Accepted Manuscript Holmium Laser Enucleation of the Prostate: Simulation Based Training Curriculum and Validation Cameron Kuronen-Stewart, BSc (Hons), Kamran Ahmed, MRCS, PhD, Abdullatif Aydin, BSc (Hons), MBBS, Mark Cynk, MSc FRCS (Urol), Paul Miller, MD, FRCS (Urol), Ben Challacombe, MS, FRCS (Urol), Muhammad Shamim Khan, FRCS (Urol), FEBU, OBE, Prokar Dasgupta, MSc, MD, FRCS (Urol), FEBU, Tevita F. Aho, FRACS (Urol), Rick Popert, MS, FRCS (Urol) PII:
S0090-4295(15)00594-4
DOI:
10.1016/j.urology.2015.06.008
Reference:
URL 19264
To appear in:
Urology
Received Date: 23 February 2015 Revised Date:
28 April 2015
Accepted Date: 11 June 2015
Please cite this article as: Kuronen-Stewart C, Ahmed K, Aydin A, Cynk M, Miller P, Challacombe B, Khan MS, Dasgupta P, Aho TF, Popert R, Holmium Laser Enucleation of the Prostate: Simulation Based Training Curriculum and Validation, Urology (2015), doi: 10.1016/j.urology.2015.06.008. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Holmium Laser Enucleation of the Prostate: Simulation Based Training Curriculum and Validation Authors: Cameron Kuronen-Stewarta BSc (Hons)
RI PT
Kamran Ahmeda MRCS, PhD Abdullatif Aydina BSc (Hons), MBBS
Paul Miller c MD, FRCS (Urol) Ben Challacombea MS, FRCS (Urol)
SC
Mark Cynk b MSc FRCS (Urol)
M AN U
Muhammad Shamim Khana FRCS (Urol), FEBU, OBE Prokar Dasguptaa MSc, MD, FRCS (Urol), FEBU Tevita F Ahod FRACS (Urol)
Affiliations: a
TE D
Rick Poperta MS, FRCS (Urol)
MRC Centre for Transplantation, King’s College London
EP
Department of Urology, Guy’s and St. Thomas’ NHS Foundation Trust
b
AC C
King’s Health Partners, London, United Kingdom Department of Urology, Maidstone Hospital, Maidstone and Turnbridge NHS Trust,
Maidstone, United Kingdom c
Department of Urology, Centre for Health, Horley, Surrey, United Kingdom
d
Department of Urology, Addenbrooke’s Hospital, Cambridge University Hospitals
NHS Foundation Trust, Cambridge, United Kingdom
Key words: HoLEP, holmium, simulation, urology, laser prostatectomy, virtual reality
ACCEPTED MANUSCRIPT Correspondence: Kamran Ahmed MBBS, MRCS, PhD NIHR / TUF Academic Clinical Lecturer Specialist Registrar in Urology
RI PT
King's College London Guy's Hospital, London Ph: +44 (0)7939319670
Abstract: 237 words Manuscript: 2,803 words
TE D
ACKNOWLEDGEMENTS
M AN U
SC
Email: [email protected]
This research was supported by the National Institute for Health Research (NIHR) Biomedical Research Centre based at Guy's and St Thomas' NHS Foundation Trust
EP
and King's College London, as well as the Royal College of Surgeons England. The
AC C
project is also supported by the SIMULATE (urology simulation programme) National initiative for simulation training in urology, and the Urology Foundation. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. The authors thank VirtaMedtm for their contribution in providing the virtual reality simulator for the purpose of carrying out this research. However, VirtaMedtm made no financial payments of any kind to the authors, who declare no conflicts of interest.
ACCEPTED MANUSCRIPT ABSTRACT
Objective: To evaluate the face, content, and construct validity of a novel virtual reality
RI PT
simulator for holmium laser enucleation of the prostate (HoLEP) and also assess its feasibility and acceptability as a training model.
SC
Methods:
This prospective observational study recruited 53 participants, comprising of 3
M AN U
groups: HoLEP Experts (n=11), Intermediates (n=24), and Novices (n=18). All participants received an educational package and a 15-minute familiarisation exercise with the simulator. All participants then carried out a full enucleation on an identical 60cc virtual prostate. Performance was assessed using in-built
TE D
simulator metrics, and a questionnaire was distributed assessing face and content validity, as well as feasibility, and acceptability. Novice, intermediate,
Results:
EP
and expert groups were compared using the Mann-Whitney U test.
