1512 DEVELOPMENT, IMPLEMENTATION AND VALIDATION OF A SIMULATION-BASED CURRICULUM FOR ROBOT-ASSISTED SURGERY

You have accessJournal of UrologyTechnology & Instruments: Surgical Education & Skills Assessment/Ureteroscopy II1 Apr 20121512 DEVELOPMENT, IMPLEMENTATION AND VALIDATION OF A SIMULATION-BASED CURRICULUM FOR ROBOT-ASSISTED SURGERY Andrew P. Stegemann, Thenkurussi Kesavadas, Shabnam Rehman, Mohamed Sharif, Amrith Rao, Nefertiti C. duPont, Yi Shi, Gregory E. Wilding, James M. Hassett, and Khurshid A. Guru Andrew P. StegemannAndrew P. Stegemann Buffalo, NY More articles by this author , Thenkurussi KesavadasThenkurussi Kesavadas Buffalo, NY More articles by this author , Shabnam RehmanShabnam Rehman Buffalo, NY More articles by this author , Mohamed SharifMohamed Sharif Buffalo, NY More articles by this author , Amrith RaoAmrith Rao Buffalo, NY More articles by this author , Nefertiti C. duPontNefertiti C. duPont Buffalo, NY More articles by this author , Yi ShiYi Shi Buffalo, NY More articles by this author , Gregory E. WildingGregory E. Wilding Buffalo, NY More articles by this author , James M. HassettJames M. Hassett Buffalo, NY More articles by this author , and Khurshid A. GuruKhurshid A. Guru Buffalo, NY More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1279AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Effective and validated instructions to assess and improve skills in robot-assisted (RA) surgery are needed. A simulation-based curriculum was implemented using the Robotic Surgical Simulator (RoSS). The RoSS curriculum consists of 15 tasks with progressive levels of difficulty and was developed after consensus with experienced robotic surgeons. We sought to implement and evaluate the RoSS curriculum. METHODS 25 participants were randomized into either a Test Group (TG; n=13) or Control Group (CG; n=12) in an IRB-approved study. Trainees in the TG were asked to complete the RoSS curriculum and 1 test session on the daVinci Surgical System (dVSS). Average completion of the RoSS curriculum took 4 hours and was conducted over a 1-4 week period. Each session did not exceed 1 hour in duration. Trainees in the CG directly tested on dVSS and were offered the chance to complete the RoSS curriculum and re-test on dVSS as a Crossover analysis (CO; n=8). The dVSS test consisted of three tasks: Ball Placement, Suture Pass, and 4th Arm Manipulation. RESULTS 75% of trainees were between 25-40 years and 75% had never been formally trained for laparoscopic surgery. Only 21% had ever worked on a surgical console. 66% of participants felt RoSS would help them prepare for surgical training. Ball Placement TG demonstrated shorter completion time (124 vs. 164 sec; p=0.041) and was more precise during the task compared to CG (1.2 vs. 2.5 drops; p= 0.018). The CO group took less time (p=0.07) to complete this task with significantly greater precision after finishing the curriculum (p=0.008). Instruments were never lost from the field after completing the curriculum. Suture Pass TG group demonstrated better camera utilization (3.1 vs. 1.0; 0.035). Instruments loss from field of vision was significantly less for TG (0.6 vs. 1.6; 0.022) Precision trended towards significance (p=0.06) in CO group, while proper camera usage significantly improved after completion of RoSS curriculum (p=0.016). Fourth Arm Manipulation TG took less time to complete (117 vs. 150 sec; p=0.175). Meanwhile, loss of instruments outside training field was less frequent in the TG (0.2 vs. 0.6 p= 0.234). Precision in the CO group improved significantly after completing the curriculum (p=0.03), and camera control and safe instrument manipulation also showed improvement at completion (1 vs. 0.2; 0.4 vs. 0.9). CONCLUSIONS Implementation of this first of its kind robot-assisted curriculum demonstrates that simulation training can significantly develop and improve skills for safe acquisition of robot-assisted surgery. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e612 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Andrew P. Stegemann Buffalo, NY More articles by this author Thenkurussi Kesavadas Buffalo, NY More articles by this author Shabnam Rehman Buffalo, NY More articles by this author Mohamed Sharif Buffalo, NY More articles by this author Amrith Rao Buffalo, NY More articles by this author Nefertiti C. duPont Buffalo, NY More articles by this author Yi Shi Buffalo, NY More articles by this author Gregory E. Wilding Buffalo, NY More articles by this author James M. Hassett Buffalo, NY More articles by this author Khurshid A. Guru Buffalo, NY More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...