Training to be a spinal endoscopic surgeon: What matters?

Area of Science:

• Minimally Invasive Surgery
• Surgical Education
• Spinal Surgery

Background:

• Spinal endoscopic surgery is rapidly advancing, attracting young surgeons.
• A significant barrier to its development is the perceived long learning curve.

Purpose of the Study:

• To identify critical factors in the educational process for becoming a proficient spinal endoscopic surgeon.
• To understand the perceived requirements and challenges in mastering spinal endoscopic techniques.

Main Methods:

• An online survey was distributed to participants of the First Chinese Spinal Endoscopic Surgeons Skills Competition.
• The survey collected data on perceived case volume for proficiency, challenges, and effective training methods.

Main Results:

• 75.7% of surgeons believe 300 independent cases are necessary for proficiency in spinal endoscopic surgery.
• The primary challenge identified is a disparate surgical view (68%), followed by instrument adaptation (22.9%).
• Simulation models and cadaver courses are considered the most effective training methods (57.6%).

Conclusions:

• Overcoming the learning curve in spinal endoscopic surgery is crucial for surgeon proficiency.
• Enhanced training systems, particularly simulation and cadaver courses, are vital for supporting younger surgeons.