MP58-01 MULTI-INSTITUTIONAL VALIDATION OF THE ERUS ROBOTIC SURGERY TRAINING CURRICULUM

Abstract

You have accessJournal of UrologyProstate Cancer: Localized VI1 Apr 2014MP58-01 MULTI-INSTITUTIONAL VALIDATION OF THE ERUS ROBOTIC SURGERY TRAINING CURRICULUM Alessandro Volpe, Kamran Ahmed, Prokar Dasgupta, Vincenzo Ficarra, Henk Van der Poel, Alexandre Mottrie, and ERUS board members Alessandro VolpeAlessandro Volpe More articles by this author , Kamran AhmedKamran Ahmed More articles by this author , Prokar DasguptaProkar Dasgupta More articles by this author , Vincenzo FicarraVincenzo Ficarra More articles by this author , Henk Van der PoelHenk Van der Poel More articles by this author , Alexandre MottrieAlexandre Mottrie More articles by this author , and ERUS board members ERUS board members More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1817AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The criteria set for surgeon’s competence before starting robotic surgery are neither structured nor evidence based. The development of structured and validated training curricula represents one of the current priorities in the robotic urologic field. METHODS A 12-weeks structured training program/curriculum was developed based on a focused group expert panel discussion and used to train 10 fellows from major teaching institutions across Europe. The key components of the curriculum were e-learning, an intensive week of structured simulation laboratory training (virtual reality simulator and dry/wet lab simulation platforms) and modular training in robot-assisted radical prostatectomy (RARP) at each institutions under supervision of the mentors. The technical and non- technical skills of the fellows were assessed by the mentors at the end of the program using previously validated GEARS (score 1- 5) and NOTTS (score 1-4) scales. At the end of the training, a full RARP performed by the fellows was video-recorded and blindly assessed by two independent expert robotic surgeons using a dedicated assessment scale. The scores of the fellows were compared with those of two expert robotic surgeons. The educational impact was evaluated with a dedicated questionnaire. RESULTS The fellows had limited previous console exposure (4 mos, IQR 0-6.5). At the end of the training, the fellows received an average score >4 (4.1-4.7) from their mentors for all the technical skills domains of the GEARS scale, with no negative scores (≤2). An average score ≥3.5 was also achieved for the 4 non-technical skills domains of the NOTTS scale, with no negative scores (≤2). Eight fellows were deemed able to perform a RARP alone by their mentors. At the assessment of the video-recorded RARP, 6 fellows received a sufficient score by the reviewers for all steps of the surgical procedure and 8 reached an average overall sufficient score. The robotic experts significantly outperformed the fellows for all surgical steps. At the final questionnaire, all fellows considered the program effective in improving their robotic skills and ability to perform the surgical steps of RARP with a mean score of 4.7 on a Likert-type scale (1=strongly disagree to 5=strongly agree). CONCLUSIONS This 12-weeks structured training program was successful to improve the robotic skills of fellows and their ability to perform the surgical steps of RARP. Further studies are needed to define the ideal length and schedule of these programs. This pilot study represents a step towards the definition of validated curricula for RARP and other robotic procedures. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e658 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Alessandro Volpe More articles by this author Kamran Ahmed More articles by this author Prokar Dasgupta More articles by this author Vincenzo Ficarra More articles by this author Henk Van der Poel More articles by this author Alexandre Mottrie More articles by this author ERUS board members More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...