Staff Members - Benha University
Incorporation of the GreenLight-SIM simulator at the annual Quebec Urology Objective Structured Clinical Examinations
• 2014
Publication Information
Authors
Yasser Noureldin, Mohamed Elkoushy, Nader Fahmy, Serge Carrier, Mostafa Elhilali, Sero Andonian
Keywords
Not Available
Journal
Not Available
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
International
Paper Link
Open Link
Supplementary Materials
Not Available
Abstract
Introduction and Objectives: To evaluate the utility of the GreenLight-SIM™ (GL-SIM) simulator to assess photoselective vaporization of the prostate (PVP) skills of urology postgraduate trainees (PGTs) during Objective Structured Clinical Examinations (OSCEs).
Methods: After obtaining ethics approval, PGTs in Post- Graduate Years (PGY-3 to PGY-5) from all four Quebec urology training programs were recruited during two annual OSCEs. During a 20-minute OSCE station, PGTs were asked to perform two exercises: identification of endoscopic landmarks and PVP of a 30 g normal prostate. Grams vaporized, global scores and number of correct anatomical landmarks were recorded and correlated with PGY level, practice on the GL-SIM and previous PVP experience.
Results: 25 PGTs were recruited at each OSCE with 13 PGTs participating in both OSCEs. When comparing scores from the 1st to the 2nd OSCE, there was a significant improvement in the number of grams vaporized (2.9 vs. 4.3 g; p = 0.003) and global score (100 vs. 165; p = 0.03). There was good correlation between the number of previously performed PVPs and the global score (r = 0.4, p = 0.04). Similarly, PGTs with previous practice on the GL-SIM had significantly higher global score (100.6 vs. 162.6; p = 0.04) and grams vaporized (3.1 vs 4.1 g; p = 0.04) when compared with those who did not practice on GL-SIM. PGY level did not significantly affect grams vaporized and global score (p > 0.05).
Conclusions: Performance on the GreenLight-SIM at OSCEs significantly correlated with previous practice on the GL-SIM simulator and previous PVP experience rather than PGY level.
Source of Funding: None
Methods: After obtaining ethics approval, PGTs in Post- Graduate Years (PGY-3 to PGY-5) from all four Quebec urology training programs were recruited during two annual OSCEs. During a 20-minute OSCE station, PGTs were asked to perform two exercises: identification of endoscopic landmarks and PVP of a 30 g normal prostate. Grams vaporized, global scores and number of correct anatomical landmarks were recorded and correlated with PGY level, practice on the GL-SIM and previous PVP experience.
Results: 25 PGTs were recruited at each OSCE with 13 PGTs participating in both OSCEs. When comparing scores from the 1st to the 2nd OSCE, there was a significant improvement in the number of grams vaporized (2.9 vs. 4.3 g; p = 0.003) and global score (100 vs. 165; p = 0.03). There was good correlation between the number of previously performed PVPs and the global score (r = 0.4, p = 0.04). Similarly, PGTs with previous practice on the GL-SIM had significantly higher global score (100.6 vs. 162.6; p = 0.04) and grams vaporized (3.1 vs 4.1 g; p = 0.04) when compared with those who did not practice on GL-SIM. PGY level did not significantly affect grams vaporized and global score (p > 0.05).
Conclusions: Performance on the GreenLight-SIM at OSCEs significantly correlated with previous practice on the GL-SIM simulator and previous PVP experience rather than PGY level.
Source of Funding: None