Developing a Structured Training and Accreditation Program for Endoscopic Nipple-Sparing Mastectomy

This pilot program highlighted several principles for implementing a successful training curriculum in advanced surgical techniques. First, simulation and mental rehearsal proved to be essential precursors to live operative experience. Engaging in hands-on simulation allowed trainees to build foundational technical confidence and reduce the likelihood of early intraoperative errors. Equally important was the thoughtful selection of training cases during the initial phase. Choosing patients with low breast density and peripherally located tumors helped minimize complexity and allowed learners to focus on mastering fundamental skills under lower cognitive and technical stress. Finally, structured feedback helps learning progression.