从MIST到HOLEP的住院医师外科BPH培训范式。

IF 2.5 2区 医学 Q2 UROLOGY & NEPHROLOGY
Thaiphi Luu, Ricardo R Gonzalez
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引用次数: 1

摘要

综述目的:良性前列腺增生(BPH)是老年男性的一种常见疾病,通常需要药物或手术治疗。在过去的二十年中,前列腺增生的手术选择呈指数增长。众多的选择和/或缺乏机会可以使新学员获得熟练程度具有挑战性。我们研究了可用的BPH手术模拟器、学习曲线和训练途径的文献。最近的发现:每一种前列腺增生手术治疗都有一个必须克服的学习曲线。在文献中有大量的TURP模拟器显示了其面貌、内容和结构有效性。同样,激光疗法也验证了模拟器的有效性。较新的技术确实有可用的模拟器,但它们尚未经过验证。有一些策略可以提高学习效果,比如有一个结构化的培训计划。模拟器可用于BPH外科手术,有些已在泌尿外科住院医师中实施。这样的模拟可能会使泌尿科医生更容易掌握新技术的学习曲线。需要进一步的研究。未来的发展方向可能包括将模拟器技术整合到包括手术观察和监护在内的培训途径中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Residency Surgical BPH Training Paradigms from MIST to HOLEP.

Purpose of review: Benign prostatic hyperplasia (BPH) is a common medical condition of older men that often requires medical or surgical therapy. Surgical options for BPH have grown exponentially over the last two decades. The numerous options and/or lack of access to them can make it challenging for new trainees to gain proficiency. We examine the literature for available BPH surgical simulators, learning curves, and training pathways.

Recent findings: Each BPH surgical therapy has a learning curve which must be overcome. There is an abundance of TURP simulators which have shown face, content, and construct validity in the literature. Similarly, laser therapies have validated simulators. Newer technologies do have available simulators, but they have not been validated. There are strategies to improve learning and outcomes, such as having a structured training program. Simulators are available for BPH surgical procedures and some have been implemented in urology residencies. It is likely that such simulation may make urologists more facile on their learning curves for newer technologies. Further studies are needed. Future directions may include integration of simulator technology into training pathways that include surgical observation and proctorship.

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来源期刊
Current Urology Reports
Current Urology Reports UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
3.80%
发文量
39
期刊介绍: This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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