Interest areas for training in endourology, laparoscopy and robotics: results of a multicentric survey among Spanish residents.

OBJECTIVES: To determine the current status of the training of Urology Resident's in Laparoscopic surgery, robotics and endourology. METHODS: We performed a survey among Spanish Urology Residents between 2011 and may 2012. We designed a survey that was disseminated through the web page of the Spanish Society of Laparoscopic and Robotic surgery (SECLA) (www.seclaendosurgery.com) to all residents from every Spanish hospital. The survey was divided in four blocks: General data, data of the Training Hospital, data of the surgical procedures (endoscopic, laparoscopic and robotic) and training features. We performed a descriptive study of the results. RESULTS: 36 Urology residents out of a total of 384 answered the survey (9,3%). In reference to endoscopic procedures 25% of the residents had never been involved on a percutaneous nephrostomy (n=36), and did not expect to do it. On the contrary, 77% have performed ureterorrenoscopy as first surgeon (n=36) and 25% have participated in more than 10 procedures. 54.4% of the participants took part as surgeons in percutaneous nephrolithotomies (n=28) and 79% looked forward to do them. Participation of residents in Da Vinci Robot assisted laparoscopic procedures is low. Laparoscopic procedures are very attractive and their participation is reduced as procedure complexity increases. CONCLUSIONS: 41.6% of participants think their training is adequate whereas 58,3% think it is not. 88% think their training could improve through courses and seminars and acquiring a greater degree of responsibility.

Áreas de interés en el aprendizaje de endourología, cirugía laparoscópica y robótica: resultados de una encuesta multicéntrica en residentes españoles / Interest areas for training in endourology, laparoscopy and robotics: results of a multicentric survey among spanish residents

OBJETIVO: Determinar el estado actual de la formación de los residentes de Urología, en España en cirugía laparoscópica, robótica y endourológica. MÉTODOS: Se realizó una encuesta (Figura 1) dirigida a los residentes españoles, durante el periodo comprendido entre los años 2011 y mayo de 2012. Diseñamos una encuesta que fue difundida a través de la página web (www.seclaendosurgery.com) de la Sociedad Española de Cirugía Laparoscópica y Robótica (SECLA) a todos los residentes en formación en cualquier centro hospitalario español. La encuesta se dividió en cuatro bloques: datos generales, datos generales del centro donde se realiza la residencia, datos de técnicas quirúrgicas (endoscópicas, laparoscópicas y robóticas) y aspectos formativos. Se realizó un estudio descriptivo de los resultados. RESULTADOS: Sobre un total de 384 residentes en Urología, 36 contestaron a la encuesta (9,3%). Los datos obtenidos referidos a procedimientos endoscópicos demostrarón que un 25 % de los encuestados nunca ha participado en la colocación de una nefrostomía percutánea (n=36), ni espera hacerlo. Por el contrario, un 77 % afirma haber realizado como cirujano una ureterorrenoscopia (n=36). y el 25% lo hizo en más de diez procedimientos. El 54’4 % de los encuestados ha participado como cirujano en nefrolitectomías percutáneas (n=28) y el 79% espera hacerlo. La participación de los residentes en los procedimientos asistidos por robot da Vinci es baja. Los procedimientos laparoscópicos son de gran interés y su participación se reduce según se incrementa el grado de complejidad del procedimiento. CONCLUSIÓN: El 41,6% de los encuestados piensa que su formación es adecuada mientras que el 58,3% piensa que no lo es. El 88% piensan que su formación se podría mejorar con cursos y seminarios y adquiriendo mayor grado de responsabilidad en quirófano y el 50% que su formación se podría complementar con rotaciones externas y/o fellowships

OBJECTIVES: To determine the current status of the training of Urology Resident`s in Laparoscopic surgery, robotics and endourology. METHODS: We performed a survey among Spanish Urology Residents between 2011 and may 2012. We designed a survey that was disseminated through the web page of the Spanish Society of Laparoscopic and Robotic surgery (SECLA) (www.seclaendosurgery.com) to all residents from every Spanish hospital. The survey was divided in four blocks: General data, data of the Training Hospital, data of the surgical procedures (endoscopic, laparoscopic and robotic) and training features. We performed a descriptive study of the results. RESULTS: 36 Urology residents out of a total of 384 answered the survey (9,3%). In reference to endoscopic procedures 25% of the residents had never been involved on a percutaneous nephrostomy (n=36), and did not expect to do it. On the contrary, 77% have performed ureterorrenoscopy as first surgeon (n=36) and 25% have participated in more than 10 procedures. 54.4% of the participants took part as surgeons in percutaneous nephrolithotomies (n=28) and 79% looked forward to do them. Participation of residents in Da Vinci Robot assisted laparoscopic procedures is low. Laparoscopic procedures are very attractive and their participation is reduced as procedure complexity increases. CONCLUSIONS: 41.6% of participants think their training is adequate whereas 58,3% think it is not. 88% think their training could improve through courses and seminars and acquiring a greater degree of responsibility