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Outcomes of European Basic Laparoscopic Urological Skills (EBLUS) examinations: Results from European School of Urology (ESU) and EAU Section of Uro-Technology (ESUT) over 6 years (2013–2018)

Outcomes of European Basic Laparoscopic Urological Skills (EBLUS) examinations: Results from European School of Urology (ESU) and EAU Section of Uro-Technology (ESUT) over 6 years (2013–2018)
Outcomes of European Basic Laparoscopic Urological Skills (EBLUS) examinations: Results from European School of Urology (ESU) and EAU Section of Uro-Technology (ESUT) over 6 years (2013–2018)

BACKGROUND: The European School of Urology (ESU) and EAU Section of Uro-Technology (ESUT) started hands-on-training (HOT) sessions in 2007 along with structured European Basic Laparoscopic Urological Skills (EBLUS) examinations in 2013. EBLUS includes an online theoretical course, HOT by expert tutors on a set of dry-lab exercises, and finally a standardised examination for skill assessment and certification.

OBJECTIVE: To analyse the results and predictors of success from the EBLUS examinations that were conducted during the European Urology Residents Education Programme (EUREP) and other international and national dedicated ESU events.

DESIGN, SETTING, AND PARTICIPANTS: ESU has been delivering EBLUS courses and examinations over the past 6 yr (2013-2018) in more than 40 countries worldwide. Trainees were asked about their laparoscopic background (procedures assisted/performed) and about the availability of HOT or simulator/box trainer in their facility. Apart from the online theoretical course, 4 HOT tasks [(1) peg transfer, (2) pattern cutting, (3) single knot tying, and (4) clip and cut] with its quality assessment of depth perception, bimanual dexterity, and efficiency were a part of the assessment and were considered critical to pass the EBLUS examination.

RESULTS AND LIMITATIONS: A total of 875 EBLUS examinations were delivered (EUREP, n=385; other ESU events, n=490), with complete data available for 533 (61%) participants among which 295 (55%) passed the examinations. Pass rate increased on a yearly basis from 35% to 70% (p<0.001) and was similar between EUREP (56%) and other ESU/ESUT events (55%). The significant predictors of success were passing tasks 1 [odds ratio (OR): 869.9, 95% confidence interval (CI): 89.6-8449.0, p<0.001] and 2 (OR: 3045.0, 95% CI: 99.2-93 516.2, p<0.001) of the examinations. A limitation of EBLUS was its inability to provide more advanced training such as wet-lab or cadaveric training.

CONCLUSIONS: Over the past few years more trainees have passed the European Basic Laparoscopic Urological Skills (EBLUS) examinations. Trainees who spend more time on laparoscopic procedures demonstrated a better performance and pass rate. We found almost no difference between the EBLUS results collected from EUREP and other ESU/ESUT events, which confirms the robustness of the training and examinations conducted worldwide.

PATIENT SUMMARY: Training in laparoscopy helps trainees pass the European Basic Laparoscopic Urological Skills (EBLUS) examinations, reflected by an increase in the pass rate over the past 6 yr. Our results also confirm the robustness of EBLUS training and examinations worldwide.

EAU, EBLUS, Endourology, ESU, ESUT, EUREP, Laparoscopy, Simulation, Training
Somani, Bhaskar K
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Van Cleynenbreugel, Ben
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Gözen, Ali-Serdar
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Skolarikos, Andreas
7308ae8f-62d1-4ce6-9e66-d8c4c80294ad
Wagner, Christian
ddadb46d-8ff8-4519-ad5a-4efdf8c01888
Beatty, John
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Barmoshe, Sas
b6bd2730-21c1-4d5d-a1e9-7adefbe7ad0d
Gaya Sopena, Jose Maria
f40713ff-7ecb-4c56-a40e-688610f5f21a
Kalogeropoulos, Theodoros
19c7998d-0663-490c-a4a7-828ddbe60a8c
Faba, Oscar Rodriguez
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Salas, Rafael Sanchez
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Schmidt, Marek
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Siena, Giampaolo
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Pini, Giovannalberto
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Palou, Joan
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Geraghty, Robert
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Veneziano, Domenico
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Somani, Bhaskar K
7ed77b4e-3ffc-43ef-bc61-bd1c1544518c
Van Cleynenbreugel, Ben
cba56742-0637-42b0-83ff-4d06808d5e57
Gözen, Ali-Serdar
8221308e-ffaf-459b-867b-0113e65f70ba
Skolarikos, Andreas
7308ae8f-62d1-4ce6-9e66-d8c4c80294ad
Wagner, Christian
ddadb46d-8ff8-4519-ad5a-4efdf8c01888
Beatty, John
4bcba76a-e8e4-4b0c-9a6b-e8a393791b82
Barmoshe, Sas
b6bd2730-21c1-4d5d-a1e9-7adefbe7ad0d
Gaya Sopena, Jose Maria
f40713ff-7ecb-4c56-a40e-688610f5f21a
Kalogeropoulos, Theodoros
19c7998d-0663-490c-a4a7-828ddbe60a8c
Faba, Oscar Rodriguez
7f57ca50-a3f6-4b1c-8519-170e29157aa8
Salas, Rafael Sanchez
8e192b65-b551-48fe-be67-6ae6113dea66
Schmidt, Marek
98b6a960-df8b-4bbb-8870-ed09d8c4c247
Siena, Giampaolo
0b90605f-1b46-4af3-a83b-668b2cbc141b
Pini, Giovannalberto
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Palou, Joan
aecd6bc2-2515-4d76-beb9-21c1fe763aca
Geraghty, Robert
65977705-49f3-48b7-8a80-a86c26955755
Veneziano, Domenico
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Somani, Bhaskar K, Van Cleynenbreugel, Ben, Gözen, Ali-Serdar, Skolarikos, Andreas, Wagner, Christian, Beatty, John, Barmoshe, Sas, Gaya Sopena, Jose Maria, Kalogeropoulos, Theodoros, Faba, Oscar Rodriguez, Salas, Rafael Sanchez, Schmidt, Marek, Siena, Giampaolo, Pini, Giovannalberto, Palou, Joan, Geraghty, Robert and Veneziano, Domenico (2019) Outcomes of European Basic Laparoscopic Urological Skills (EBLUS) examinations: Results from European School of Urology (ESU) and EAU Section of Uro-Technology (ESUT) over 6 years (2013–2018). European Urology Focus. (doi:10.1016/j.euf.2019.01.007).

