Robotically Assisted Thoracic Surgery: Proposed Guidelines for Privileging and Credentialing

Bhora, Faiz Y.; Al-Ayoubi, Adnan M.; Rehmani, Sadiq; Forleiter, Craig M.; Raad, Wissam; Belsley, Scott

doi:10.1177/155698451601100603

Cited by 1 publication

(3 citation statements)

References 9 publications

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“…2). Of the eight papers that reported guidelines on their credentialing process, three of them were multidisciplinary and the other five were from general surgery, otolaryngology, gynecology, and thoracic surgery [28][29][30][31][32][33][34][35].…”

Section: Resultsmentioning

confidence: 99%

“…Multiple institutions have developed their own training and credentialing parameters for robotic surgery, however there is no consensus yet on any standardized guidelines. Based on our review of different institutional policies (Table 2) [28][29][30][31][32][33][34][35], we propose the following stepwise algorithm of graduating privileges with continuous evaluation and monitoring of competency at each stage (Fig. 3).…”

Section: Credentialing Structurementioning

confidence: 99%

“…Both residency-trained and non-residency-trained robotic surgeons should complete initial cases within the first 2 months after training to avoid degradation of surgical skills [30]. Those who have completed at least ten proctored cases and who have received a formal recommendation by the division or department chair would then be able to proceed to the independent privileges level, which allow surgeons to perform robotic procedures without proctor supervision [29,32,35]. Most programs require at least 20 cases per year with no absence of cases longer than two months and review of the first ten robotic cases to maintain independent privileges [30,[33][34][35].…”

Section: Credentialing Structurementioning

confidence: 99%

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A review of robotic surgical training: establishing a curriculum and credentialing process in ophthalmology

Smet

Sodhi

et al. 2021

Eye

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Ophthalmic surgery requires a highly dexterous and precise surgical approach to work within the small confines of the eye, and the use of robotics offers numerous potential advantages to current surgical techniques. However, there is a lag in the development of a comprehensive training and credentialing system for robotic eye surgery, and certification of robotic skills proficiency relies heavily on industry leadership. We conducted a literature review on the curricular elements of established robotics training programs as well as privileging guidelines from various institutions to outline key components in training and credentialing robotic surgeons for ophthalmic surgeries. Based on our literature review and informal discussions between the authors and other robotic ophthalmic experts, we recommend that the overall training framework for robotic ophthalmic trainees proceeds in a stepwise, competency-based manner from didactic learning, to simulation exercises, to finally operative experiences. Nontechnical skills such as device troubleshooting and interprofessional teamwork should also be formally taught and evaluated. In addition, we have developed an assessment tool based on validated global rating scales for surgical skills that may be used to monitor the progress of trainees. Finally, we propose a graduating model for granting privileges to robotic surgeons. Further work will need to be undertaken to assess the feasibility, efficacy and integrity of the training curriculum and credentialing practices for robotic ophthalmic surgery.

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