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Expert consensus on robotic colorectal surgery proctoring in the UK
Matthew Harris1, Taner Shakir2, Frances Dixon3
1Division of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Summary
Robotic proctorship in UK colorectal surgery needs defined standards for training and governance. This consensus outlines key recommendations for proctor responsibilities, training, and industry support to enhance patient safety.
Area of Science:
- Colorectal Surgery
- Robotic-Assisted Surgery (RAS)
- Surgical Training
Background:
- Robotic-assisted surgery (RAS) adoption is increasing in colorectal practice.
- Robotic proctors are crucial for safe RAS dissemination but lack national standards.
- Undefined responsibilities, training, and governance for proctors pose challenges.
Purpose of the Study:
- To establish a structured framework for robotic proctoring in UK colorectal surgery.
- To define responsibilities, training requirements, and governance for robotic proctors.
- To enhance consistency, professional standards, and patient safety in RAS.
Main Methods:
- A consensus process involving UK colorectal robotic proctors from the ACPGBI.
- Utilized a modified nominal group technique structured around eight predefined domains.
- Statements were generated, voted on, and circulated for further input.
Main Results:
- 32 statements were generated, with 30 reaching consensus (21 unanimous).
- Recommendations include tailored proctoring, mandatory 'Train the Trainers' courses, and ensuring proctee competence.
- Emphasized industry support for communication and training, and differentiating proctor generations for innovation.
Conclusions:
- This consensus provides a structured framework for robotic proctoring in colorectal surgery.
- Aims to standardize training, elevate professional standards, and improve patient safety.
- Highlights the need for clear guidelines to support the growing use of RAS.