Record type: Article

Abstract

BACKGROUND: The European School of Urology (ESU) and EAU Section of Uro-Technology (ESUT) started hands-on-training (HOT) sessions in 2007 along with structured European Basic Laparoscopic Urological Skills (EBLUS) examinations in 2013. EBLUS includes an online theoretical course, HOT by expert tutors on a set of dry-lab exercises, and finally a standardised examination for skill assessment and certification.

OBJECTIVE: To analyse the results and predictors of success from the EBLUS examinations that were conducted during the European Urology Residents Education Programme (EUREP) and other international and national dedicated ESU events.

DESIGN, SETTING, AND PARTICIPANTS: ESU has been delivering EBLUS courses and examinations over the past 6 yr (2013-2018) in more than 40 countries worldwide. Trainees were asked about their laparoscopic background (procedures assisted/performed) and about the availability of HOT or simulator/box trainer in their facility. Apart from the online theoretical course, 4 HOT tasks [(1) peg transfer, (2) pattern cutting, (3) single knot tying, and (4) clip and cut] with its quality assessment of depth perception, bimanual dexterity, and efficiency were a part of the assessment and were considered critical to pass the EBLUS examination.

RESULTS AND LIMITATIONS: A total of 875 EBLUS examinations were delivered (EUREP, n=385; other ESU events, n=490), with complete data available for 533 (61%) participants among which 295 (55%) passed the examinations. Pass rate increased on a yearly basis from 35% to 70% (p<0.001) and was similar between EUREP (56%) and other ESU/ESUT events (55%). The significant predictors of success were passing tasks 1 [odds ratio (OR): 869.9, 95% confidence interval (CI): 89.6-8449.0, p<0.001] and 2 (OR: 3045.0, 95% CI: 99.2-93 516.2, p<0.001) of the examinations. A limitation of EBLUS was its inability to provide more advanced training such as wet-lab or cadaveric training.

CONCLUSIONS: Over the past few years more trainees have passed the European Basic Laparoscopic Urological Skills (EBLUS) examinations. Trainees who spend more time on laparoscopic procedures demonstrated a better performance and pass rate. We found almost no difference between the EBLUS results collected from EUREP and other ESU/ESUT events, which confirms the robustness of the training and examinations conducted worldwide.

PATIENT SUMMARY: Training in laparoscopy helps trainees pass the European Basic Laparoscopic Urological Skills (EBLUS) examinations, reflected by an increase in the pass rate over the past 6 yr. Our results also confirm the robustness of EBLUS training and examinations worldwide.

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More information

Accepted/In Press date: 4 January 2019
e-pub ahead of print date: 17 January 2019
Keywords: EAU, EBLUS, Endourology, ESU, ESUT, EUREP, Laparoscopy, Simulation, Training

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Local EPrints ID: 430396
URI: http://eprints.soton.ac.uk/id/eprint/430396
PURE UUID: 34ca4ff2-69e6-4715-89ac-271a6a2d89b1

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Date deposited: 26 Apr 2019 16:30
Last modified: 16 Mar 2024 00:11

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Contributors

Author: Bhaskar K Somani
Author: Ben Van Cleynenbreugel
Author: Ali-Serdar Gözen
Author: Andreas Skolarikos
Author: Christian Wagner
Author: John Beatty
Author: Sas Barmoshe
Author: Jose Maria Gaya Sopena
Author: Theodoros Kalogeropoulos
Author: Oscar Rodriguez Faba
Author: Rafael Sanchez Salas
Author: Marek Schmidt
Author: Giampaolo Siena
Author: Giovannalberto Pini
Author: Joan Palou
Author: Robert Geraghty
Author: Domenico Veneziano

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