Abstract:
INTRODUCTION/PURPOSE:Medical simulation offers the advantage of improving resident skill and comfort without impacting patient care. Five years ago, we identified trends in the use of robotic and laparoscopic simulation in 2008 and 2009 at American urology residency training programs. We seek to identify the changes in the use of simulators and the presence of formal curricula in the wake of technological advances and changes in graduate medical education. METHODS:Attendees of the American Urological Association (AUA) Basic Sciences Course, mostly in their second or third year of residency, were surveyed on the availability and use of laparoscopic/robotic simulators at their program, the presence of a formal curriculum, and a Likert scale questionnaire regarding face and content validity. RESULTS:Over a 5-year period, the availability of virtual reality robotic simulators substantially increased from 14% to nearly 60% availability in 2013. Despite this increase, the frequency of simulator use remained unchanged (p = 0.40) and the reported presence of formal curricula decreased from 41% to 34.8%. There was no significant difference in simulator use between residents in programs with or without laparoscopic/robotic curricula (p = 0.95). There was also a decrease in the percentage of residents who felt official laparoscopic curricula (93%-81%) and simulators (82%-74%) should be involved in resident education. CONCLUSIONS:In the past 5 years, despite evidence supporting benefits from simulator use and increasing availability, self-reported resident use has remained unchanged and the reporting of presence of laparoscopic/robotic curricula has decreased. With more dedicated investment in formal curricula, residency training programs may receive greater returns on their simulator investments, improve resident skills and comfort, and ultimately improve the quality of patient care.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Clements MB,Morrison KY,Schenkman NSdoi
10.1089/end.2015.0561subject
Has Abstractpub_date
2016-03-01 00:00:00pages
347-53issue
3eissn
0892-7790issn
1557-900Xjournal_volume
30pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:As many as 96% of patients report some kind of discomfort/pain during transrectal ultrasonography (TRUS)-guided prostate biopsy, and when pain is severe, it may be necessary to decrease the planned number of biopsies or interrupt the procedure. Various modalities have been recommended to alleviat...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.20.525
更新日期:2006-07-01 00:00:00
abstract:PURPOSE:The LithoClast Trilogy is a novel single probe, dual-energy lithotripter with ultrasonic (US) vibration and electromagnetic impact forces. ShockPulse and LithoClast Select are existing lithotripters that also use a combination of US and mechanical impact energies. We compared the efficacy and tip motion of thes...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0143
更新日期:2018-06-01 00:00:00
abstract:PURPOSE:Recently, laparoscopic nephropexy has been performed using a transperitoneal approach. We evaluated the efficacy of a retroperitoneoscopic technique for symptomatic nephroptosis. PATIENTS AND METHODS:Three men and two women with right nephroptosis underwent retroperitoneal laparoscopic nephropexy. Their sympto...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903770802344
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:New-generation flexible ureteroscopes allow the management of proximal ureteral and intrarenal pathology with high success rates, including complete removal of ureteral and renal calculi. One problem is that the irrigation pressures generated within the collecting system can be significantly elev...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904322836631
更新日期:2004-02-01 00:00:00
abstract::Port placement for robot-assisted laparoscopic urologic surgery can be critical to effective completion of the minimally invasive procedure. An ideal port template would allow unhampered access to all critical structures during surgery, easy access for the bedside assistant, and minimization of arm collision with the ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0578
更新日期:2017-12-01 00:00:00
abstract::In 2005 we reported in this journal the treatment of cystic nephroma, a rare but presumed benign renal tumor, with percutaneous resection. Initial follow-up confirmed removal of the intra-pelvic portion of the cystic nephroma and persistence of the unresected intra-parenchymal portion. Surveillance with computed tomog...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0441
更新日期:2008-07-01 00:00:00
abstract::Although the supracostal approach is thought to increase the difficulties and patient morbidity of PCNL, it facilitates the management of certain urinary infirmities, such as UPJ obstruction, staghorn stone, upper pole stone, proximal ureteral abnormalities, impacted UPJ stone and upper calix diverticulum. Hereby the ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.1531
更新日期:2009-10-01 00:00:00
abstract:INTRODUCTION:To assess the clinical features, outcomes, complications, and cost-effectiveness of shockwave lithotripsy (SWL), flexible ureterorenoscopy (FURS), and percutaneous nephrolithotomy (PCNL) in the treatment of lower pole (LP) stones (10-20 mm) in a large tertiary referral center. PATIENTS AND METHODS:Consecu...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0825
更新日期:2017-05-01 00:00:00
abstract:PURPOSE:GreenLight HPS™ laser photoselective vaporization prostatectomy (PVP) is a treatment option for lower urinary tract symptoms secondary to benign prostatic hyperplasia. We review our experience using the 120 W GreenLight HPS laser system. MATERIALS AND METHODS:We prospectively evaluated our experience with Gree...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2010.0512
更新日期:2011-06-01 00:00:00
abstract:PURPOSE:Safe insertion of the first port during laparoscopic surgery has always been problematic, from the early use of the Veress needle to the open Hasson technique. We describe a novel, safe, and well-illuminated technique of port entry using the Killian nasal speculum. This technique has been used successfully in t...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0142
更新日期:2008-02-01 00:00:00
abstract::Distal ureteral stones are usually treated today by extracorporeal shock wave lithotripsy or extraction by retrograde ureteroscopy with or without previous fragmentation. We performed a cost-efficacy study of three methods to treat them: extracorporeal lithotripsy using either a spark gap lithotripter, the unmodified ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.289
更新日期:1993-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Ascertaining the optimal depth of dilator progression is a crucial factor during tract dilation in percutaneous nephrolithotomy. Dilation is generally guided under fluoroscopy, ultrasonography, or combination of both techniques, and it is still difficult to prevent overdilation causing perforatio...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0710
