ArticleCureus2026
Development and Implementation of the Selection, Entry, Lithotripsy, Exit, and CT (SELECT) Mnemonic and Checklist: A Structured Approach to Urolithiasis Assessment and Management for Urology Trainees and Junior Urologists.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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Abstract
Introduction Urolithiasis is a common condition in urological practice, with a particularly high burden in the Middle East due to dietary and lifestyle factors. Effective evaluation and management require a systematic approach, yet trainees often struggle with decision-making due to patient- and stone-related variability. To address these challenges, we developed the selection, entry, lithotripsy, exit, and CT (SELECT) mnemonic and checklist, a structured five-tier systematic approach designed to streamline renal stone assessment and management. Methods A panel of endourologists and educators identified key challenges in urolithiasis management among urology residents. A pre-implementation survey was conducted among 28 residents in the Kuwait Board of Urology program to assess confidence and challenges in renal stone evaluation and keenness for a mnemonic. Following the development of the SELECT mnemonic and checklist, trainees were introduced to the tool and instructed to utilize it over four weeks. A post-implementation survey was then conducted, and feedback was collected from both trainees and training supervisors. Results Before implementation, only 25% of residents reported confidence in assessing renal stone characteristics and selecting treatment modalities. Post-implementation, 84% reported improved confidence in assessment, and 80% felt more assured in treatment selection. Supervisors also noted improved diagnostic accuracy and decision-making among trainees. The mnemonic reduced reliance on senior guidance, although time constraints were a reported limitation. Conclusion The SELECT mnemonic and checklist offer a structured, evidence-based approach to renal stone management, improving trainee confidence and decision-making. External validation and potential scoring integration could further enhance their utility in urological education and clinical practice.
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