Development of the European Laparoscopic Intermediate Urological Skills LUSs2 Curriculum: A Delphi Consensus from the European School of Urology

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 intermedia...

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Main 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
Format: Article
Language:English
Published: Elsevier 2024-11-01
Series:European Urology Open Science
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666168324006542
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author 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
author_facet 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
author_sort Diego M. Carrion
collection DOAJ
description 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.
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spelling doaj-art-9281d8096f0f42f3bd2efdf79e62babe2025-08-20T02:10:50ZengElsevierEuropean Urology Open Science2666-16832024-11-0169225010.1016/j.euros.2024.08.023Development of the European Laparoscopic Intermediate Urological Skills LUSs2 Curriculum: A Delphi Consensus from the European School of UrologyDiego M. Carrion0Loic Baekelandt1Moises Rodriguez Socarras2Willem M. Brinkman3Tiago Ribeiro de Oliveira4Giovannalberto Pini5Anna H. de Vries6Cristina E. Bujoreanu7Tomasso Silvestri8Andreas Skolarikos9Bogdan Petrut10Domenico Veneziano11Francesco Greco12Mario Alvarez-Maestro13Rafael Sanchez-Salas14Rafael Rocha Tourinho-Barbosa15Evangelos Liatsikos16Bhaskar Somani17Juan Gomez Rivas18Paticia J. Zondervan19Department of Urology, Torrejon University Hospital, Madrid, Spain; Universidad Francisco de Vitoria, Madrid, SpainDepartment of Urology, University Hospitals Leuven, Leuven, BelgiumInstituto de Cirugía Urológica Avanzada (ICUA), Clínica CEMTRO, Madrid, SpainDepartment of Oncological Urology, University Medical Centrum Utrecht, Utrecht, The NetherlandsDepartment of Urology, Armed Forces Hospital, Lisbon, PortugalDepartment of Urology, Ospedale San Raffaele-Turro, Milan, ItalyDepartment of Urology, Diakonessenhuis, Utrecht, The NetherlandsDepartment of Urology, Medicover Hospital, Cluj-Napoca, RomaniaDepartment of Urology, Trieste University, Trieste, ItalySecond Department of Urology, Sismanoglio Hospital, Athens Medical School, Athens, GreeceDepartment of Urology, Institutul Oncologic Cluj Napoca, District Cluij, RomaniaThe Smith Institute for Urology, Northwell Health, New York, NY, USADepartment of Urology, Centro Salute Uomo, Bergamo, ItalyDepartment of Urology, La Paz University Hospital, Madrid, SpainDepartment of Urology, Institute Mutualiste Montsouris, Paris, FranceDepartment of Urology, Hospital Cardiopulmonar, Salvador, BrazilDepartment of Urology, University of Patras, Patras, GreeceDepartment of Urology, University Hospital Southampton NHS Trust, Southampton, UKDepartment of Urology, Hospital Clinico San Carlos, Madrid, SpainDepartment of Urology, Amsterdam UMC, Cancer Center Amsterdam, University of Amsterdam, Amsterdam, The Netherlands; Corresponding author. Department of Urology, Amsterdam UMC, Cancer Center Amsterdam, University of Amsterdam, Amsterdam, The Netherlands. Tel. +31619236408.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.http://www.sciencedirect.com/science/article/pii/S2666168324006542CurriculumLaparoscopySurgeryTrainingUrologyDelphi consensus
spellingShingle 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
Development of the European Laparoscopic Intermediate Urological Skills LUSs2 Curriculum: A Delphi Consensus from the European School of Urology
European Urology Open Science
Curriculum
Laparoscopy
Surgery
Training
Urology
Delphi consensus
title Development of the European Laparoscopic Intermediate Urological Skills LUSs2 Curriculum: A Delphi Consensus from the European School of Urology
title_full Development of the European Laparoscopic Intermediate Urological Skills LUSs2 Curriculum: A Delphi Consensus from the European School of Urology
title_fullStr Development of the European Laparoscopic Intermediate Urological Skills LUSs2 Curriculum: A Delphi Consensus from the European School of Urology
title_full_unstemmed Development of the European Laparoscopic Intermediate Urological Skills LUSs2 Curriculum: A Delphi Consensus from the European School of Urology
title_short Development of the European Laparoscopic Intermediate Urological Skills LUSs2 Curriculum: A Delphi Consensus from the European School of Urology
title_sort development of the european laparoscopic intermediate urological skills luss2 curriculum a delphi consensus from the european school of urology
topic Curriculum
Laparoscopy
Surgery
Training
Urology
Delphi consensus
url http://www.sciencedirect.com/science/article/pii/S2666168324006542
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