scholarly journals Assessment of photoselective vaporization of prostate skills during Urology Objective Structured Clinical Examinations (OSCE)

2015 ◽  
Vol 9 (1-2) ◽  
pp. 61 ◽  
Author(s):  
Yasser A. Noureldin ◽  
Mohamed A. Elkoushy ◽  
Nader Fahmy ◽  
Serge Carrier ◽  
Mostafa M. Elhilali ◽  
...  
Keyword(s):  
American Medical ◽  
Training Programs ◽  
Skill Assessment ◽  
Anatomical Landmarks ◽  
Global Score ◽  
Medical Systems ◽  
Normal Prostate ◽  
Photoselective Vaporization ◽  
Objective Structured Clinical Examinations ◽  
Photoselective Vaporization Of Prostate

Introduction: We evaluated the use of the GreenLight Simulator (GL-SIM) (American Medical Systems, Guelph, ON) in the skill assessment of postgraduate trainees (PGTs) in photoselective vaporization of the prostate (PVP). We also sought to determine whether previous PVP experience or GL-SIM practice improved performance.Methods: PGTs in postgraduate years (PGY-3 to PGY-5) from all 4 Quebec urology training programs were recruited during 2 annual Objective Structured Clinical Examinations (OSCEs). During a 20-minute OSCE station, PGTs were asked to perform 2 exercises: (1) identification of endoscopic landmarks and (2) a 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: In total, 25 PGTs were recruited at each OSCE, with 13 PGTs participating in both OSCEs. When comparing scores from the first and second OSCEs, 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. Furthermore, there were significantly more competent PGTs among those who had previously practiced on the GL-SIM (32.7% vs. 10.2%; p = 0.009). PGY level did not significantly affect grams vaporized or global score (p > 0.05).Conclusion: Performance on the GL-SIM at OSCEs significantly correlated with previous practice on the GL-SIM and previous PVP experience rather than PGY level. Furthermore, there were significantly more competent PGTs among those who had previously practiced on the GL-SIM.

THE EFFICACY OF MEDICAL SIMULATION COURSE ON IMPROVING ULTRASOUND—GUIDED CENTRAL VENOUS CATHETER INSERTION

2015 ◽  
Vol 1 (1) ◽  
pp. 41.2-41 ◽  
Author(s):  
Sawsan M Alyousef ◽  
Mohammed Almaani ◽  
Jihad Zahraa ◽  
Ali Hassan ◽  
Hani Lababidi
Keyword(s):  
Central Venous Catheter ◽  
Training Programs ◽  
Venous Catheter ◽  
Central Line ◽  
Skill Assessment ◽  
Medical Simulation ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Knowledge And Skills ◽  
Hands On

BackgroundWhile insertion of CVC (central venous catheter) is common, it is an intricate procedure and not risk-free. Traditionally, inexperienced residents learn to insert CVC on real patients and thus can put patients' life at risk. One way to reduce medical errors is to use high-fidelity simulation for training tomorrow's practitioners on ultrasound-guided CVC insertion.ObjectiveTo evaluate the efficacy of medical simulation based learning course on knowledge and skills improvement on ultrasound-guided CVC insertion.MethodsA pre-assessment was performed through a pre-test and hands-on skill assessment for central line insertion under U/S guidance (Internal Jugular, Subclavian or Femoral lines) utilizing a standardized checklist. All candidates then attended one day course that included theoretical and hands-on simulation training using phantoms. A post-test and hands-on assessment was performed at the end of the day.ResultsTwenty residents from Internal Medicine and Paediatrics were enrolled in the study at King Fahad Medical City Simulation Center. There was significant improvement in the knowledge based training: 90% showed significant increase in their MCQ scores (p<0.001), 10% had equal scores and none showed decline in their scores. For the hands-on skills: All 20 candidates showed significant improvement in their skills (p<0.001).ConclusionA one day simulation course on CVC insertion under ultrasound guidance significantly improves the knowledge and skills for residents in training programs.RecommendationsSuch courses and other similar should be compulsory for all Residents training programs as it is called safe training.

scholarly journals Becoming more transparent: Collecting and presenting data on biomedical Ph.D. alumni

2017 ◽  
Author(s):  
Christopher L Pickett ◽  
Shirley Tilghman
Keyword(s):  
Data Collection ◽  
American Medical ◽  
Biomedical Research ◽  
Training Programs ◽  
Career Outcomes ◽  
Scientific Training ◽  
American Universities ◽  
The Past ◽  
Career Trajectories ◽  
Association Of American Universities

For more than 20 years, panels of experts have recommended that universities collect and publish data on the career outcomes of Ph.D. students. However, little progress has been made. Over the past few years, a handful of universities, including those in the National Institutes of Health’s Broadening Experiences in Scientific Training consortium, and organizations, including the Association of American Universities and the Association of American Medical Colleges, launched projects to collect and publish data on biomedical Ph.D. alumni. Here, we describe the outcome of a meeting, convened by Rescuing Biomedical Research, of universities and associations working to improve the transparency of career outcomes data. We were able to achieve consensus on a set of common methods for alumni data collection and a unified taxonomy to describe the career trajectories of biomedical Ph.D.s. These materials can be used by any institution, with little or no modification, to begin data collection efforts on their Ph.D. alumni. These efforts represent an important step forward in addressing a recommendation that has been made for decades that will improve the ability of trainees to better plan for their careers and for universities to better tailor their training programs.

scholarly journals A rare case of recurrent urinary obstruction and acute renal failure from cystitis cystica et glandularis

2012 ◽  
Vol 6 (2) ◽  
Author(s):  
Justin X.G. Zhu ◽  
Manal Y. Gabril ◽  
Alp Sener
Keyword(s):  
Laser System ◽  
Potassium Titanyl Phosphate ◽  
Published Data ◽  
Medical Systems ◽  
Osteitis Pubis ◽  
Adjacent Structures ◽  
Photoselective Vaporization ◽  
Urinary Extravasation ◽  
Cystitis Cystica ◽  
Potassium Titanyl Phosphate Laser

The use of lasers to perform photoselective vaporization of the prostate (PVP) has been widely accepted as a safe and effectivetreatment for benign prostatic hyperplasia with very few reported complications. To date, most of the published data report outcomesfor the 80-W potassium-titanyl-phosphate laser. A more potent laser, the 120-W GreenLight HPS, was introduced in 2006 and provides more efficient vaporization of prostatic tissue anddecreased operating times. Despite these benefits, the increased energy applied to the prostate evokes concerns of potential serious complications, including capsular perforation and injury to adjacent structures. A more powerful laser system, the 180-WGreenLight XPS laser (American Medical Systems, Minnetonka, MN) has recently become available. We report a rare but serious complication of GreenLight HPS PVP resulting in prostatic capsularperforation with urinary extravasation, presenting with bilateral thigh urinomas and osteitis pubis.

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