performed a full case before the ISM. At baseline assessment, median OS was 75 (IQR 64-86) for Matchboard 2, 78 (IQR 71-88) for Energy Switching 2, 64 for Ring Walk 3 (IQR 37-84), 81 (IQR 65-92) for Suture Sponge 2 and 67 (IQR 52-81) for Tubes. At final assessment, median OS was 91 (IQR 79-96) for Matchboard 2, 93 (IQR 83-98) for Energy Switching 2, 88 for Ring Walk 3 (IQR 77-94), 92 (IQR 83-95) for Suture Sponge 2 and 88 (IQR 75-97) for Tubes. The completion of the ISM resulted associated with a significant improvement in all exercises (Fig. 1; all p<0.0001). CONCLUSIONS These figures validate the ISM of the ERUS certified Curriculum and Structured courses as training programs that improve surgeon's performance measured using objective metrics. The impact of such improvement on clinical outcomes must be determined. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e6 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Alessandro Larcher More articles by this author Filippo Turri More articles by this author Lorenzo Bianchi More articles by this author Cristina Ferriero More articles by this author Paolo Umari More articles by this author Andres Clinckaert More articles by this author Pieter Uvin More articles by this author Vincenzo Ficarra More articles by this author Alessandro Volpe More articles by this author Giacomo Novara More articles by this author Christian Gratzke More articles by this author Giorgio Gandaglia More articles by this author Nicola Fossati More articles by this author Alexandre Mottrie More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...