title: Establishing the Number of Procedures for Optimal Renal Transplantation Training With the Use of a Canine Model.
abstract: BACKGROUND
  The training of surgeons that perform renal transplantations can be diverse. For example, the training profile can vary greatly, involving urologists to general surgeons. The efficacy of training programs directed at transplantation surgeons is influenced by numerous factors, including the specialist profile who is trained, the number of procedures available to trainees in a given teaching hospital, and the duration of training. Here we determine the number of procedures necessary to consolidate and contribute to proficiency in renal transplantation technique.
  
  
  METHODS
  We used a canine model, comparing 32 renal transplantations performed by a urologist and by a general surgeon who had completed their respective training in renal transplantation.
  
  
  RESULTS
  Our results demonstrated that with 12 surgical procedures, surgeons were able to consolidate their skills in renal transplantation, regardless of their educational background.
  
  
  CONCLUSIONS
  This is an initial effort in the establishment of a system for targeted training of transplantation surgeons directed specifically at correcting deficiencies and consolidating skills acquired during training programs. These efforts should contribute to the improvement of patient safety in public and private health systems.
authors.affiliation: Department of Research, Hospital Regional de Alta Especialidad del Bajio, Leon, Guanajuato, Mexico; Department of Surgery, Hospital General de SubZona No. 10 del Instituto Mexicano del Seguro Social, Delegación Guanajuato, Mexico. Electronic address: drmarcoayala@hotmail.com.
authors.forename: M A
authors.initials: MA
authors.lastname: Ayala-Garcia
authors.affiliation: Transplant Unit, Hospital Regional de Alta Especialidad del Bajio, Leon, Guanajuato, Mexico.
authors.forename: J M
authors.initials: JM
authors.lastname: Soel-Encalada
authors.affiliation: Department of Surgery, University and Transplant Unit University Hospital Virgen de la Arrixaca, El Palmar, Murcia, España.
authors.forename: A
authors.initials: A
authors.lastname: Rios Zambudio
authors.affiliation: Department of Research, Hospital Regional de Alta Especialidad del Bajio, Leon, Guanajuato, Mexico.
authors.forename: E R
authors.initials: ER
authors.lastname: Rodea-Montero
authors.affiliation: Department of Research, Hospital Regional de Alta Especialidad del Bajio, Leon, Guanajuato, Mexico; Department of Medicine and Nutrition, Division of Health Sciences, University of Guanajuato, Leon, Guanajuato, Mexico.
authors.forename: B
authors.initials: B
authors.lastname: Gonzalez-Yebra
mesh_terms: D000818:Animals; D002983:Clinical Competence / Q000592:standards*; D004285:Dogs; D004502:Education, Medical, Continuing / Q000379:methods*; D013502:General Surgery / Q000193:education* / Q000592:standards; D006801:Humans; D016030:Kidney Transplantation / Q000193:education* / Q000592:standards / Q000706:statistics & numerical data; D008297:Male; D023421:Models, Animal; D061646:Operative Time; D011446:Prospective Studies; D000072178:Urologists / Q000193:education* / Q000592:standards