A survey of robotic surgery training curricula in general surgery residency programs: How close are we to a standardized curriculum?

Tom, Cynthia M.; Maciel, James D.; Korn, Abraham; Ozao‐Choy, Junko; Hari, Danielle M.; Neville, Angela; Virgilio, Christian de; Dauphine, Christine

doi:10.1016/j.amjsurg.2018.11.006

Cited by 63 publications

(41 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this cohort, 92% or respondents stated that their residents participate in robotic surgery, with about 2/3rd of the graduating residents having >20 cases of robotic surgery. 9 In this study, there was no granularity in classifying the cases as console (primary surgeon) versus bedside or docking (assistant) surgeon.…”

Section: Current State Of Robotic Surgery In Trainingmentioning

confidence: 92%

American Board of Surgery Statement on Assessment and Robotic Surgery

Arca

Adams

Angelos

et al. 2021

The American Journal of Surgery

View full text Add to dashboard Cite

BackgroundAdoption of robotic systems for minimally invasive surgical procedures has increased in the last two decades. Over 19,000 papers have been written about robotic surgery in many subspecialties including general, thoracic, colorectal, urology, and gynecology. The only robotic interface currently approved by the US Food and Drug Administration for use is the Da Vinci Surgical System (Intuitive Surgical Inc., Sunnyvale, California). By the end 2017, Intuitive Surgical hadshipped 5770 robot systems, and counting for tradeins and returns, 4409 platforms had been installed worldwide. There were estimated to be 877, 000 robotic procedures in 2017, among which there were 252,000 general surgery cases, the specialty with the greatest volume increase as compared to other surgical specialties. 1 The Education and Training Council Committee (ETCC) of the American Board of Surgery was tasked by the ABS Board of Directors to create a statement regarding robotics as core of surgery training that should apply across specialties. This represents a summary of the recommendations of the ETCC.

show abstract

Section: Current State Of Robotic Surgery In Trainingmentioning

confidence: 92%

American Board of Surgery Statement on Assessment and Robotic Surgery

Arca

Adams

Angelos

et al. 2021

The American Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…However, it lacks a standardized training curriculum, and limited effective robotic surgery training is available [8]. Despite the sentiment that robotic surgery training among today's surgical trainees is paramount [9], robotic surgical training in residency programs in obstetrics and gynecology (OBGYN) and surgery vary and do not provide consistent, structured, standardized, or validated curricula [9−11].…”

Section: The Role Of Educational Institutions In Robotic Trainingmentioning

confidence: 99%

Robotic Surgery: The Impact of Simulation and Other Innovative Platforms on Performance and Training

Azadi

Green

Arnold

et al. 2021

Journal of Minimally Invasive Gynecology

View full text Add to dashboard Cite

To review the current status of robotic training and the impact of various training platforms on the performance of robotic surgical trainees. Data Sources: Literature review of Google Scholar and PubMed. The search terms included a combination of the following: "robotic training," "simulation," "robotic curriculum," "obgyn residency robotic training," "virtual reality robotic training," "DaVinci training," "surgical simulation," "gyn surgical training." The sources considered for inclusion included peerreviewed articles, literature reviews, textbook chapters, and statements from various institutions involved in resident training. Methods of Study Selection: A literature search of Google Scholar and PubMed using terms related to robotic surgery and robotics training, as mentioned in the "Data Sources" section. Results: Multiple novel platforms that use machine learning and real-time video feedback to teach and evaluate robotic surgical skills have been developed over recent years. Various training curricula, virtual reality simulators, and other robotic training tools have been shown to enhance robotic surgical education and improve surgical skills. The integration of didactic learning, simulation, and intraoperative teaching into more comprehensive training curricula shows positive effects on robotic skills proficiency. Few robotic surgery training curricula have been validated through peer-reviewed study, and there is more work to be completed in this area. In addition, there is a lack of information about how the skills obtained through robotics curricula and simulation translate into operating room performance and patient outcomes. Conclusion: Data collected to date show promising advances in the training of robotic surgeons. A diverse array of curricula for training robotic surgeons continue to emerge, and existing teaching modalities are evolving to keep up with the rapidly growing demand for proficient robotic surgeons. Futures areas of growth include establishing competency benchmarks for existing training tools, validating existing curricula, and determining how to translate the acquired skills in simulation into performance in the operating room and patient outcomes. Many surgical training platforms are beginning to expand beyond discrete robotic skills training to procedure-specific and team training. There is still a wealth of research to be done to understand how to create an effective training experience for gynecologic surgical trainees and robotics teams.

show abstract

“…Of those with a curriculum, fewer than half track their residents' involvement with robotic cases. 3…”

Section: Introductionmentioning

confidence: 99%

A Standardized Robotic Training Curriculum in a General Surgery Program

Moit

Dwyer

Sutter

et al. 2019

JSLS

View full text Add to dashboard Cite

Background and Objectives: The general surgery residency at the University of Illinois College of Medicine at Peoria has a long tradition of integrating robotic surgery into training since 2002. The purpose of this paper is to investigate our curriculum and evaluation system, which was designed to achieve a standardized format for education in general robotic surgery. Methods: The curriculum consists of two phases: phase 1 (PGY 1-2): Complete 4 robotic surgery training modules; read two assigned robotic surgery articles; and practice simulation modules on the robot. phase 2 (PGY 3-5): Refresh training modules, score Ͼ90% on the simulator modules every 6 months; bedside assist minimum of 4 robotic procedures; and act as console surgeon for a minimum of 10 procedures with 2 separate attending surgeons. The required simulator modules were specially selected to incorporate all of the skills categories documented in the simulator. The faculty evaluate the resident's operative performance using the Global Evaluative Assessment of Robotic Skills validated rubric. Results: Since the curriculum was instituted in June 2017, 73 evaluations from 8 surgeons have been collected. We examined data from 6 residents who had at least 5 Global Evaluative Assessment of Robotic Skills assessments completed. Correlation coefficient scores showed a positive correlation ranging from 0.476 to 0.862 for average skills and 0.334 to 0.866 for overall performance scores. Discussion: The preliminary results suggest an improvement of resident robotic surgical skills through tailored education. This curriculum is designed to enhance robotic general surgery education that could potentially produce general surgeons able to operate robotically without needing a robotic/MIS (Minimally Invasive Surgery) fellowship.

show abstract

A survey of robotic surgery training curricula in general surgery residency programs: How close are we to a standardized curriculum?

Cited by 63 publications

References 6 publications

American Board of Surgery Statement on Assessment and Robotic Surgery

American Board of Surgery Statement on Assessment and Robotic Surgery

Robotic Surgery: The Impact of Simulation and Other Innovative Platforms on Performance and Training

A Standardized Robotic Training Curriculum in a General Surgery Program

Contact Info

Product

Resources

About