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Updated: Oct 26, 2025

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Utilising an Accelerated Delphi Process to Develop Guidance and Protocols for Telepresence Applications in Remote

Justin W Collins1,2,3, Ahmed Ghazi4, Danail Stoyanov3

  • 1Division of Surgery and Interventional Science, Research Department of Targeted Intervention, University College London, London, UK.

European Urology Open Science
|August 2, 2021
PubMed
Summary
This summary is machine-generated.

Robot-assisted surgery training now requires remote methods due to COVID-19 travel restrictions. Experts reached consensus on optimized telepresence guidance for skill acquisition and safety in surgical training.

Keywords:
CommunicationCurriculum developmentDeliberate practicePatient safetyRobotic-assisted surgerySurgical educationTelementoringTelepresenceTelesurgeryTraining protocol

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Area of Science:

  • Robotics
  • Surgical Training
  • Telemedicine

Background:

  • Robot-assisted surgery's role is expanding globally.
  • COVID-19 pandemic travel restrictions impede traditional trainer-proctor interactions.
  • Need for remote training solutions in surgical education is critical.

Purpose of the Study:

  • To establish guidance for optimized telementoring services in robotic surgery training.
  • To define a standardized approach for skill acquisition using telepresence technologies.
  • To seek consensus from key opinion leaders on essential elements of telepresence training.

Main Methods:

  • Systematic literature review and teleconference meetings.
  • Accelerated Delphi process with 24 international experts over 72 hours.
  • Three-round survey with consensus defined as ≥80% agreement.

Main Results:

  • 100% consensus on the urgent need for international telepresence guidance.
  • Agreement on infrastructure, definitions, protocols (training, communication, safety), and accountability.
  • Formulated guidance demonstrated high internal consistency (Cronbach alpha = 0.90).

Conclusions:

  • International expert consensus achieved on optimized telepresence services for robotic surgery training using the Delphi method.
  • The developed guidance provides a foundation for implementing telepresence in surgical education.
  • Further validation of the guidance is recommended for widespread adoption.