Justin W Collins1, Jeffrey Levy2, Dimitrios Stefanidis3, Anthony Gallagher4, Mark Coleman5, Tom Cecil6, Anders Ericsson7, Alexandre Mottrie8, Peter Wiklund9, Kamran Ahmed10, Johann Pratschke11, Gianluca Casali12, Ahmed Ghazi13, Marcos Gomez14, Andrew Hung15, Anne Arnold16, Joel Dunning17, Martin Martino18, Carlos Vaz19, Eric Friedman20, Jean-Marc Baste21, Roberto Bergamaschi22, Richard Feins23, David Earle24, Martin Pusic25, Owen Montgomery26, Carla Pugh27, Richard M Satava28. 1. Department of Molecular Medicine and Surgery (MMK), Karolinska Institutet, Stockholm, Sweden; Orsi Academy, Melle, Belgium. Electronic address: justin.collins@ki.se. 2. Institute for Surgical Excellence, Philadelphia, PA, USA. 3. Indiana University School of Medicine, Indianapolis, IN, USA. 4. College of Medicine and Health, University College Cork, Ireland; Faculty of Life and Health Sciences, Ulster University, UK. 5. Plymouth Hospitals NHS Trust, UK. 6. Hampshire Hospitals NHS Foundation Trust, UK. 7. Department of Psychology, Florida State University, Tallahassee, FL, USA. 8. Orsi Academy, Melle, Belgium; Department of Urology, OLV, Aalst, Belgium. 9. Department of Molecular Medicine and Surgery (MMK), Karolinska Institutet, Stockholm, Sweden. 10. MRC Centre for Transplantation, King's College London, UK. 11. Charite University Hospital, Berlin, Germany. 12. University Hospitals Bristol NHS Foundation Trust, UK. 13. University of Rochester Medical Center, Rochester, NY, USA. 14. Universitario Marques de Valdecilla, Spain. 15. Keck School of Medicine of USC, Los Angeles, CA, USA. 16. American College of Obstetricians and Gynecologists, Washington, DC, USA. 17. James Cook University Hospital, Middlesbrough, UK. 18. University of Southern Florida, Tampa, FL, USA. 19. Hospital da Luz, Lisbon, Portugal. 20. Aviation Safety Inspector, Federal Aviation Administration, Washington, DC, USA. 21. Department of Cardio-thoracic Surgery, Rouen University Hospital, Rouen, France. 22. Westchester Medical Center Health Network, USA. 23. Division of Cardiothoracic Surgery, University of North Carolina, Chapel Hill, NC, USA. 24. New England Hernia Center, Chelmsford, MA, USA. 25. NYU Langone Medical Center, New York, NY, USA. 26. Drexel University College of Medicine, Philadelphia, PA, USA. 27. Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. 28. University of Washington Medical Center, Seattle, WA, USA.
Abstract
CONTEXT: As the role of robot-assisted surgery continues to expand, development of standardised and validated training programmes is becoming increasingly important. OBJECTIVE: To provide guidance on an optimised "train-the-trainer" (TTT) structured educational programme for surgical trainers, in which delegates learn a standardised approach to training candidates in skill acquisition. We aim to describe a TTT course for robotic surgery based on the current published literature and to define the key elements within a TTT course by seeking consensus from an expert committee formed of key opinion leaders in training. EVIDENCE ACQUISITION: The project was carried out in phases: a systematic review of the current evidence was conducted, a face-to-face meeting was held in Philadelphia, and then an initial survey was created based on the current literature and expert opinion and sent to the committee. Thirty-two experts in training, including clinicians, academics, and industry, contributed to the Delphi process. The Delphi process underwent three rounds of survey in total. Additions to the second- and third-round surveys were formulated based on the answers and comments from the previous rounds. Consensus opinion was defined as ≥80% agreement. EVIDENCE SYNTHESIS: There was 100% consensus that there was a need for a standardized TTT course in robotic surgery. A consensus was reached in multiple areas, including the following: (1) definitions and terminologies, (2) qualifications to attend, (3) course objectives, (4) precourse considerations, (5) requirement of e-learning, (6) theory and course content, and (7) measurement of outcomes and performance level verification. The resulting formulated curriculum showed good internal consistency among experts, with a Cronbach alpha of 0.90. CONCLUSIONS: Using the Delphi methodology, we achieved an international consensus among experts to develop and reach content validation for a standardised TTT curriculum for robotic surgery training. This defined content lays the foundation for developing a proficiency-based progression model for trainers in robotic surgery. This TTT curriculum will require further validation. PATIENT SUMMARY: As the role of robot-assisted surgery continues to expand, development of standardised and validated training programmes is becoming increasingly important. There is currently a lack of high-level evidence on how best to train trainers in robot-assisted surgery. We report a consensus view on a standardised "train-the trainer" curriculum focused on robotic surgery. It was formulated by training experts from the USA and Europe, combining current evidence for training with experts' knowledge of surgical training.
