IngentaConnect Mutual mentoring in laparoscopic urology a natural progression fr...

Authors: Jones, A.¹; Eden, C.²; Sullivan, M.E.³

Source: Annals of The Royal College of Surgeons of England, Volume 89, Number 4, May 2007 , pp. 422-425(4)

Publisher: The Royal College of Surgeons of England

Abstract:

INTRODUCTION: The objective of this study is to report a novel system of 'mutual mentoring' that overcomes the limited availability of laparoscopic mentors and allows progression from laboratory and fellowship experience into independent clinical practice.

PATIENTS AND METHODS: A total of 88 laparoscopic cases were performed during the fellowship. In the first 2 years as consultants, we (AJ and MS) performed 151 cases with mutual mentoring (simple nephrectomy [n = 28], radical nephrectomy [n = 35], nephro-ureterectomy [n = 19], pyeloplasty [n = 31], pelvic LND [n = 21], others [n = 17]).

RESULTS: Mutual mentoring has resulted in the successful introduction of laparoscopic services to two hospitals, allowing an exposure to an average of two cases a week. Complication rates are acceptable and objective measures such as conversion rates, operative time and blood loss appear to be improving.

CONCLUSIONS: Mutual mentoring allows for a greater through-put of cases, a high level of assistance, advice with intra-operative decisions and the potential to 'share' cases, reducing fatigue and increasing experience. It provides significant moral support in the difficult early days of starting the service. Its disadvantages are that it is time consuming and is geographically restrictive. Mutual mentoring has allowed us to introduce a laparoscopic service at our respective hospitals with high case-load acceptable complication rates.

Keywords: LAPAROSCOPY; TRAINING; MENTORING

Document Type: Research article

DOI: 10.1308/003588407X183292

Affiliations: 1: Royal Berkshire Hospital, Reading, UK 2: North Hampshire Hospital, Basingstoke, UK 3: Churchill Hospital, Headington, Oxford, UK

Mutual mentoring in laparoscopic urology - a natural progression from laparoscopic fellowship