Ryan H Sobel1, Ray Blanco2, Patrick K Ha1,2, Joseph A Califano1,2, Rajesh Kumar3, Jeremy D Richmon4. 1. Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland. 2. Milton J. Dance Jr. Head and Neck Center, Greater Baltimore Medical Center, Towson, Maryland. 3. Department of Computer Science, Johns Hopkins University, Baltimore, Maryland. 4. Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland. jrichmo7@jhmi.edu.
Abstract
BACKGROUND: Despite its increasingly widespread adoption of transoral robotic surgery (TORS), there is still no uniform training curriculum. The purpose of this study was to describe the results of our novel TORS curriculum training program in which we introduce ex vivo dissection models for radical tonsillectomy and base of tongue (BOT) resections. METHODS: Prospective blinded data collection and objective assessment of a novel training curriculum. Trainee performance was evaluated on objective structured assessments of technical skills (OSATS) metrics, measured resection time, and margin analysis. Additionally, 4 expert TORS surgeons completed the ex vivo dissections. RESULTS: Trainees achieved OSATS scores similar to those of experts in both the BOT resection and radical tonsillectomy models. Peripheral and deep surgical margin measurements in the BOT model were significantly improved after training and were comparable to experts. CONCLUSION: This graduated curriculum provides a realistic training experience to develop competency with oropharyngeal resections before transition to the operating room.
BACKGROUND: Despite its increasingly widespread adoption of transoral robotic surgery (TORS), there is still no uniform training curriculum. The purpose of this study was to describe the results of our novel TORS curriculum training program in which we introduce ex vivo dissection models for radical tonsillectomy and base of tongue (BOT) resections. METHODS: Prospective blinded data collection and objective assessment of a novel training curriculum. Trainee performance was evaluated on objective structured assessments of technical skills (OSATS) metrics, measured resection time, and margin analysis. Additionally, 4 expert TORS surgeons completed the ex vivo dissections. RESULTS: Trainees achieved OSATS scores similar to those of experts in both the BOT resection and radical tonsillectomy models. Peripheral and deep surgical margin measurements in the BOT model were significantly improved after training and were comparable to experts. CONCLUSION: This graduated curriculum provides a realistic training experience to develop competency with oropharyngeal resections before transition to the operating room.