Development of the European Laparoscopic Intermediate Urological Skills LUSs2 Curriculum: A Delphi Consensus from the European School of Urology
Year: 2024
Type: article
Abstract: Background and objective: While programmes such as the European Basic Laparoscopic Urological Skills have made strides in foundational training, a significant gap exists for intermediate and advanced laparoscopy education. Our objective is to develop and validate the European laparoscopic intermediate urological skills (LUSs2) curriculum, which will establish uniformity in the training of urological laparoscopic procedures and facilitate proficiency among practitioners. Methods: The study combines a literature review, cognitive task analysis development by a steering group, and a two-round Delphi survey involving international experts in urological laparoscopy. Consensus was defined as agreement of ≥70% among experts. The survey included statements on various laparoscopic procedures, assessed on a Likert scale from 1 (strongly disagree) to 9 (strongly agree). Key findings and limitations: The Delphi process achieved consensus on 85% (235/275) of statements, indicating a strong agreement on the curriculum's content. Areas covered include renal hilum dissection, major vessel injury management, enucleation and renorrhaphy, vesicourethral anastomosis, and pyeloplasty. Limitations include the nonsystematic nature of the literature review and potential biases inherent in expert-based consensus methods. Conclusions and clinical implications: The LUSs2 curriculum significantly advances the standardised training of laparoscopic urological skills. It offers a detailed, consensus-validated framework that addresses the need for uniformity in surgical education and aims to enhance surgical proficiency and patient care. Patient summary: This study presents the development of a new standardised training curriculum for urological laparoscopic surgery. We intend this curriculum to improve the quality of surgical training and ensure high-quality patient care.
Source: European Urology Open Science
Authors: Diego M. Carrion, Loic Baekelandt, Moises Rodriguez Socarras, Willem M. Brinkman, Tiago Ribeiro de Oliveira, Giovannalberto Pini, Anna H. de Vries, Cristina E. Bujoreanu, Tomasso Silvestri, Andreas Skolarikos, Bogdan Petrut, Domenico Veneziano, Francesco Greco, Mario Alvarez-Maestro, Rafael Sanchez-Salas, Rafael Rocha Tourinho-Barbosa, Evangelos Liatsikos, Bhaskar Somani, Juan Gomez Rivas, Paticia J. Zondervan
Institutions: Universidad Francisco de Vitoria, Hospital Universitario de Torrejón, Universitair Ziekenhuis Leuven, University Medical Center Utrecht, IRCCS Ospedale San Raffaele, Diakonessenhuis hospital, University of Trieste, Sismanoglio General Hospital, Institute of Oncology Prof. Dr. Ion Chiricuta, Northwell Health, Arthur Smith Institute for Urology, University of Bergamo, Hospital Universitario La Paz, Institute Mutualiste Montsouris, University of Patras, University Hospital Southampton NHS Foundation Trust, University of Southampton, Hospital Clínico San Carlos, Amsterdam University Medical Centers, Cancer Center Amsterdam, University of Amsterdam
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,800
Funders: European Association of Urology, Erasmus+
OpenAlex ID: W4402507746