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J Minim Access Surg. 2015 Jan-Mar;11(1):10-5. doi: 10.4103/0972-9941.147662.

Robotic surgical skill acquisition: What one needs to know?.

Journal of minimal access surgery

Akshay Sood, Wooju Jeong, Rajesh Ahlawat, Logan Campbell, Shruti Aggarwal, Mani Menon, Mahendra Bhandari

Affiliations

  1. Vattikuti Urology Institute, Henry Ford Hospital, Detroit, MI, USA.
  2. Kidney and Urology Institute, Medanta - The Medicity, Gurgaon, India.
  3. Department of Medicine, Metrowest Medical Center, Framingham, MA, USA.

PMID: 25598593 PMCID: PMC4290108 DOI: 10.4103/0972-9941.147662

Abstract

Robotic surgery has been eagerly adopted by patients and surgeons alike in the field of urology, over the last decade. However, there is a lack of standardization in training curricula and accreditation guidelines to ensure surgeon competence and patient safety. Accordingly, in this review, we aim to highlight 'who' needs to learn 'what' and 'how', to become competent in robotic surgery. We demonstrate that both novice and experienced open surgeons require supervision and mentoring during the initial phases of robotic surgery skill acquisition. The experienced open surgeons possess domain knowledge, however, need to acquire technical knowledge under supervision (either in simulated or clinical environment) to successfully transition to robotic surgery, whereas, novice surgeons need to acquire both domain as well as technical knowledge to become competent in robotic surgery. With regard to training curricula, a variety of training programs such as academic fellowships, mini-fellowships, and mentored skill courses exist, and cater to the needs and expectations of postgraduate surgeons adequately. Fellowships provide the most comprehensive training, however, may not be suitable to all surgeon-learners secondary to the long-term time commitment. For these surgeon-learners short-term courses such as the mini-fellowships or mentored skill courses might be more apt. Lastly, with regards to credentialing uniformity in criteria regarding accreditation is lacking but earnest efforts are underway. Currently, accreditation for competence in robotic surgery is institutional specific.

Keywords: Curriculum; robotics; simulation; surgical learning; training

References

  1. Urol Clin North Am. 2014 Nov;41(4):473-84 - PubMed
  2. Urol Clin North Am. 2014 Nov;41(4):581-9 - PubMed
  3. Ann Surg. 2004 Jan;239(1):14-21 - PubMed
  4. Eur Urol. 2011 Apr;59(4):652-6 - PubMed
  5. Am J Transplant. 2010 Jun;10(6):1478-82 - PubMed
  6. Eur Urol. 2014 May;65(5):1001-9 - PubMed
  7. J Urol. 2012 Jan;187(1):247-52 - PubMed
  8. ANZ J Surg. 2009 Mar;79(3):154-60 - PubMed
  9. Eur Urol. 2010 Aug;58(2):197-202 - PubMed
  10. Urol Clin North Am. 2004 Nov;31(4):743-52 - PubMed
  11. J Urol. 2007 Nov;178(5):2002-5 - PubMed
  12. BJU Int. 2011 Sep;108(6 Pt 2):942-7 - PubMed
  13. J Urol. 2011 Apr;185(4):1191-7 - PubMed
  14. J Endourol. 2013 Feb;27(2):230-7 - PubMed
  15. BJU Int. 2015 Sep;116(3):487-94 - PubMed
  16. Eur Urol. 2014 May;65(5):991-1000 - PubMed
  17. J Urol. 2009 Feb;181(2):778-82 - PubMed
  18. J Urol. 2011 Nov;186(5):1997-2000 - PubMed
  19. Psychol Rev. 1950 Jul;57(4):193-216 - PubMed
  20. J Surg Educ. 2014 May-Jun;71(3):289-96 - PubMed
  21. Int J Med Robot. 2006 Mar;2(1):70-4 - PubMed
  22. JSLS. 2008 Jan-Mar;12(1):109-11 - PubMed
  23. J Endourol. 2014 May;28(5):592-8 - PubMed
  24. J Am Coll Surg. 2013 Jun;216(6):1181-92 - PubMed
  25. J Urol. 2007 Jan;177(1):288-91 - PubMed
  26. BMJ. 2013 Jun 18;346:f3012 - PubMed
  27. Eur Urol. 2014 Aug;66(2):371-8 - PubMed
  28. Surg Endosc. 2008 Feb;22(2):313-25; discussion 311-2 - PubMed
  29. BJU Int. 2012 Sep;110(6):776-8 - PubMed
  30. J Endourol. 2013 Nov;27(11):1393-8 - PubMed
  31. Can Urol Assoc J. 2014 Mar;8(3-4):100-6 - PubMed
  32. BJU Int. 2014 Oct;114(4):617-29 - PubMed
  33. J Urol. 2014 Mar;191(3):764-70 - PubMed
  34. BJU Int. 2014 Apr;113(4):679-81 - PubMed
  35. Postgrad Med J. 2007 Dec;83(986):777-9 - PubMed
  36. JAMA. 1990 Jan 19;263(3):441-3 - PubMed

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