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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Does Robotic Surgical Simulator Performance Correlate With Surgical Skill?

James T Mills1, Helen Y Hougen2, Daniel Bitner2

  • 1Department of Urology, University of Virginia, Charlottesville, Virginia.

Journal of Surgical Education
|June 18, 2017
PubMed
Summary
This summary is machine-generated.

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Robotic surgical simulator performance did not correlate with the real-life surgical skills of attending surgeons. New simulation exercises are needed to improve novice robotic surgeon training and performance.

Area of Science:

  • Surgical Education
  • Robotic Surgery
  • Medical Simulation

Background:

  • Expert review of surgical videos can assess laparoscopic skill and predict outcomes.
  • Robotic surgery simulation is increasingly used for training surgeons.

Purpose of the Study:

  • To evaluate the correlation between robotic surgical simulation performance and the real-life surgical skill of attending surgeons.
  • To test the hypothesis that simulation performance does not correlate with real-life robotic surgical skill.

Main Methods:

  • Ten attending robotic surgeons completed four tasks on the da Vinci Skills Simulator.
  • Video clips of robotic-assisted operations were recorded for each surgeon.
  • Three expert robotic surgeons rated the intraoperative videos using the Global Evaluative Assessment of Robotic Skills (GEARS).
Keywords:
Patient CarePractice-Based Learning and Improvementclinical competence in medical educationeducationroboticssimulation centersurgerytraining

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Main Results:

  • No significant correlation was found between individual simulator task scores and expert video ratings.
  • The overall simulation score showed no correlation with expert ratings of intraoperative performance (r = -0.0304).
  • Surgeons had a median of 7.25 years of experience and 91 cases in the past 4 years.

Conclusions:

  • Robotic surgical simulator performance does not correlate with attending surgeons' real-life robotic surgical skill.
  • Current robotic simulators may not effectively translate to improved intraoperative performance for experienced surgeons.
  • Development of advanced simulation exercises is necessary to guide novice surgeons toward expert performance.