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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
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Outcomes from the Delphi process of the Thoracic Robotic Curriculum Development Committee
Giulia Veronesi1, Patrick Dorn2, Joel Dunning3
1Division of Thoracic Surgery, Humanitas Clinical and Research Center, Milan, Italy.
Summary
A Delphi process defined a staged robotic surgery training curriculum for thoracic surgeons, covering basic and advanced skills. This aims to optimize robotic training and ensure safe performance of procedures like lung cancer surgery.
Area of Science:
- Thoracic Surgery
- Robotic Surgery
- Surgical Education
Background:
- Robotic procedures are increasing, raising concerns about the learning curve and surgeon training.
- A working panel from the European Society of Thoracic Surgeons (ESTS) and European Association for Cardio-Thoracic Surgery (EACTS) addressed this need.
- A specialist interest group focused on robotic thoracic surgery and training was formed.
Purpose of the Study:
- To define procedures for optimizing robotic training of thoracic surgeons.
- To promote safe performance of established robotic interventions.
- To standardize robotic training for thoracic surgeons.
Main Methods:
- A Delphi methodology e-consensus-finding exercise was employed.
- A working panel of thoracic surgery specialists participated.
- Three rounds of anonymous voting with an 80% agreement threshold were conducted.
Main Results:
- Consensus was reached on a standardized, staged robotic training curriculum.
- The basic curriculum includes evaluation, e-learning, simulation (VR, dry/wet lab), and observation.
- Advanced training incorporates e-learning, video libraries, simulation, proctored console training, and video evaluation.
Conclusions:
- A consensus was achieved on optimizing and standardizing robotic training and education for thoracic surgeons.
- The development of learning materials for this curriculum is in progress.
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