M Gómez Ruiz1,2, S Alfieri3, T Becker4, M Bergmann5,6, U Boggi7, J Collins8, N Figueiredo9, I Gögenur10,11, K Matzel12, D Miskovic13, A Parvaiz14,15,16, J Pratschke17, J Rivera Castellano1,2, T Qureshi18, L B Svendsen19, P Tekkis20, C Vaz21. 1. Unidad de Cirugía Colorrectal, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Marqués de Valdecilla - IDIVAL, Santander, Spain. 2. IDIVAL, Instituto de Investigación Sanitaria, Santander, Spain. 3. Gemelli Robotic Mentoring Center, Catholic University of Sacred Hearth - IRCS Gemelli Foundation, Rome, Italy. 4. General, Visceral, Thoracic, Transplant and Pediatric Surgery, University Medical Center Schleswig-Holstein, Kiel, Germany. 5. Department of Visceral Surgery, Surgical Research Laboratories, Vienna, Austria. 6. Department of Surgery, Medical University of Vienna, Vienna, Austria. 7. Translational Research and New Technologies in Medicine, University of Pisa, Pisa, Italy. 8. Department of Urology, Karolinska Institutet, Solna, Sweden. 9. Surgery Unit, Fundação Champalimaud, Lisbon, Portugal. 10. Department of Surgery, Center for Surgical Science, Zealand University Hospital, Roskilde, Denmark. 11. Institute for Clinical Medicine, Copenhagen University, Copenhagen, Denmark. 12. Leiter Sektion Koloproktologie, Chirurgische Universitätsklinik Erlangen, Erlangen, Germany. 13. St Mark's Hospital, Harrow, Middlesex, UK. 14. Poole Hospital NHS Trust, Poole, UK. 15. School of Health Sciences and Social Work, University of Portsmouth, Portsmouth, UK. 16. Fundação Champalimaud, Lisbon, Portugal. 17. Surgery, Charité - Universitätsmedizin Berlin Chirurgische Klinik, Berlin, Germany. 18. Poole Hospital, Poole, UK. 19. Rigshospitalet, Copenhagen, Denmark. 20. Gastrointestinal Surgery, The Royal Marsden, Fulham Road, London, UK. 21. Colorectal Cancer Unit, Robotic Surgery Unit, Hospital CUF Infante Santo, Lisbon, Portugal.
Abstract
AIM: Robotic techniques are being increasingly used in colorectal surgery. There is, however, a lack of training opportunities and structured training programmes. Robotic surgery has specific problems and challenges for trainers and trainees. Ergonomics, specific skills and user-machine interfaces are different from those in traditional laparoscopic surgery. The aim of this study was to establish expert consensus on the requirements for a robotic train-the-trainer curriculum amongst robotic surgeons and trainers. METHOD: This is a modified Delphi-type study involving 14 experts in robotic surgery teaching. A reiterating 19-item questionnaire was sent out to the same group and agreement levels analysed. A consensus of 0.8 or higher was considered to be high-level agreement. RESULTS: Response rates were 93-100% and most items reached high levels of agreement within three rounds. Specific requirements for a robotic faculty development curriculum included maximizing dual-console teaching, theatre team training, nontechnical skills training, patient safety, user-machine interface training and telementoring. CONCLUSION: A clear need for the development of a train-the-trainer curriculum has been identified. Further research is needed to assess feasibility, effectiveness and clinical impact of a robotic train-the-trainer curriculum. Colorectal Disease
AIM: Robotic techniques are being increasingly used in colorectal surgery. There is, however, a lack of training opportunities and structured training programmes. Robotic surgery has specific problems and challenges for trainers and trainees. Ergonomics, specific skills and user-machine interfaces are different from those in traditional laparoscopic surgery. The aim of this study was to establish expert consensus on the requirements for a robotic train-the-trainer curriculum amongst robotic surgeons and trainers. METHOD: This is a modified Delphi-type study involving 14 experts in robotic surgery teaching. A reiterating 19-item questionnaire was sent out to the same group and agreement levels analysed. A consensus of 0.8 or higher was considered to be high-level agreement. RESULTS: Response rates were 93-100% and most items reached high levels of agreement within three rounds. Specific requirements for a robotic faculty development curriculum included maximizing dual-console teaching, theatre team training, nontechnical skills training, patient safety, user-machine interface training and telementoring. CONCLUSION: A clear need for the development of a train-the-trainer curriculum has been identified. Further research is needed to assess feasibility, effectiveness and clinical impact of a robotic train-the-trainer curriculum. Colorectal Disease
Authors: Jessica Stockheim; Mihailo Andric; Sara Acciuffi; Sara Al-Madhi; Mirhasan Rahimli; Maximilian Dölling; Gernot Geginat; Aristotelis Perrakis; Roland S Croner Journal: Chirurgie (Heidelb) Date: 2022-07-12