Application of progressive ureteroscopy training in the skill teaching for residents

doi:10.3969/j.issn.2096-045X.2026.03.004

Abstract

Abstract:

Objective　To explore the effect of progressive training mode in the teaching of ureteroscopic surgery among residents.Methods　The residents and postgraduates receiving urology training at the First Affiliated Hospital of Kunming Medical University from September 2022 to December 2024 were randomly divided into the experimental group (n=32) and the control group (n=31). All the trainees took relevant the theoretical examination before the training. Participants in the control group received conventional clinical training by following senior physicians, while those in the experimental group adopted a progressive training method including systematic theoretical learning, in vitro model training and clinical operation training. The endpoint of the study was defined as the ability to independently complete ureteroscopic lithotripsy (URSL). The primary outcome was score of objective structured assessment of technical skills (OSATS). The secondary indicators included the training duration before independent surgery, theoretical assessment scores and the satisfaction score. Results　The experimental group obtained significantly higher OSATS scores than the control group [(29.84±2.14) points vs (18.23±1.71) points, P<0.05]. The theoretical test scores of the experimental group were markedly superior to those of the control group [(92.19±2.02) points vs (84.65±1.38) points, P<0.05]. The training time required for the first independent URSL operation was obviously shorter in the experimental group [(41.41±2.65) d vs (64.55±2.31) d, P<0.05], and the operative time of URSL was also significantly reduced [(19.34±1.27) min vs (26.26±1.40) min, P<0.05]. During surgery, the experimental group achieved higher scores in operative visual field clarity [(4.31±0.50) points vs (3.68±0.40) points, P<0.05] and team cooperation performance [(33.31±0.92) points vs (30.55±0.88) points, P<0.05]. In addition, the overall satisfaction degree of participants in the experimental group towards progressive ureteroscope training was higher than that of the control group towards conventional training [(51.91±1.30) points vs (47.90±1.26) points, P<0.05].Conclusion　The progressive training of ureteroscopic surgery can improve the training efficiency and satisfaction of the trainees.

Key words:

, progressive training｜ureteroscopy｜resident physicians｜ skill teaching｜teaching methods

He Zonghai, Gao Hongbin, Chen Yuelong, Guan Runyun, Luo Yuhui, Zhang Jianhua. Application of progressive ureteroscopy training in the skill teaching for residents[J]. Medical Education Management, 2026, 12(3): 302-307.

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URL: https://journal06.magtechjournal.com/Jwk3_yyyzlt/EN/10.3969/j.issn.2096-045X.2026.03.004

https://journal06.magtechjournal.com/Jwk3_yyyzlt/EN/Y2026/V12/I3/302

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