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Robotic surgical education: a collaborative approach to training postgraduate urologists and endourology fellows.

Mirheydar H, Jones M, Koeneman KS, Sweet RM - JSLS (2009 Jul-Sep)

Bottom Line: The mean number of cases performed within phase 3 was 20.1 (range, 5 to 40) prior to independent practice.The program received a rating of 4.2/5 for effectiveness in teaching robotic surgery skills.Our robotic program, with extended proctoring, has led to an outstanding take-rate for disseminating robotic skills in a metropolitan community.

View Article: PubMed Central - PubMed

Affiliation: Department of Urologic Surgery, University of Minnesota, Minneapolis, 55455, USA.

ABSTRACT

Objective: Currently, robotic training for inexperienced, practicing surgeons is primarily done vis-à-vis industry and/or society-sponsored day or weekend courses, with limited proctorship opportunities. The objective of this study was to assess the impact of an extended-proctorship program at up to 32 months of follow-up.

Methods: An extended-proctorship program for robotic-assisted laparoscopic radical prostatectomy was established at our institution. The curriculum consisted of 3 phases: (1) completing an Intuitive Surgical 2-day robotic training course with company representatives; (2) serving as assistant to a trained proctor on 5 to 6 cases; and (3) performing proctored cases up to 1 year until confidence was achieved. Participants were surveyed and asked to evaluate on a 5-point Likert scale their operative experience in robotics and satisfaction regarding their training.

Results: Nine of 9 participants are currently performing robotic-assisted laparoscopic radical prostatectomy (RALP) independently. Graduates of our program have performed 477 RALP cases. The mean number of cases performed within phase 3 was 20.1 (range, 5 to 40) prior to independent practice. The program received a rating of 4.2/5 for effectiveness in teaching robotic surgery skills.

Conclusion: Our robotic program, with extended proctoring, has led to an outstanding take-rate for disseminating robotic skills in a metropolitan community.

Show MeSH
Number of prostatectomies vs. time at follow-up for all 9 trainees.
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Figure 1: Number of prostatectomies vs. time at follow-up for all 9 trainees.

Mentions: Four of 9 participants are practicing in an academic tertiary center, and 5 are practicing in private urology groups. Six of 9 participants completed the program with a partner in their practice. Currently, 100% of program participants perform RALP in their practice. At the time of the writing of this article, graduates of the program had performed 477 RALPs. Among all 9 trainees, follow-up from completion of robotic training ranged from 5 months to 32 months. Figure 1 summarizes the number of robotic prostatectomies performed by each trainee versus the number of months at follow-up.


Robotic surgical education: a collaborative approach to training postgraduate urologists and endourology fellows.

Mirheydar H, Jones M, Koeneman KS, Sweet RM - JSLS (2009 Jul-Sep)

Number of prostatectomies vs. time at follow-up for all 9 trainees.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3015961&req=5

Figure 1: Number of prostatectomies vs. time at follow-up for all 9 trainees.
Mentions: Four of 9 participants are practicing in an academic tertiary center, and 5 are practicing in private urology groups. Six of 9 participants completed the program with a partner in their practice. Currently, 100% of program participants perform RALP in their practice. At the time of the writing of this article, graduates of the program had performed 477 RALPs. Among all 9 trainees, follow-up from completion of robotic training ranged from 5 months to 32 months. Figure 1 summarizes the number of robotic prostatectomies performed by each trainee versus the number of months at follow-up.

Bottom Line: The mean number of cases performed within phase 3 was 20.1 (range, 5 to 40) prior to independent practice.The program received a rating of 4.2/5 for effectiveness in teaching robotic surgery skills.Our robotic program, with extended proctoring, has led to an outstanding take-rate for disseminating robotic skills in a metropolitan community.

View Article: PubMed Central - PubMed

Affiliation: Department of Urologic Surgery, University of Minnesota, Minneapolis, 55455, USA.

ABSTRACT

Objective: Currently, robotic training for inexperienced, practicing surgeons is primarily done vis-à-vis industry and/or society-sponsored day or weekend courses, with limited proctorship opportunities. The objective of this study was to assess the impact of an extended-proctorship program at up to 32 months of follow-up.

Methods: An extended-proctorship program for robotic-assisted laparoscopic radical prostatectomy was established at our institution. The curriculum consisted of 3 phases: (1) completing an Intuitive Surgical 2-day robotic training course with company representatives; (2) serving as assistant to a trained proctor on 5 to 6 cases; and (3) performing proctored cases up to 1 year until confidence was achieved. Participants were surveyed and asked to evaluate on a 5-point Likert scale their operative experience in robotics and satisfaction regarding their training.

Results: Nine of 9 participants are currently performing robotic-assisted laparoscopic radical prostatectomy (RALP) independently. Graduates of our program have performed 477 RALP cases. The mean number of cases performed within phase 3 was 20.1 (range, 5 to 40) prior to independent practice. The program received a rating of 4.2/5 for effectiveness in teaching robotic surgery skills.

Conclusion: Our robotic program, with extended proctoring, has led to an outstanding take-rate for disseminating robotic skills in a metropolitan community.

Show MeSH