International Multicentre Validation and Transferability of the SIMULATE Ureterorenoscopy Training Curriculum

A. Aydin, K. Ahmed, N. Raison, T. Abe, A.S. Gözen, T. Knoll, F. Moltzahn, A. Skolarikos, A. Lantz, B. Chew, G. Thalmann, N. Shinohara, J. Rassweiler, G. Zeng, M.S. Khan, P. Dasgupta

Research output: Contribution to journalMeeting abstract


Aim: To evaluate the face, content, construct and transfer validity of the SIMULATE ureterorenoscopy (URS) curriculum, a novel multimodality simulation-based training programme.

Method: Urological trainees, from more than 15 international centres, with less than 10 URS experience (n=46) were invited for training using the curriculum, on five separate occasions. The first cohort (n=14) were additionally trained using fresh frozen cadavers with fluoroscopy. Participants were taught and assessed by specialists, using a generic OSATS scale. A One-way ANOVA test was used to evaluate the level of progress (construct validity) throughout training. Participants were followed up at their institutions and assessed on their first case to evaluate transferability. All were invited for an evaluation survey following the training.

Result: Participants rated the training highly for gaining transferrable skills (mean: 4.2/5). Significant improvement was observed in semi-rigid (p=0.0005) and flexible URS (p=0.0266) procedures, with consecutive cases throughout the curriculum and in real-time operating room performance (n=21). No differences were observed in real-time performance between the cadaveric (n=9) and non-cadaveric groups (n=12; p=0.6872).

Conclusion: The SIMULATE URS curriculum revealed validity and transferability. Participants are currently being followed up for 25 real-time URS procedures in comparison to a no-simulation arm, as part of the on-going SIMULATE randomised controlled trial.
Original languageEnglish
Pages (from-to)S4
JournalInternational Journal Of Surgery
Early online date2 Aug 2018
Publication statusPublished - 2018


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