{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T23:50:32Z","timestamp":1784159432970,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T00:00:00Z","timestamp":1588118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Malcolm Coptcoat Memorial Trust"},{"name":"Intercalated Degree Surgical Research Project Grant"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To develop and validate the Urethroplasty Training and Assessment Tool (\n                      <jats:styled-content style=\"fixed-case\">UTAT<\/jats:styled-content>\n                      ) using Healthcare Failure Mode and Effect Analysis (\n                      <jats:styled-content style=\"fixed-case\">HFMEA<\/jats:styled-content>\n                      ) for training and assessment of urology trainees learning this urethral reconstruction technique, as urethroplasty is the \u2018gold standard\u2019 treatment for long and recurrent urethral strictures and with a variety of techniques and a lack of standardised reconstructive curricula, there is a need for procedure\u2010specific training tools to improve surgeon training and patient safety.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      This international observational study was performed over an 11\u2010month period. The\n                      <jats:styled-content style=\"fixed-case\">HFMEA<\/jats:styled-content>\n                      was used to identify and evaluate hazardous stages of urethroplasty to develop\n                      <jats:styled-content style=\"fixed-case\">the UTAT<\/jats:styled-content>\n                      . Hazard scores were calculated for the included steps of urethroplasty. Content validation was performed by 12 expert surgeons and multidisciplinary teams from international tertiary centres.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:styled-content style=\"fixed-case\">HFMEA<\/jats:styled-content>\n                      process resulted in an internationally validated\n                      <jats:styled-content style=\"fixed-case\">UTAT<\/jats:styled-content>\n                      . Hazard scores \u22654 and single point weaknesses were included to implement actions and outcome measures. Content validation was achieved by circulating the process map, hazard analysis table, and developed tools. Changes were implemented based on the feedback received from expert surgeons. The content validated dorsal onlay buccal mucosa graft bulbar\n                      <jats:styled-content style=\"fixed-case\">UTAT<\/jats:styled-content>\n                      contained five phases, 10 processes and 23 sub\u2010processes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:styled-content style=\"fixed-case\">modular UTAT<\/jats:styled-content>\n                      offers a comprehensive validated training tool developed via a detailed\n                      <jats:styled-content style=\"fixed-case\">HFMEA<\/jats:styled-content>\n                      protocol. This may be utilised to standardise the training and assessment of urology trainees.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.14830","type":"journal-article","created":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T08:09:27Z","timestamp":1558944567000},"page":"725-731","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Development and content validation of the Urethroplasty Training and Assessment Tool (\n                    <scp>UTAT<\/scp>\n                    ) for dorsal onlay\n                    <scp>buccal mucosa graft<\/scp>\n                    urethroplasty"],"prefix":"10.1111","volume":"125","author":[{"given":"Sara","family":"Jasionowska","sequence":"first","affiliation":[{"name":"MRC Centre for Transplantation King's College London London UK"},{"name":"Department of Urology King's College Hospital London 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