European Urology Today: June/July 2023


Bình Dân Hospital hosts its first ESTs1 A recap and impressions of the endoscopic training

content and clear instructions. In addition, the exercises performed on the stations were very similar to procedures performed in real-life situations.” Process of organising the ESTs1 Since 2020, before the COVID-19 pandemic, the ESU, KARL STORZ in Vietnam, and the Bình Dân Hospital

programmes for urologists. I believe that with the continued assistance of the ESU, the Bình Dân Hospital will not only have a team of urologists that meets European standards, but will be able to disseminate knowledge that can help optimise the diagnosis and treatment of patients, as well as support urologists within and outside the institute.” Dr. M.D. Nguyen has passed the practical exam and is eligible to partake in the Endoscopic stone treatment step 2 (ESTs2 Workshop). He shared, “When participating in the EST1 programme, I felt excited and nervous at the same time because I had the opportunity to practise then take the exam. Preparing for the exam involved continuous internships and the support of experts who helped me put my mind at ease as well. Finally, with determination, I passed the exam! I look forward to future practical exams that will enable me to assess myself and standardise my skills.” Word from the faculty According to Prof. P.C.H. Nguyen, the ESTs1 programme was comprehensive and received positive feedback from the participants. “They were all excited in joining the activities and expressed their satisfaction after attending the programme. The lectures were informative with engrossing

By Erika De Groot

The Step 1 Training in Endoscopic Stone Treatment (ESTs1) programme premiered in the Bình Dân Hospital in Ho Chi Minh City, Vietnam which is a first for the institute. From 22 to 23 April, 24 participants underwent training designed to build and strengthen endoscopic skills essential in treating urinary stones. Faculty members from the European School of Urology (ESU) and the institute led the programme and made sure that the ESTs1 followed a stringent protocol, which is designed to mitigate the risks of complications related to the learning-curve process. This article offers impressions of one of the participants, Dr. Nguyen Minh Duat (VN), and feedback from local faculty member Prof. Nguyen Phuc Cam Hoang (VN). Participant point of view “I’m delighted to share my ESTs1 experience. The programme has been meticulously prepared and well-coordinated thanks to the close collaboration of the Board of Directors and the scientific research department of the Binh Dan Hospital and the ESU,” stated Dr. M.D. Nguyen. He said that ESTs1 was comprised of highly-informative lectures and hands-on training (HOT). Day one’s lectures included the setup and equipment in the operating room, and flexible ureteroscopy (URS) indications, as well as pre-recorded cases. Lectures of day two consisted of the latest in URS treatments, intrarenal pressure during flexible URS, how to avoid complications, and laser usage. During the HOT, he and the rest of the participants learned practical skills under the guidance of experts in the field. The HOT included training on six stations dedicated to procedures such as flexible

ESTs1 participants are all smiles after a productive programme

held meetings (online and in person) several times to organise the ESTs1 programme. “There was a strong motivation among the partners to plan such an unprecedented event in a Southeast Asian country such as Vietnam. The ESTs1 was organised successfully because of collaboration between KARL STORZ and the Bình Dân Hospital, a relation which spans for more than 20 years now, as well as the dedicated and efficient training offered by esteemed experts such as Prof. Thomas Knoll (DE), Prof. Sung Yong Cho (KR), and Prof. Laurian Dragoş (GB), and the enthusiastic support from the ESU organising team, Mr. Ton Brouwers (NL) and Ms. Sophie Mills (NL),” stated Prof. P.C.H. Nguyen. He added that the involvement of the Ho Chi Minh City’s Uro-Nephrological Association (HUNA) has made the event more known to urologists nationwide. What’s next? Prof. P.C.H. Nguyen plans to make this programme to be part of the Health Service of Ho Chi Minh City as a training programme. He said, “Of course, the immediate next step will be the ESTs2. In the long run, we aspire to have a memorandum with the ESU and European Association of Urology in terms of a five-year collaboration in training activities in endourology.” More about ESTs1 and the Endoscopic Stone Treatment (EST) curriculum ESTs1 is the first of three steps in the EST curriculum trajectory. This curriculum aims to develop the participants’ proficiency and skills

Prof. Nguyen elaborates on the ESTs1 programme and its aims

needed for the treatment of urinary stones through endoscopic techniques. The EST curriculum is one of many notable curricula of the Standardisation in Surgical Education (SISE) programme. One of SISE’s missions is to provide guidance on surgical training to enable surgeons achieve competence by following pre-defined, standardised pathways. ESTs1 is also part of the EAU KARL STORZ Standardized Endoscopic Training in Uro Procedures (SET-UP) programme. The latter is a joint venture of the ESU, the EAU Section of Uro-Technology, the EAU Section of Urolithiasis, the Urological Association of Asia, and KARL STORZ. They partnered with the HUNA for the ESTs1 at the Bình Dân Hospital. For more information on ESTs1 and the EST curriculum, as well as to learn more about the other curricula under SISE, please visit:

cystoscopy, rigid cystoscopy, semi-rigid ureteroscopy, and flexible ureteroscopy.

Participants’ reactions vary from amazement, curiosity to pensive upon successful execution during an exercise supervised by Prof. Dragoş

Dr. M.D. Nguyen added, “The EST1 programme brought standardisation to training in endoscopic

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European Urology Today June/July 2023


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