更新日期:2013-07-01 00:00:00
abstract::A case of a foreign body-induced renal stone in which the patient was treated successfully with a ureterorenoscopic approach is presented. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.437
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Holmium:YAG lithotripsy of uric acid calculi produces cyanide. The laser and stone parameters required to produce cyanide are poorly defined. In this study, we tested the hypotheses that cyanide production: (1) varies with holmium:YAG power settings; (2) varies among holmium:YAG, pulsed-dye, and ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.169
更新日期:2000-03-01 00:00:00
abstract:PURPOSE:To compare the morbidity of percutaneous nephrolithotomy (PCNL) requiring multiple percutaneous tracts with that of procedures requiring a single tract for calculus clearance. PATIENTS AND METHODS:Data from 20 patients undergoing PCNL through two or more percutaneous renal tracts over a 1-year period were comp...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.753
更新日期:2006-10-01 00:00:00
abstract:PURPOSE:Retroperitoneal lymph node dissection is the most sensitive and specific diagnostic modality for detecting occult lymph node metastases in clinical stage I testicular tumor. In stage II disease, residual tumors after chemotherapy have to be removed surgically. To reduce the morbidity of these procedures we have...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901300189538
更新日期:2001-05-01 00:00:00
abstract:: Objectives: To evaluate the outcomes of robot-assisted partial nephrectomy (RAPN) in cystic renal tumors. Materials and Methods: We retrospectively analyzed patients who underwent RAPN for either cystic (n = 46) or solid (n = 2...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0994
更新日期:2021-01-06 00:00:00
abstract:BACKGROUND AND PURPOSE:Robotic prostatectomy is exploding into popular utilization throughout much of the United States. It is expected that the rise in the number of these cases into 2006 will continue exponentially. A significant amount of research has begun to focus on the anastomosis, because the robot allows unpre...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.9913
更新日期:2007-10-01 00:00:00
abstract:PURPOSE:To evaluate the use of virtual endoscopy (VE) for the investigation of the pelvicaliceal unit and the depiction of its anatomic deformities. PATIENTS AND METHODS:Two study groups were prospectively enrolled in our protocol: ten patients with nonurologic pathologies, and thus without any known deformity of the ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.37
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:To determine the extent to which radiologists and urologists can predict histology using multiphasic CT imaging. METHODS:Patients with a preoperative multiphasic CT undergoing surgery for a renal mass were identified between 2003 and 2013. Tumors >10 cm, locally advanced or metastatic disease, and patients man...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0560
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:To assess the "body mass index" (BMI) (weight and length) of 12 flexible ureteroscopes (digital and fiber optic) along with the light cables and camera heads, to make the best use of our instruments. MATERIALS AND METHODS:Twelve different brand-new flexible ureteroscopes from four different manufacturers, al...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0438
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVES:Vesicovaginal fistula (VVF) is a common condition that physically and mentally debilitates the patient. In the developing countries such as India, it results mainly due to neglected obstetric care. Options for surgical repair of VVF consist of transvaginal, transvesical, laparoscopic repair. Endoscopic manag...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0557
更新日期:2010-10-01 00:00:00
abstract::The appeal of laser therapy is rooted in its absence of complications relative to the gold standard of transurethral electroresection. As in any evaluation of a new medical intervention, efficacy must be weighed against the degree of complications that accompany it. Although there has been a relative paucity of litera...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1995.9.183
更新日期:1995-04-01 00:00:00
abstract::The UroLume endoprosthesis has been used for recurrent bulbar urethral strictures, benign prostatic hyperplasia, and detrusor-external sphincter dyssynergia. Complications of the UroLume have been described by the North American Multicenter Trial as migration, encrustation, hyperplastic tissue growth, in addition to p...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.385
更新日期:1998-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Renal cysts are common in the adult population. Symptomatic cysts traditionally have been treated by percutaneous aspiration with injection of sclerosant agents. Our aim was to compare the efficacy and side effects of ethanol and sodium tetradecyl sulfate (STDS) as sclerosants for symptomatic sim...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.0462
更新日期:2007-08-01 00:00:00
abstract:: Objective: Kidney stone formers are at risk for opioid dependence. The aim of this study is to describe opiate exposure and determine predictors of prolonged opiate use among kidney stone formers after surgery. Materials and Methods: ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0796
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:To determine whether minimally invasive PCNL (MPCNL) is as safe and effective in the management of complex renal caliceal stones as it is for simple renal stones. PATIENTS AND METHODS:We retrospectively reviewed 5761(41.2%) simple caliceal stones (isolated renal pelvis including isolated calix) and 8223 (58.8%...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0061
更新日期:2013-10-01 00:00:00
abstract:PURPOSE:Telemedicine has become a common method for the transmission of images and patient data across long distances. Our goal was to assess the efficiency and accuracy of Photomailer MD software, a store-and-forward telemedicine system, in the urologic setting. METHODS:Photomailer MD software was loaded on two compu...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1089/end.1999.13.141
更新日期:1999-04-01 00:00:00
abstract:PURPOSE:To compare the maximal active deflection capabilities of a newly designed dual-deflection ureteroscope with those of a standard flexible ureteroscope. MATERIALS AND METHODS:The dual-deflection ureteroscope is similar in design to single-deflection ureteroscopes with the addition of a second, more proximal unid...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904322959761
更新日期:2004-03-01 00:00:00
abstract:: Purpose: We assessed the ability of enhanced cystoscopy with CHROMA image enhancement (Karl Storz SE & Co. KG, Tuttlingen, Germany) to improve cancer detection during transurethral resection of bladder tumors (TURBT) in patients with known or suspected nonmuscle invasive b...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0821
更新日期:2020-12-04 00:00:00