A review of urological training, how many procedures are required to gain competency in core urological procedures?
BAUS ePoster online library. Vaggers S. 11/10/20; 304136; P11-5
Dr. Sophie Vaggers
Dr. Sophie Vaggers
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A review of urological training, how many procedures are required to gain competency in core urological procedures?

Vaggers S1, Forster L2, Morley R3
1University Hospital Southampton, United Kingdom, 2Royal Free London NHS Foundation Trust, United Kingdom, 3Imperial College Healthcare NHS Trust, London, United Kingdom

Background:
Indicative numbers and competencies in 18 key procedures are required for UK urological trainees to gain a certificate of completion of training (CCT). This study aims to establish how indicative numbers relate to achievement of required competency.

Methods:
ISCP records and elogbooks all trainees (n=109) in their final year of training in May 2019 were reviewed, recording the year in which the required indicative numbers and competencies were achieved.

Results:
The median percentage of procedures completed at the time trainees achieved level 4 competency varied from 84% for TURPs to 300% for inguinal orchidectomies. For level 1 or 2 procedures, the median percentage of procedures completed at the time trainees achieved the required competency varied from 40% for PCNL and female procedures to 235% for ileal conduit. Several procedures required more numbers to achieve the required competency, which include inguinal orchidectomy, ureteroscopy and ileal conduit. For female, paediatric and PCNL, trainees appear to become competent some time before they complete their indicative numbers.

Conclusion:
The median urological trainee achieves a required competency for most procedures when they have completed their indicative numbers. However, there is a vast range and many trainees reach competency without reaching an indicative number whereas others had not reached required level competency despite achieving the indicative target. While indicative numbers demonstrate exposure to a procedure, a competency-based system may offer a better indication of surgical ability.
A review of urological training, how many procedures are required to gain competency in core urological procedures?

Vaggers S1, Forster L2, Morley R3
1University Hospital Southampton, United Kingdom, 2Royal Free London NHS Foundation Trust, United Kingdom, 3Imperial College Healthcare NHS Trust, London, United Kingdom

Background:
Indicative numbers and competencies in 18 key procedures are required for UK urological trainees to gain a certificate of completion of training (CCT). This study aims to establish how indicative numbers relate to achievement of required competency.

Methods:
ISCP records and elogbooks all trainees (n=109) in their final year of training in May 2019 were reviewed, recording the year in which the required indicative numbers and competencies were achieved.

Results:
The median percentage of procedures completed at the time trainees achieved level 4 competency varied from 84% for TURPs to 300% for inguinal orchidectomies. For level 1 or 2 procedures, the median percentage of procedures completed at the time trainees achieved the required competency varied from 40% for PCNL and female procedures to 235% for ileal conduit. Several procedures required more numbers to achieve the required competency, which include inguinal orchidectomy, ureteroscopy and ileal conduit. For female, paediatric and PCNL, trainees appear to become competent some time before they complete their indicative numbers.

Conclusion:
The median urological trainee achieves a required competency for most procedures when they have completed their indicative numbers. However, there is a vast range and many trainees reach competency without reaching an indicative number whereas others had not reached required level competency despite achieving the indicative target. While indicative numbers demonstrate exposure to a procedure, a competency-based system may offer a better indication of surgical ability.
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