Hans F Fuchs1, Justin W Collins2, Benjamin Babic1, Christopher DuCoin3, Ozanan R Meireles4, Peter P Grimminger5, Matthew Read6, Abbas Abbas7, Rubens Sallum8, Beat P Müller-Stich9, Daniel Perez10, Matthias Biebl11, Jan-Hendrik Egberts12, Richard van Hillegersberg13, Christiane J Bruns1. 1. Department of General, Visceral, Cancer, and Transplantation Surgery, University of Cologne, Cologne, Germany. 2. University College London Hospitals, London, UK. 3. Department of Surgery, University of South Florida, Tampa, USA. 4. Department of Surgery, Harvard Medical School, Boston, USA. 5. Department of General Surgery, University of Mainz, Germany. 6. University of Melbourne, Melbourne, Australia. 7. Temple University, Philadelphia, USA. 8. University of Sao Paulo, Sao Paulo, Brazil. 9. Department of Surgery, University of Heidelberg, Heidelberg, Germany. 10. Department of Surgery, University of Hamburg, Hamburg, Germany. 11. Department of Surgery, Charité Berlin, Berlin, Germany. 12. Department of Surgery, University of Kiel, Kiel, Germany. 13. Department of Surgery, University of Utrecht, The Netherlands.
Abstract
BACKGROUND: Structured training protocols can safely improve skills prior initiating complex surgical procedures such as robotic-assisted minimally invasive esophagectomy (RAMIE). As no consensus on a training curriculum for RAMIE has been established so far it is our aim to define a protocol for RAMIE with the Delphi consensus methodology. METHODS: Fourteen worldwide RAMIE experts were defined and were enrolled in this Delphi consensus project. An expert panel was created and three Delphi rounds were performed starting December 2019. Items required for RAMIE included, but were not limited to, virtual reality simulation, wet-lab training, proctoring, and continued monitoring and education. After rating performed by the experts, consensus was defined when a Cronbach alpha of ≥0.80 was reached. If ≥80% of the committee reached a consensus an item was seen as fundamental. RESULTS: All Delphi rounds were completed by 12-14 (86-100%) participants. After three rounds analyzing our 49-item questionnaire, 40 items reached consensus for a training curriculum of RAMIE. CONCLUSION: The core principles for RAMIE training were defined. This curriculum may lead to a wider adoption of RAMIE and a reduction in time to reach proficiency.
BACKGROUND: Structured training protocols can safely improve skills prior initiating complex surgical procedures such as robotic-assisted minimally invasive esophagectomy (RAMIE). As no consensus on a training curriculum for RAMIE has been established so far it is our aim to define a protocol for RAMIE with the Delphi consensus methodology. METHODS: Fourteen worldwide RAMIE experts were defined and were enrolled in this Delphi consensus project. An expert panel was created and three Delphi rounds were performed starting December 2019. Items required for RAMIE included, but were not limited to, virtual reality simulation, wet-lab training, proctoring, and continued monitoring and education. After rating performed by the experts, consensus was defined when a Cronbach alpha of ≥0.80 was reached. If ≥80% of the committee reached a consensus an item was seen as fundamental. RESULTS: All Delphi rounds were completed by 12-14 (86-100%) participants. After three rounds analyzing our 49-item questionnaire, 40 items reached consensus for a training curriculum of RAMIE. CONCLUSION: The core principles for RAMIE training were defined. This curriculum may lead to a wider adoption of RAMIE and a reduction in time to reach proficiency.
Authors: Benjamin Babic; Dolores T Müller; Jin-On Jung; Lars M Schiffmann; Paula Grisar; Thomas Schmidt; Seung-Hun Chon; Wolfgang Schröder; Christiane J Bruns; Hans F Fuchs Journal: Surg Endosc Date: 2022-05-03 Impact factor: 3.453