Development of a photographic handbook to improve cystoscopy findings during resident's training: A randomised prospective study. Issue 3 (3rd July 2019)

• Record Type: Journal Article
• Authors: Mantica, Guglielmo; Balzarini, Federica; Dotta, Federico; Rodriguez-Socarras, Moises; Proietti, Silvia; Giusti, Guido; Oneto, Francesco; Di Pierro, Marco; Traverso, Paolo; Terrone, Carlo
• Is Part Of: Arab journal of urology. Volume 17:Issue 3(2019)
• Page Start: 243
• Page End: 248
• Publication Date: 2019-07-03
• Subjects: Cystoscopy -- endourology -- training -- surgical training -- photographic handbook; Urology -- Periodicals; Urology; Urologic Diseases; Urologic Surgical Procedures; Urogenital Neoplasms; Arabia; Periodicals; 616.6
• DOI: 10.1080/2090598X.2019.1596400
• Languages: English
• ISSNs: 2090-598X

Abstract

ABSTRACT: Objectives : To evaluate if the use of a photographic handbook (PH) can be a useful tool to improve the detection of disorders during cystoscopy training, as several hands-on tools have been proposed to improve technical skills but very few aim to improve specificity and sensitivity. Subjects and methods : Eight junior residents (JRs) were divided into two groups: Group A, comprised four JRs with previous limited experience of performing cystoscopies; and Group B, including four inexperienced JRs who were asked to study a specific PH before performing cystoscopies. The findings of the two groups were compared using the chi-squared test. Results : A total of 401 consecutive cystoscopies, of which 214 (53.4%) were performed by Group A and 187 (46.6%) by Group B, were considered. Group B showed superior ability in detecting uncommon findings (i.e., carcinoma in situ, bullous oedema, interstitial cystitis, etc.) with 24/46 (52.2%) detected vs eight of 32 (25%) in Group A ( P = 0.016). Conclusions : The PH was a useful tool for improving identification of pathological conditions, which could be used to enhance hands-on simulator and practical tutored training. Abbreviations : CIS: carcinoma in situ ; JR: junior resident; PH: photographic handbook; VR: virtual reality Classification: Stones/Endourology