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ESU section: 1st ESU Urology Boot Camp takes place in Greece
Stellar programme designed for junior urologists
Dr. Athanasios Dellis Course Scientific Director General Secretary of HUA Athens (GR)
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grdellis@yahoo.gr
Co-authors: Dr. Tiago Ribeiro Oliveira, Course Scientific Committee ESU, Dr. Jason Kyrazis, Course Trainer, Mr. Theodoros Spinos, Urology Trainee
The ESU Urology Boot Camp took place in Greece for the first time on 6 October 2022 during the 25th Panhellenic Urological Congress, which was organised by the Hellenic Urological Association (HUA).
Based on the Urology Simulation Boot Camp developed by Mr. Shekhar Biyani, the bootcamp is an intensive simulation course encompassing a wide variety of technical and non-technical skills that has been delivered in Leeds, UK over the past years. The ESU Urology Boot Camp Committee designed this boot camp for first-year residents to provide them with high quality hands-on training to develop the necessary skills to perform the most frequent urological procedures before they start working with patients. So far, the course has been successfully organised in Portugal (2018, 2019, and 2022), Belgium (2019 and 2022), Serbia (2021 and 2022), Lithuania (2022), and Austria (2022).
The ESU Urology Boot Camp is the first step to the comprehensive and structured approach to hands-on training developed by the European School of Urology (ESU), as part of the Standardisation in Surgical Education programme (SISE).
Following the same standardised structure of the other popular ESU courses, the first ESU Urology Boot Camp in Greece was organised and run by ESU Chair Prof. Evangelos Liatsikos, Prof. Athanasios Dellis, Prof. Ben Van Cleynenbreugel, Mr. Shekhar Biyani and Dr. Tiago Oliveira. The bootcamp participants included 16 junior trainees who were divided into four groups. They partook in an intensive rotation of four modules, each with a duration of two hours.
Module 1 was dedicated to the lower urinary tract, which included procedures rigid cystoscopy, flexible cystoscopy, scrotal examination, suprapubic catheter placement, and circumcision. Trainees had the opportunity to perform a circumcision, learning to protect the penis glans and urethra, achieving haemostasis and a good cosmetic result.
Trainees also had the chance to perform their first suprapubic catheterization in a model. Scrotal examination models familiarised trainees with common urological diseases such as hydrocele, varicocele, epididymal cysts, orcheoepididymitis, testicular cancer, and testicular torsion.
Trainees also performed both rigid and flexible cystoscopy, and learned to explore the whole bladder and urethra. They were able to place a pigtail ureteric catheter through the ureters after recognising the ureteral orifices.
Module 2 centred on transurethral resection of the bladder and prostate. Starting with basic transurethral resection principles, trainees performed transurethral resection of the bladder and transurethral resection of the prostate in synthetic models and learned how to manage haemostasis and bladder washout in a simulator.
One-on-one setup is optimal for learning Transurethral resection (TUR) training
Module 3 focused on the upper urinary tract which included procedures semi-rigid ureteroscopy and flexible ureterorenoscopy. After learning the basic upper tract endoscopic principles and getting familiar with the endoscopic equipment, trainees were taught once again ureteric catheterization and guidewire placement, proceeding with more advanced skills such as semi-rigid ureteroscopy, access sheath placement, flexible ureterorenoscopy, and Dormia basket handling.
Module 4 was dedicated to basic laparoscopy. After a short lesson on basic laparoscopic principles, equipment and pneumoperitoneum establishment, participants performed the four exercises of the European training in basic laparoscopic urological skills (E-BLUS) curriculum: peg transfer, circle cutting, needle guidance and suturing.
In every module, the trainee has one individual station and guided by a dedicated and experienced trainer. This setup not only provides technical skills training according to the validated training curricula developed by the ESU, but enables individualisation of training according to the trainee’s needs. The one-on-one setup is one of the main hallmarks of the ESU Urology Boot Camp, which aims to provide highquality technical training , a very pleasant experience for trainees, and significantly increase their skills and confidence.
After more than eight hours of intensive hands-on training, both trainees and trainers were tired but satisfied from the entire experience. The bootcamp was a unique opportunity for junior residents to acquire important technical skills without worrying about causing harm to patients or depriving hospitals of valuable time.
Given the success of the first ESU Urology Boot Camp in Greece, the second edition is already underway following the goal of the EAU, the ESU, the HUA and the ESU Urology Boot Camp Committee: to provide stellar skills training to all urology residents throughout Europe in the beginning of their residency.
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