S167
Brachytherapy - Urology
ESTRO 2026
requires high technical precision, spatial understanding, and coordination between
multidisciplinary teams. Training opportunities are often limited due to procedural complexity and patient safety constraints. This study aimed to assess the effectiveness of a simulation-based workshop in improving participants’ technical competencies, confidence, and readiness for clinical practice in prostate brachytherapy. Material/Methods: A longitudinal descriptive study was conducted on November 8, 2024, at the Centre International Mohammed VI de la Simulation en Sciences et Santé (CIM6S). Twelve radiation oncology trainees participated in a hands-on prostate brachytherapy simulation workshop using realistic pelvic models and image-guided techniques. The training included pre- briefing, guided practice, and debriefing sessions supervised by expert instructors. Anonymous questionnaires were distributed before and immediately after the workshop to assess participants’ perceptions of their skills, preparedness, and satisfaction. A follow-up survey was scheduled one year later (November 7, 2025) to evaluate long-term retention and clinical application of acquired skills. All 12 participants completed the evaluations, ensuring a 100% response rate. Results: Following the training, participants reported a clear improvement in their understanding of prostate brachytherapy procedures and workflow. Satisfaction scores were high, with particular emphasis on the realism of the simulated environment, the relevance of clinical scenarios, and the quality of supervision. More than half of the participants felt confident to perform the procedure under supervision, while all acknowledged the need for additional training to perfect their technical accuracy. The small group format and structured debriefings were perceived as major assets for personalized feedback and consolidation of learning. One year after the workshop, several participants reported having applied the techniques learned in clinical practice, highlighting improved confidence and skill retention over time. Conclusion: This study demonstrates that simulation-based education is an effective and sustainable method for training in prostate brachytherapy. It provides an immersive, safe, and standardized environment that enhances both technical and cognitive competencies. Integrating simulation into routine educational programs could strengthen clinical preparedness, promote continuous learning, and ultimately contribute to higher quality of care and patient safety in radiation oncology. Keywords: Prostate cancer, brachytherapy, simulation
Gastrointestinal (GI) EPIC scores were slightly lower for BT at 3 months: baseline BT: 98 (IQR 94–100) vs UHF- RT: 98 (94–100, p=0.65) declined to 91 (77–96) vs 94 (77–98, p=0.05), with similar values during follow-up. Sexual function differed at baseline (EPIC BT: 64 [44– 76] vs UHF-RT: 57 [34–73], p=0.04), but remained equal (40–50 in both groups) during follow-up (p>0.05). No severe GI or GU toxicity (CTCAE grade ≥ 3 ) occurred during the first 3 months. Beyond 3 months (up to 4 years), one grade 3 GU event occurred per group. PSA during follow-up was equal in both groups: baseline BT: 7.7 (IQR 6.1–10.0) vs UHF-RT: 7.5 (5.6–10.3, p=0.75) declined to 0.2 (0.13–0.45) vs 0.3 (0.28–0.35) after 3 years (p=0.41). Conclusion: I-125 BT resulted in greater short-term deterioration of urinary PROMS compared to MR-linac UHF-RT, particularly during BT dose delivery. Differences persisted up to 2 years, but declined over follow-up. No differences were observed in PSA response or severe toxicity. Keywords: Patient-reported outcomes, Toxicity, MR- Linac Digital Poster 2015 Impact of Simulation-Based Training in Prostate Brachytherapy Education: A Longitudinal Descriptive Study Rim Alami, Asmaa Naim Radiation oncology, Mohammed VI university of health and sciences, Casablanca, Morocco Purpose/Objective: Simulation-based learning has become a cornerstone of modern medical education, adhering to the principle “Never the first time on the patient.” It allows learners to practice technical procedures and decision- making in a realistic yet risk-free environment. This educational approach has demonstrated strong evidence for improving procedural skills, confidence, and patient safety across multiple specialties. However, its implementation and impact in radiation oncology—particularly in prostate brachytherapy— remain underexplored.Prostate brachytherapy
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