The ‘complements’ to virtual simulation

With the advancement of minimally invasive procedures in urology, the goal is to train a urologist who is highly competent and confident in performing these techniques. Because of the specific risks, visuospatial relationships, and the steep learning curve that is unique to laparoscopy, hands-on training on a box or a visual simulator is the recommended way to start learning laparoscopic skills. However, as Preece et al. [1] stated in their interesting article, simulation should complement other essential components of urology training programs such as participation in mentorship schemes and clinical fellowships, which also aid progression along the learning curve. Residents who are willing to perform laparoscopic surgery should train their laparoscopic skills on a regular basis. Previous research by Stolzenburg et al. [2] suggested that those who are willing to learn laparoscopic prostatectomy should practice daily on a pelvic trainer, especially knot tying and suturing. Laguna et al. [3] stated that it is almost impossible to finalize the residency training as a qualified laparoscopic surgeon. Based on the low level of laparoscopic skills displayed by last year’s residents, it is advisable that those who are willing to perform laparoscopy as a urologist should improve their training and exposure to laparoscopy during residency or should consider a fellowship in laparoscopic surgery. The ‘complements’ to virtual simulation