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Competency based training in robotic surgery: benchmark scores for virtual reality robotic simulation.

Nicholas Raison1,2, Kamran Ahmed1, Nicola Fossati3

  • 1MRC Centre for Transplantation, Faculty of Life Sciences and Medicine, King's College London, London, UK.

BJU International
|November 19, 2016
PubMed
Summary

Benchmark scores from expert robotic surgeons provide clear targets for virtual reality (VR) surgical training. While novices met basic skill benchmarks, advanced skills proved challenging for all trainee levels.

Keywords:
curriculumhands-on-trainingrobotic surgeryvirtual reality simulation training

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Robotic Surgery

Background:

  • Virtual reality (VR) simulation is increasingly used in surgical training.
  • Competency-based education requires objective performance benchmarks.
  • Developing standardized metrics for robotic surgery training is crucial.

Purpose of the Study:

  • To establish benchmark competency scores for a virtual reality (VR) robotic surgery training curriculum.
  • To define performance targets for novice, intermediate, and expert robotic surgeons.

Main Methods:

  • Longitudinal observational study of 223 participants across 9 European Association of Urology VR training courses.
  • Analysis of 1565 exercises, setting competency at 75% of the mean expert score.
  • Identification of 3 basic and 2 advanced skill exercises through expert consensus and learning-curve analysis.

Main Results:

  • Benchmark scores based on expert performance were calculated for general performance metrics.
  • Novice surgeons achieved competency in most basic skill exercises but struggled with advanced ones.
  • Intermediate surgeons showed improvement but did not consistently meet benchmarks in challenging exercises.

Conclusions:

  • Expert-derived benchmark scores offer relevant and challenging goals for VR robotic surgery trainees.
  • Objective feedback and well-defined benchmarking enhance training effectiveness and efficiency.
  • Benchmarking facilitates a competency-based curriculum with clear targets for skill acquisition.