Simulation-based Training for Flexible Cystoscopy - a Patient Transfer Randomized Trial

Rigshospitalet

Status: Completed

Conditions: Education

Treatments: Behavioral: Testing; Behavioral: Directed self-regulated simulation training

Study type: Interventional

Funder types: Other

Identifiers

NCT02411747

H-4-2014-122

Details and patient eligibility

About

Simulation training in surgical education in Urology specialist training in flexible cystoscopy has been demonstrated a valid and efficient learning instrument. The classical setup with a medical expert introducing the novices to the theoretical background and technics of the procedure is time-consuming and expensive. Directed self-regulated simulation training (DSR) is a validated method in simulation training. The power of testing in DSR and flexible cystoscopy is to our knowledge not known. We introduced a setup in which the novices started by training in a directed self-regulated simulation training environment and informed them that they would be tested by a medical expert afterwards. The intervention group novices were given only written theoretical information and anatomical pictures. The control group were first given a classical oral theoretical introduction by a medical expert and secondly did DSR training. We tested the outcome of the intervention by a validated rating scale for flexible cystoscopy. The novices in both the control and intervention group were tested on patients prescribed a flexible cystoscopy and evaluated by a specialist in Urology.

The main hypothesis was that testing in relation to DSR would result in higher scores on a validated scale when performing a flexible cystoscopy on a patient evaluated by a specialist in Urology compared to a group having a oral lecture before DSR.

Enrollment: 32 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Senior medical students
• Novices in endoscopic procedures
• Written and oral consent

Exclusion criteria

• Performed a endoscopic procedure independently
• Lack of language skills
• Lack of written and oral consent

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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32 participants in 2 patient groups

Testing+endoscopic simulation training

Experimental group

Description:

Endoscopic training in flexible cystoscopy by directed self-regulated training with knowledge of a test afterwards, max. time cap 1h45min. 15 minutes of testing with a expert in the procedure. Total max time: 2 hours.

Treatment:

Behavioral: Testing

Behavioral: Directed self-regulated simulation training

Oral lecture+endoscopic simulation training

Active Comparator group

Description:

Endoscopic training in flexible cystoscopy by directed self-regulated training, max. time cap 1h45min after a 15 minute oral theoretical lecture by a expert in the procedure. Total max. time: 2 hours.

Treatment:

Behavioral: Directed self-regulated simulation training