Kamran Ahmed1, Reenam Khan1, Alexandre Mottrie2, Catherine Lovegrove1, Ronny Abaza3, Rajesh Ahlawat4, Thomas Ahlering5, Goran Ahlgren6, Walter Artibani7, Eric Barret8, Xavier Cathelineau8, Ben Challacombe1, Patrick Coloby9, Muhammad S Khan1, Jacques Hubert10, Maurice Stephan Michel11, Francesco Montorsi12, Declan Murphy13, Joan Palou14, Vipul Patel15, Pierre-Thierry Piechaud16, Hendrik Van Poppel17, Pascal Rischmann18, Rafael Sanchez-Salas8, Stefan Siemer19, Michael Stoeckle19, Jens-Uwe Stolzenburg20, Jean-Etienne Terrier21, Joachim W Thüroff22, Christophe Vaessen23, Henk G Van Der Poel24, Ben Van Cleynenbreugel17, Alessandro Volpe2,25, Christian Wagner26, Peter Wiklund27, Timothy Wilson28, Manfred Wirth29, Jörn Witt27, Prokar Dasgupta1. 1. Department of Urology, Medical Research Council (MRC) Centre for Transplantation, King's College London, Guy's Hospital, London, UK. 2. Department of Urology, OLV Vattikuti Robotic Surgery Institute, OLV Hospital, Aalst, Belgium. 3. Department of Urology, The Ohio State University Comprehensive Cancer Center, Arthur G James Cancer Hospital & Richard J Solove Research Institute, Columbus, OH, USA. 4. Medanta - The Medicity, Gurgaon, Haryana, India. 5. Department of Urology, University of California, Irvine, Orange, CA, USA. 6. Department of Urology, Lund University Hospital, Lund, Sweden. 7. Urology Clinic, A.O.U.I. Verona, Verona, Italy. 8. Department of Urology, Institut Mutualiste Montsouris, Paris, France. 9. Service d'Urologie, Centre Hospitalier René-Dubos, Cergy-Pontoise, France. 10. Service d'Urologie, CHRU Nancy, Vandoeeuvre-lès-Nancy, France. 11. University Hospital, Mannheim, Germany. 12. Department of Urology, San Raffaele Scientific Institute, Milan, Italy. 13. Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, Vic., Australia. 14. Department of Urology, Fundació Puigvert, Universitat Autònoma de Barcelona, Barcelona, Spain. 15. Global Robotics Institute, Florida Hospital Celebration Health, Celebration, FL, USA. 16. Clinique Saint-Augustin, Bordeaux, France. 17. Department of Urology, University Hospital, KU Leuven, Leuven, Belgium. 18. Service de Chirurgie Urologique, CHU Purpan, Toulouse, France. 19. Klinik für Urologie und Kinderurologie, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany. 20. Department of Urology, University of Leipzig, Leipzig, Germany. 21. Department of Urology, Foch Hospital, Suresnes, France. 22. Department of Urology, Ulm University Medical Center, Ulm, Germany. 23. Service D'Urologie et de Transplantation Réno-Pancréatique, Hôpital Pitié-Salpêtrière, Paris, France. 24. Department Urology, Netherlands Cancer Institute, Amsterdam, The Netherlands. 25. University of Eastern Piedmont, Novara, Italy. 26. St. Antonius-Hospital Gronau, Gronau, Germany. 27. Department of Oncology and Pathology, Karolinska Institute, Stockholm, Sweden. 28. Division of Urology, City of Hope, Duarte, CA, USA. 29. Department of Urology, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.
