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Training in ureteroscopy: a critical appraisal of the literature.

Publication ,  Journal Article
Skolarikos, A; Gravas, S; Laguna, MP; Traxer, O; Preminger, GM; de la Rosette, J
Published in: BJU Int
September 2011

The aim of the present review was to study factors influencing training and the maintenance of skills in performing ureteroscopy (URS). We searched on the following keywords in the Medline, Embase and Cochrane databases: renal or ureteric stone; ureteroscopy; endourology; educational; training; learning curve; expertise; skill; residency; practice; simulator; and robotics. We have defined, when possible, levels and grades of evidence, based on 2009 recommendations of the Oxford Centre for Evidence-Based Medicine. We found that technological advancement and surgeon experience is a predictive factor for success or complications of URS. Experience may be related to special endourology training, time passed after basic training and the number of procedures performed. Studies suggest that a resident must perform a certain amount of cases to gain proficiency with URS, but there is still a need for well designed studies for the learning curve of URS to be accurately defined. Training models may be useful for training in URS and stone disintegration. Stone centres that provide all the endoscopic treatment options seem to provide the best conditions to ensure a sufficient volume of patients required. Defining minimum requirements for training in URS and for maintaining certification is a major challenge, as is defining the learning curve in URS. Careful curriculum design in high-volume stone centres may be the key to optimizing URS training.

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Published In

BJU Int

DOI

EISSN

1464-410X

Publication Date

September 2011

Volume

108

Issue

6

Start / End Page

798 / 805

Location

England

Related Subject Headings

  • Urology & Nephrology
  • Urinary Calculi
  • Ureteroscopy
  • Robotics
  • Learning Curve
  • Internship and Residency
  • Humans
  • Curriculum
  • Computer-Assisted Instruction
  • Computer Simulation
 

Citation

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Skolarikos, A., Gravas, S., Laguna, M. P., Traxer, O., Preminger, G. M., & de la Rosette, J. (2011). Training in ureteroscopy: a critical appraisal of the literature. BJU Int, 108(6), 798–805. https://doi.org/10.1111/j.1464-410X.2011.10337.x
Skolarikos, Andreas, Stavros Gravas, M Pilar Laguna, Olivier Traxer, Glenn M. Preminger, and Jean de la Rosette. “Training in ureteroscopy: a critical appraisal of the literature.BJU Int 108, no. 6 (September 2011): 798–805. https://doi.org/10.1111/j.1464-410X.2011.10337.x.
Skolarikos A, Gravas S, Laguna MP, Traxer O, Preminger GM, de la Rosette J. Training in ureteroscopy: a critical appraisal of the literature. BJU Int. 2011 Sep;108(6):798–805.
Skolarikos, Andreas, et al. “Training in ureteroscopy: a critical appraisal of the literature.BJU Int, vol. 108, no. 6, Sept. 2011, pp. 798–805. Pubmed, doi:10.1111/j.1464-410X.2011.10337.x.
Skolarikos A, Gravas S, Laguna MP, Traxer O, Preminger GM, de la Rosette J. Training in ureteroscopy: a critical appraisal of the literature. BJU Int. 2011 Sep;108(6):798–805.
Journal cover image

Published In

BJU Int

DOI

EISSN

1464-410X

Publication Date

September 2011

Volume

108

Issue

6

Start / End Page

798 / 805

Location

England

Related Subject Headings

  • Urology & Nephrology
  • Urinary Calculi
  • Ureteroscopy
  • Robotics
  • Learning Curve
  • Internship and Residency
  • Humans
  • Curriculum
  • Computer-Assisted Instruction
  • Computer Simulation