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Emergency Undocking in Robotic Surgery: A Simulation Curriculum

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Design and Implementation of a Robotic Surgery Training Experience Logging System.

Kristin G Baldea¹, Ryan Thorwarth¹, Petar Bajic¹

¹Department of Urology, Loyola University Medical Center, Maywood, Illinois.

Journal of Surgical Education

|July 3, 2017

Summary

Current robotic surgery logging is inadequate. A new system, RoboLog, tracks step-specific resident involvement, improving surgical competency assessment and curriculum development for better surgical training.

Keywords:

Accreditation Curriculum Education Medical Knowledge Patient Care Practice-Based Learning and Improvement Resident training Robotic surgery Urology

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Area of Science:

Medical Education
Surgical Technology
Robotic Surgery

Background:

Current methods for logging robotic surgery cases lack standardization.
Resident involvement in robotic procedures is inconsistently recorded, hindering accurate competency assessment.
There is a need for a standardized tool to track surgical skill progression in robotic surgery.

Purpose of the Study:

To develop a tool for logging true operative experience in robotic surgery.
To aid in assessing surgical competency and inform curriculum development.
To establish a standardized method for recording resident involvement in robotic procedures.

Main Methods:

A web-based robotic experience logging system (RoboLog) was developed.
Procedures were deconstructed into major steps for detailed logging.
Trainees could request attending surgeon review, with automated reports generated for both.

Main Results:

RoboLog was successfully developed and piloted, logging 310 cases in 1 year.
Detailed data on resident experience, including step-specific involvement, were obtained.
Analysis revealed discrepancies, e.g., 82% of prostatectomies logged as 'surgeon' despite <35% resident involvement in urethral transection.

Conclusions:

Existing robotic surgery logging systems are insufficient due to variable resident console time.
A system providing insight into step-specific involvement is crucial for effective training.
RoboLog can track robotic training progress and support the development of standardized curricula.