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Virtual classroom proficiency-based progression for robotic surgery training (VROBOT): a randomised, prospective,

Arjun Nathan1,2,3, Sonam Patel4, Maria Georgi4

  • 1Division of Surgery and Interventional Sciences, University College London, Gower Street, London, WC1E 6BT, UK. arjun.nathan@ucl.ac.uk.

Journal of Robotic Surgery
|October 17, 2022
PubMed
Summary

Interactive virtual classroom training (VCT) enhances robotic surgery skills. This method, combined with self-directed learning, significantly improves trainee proficiency, making robotic surgery training more effective and accessible for novices.

Keywords:
Proficiency-based progressionRobotic skills trainingSurgical educationVirtual classroom

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Area of Science:

  • Medical Education
  • Surgical Technology
  • Virtual Reality Training

Background:

  • Robotic surgery training currently lacks standardized, evidence-based curricula.
  • Novice surgeons face a steep learning curve in acquiring robotic surgical skills.
  • Interactive virtual classroom training (VCT) offers a potential solution for standardized skill acquisition.

Purpose of the Study:

  • To evaluate the effectiveness of adjunctive interactive virtual classroom training (VCT) alongside the self-directed Fundamentals of Robotic Surgery (FRS) curriculum.
  • To compare the impact of VCT on robotic surgical skills acquisition in novice trainees.

Main Methods:

  • Eleven novice surgical trainees were randomly assigned to two groups.
  • Group A received FRS curriculum plus VCT in week 2, then only FRS in week 3.
  • Group B received only FRS in week 2, then FRS plus VCT in week 3.
  • Robotic-objective structured assessment of technical skills (R-OSAT) was used for primary outcome measurement at two time-points.

Main Results:

  • Group A showed significantly higher proficiency scores than Group B at time-point 1 (p=0.006).
  • Group A's proficiency did not significantly change from time-point 1 to time-point 2.
  • Group B demonstrated significant improvement in proficiency after receiving VCT at time-point 2 (p=0.003).

Conclusions:

  • Adjunctive virtual classroom training (VCT) is an effective and accessible method for enhancing robotic surgery skills.
  • VCT provides interactive, expert-led learning that improves training effectiveness and accessibility for novice surgeons.
  • Integrating VCT into self-directed curricula can optimize robotic surgical training outcomes.