PMID- 32059622
OWN - NLM
STAT- MEDLINE
DCOM- 20210423
LR  - 20210423
IS  - 1557-900X (Electronic)
IS  - 0892-7790 (Linking)
VI  - 34
IP  - 4
DP  - 2020 Apr
TI  - Objective Assessment and Standard Setting for Basic Flexible Ureterorenoscopy 
      Skills Among Urology Trainees Using Simulation-Based Methods.
PG  - 495-501
LID - 10.1089/end.2019.0626 [doi]
AB  - Objective: To objectively assess the performance of graduating urology residents 
      performing flexible ureterorenoscopy (fURS) using a simulation-based model and to 
      set an entrustability standard or benchmark for use across the educational 
      spectrum. Methods: Chief urology residents and attending endourologists performed 
      a standardized fURS task (ureterorenoscopy and repositioning of stones) using a 
      Boston Scientific((c)) Lithovue ureteroscope on a Cook Medical((c)) URS model. All 
      performances were video-recorded and blindly scored by both endourology experts 
      and crowd-workers (C-SATS) using the Ureteroscopic Global Rating Scale, plus an 
      overall entrustability score. Validity evidence supporting the scores was 
      collected and categorized. The Borderline Group (BG) method was used to set 
      absolute performance standards for the expert and crowdsourced ratings. Results: 
      A total of 44 participants (40 chief residents, 4 faculties) completed testing. 
      Eighty-three percent of participants had performed >50 fURS cases at the time of 
      the study. Only 47.7% (mean score 12.6/20) and 61.4% (mean score 12.4/20) of 
      participants were deemed "entrustable" by experts and crowd-workers, 
      respectively. The BG method produced entrustability benchmarks of 11.8/20 for 
      experts and 11.4/20 for crowd-worker ratings, resulting in pass rates of 56.9% 
      and 61.4%. Conclusion: Using absolute standard setting methods, benchmark scores 
      were set to identify trainees who could safely carry out fURS in the simulated 
      setting. Only 60% of residents in our cohort were rated as entrustable. These 
      findings support the use of benchmarks to earlier identify trainees requiring 
      remediation.
FAU - Goldenberg, Mitchell
AU  - Goldenberg M
AD  - Division of Urology, Department of Surgery, St. Michael's Hospital, University of 
      Toronto, Toronto, Canada.
FAU - Ordon, Michael
AU  - Ordon M
AD  - Division of Urology, Department of Surgery, St. Michael's Hospital, University of 
      Toronto, Toronto, Canada.
FAU - Honey, John R D'A
AU  - Honey JRD
AD  - Division of Urology, Department of Surgery, St. Michael's Hospital, University of 
      Toronto, Toronto, Canada.
FAU - Andonian, Sero
AU  - Andonian S
AD  - Division of Urology, McGill University Health Centre, McGill University, Quebec, 
      Canada.
FAU - Lee, Jason Y
AU  - Lee JY
AD  - Division of Urology, Department of Surgery, University Health Network-Toronto 
      General Hospital, University of Toronto, Toronto, Canada.
LA  - eng
PT  - Journal Article
DEP - 20200331
PL  - United States
TA  - J Endourol
JT  - Journal of endourology
JID - 8807503
SB  - IM
CIN - Int Braz J Urol. 2021 Mar-Apr;47(2):462-463. PMID: 33284554
MH  - Clinical Competence
MH  - Humans
MH  - *Internship and Residency
MH  - Reference Standards
MH  - Ureteroscopes
MH  - Ureteroscopy
MH  - *Urology/education
OTO - NOTNLM
OT  - assessment
OT  - education
OT  - minimally invasive surgery
OT  - surgery simulation
OT  - urology
EDAT- 2020/02/16 06:00
MHDA- 2021/04/24 06:00
CRDT- 2020/02/16 06:00
PHST- 2020/02/16 06:00 [pubmed]
PHST- 2021/04/24 06:00 [medline]
PHST- 2020/02/16 06:00 [entrez]
AID - 10.1089/end.2019.0626 [doi]
PST - ppublish
SO  - J Endourol. 2020 Apr;34(4):495-501. doi: 10.1089/end.2019.0626. Epub 2020 Mar 31.