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Developing a Robotic General Surgery Training Curriculum: Identifying Key Elements Through a Delphi Process.

Ingrid S Schmiederer1, Arturo Torices-Dardon2, Dana M Ferrari-Light2

  • 1Department of Surgery, Stanford University Medical Center, Stanford, California.

Journal of Surgical Education
|August 30, 2021
PubMed
Summary
This summary is machine-generated.

Developing a robotic surgery curriculum for general surgery residents requires consensus on key factors. This study used the Delphi method to identify essential elements for resident proficiency and independence in robotic procedures.

Keywords:
EducationGeneral surgeryRobotic surgerySurgical training

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Area of Science:

  • Surgical Education
  • Medical Simulation
  • Robotic Surgery

Background:

  • Robotic surgery is increasingly accessible, necessitating a standardized curriculum for general surgery residents.
  • Current robotic surgery training programs are still developing nationally.
  • Optimizing resident proficiency and intraoperative independence is crucial for safe robotic surgery adoption.

Purpose of the Study:

  • To optimize a robotic surgery curriculum for general surgery residents.
  • To determine key factors influencing robotic proficiency and intraoperative independence.
  • To achieve consensus among stakeholders on essential curriculum components.

Main Methods:

  • Utilized the Delphi methodology with a panel of faculty and residents.
  • Anonymous online surveys were employed to gather consensus on factors affecting resident independence.
  • Consensus was defined as 66.7% agreement on identified factors.

Main Results:

  • Key factors for resident robotic independence were identified across three categories: institutional resources, individual qualities, and curricular elements.
  • Consensus was reached on the importance of dual robotic console models, dedicated faculty, resident interest, PGY level, and simulator training.
  • The Delphi process informed curriculum development by incorporating stakeholder input.

Conclusions:

  • The Delphi exercise provided valuable insights for developing a robotic surgery curriculum.
  • While curricular elements are important, institutional resources, deliberate practice, resident entrustment, and faculty teaching proficiency require further investigation.
  • Stakeholder consensus is vital for creating effective robotic surgery training programs.