Abstract
OBJECTIVES: To explore the views of experts about the development and validation of a robotic surgery training curriculum, and how this should be implemented. MATERIALS AND METHODS: An international expert panel was invited to a structured session for discussion. The study was of a mixed design, including qualitative and quantitative components based on focus group interviews during the European Association of Urology (EAU) Robotic Urology Section (ERUS) (2012), EAU (2013) and ERUS (2013) meetings. After introduction to the aims, principles and current status of the curriculum development, group responses were elicited. After content analysis of recorded interviews generated themes were discussed at the second meeting, where consensus was achieved on each theme. This discussion also underwent content analysis, and was used to draft a curriculum proposal. At the third meeting, a quantitative questionnaire about this curriculum was disseminated to attendees to assess the level of agreement with the key points. RESULTS: In all, 150 min (19 pages) of the focus group discussion was transcribed (21 316 words). Themes were agreed by two raters (median agreement κ 0.89) and they included: need for a training curriculum (inter-rater agreement κ 0.85); identification of learning needs (κ 0.83); development of the curriculum contents (κ 0.81); an overview of available curricula (κ 0.79); settings for robotic surgery training ((κ 0.89); assessment and training of trainers (κ 0.92); requirements for certification and patient safety (κ 0.83); and need for a universally standardised curriculum (κ 0.78). A training curriculum was proposed based on the above discussions. CONCLUSION: This group proposes a multi-step curriculum for robotic training. Studies are in process to validate the effectiveness of the curriculum and to assess transfer of skills to the operating room.
OBJECTIVES: To explore the views of experts about the development and validation of a robotic surgery training curriculum, and how this should be implemented. MATERIALS AND METHODS: An international expert panel was invited to a structured session for discussion. The study was of a mixed design, including qualitative and quantitative components based on focus group interviews during the European Association of Urology (EAU) Robotic Urology Section (ERUS) (2012), EAU (2013) and ERUS (2013) meetings. After introduction to the aims, principles and current status of the curriculum development, group responses were elicited. After content analysis of recorded interviews generated themes were discussed at the second meeting, where consensus was achieved on each theme. This discussion also underwent content analysis, and was used to draft a curriculum proposal. At the third meeting, a quantitative questionnaire about this curriculum was disseminated to attendees to assess the level of agreement with the key points. RESULTS: In all, 150 min (19 pages) of the focus group discussion was transcribed (21 316 words). Themes were agreed by two raters (median agreement κ 0.89) and they included: need for a training curriculum (inter-rater agreement κ 0.85); identification of learning needs (κ 0.83); development of the curriculum contents (κ 0.81); an overview of available curricula (κ 0.79); settings for robotic surgery training ((κ 0.89); assessment and training of trainers (κ 0.92); requirements for certification and patient safety (κ 0.83); and need for a universally standardised curriculum (κ 0.78). A training curriculum was proposed based on the above discussions. CONCLUSION: This group proposes a multi-step curriculum for robotic training. Studies are in process to validate the effectiveness of the curriculum and to assess transfer of skills to the operating room.
Authors: Erika Palagonia; Elio Mazzone; Geert De Naeyer; Frederiek D'Hondt; Justin Collins; Pawel Wisz; Fijs W B Van Leeuwen; Henk Van Der Poel; Peter Schatteman; Alexandre Mottrie; Paolo Dell'Oglio Journal: World J Urol Date: 2019-08-19 Impact factor: 4.226
Authors: Andrew J Hung; Thomas Bottyan; Thomas G Clifford; Sarfaraz Serang; Zein K Nakhoda; Swar H Shah; Hana Yokoi; Monish Aron; Inderbir S Gill Journal: World J Urol Date: 2016-04-22 Impact factor: 4.226
Authors: Anthony Manuguerra; Charles Mazeaud; Nicolas Hubert; Pascal Eschwège; Mathieu Roumiguié; Julia Salleron; Jacques Hubert Journal: Surg Endosc Date: 2020-09-23 Impact factor: 4.584
Authors: Alexander J W Beulens; Willem M Brinkman; Petra J Porte; Richard P Meijer; Jeroen J G van Merriënboer; Henk G Van der Poel; Cordula Wagner Journal: J Robot Surg Date: 2018-11-22