Abstract
Surgical educators are challenged with introducing new technologies into general surgery training. There has been a rapid and widespread adoption of the robotic surgical system with a lag in the development of a comprehensive training and credentialing framework. A literature search on robotic surgical training techniques and benchmarks were conducted to provide an evidence-based road map for the development of a robotic surgical skills for the novice robotic surgeon. A structured training curriculum is suggested incorporating evidence-based training techniques and benchmarks for progress. This usually involves sequential progression from observation, case assisting, acquisition of basic robotic skills in the dry and wet lab setting along with achievement of individual and team-based non-technical skills, modular console training under supervision, and finally independent practice. There is a need for a standardized curriculum for training and assessment of robotic surgeons to proficiency, followed by high stakes testing for certification. A standardized process for certifying the skills of a robotic surgeon has begun to emerge.
Highlights
Achieving surgical competence is a complex process that involves the attainment of knowledge, judgment, professionalism, and surgical skill. [1].Robotic surgery has improved minimally invasive surgery, shortening the learning curve, and conferring increased dexterity for surgeons
There is a need for a standardized curriculum for training and assessment of robotic surgeons to proficiency, followed by high stakes testing for certification
Since its approval by the US Food and Drug Administration (FDA) in 2000, the use of robot assisted laparoscopic surgery has surpassed that of pure laparoscopy for radical prostatectomy and dismembered pyeloplasty and partial nephrectomy [4, 5]
Summary
Achieving surgical competence is a complex process that involves the attainment of knowledge, judgment, professionalism, and surgical skill. [1]. In our experience new robotic surgeons who perform at least one case per week for the first 12-13 weeks typically advance through their learning curve more quickly and develop more confidence and familiarity with the use of the technology than those who perform their initial cases less frequently. One must learn new skills regarding hand-eye coordination and become accustomed to the loss of touch sensation To overcome these difficulties, we must take advantage of several tools, which are simulators, mentored cases, robots with dual consoles, and robotic courses. We must take advantage of several tools, which are simulators, mentored cases, robots with dual consoles, and robotic courses This makes it possible to bridge the gap between early surgical skills and effective surgical performance when using a robot in a clinical setting without subjecting patients to unnecessary risks [12]. The cost and logistics for securing a console of training purposes may be a prohibitive factor in some institutions [19]
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