CONTEXT: As the role of robot-assisted surgery continues to expand, development of standardised and validated training programmes is becoming increasingly important. OBJECTIVE: To provide guidance on an optimised "train-the-trainer" (TTT) structured educational programme for surgical trainers, in which delegates learn a standardised approach to training candidates in skill acquisition. We aim to describe a TTT course for robotic surgery based on the current published literature and to define the key elements within a TTT course by seeking consensus from an expert committee formed of key opinion leaders in training. EVIDENCE ACQUISITION: The project was carried out in phases: a systematic review of the current evidence was conducted, a face-to-face meeting was held in Philadelphia, and then an initial survey was created based on the current literature and expert opinion and sent to the committee. Thirty-two experts in training, including clinicians, academics, and industry, contributed to the Delphi process. The Delphi process underwent three rounds of survey in total. Additions to the second- and third-round surveys were formulated based on the answers and comments from the previous rounds. Consensus opinion was defined as ≥80% agreement. EVIDENCE SYNTHESIS: There was 100% consensus that there was a need for a standardized TTT course in robotic surgery. A consensus was reached in multiple areas, including the following: (1) definitions and terminologies, (2) qualifications to attend, (3) course objectives, (4) precourse considerations, (5) requirement of e-learning, (6) theory and course content, and (7) measurement of outcomes and performance level verification. The resulting formulated curriculum showed good internal consistency among experts, with a Cronbach alpha of 0.90. CONCLUSIONS: Using the Delphi methodology, we achieved an international consensus among experts to develop and reach content validation for a standardised TTT curriculum for robotic surgery training. This defined content lays the foundation for developing a proficiency-based progression model for trainers in robotic surgery. This TTT curriculum will require further validation. PATIENT SUMMARY: As the role of robot-assisted surgery continues to expand, development of standardised and validated training programmes is becoming increasingly important. There is currently a lack of high-level evidence on how best to train trainers in robot-assisted surgery. We report a consensus view on a standardised "train-the trainer" curriculum focused on robotic surgery. It was formulated by training experts from the USA and Europe, combining current evidence for training with experts' knowledge of surgical training.
Authors: Paolo Dell'Oglio; Filippo Turri; Alessandro Larcher; Frederiek D'Hondt; Rafael Sanchez-Salas; Bernard Bochner; Joan Palou; Robin Weston; Abolfazl Hosseini; Abdullah E Canda; Jørgen Bjerggaard; Giovanni Cacciamani; Kasper Ørding Olsen; Inderbir Gill; Thierry Piechaud; Walter Artibani; Pim J van Leeuwen; Arnulf Stenzl; John Kelly; Prokar Dasgupta; Carl Wijburg; Justin W Collins; Mihir Desai; Henk G van der Poel; Francesco Montorsi; Peter Wiklund; Alexandre Mottrie Journal: Eur Urol Focus Date: 2021-01-02
Authors: Hani J Marcus; Danyal Z Khan; Anouk Borg; Michael Buchfelder; Justin S Cetas; Justin W Collins; Neil L Dorward; Maria Fleseriu; Mark Gurnell; Mohsen Javadpour; Pamela S Jones; Chan Hee Koh; Hugo Layard Horsfall; Adam N Mamelak; Pietro Mortini; William Muirhead; Nelson M Oyesiku; Theodore H Schwartz; Saurabh Sinha; Danail Stoyanov; Luis V Syro; Georgios Tsermoulas; Adam Williams; Mark J Winder; Gabriel Zada; Edward R Laws Journal: Pituitary Date: 2021-07-06 Impact factor: 4.107