Abstract
Introduction: Suprapubic catheterization is a fundamental skill for urology residents and trainees. Ultrasound guidance for this procedure is effective for minimizing complications and the British Association of Urological Surgeons guideline recommends use of ultrasound for suprapubic catheterization whenever possible. We developed a novel, cost-effective and sonographically accurate training model for suprapubic catheterization and incorporated it into our resident training curriculum. Methods: The model consists of the 4 components of the bladder (water balloon), a pelvic bone replica and rectus fascia (nonrebreather masks), all housed within an ultrasound compatible gelatin mold. The model was tested during a resident training course to facilitate instruction of suprapubic catheterization. Surveys were administered before and after training to 13 participating urology residents, assessing the model's anatomical and sonographic realism as well as the utility of the curriculum in their education. Results: The simulator model received a mean score of 4.2 out of 5 (SD 0.6, range 3 to 5) for anatomical realism and 4.4 out of 5 for sonographic realism (SD 0.5, range 4 to 5). The value of the simulator as a training tool was rated 4.7 and the overall value of the training course was rated 5 of 5. Regarding change in overall comfort with the procedure, mean total scores (out of 25) significantly increased for all residents after the training course (14.6 to 19.7, 5.1-point increase, p <0.001). Conclusions: Our novel simulation model and didactic curriculum received positive evaluations from urology residents and increased their comfort with ultrasound guided suprapubic catheterization. It is a sustainable teaching tool and can easily be incorporated into any urology training curriculum.
| Original language | English (US) |
|---|---|
| Journal | Urology Practice |
| DOIs | |
| State | Accepted/In press - Jan 1 2018 |
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Keywords
- Anatomic
- Catheterization
- Education
- Medical
- Models
- Ultrasonography
ASJC Scopus subject areas
- Urology
Cite this
VesEcho Training System : Suprapubic Catheterization under Ultrasound Guidance. / Palvolgyi, Roland; Lee, Aaron; Ramirez, Francisco; Durbin-Johnson, Blythe; Rothschild, Jennifer; Yang, Jennifer.
In: Urology Practice, 01.01.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - VesEcho Training System
T2 - Suprapubic Catheterization under Ultrasound Guidance
AU - Palvolgyi, Roland
AU - Lee, Aaron
AU - Ramirez, Francisco
AU - Durbin-Johnson, Blythe
AU - Rothschild, Jennifer
AU - Yang, Jennifer
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Introduction: Suprapubic catheterization is a fundamental skill for urology residents and trainees. Ultrasound guidance for this procedure is effective for minimizing complications and the British Association of Urological Surgeons guideline recommends use of ultrasound for suprapubic catheterization whenever possible. We developed a novel, cost-effective and sonographically accurate training model for suprapubic catheterization and incorporated it into our resident training curriculum. Methods: The model consists of the 4 components of the bladder (water balloon), a pelvic bone replica and rectus fascia (nonrebreather masks), all housed within an ultrasound compatible gelatin mold. The model was tested during a resident training course to facilitate instruction of suprapubic catheterization. Surveys were administered before and after training to 13 participating urology residents, assessing the model's anatomical and sonographic realism as well as the utility of the curriculum in their education. Results: The simulator model received a mean score of 4.2 out of 5 (SD 0.6, range 3 to 5) for anatomical realism and 4.4 out of 5 for sonographic realism (SD 0.5, range 4 to 5). The value of the simulator as a training tool was rated 4.7 and the overall value of the training course was rated 5 of 5. Regarding change in overall comfort with the procedure, mean total scores (out of 25) significantly increased for all residents after the training course (14.6 to 19.7, 5.1-point increase, p <0.001). Conclusions: Our novel simulation model and didactic curriculum received positive evaluations from urology residents and increased their comfort with ultrasound guided suprapubic catheterization. It is a sustainable teaching tool and can easily be incorporated into any urology training curriculum.
AB - Introduction: Suprapubic catheterization is a fundamental skill for urology residents and trainees. Ultrasound guidance for this procedure is effective for minimizing complications and the British Association of Urological Surgeons guideline recommends use of ultrasound for suprapubic catheterization whenever possible. We developed a novel, cost-effective and sonographically accurate training model for suprapubic catheterization and incorporated it into our resident training curriculum. Methods: The model consists of the 4 components of the bladder (water balloon), a pelvic bone replica and rectus fascia (nonrebreather masks), all housed within an ultrasound compatible gelatin mold. The model was tested during a resident training course to facilitate instruction of suprapubic catheterization. Surveys were administered before and after training to 13 participating urology residents, assessing the model's anatomical and sonographic realism as well as the utility of the curriculum in their education. Results: The simulator model received a mean score of 4.2 out of 5 (SD 0.6, range 3 to 5) for anatomical realism and 4.4 out of 5 for sonographic realism (SD 0.5, range 4 to 5). The value of the simulator as a training tool was rated 4.7 and the overall value of the training course was rated 5 of 5. Regarding change in overall comfort with the procedure, mean total scores (out of 25) significantly increased for all residents after the training course (14.6 to 19.7, 5.1-point increase, p <0.001). Conclusions: Our novel simulation model and didactic curriculum received positive evaluations from urology residents and increased their comfort with ultrasound guided suprapubic catheterization. It is a sustainable teaching tool and can easily be incorporated into any urology training curriculum.
KW - Anatomic
KW - Catheterization
KW - Education
KW - Medical
KW - Models
KW - Ultrasonography
UR - http://www.scopus.com/inward/record.url?scp=85036606047&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85036606047&partnerID=8YFLogxK
U2 - 10.1016/j.urpr.2017.01.003
DO - 10.1016/j.urpr.2017.01.003
M3 - Article
AN - SCOPUS:85036606047
JO - Urology Practice
JF - Urology Practice
SN - 2352-0779
ER -