Structured robot-assisted surgery training curriculum for residents in Urology and impact on future surgical activity
Beulens, A J W; Vaartjes, L; Tilli, S; Brinkman, W M; Umari, P; Puliatti, S; Koldewijn, E L; Hendrikx, A J M; van Basten, J P; van Merriënboer, J J G; Van der Poel, H G; Bangma, C H; Wagner, C
(2021) Journal of Robotic Surgery, volume 15, issue 4, pp. 497 - 510
(Article)
Abstract
To gain insight into the availability of training for robot assisted surgery (RAS) and the possibility to perform RAS during Dutch residency curriculum and to analyze the effects on surgical skills by the introduction of an advanced course in RAS for residents. A combination of a validated snap shot survey
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and a prospective cohort study. Structured advanced RAS training including virtual reality (VR) simulation, dry and wet lab facility at ORSI academy (Belgium). A snap-shot survey has been sent to all the residents and specialists in Urology graduated during the years 2017-2020 in Netherlands. Among residents, only last year residents (5th and 6th year) have been considered for the RAS training. Although most of the residents (88.2%) and young urologists (95%) were asked to follow a basic training or meet basic requirements before starting RAS, the requirements set by the educators were different from center to center. Some of them were required to attend only an online course on RAS, whereas others were asked to achieve threshold scores at VR simulator and participate in a standardized course at a training institute. The attendance to a structured advanced course in RAS showed a significant increase in surgical skills. Our study shows residents in urology are allowed to perform RAS during their residency though the criteria for starting RAS differ significantly amongst the teaching hospitals. To guarantee a basic level of skills and knowledge a structured, (multi-step) training and certification program for RAS should be implemented.
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Keywords: Clinical Competence, Curriculum, Humans, Internship and Residency, Prospective Studies, Robotic Surgical Procedures/methods, Urology/education, Training, Education, Assessment, Robot-assisted surgery, Robotics, Health Informatics, Surgery, Journal Article
ISSN: 1863-2483
Publisher: Springer London
Note: Funding Information: We thank the staff of ORSI Academy in facilitating the Advanced Course in Robot Assisted Surgery and data gathering during the training. A special thanks to the Dutch Society of Urology, the Working group Endourology Netherlands (SWEN), the European Society of Residents in Urology Belgium, and the Belgian Association of Urology the for the organization of, and selection of participants for the Advanced Course in Robot Assisted Surgery. Also, our gratefulness to the sponsors (Intuitive, IPSEN, Janssen and ERUS) who have made the organization of the Advanced Course in Robot Assisted Surgery at ORSI Academy possible. We thank all residents who participated in the Advanced Course in Robot Assisted Surgery at ORSI Academy for their patience during the gathering the results and their participation in the follow-up questionnaires. Moreover, we thank all residents and urologists who participated in the questionnaires on the current state of training for robot assisted surgery and the possibility to perform robot assisted surgery during Dutch residency curriculum. Publisher Copyright: © 2020, Springer-Verlag London Ltd., part of Springer Nature.
(Peer reviewed)