911 DEVELOPMENT OF A PROFICIENCY-BASED SKILLS TRAINING CURRICULUM FOR ROBOTIC ASSISTED LAPAROSCOPIC SURGERY

Abstract

You have accessJournal of UrologyTechnology & Instruments: Robotics/Laparoscopy/Ureteroscopy II1 Apr 2010911 DEVELOPMENT OF A PROFICIENCY-BASED SKILLS TRAINING CURRICULUM FOR ROBOTIC ASSISTED LAPAROSCOPIC SURGERY Andres Silva Waissbluth, Brian Minnillo, Natascha Sandy, Fernando Carvas, Alexandre Derevianko, Alan Retik, and Hiep Nguyen Andres Silva WaissbluthAndres Silva Waissbluth More articles by this author , Brian MinnilloBrian Minnillo More articles by this author , Natascha SandyNatascha Sandy More articles by this author , Fernando CarvasFernando Carvas More articles by this author , Alexandre DereviankoAlexandre Derevianko More articles by this author , Alan RetikAlan Retik More articles by this author , and Hiep NguyenHiep Nguyen More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1667AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The Fundamentals of Laparoscopic Surgery (FLS) curriculum is a validated program of training and proficiency assessment in laparoscopic surgery. No similar standard approaches to the robotic training have yet been established. The purpose of this study was to validate the efficacy of the inanimate surgical training models for robotic assisted laparoscopic surgery (RALS), and compare the learning curves and proficiencies obtained with the Fundamentals of Laparoscopic Surgery (FLS) modules. METHODS Sixteen residents and medical students of varying surgical experience and exposure to robotic surgery were selected to participate in longitudinally proctored exercises using elements of the FLS and DaVinci robotic system on inanimate surgical models. The timed modules tested manipulation (peg or ring transfer), intracorporeal suturing and cutting abilities. Each exercise was repeated five times to assess the change in performance, judged as total time in seconds required to complete the exercise. Data was normalized using previously published scoring system, and a non linear regression was performed to fit each subject's score on an inverse learning curve (y= a - b/x). Maximum estimated score, slope and trials required to attain 90% of this max estimated score were obtained through this regression. RESULTS See table 1 CONCLUSIONS This approach to robotic surgical training has demonstrated similar learning curves compared to a standard laparoscopic proficiencies assessment. This validation of the inanimate RALS training curriculum allows its use in the future as an important tool for improving surgical skills thereby reducing surgeon error and increasing safety during robotic assisted laparoscopy. Boston, MA© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e355-e356 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Andres Silva Waissbluth More articles by this author Brian Minnillo More articles by this author Natascha Sandy More articles by this author Fernando Carvas More articles by this author Alexandre Derevianko More articles by this author Alan Retik More articles by this author Hiep Nguyen More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...