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A structured training curriculum for robot-assisted radical nephroureterectomy: a Delphi consensus study.

Farshad Sheybaee Moghaddam1, Alireza Ghoreifi1, Rashid K Sayyid1

  • 1Institute of Urology, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA.

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Summary
This summary is machine-generated.

This study developed a structured training program for robot-assisted radical nephroureterectomy (RARNU) using international expert consensus. The program aims to standardize surgical education and improve patient outcomes during the RARNU learning curve.

Keywords:
consensuseducationnephroureterectomyprogrammerobotics

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Area of Science:

  • Urology
  • Surgical Education
  • Robotic Surgery

Background:

  • Robot-assisted radical nephroureterectomy (RARNU) is a complex procedure.
  • Standardized training is crucial for improving surgical proficiency and patient outcomes.
  • Existing training programs for RARNU lack international validation and structure.

Purpose of the Study:

  • To develop and validate an internationally recognized, structured training program for RARNU.
  • To establish expert consensus on essential components and assessment methods for RARNU training.
  • To guide surgical educators and trainees in mastering the RARNU procedure.

Main Methods:

  • A modified Delphi approach was used with 30 international upper tract urothelial carcinoma experts.
  • A RARNU-specific questionnaire was developed and adapted from validated instruments.
  • Two rounds of expert feedback were employed to achieve consensus (defined as ≥80% agreement).

Main Results:

  • High response rates (80% and 92%) were achieved in the Delphi rounds.
  • Experts agreed on the importance of a standardized curriculum for the RARNU learning curve.
  • Five clinical modules of increasing complexity were defined, with ≥96% agreement.
  • Unanimous agreement was reached on assessment focusing on hilar dissection, ureteric dissection, and bladder cuff excision.

Conclusions:

  • This study presents the first structured training curriculum for RARNU based on international expert consensus.
  • The developed curriculum provides a framework to guide surgical educators and trainees.
  • Implementation of this program is expected to facilitate independent completion of RARNU and enhance patient care.