Erika Banks, MDPURPOSE:
To determine if cystoscopy skills and knowledge can be acquired and retained with a low-fidelity cystoscopy simulation.BACKGROUND:
Cystoscopy training is done most commonly in the operating room on actual patients. The primary objective of this study was to evaluate whether low-fidelity cystoscopy simulation could help train residents and allow them to retain those skills outside of the operating room.METHODS:
All residents in a community hospital underwent training, which consisted of pre/post training knowledge test, a 30 minute lecture, one hour simulation where the residents were able to practice assembling and performing cystoscopy on a low fidelity balloon simulator. Residents were then assessed on 1) their ability to assemble the cystoscope with a 10-point check list, the time needed to assemble the cystoscope and 2) their ability to perform a diagnostic cystoscopy via a check list, a Global Rate Scale (GRS) adapted for cystoscopy, and the time needed to perform the procedure. To assess skills retention, the same assessment was repeated 11 months later. Data was analyzed with Pearson-correlation coefficient and Paired T-test.RESULTS:
Following training, PGY1 residents showed significant improvement for assembly time, GRS scores, and knowledge (P=<.002/.03/.001). PGY2 resident showed significant improvement in knowledge (P=<.001). Assembly time, GRS scores, and pre/post-test scores were also correlated to the level of training. Overall, the training sessions led to significantly improved knowledge test scores in all levels of training (P<.02).DISCUSSION:
Low-fidelity cystoscopy led to improved knowledge and surgical skills in the junior residents. Also it was able to correlate to each level resident.