AC C
Construct validity data revealed significant differences in enucleation efficiency (Grams enucleated per hour) when comparing experts to intermediates (p=0.003), experts to novices (p
S0090-4295(15)00594-4
DOI:
10.1016/j.urology.2015.06.008
Reference:
URL 19264
To appear in:
Urology
Received Date: 23 February 2015 Revised Date:
28 April 2015
Accepted Date: 11 June 2015
Please cite this article as: Kuronen-Stewart C, Ahmed K, Aydin A, Cynk M, Miller P, Challacombe B, Khan MS, Dasgupta P, Aho TF, Popert R, Holmium Laser Enucleation of the Prostate: Simulation Based Training Curriculum and Validation, Urology (2015), doi: 10.1016/j.urology.2015.06.008. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Holmium Laser Enucleation of the Prostate: Simulation Based Training Curriculum and Validation Authors: Cameron Kuronen-Stewarta BSc (Hons)
RI PT
Kamran Ahmeda MRCS, PhD Abdullatif Aydina BSc (Hons), MBBS
Paul Miller c MD, FRCS (Urol) Ben Challacombea MS, FRCS (Urol)
SC
Mark Cynk b MSc FRCS (Urol)
M AN U
Muhammad Shamim Khana FRCS (Urol), FEBU, OBE Prokar Dasguptaa MSc, MD, FRCS (Urol), FEBU Tevita F Ahod FRACS (Urol)
Affiliations: a
TE D
Rick Poperta MS, FRCS (Urol)
MRC Centre for Transplantation, King’s College London
EP
Department of Urology, Guy’s and St. Thomas’ NHS Foundation Trust
b
AC C
King’s Health Partners, London, United Kingdom Department of Urology, Maidstone Hospital, Maidstone and Turnbridge NHS Trust,
Maidstone, United Kingdom c
Department of Urology, Centre for Health, Horley, Surrey, United Kingdom
d
Department of Urology, Addenbrooke’s Hospital, Cambridge University Hospitals
NHS Foundation Trust, Cambridge, United Kingdom
Key words: HoLEP, holmium, simulation, urology, laser prostatectomy, virtual reality
ACCEPTED MANUSCRIPT Correspondence: Kamran Ahmed MBBS, MRCS, PhD NIHR / TUF Academic Clinical Lecturer Specialist Registrar in Urology
RI PT
King's College London Guy's Hospital, London Ph: +44 (0)7939319670
Abstract: 237 words Manuscript: 2,803 words
TE D
ACKNOWLEDGEMENTS
M AN U
SC
Email: [email protected]
This research was supported by the National Institute for Health Research (NIHR) Biomedical Research Centre based at Guy's and St Thomas' NHS Foundation Trust
EP
and King's College London, as well as the Royal College of Surgeons England. The
AC C
project is also supported by the SIMULATE (urology simulation programme) National initiative for simulation training in urology, and the Urology Foundation. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. The authors thank VirtaMedtm for their contribution in providing the virtual reality simulator for the purpose of carrying out this research. However, VirtaMedtm made no financial payments of any kind to the authors, who declare no conflicts of interest.
ACCEPTED MANUSCRIPT ABSTRACT
Objective: To evaluate the face, content, and construct validity of a novel virtual reality
RI PT
simulator for holmium laser enucleation of the prostate (HoLEP) and also assess its feasibility and acceptability as a training model.
SC
Methods:
This prospective observational study recruited 53 participants, comprising of 3
M AN U
groups: HoLEP Experts (n=11), Intermediates (n=24), and Novices (n=18). All participants received an educational package and a 15-minute familiarisation exercise with the simulator. All participants then carried out a full enucleation on an identical 60cc virtual prostate. Performance was assessed using in-built
TE D
simulator metrics, and a questionnaire was distributed assessing face and content validity, as well as feasibility, and acceptability. Novice, intermediate,
Results:
EP
and expert groups were compared using the Mann-Whitney U test.
AC C
Construct validity data revealed significant differences in enucleation efficiency (Grams enucleated per hour) when comparing experts to intermediates (p=0.003), experts to novices (p
