作者: Alessandro Volpe , Kamran Ahmed , Prokar Dasgupta , Vincenzo Ficarra , Giacomo Novara
DOI: 10.1016/J.EURURO.2014.10.025
关键词: Curriculum 、 Training curriculum 、 Panel discussion 、 Prostatectomy 、 Medicine 、 Surgery 、 Scale (social sciences) 、 Medical physics 、 Face validity 、 Robotic Surgical Procedures 、 Association (psychology)
摘要: Abstract Background The development of structured and validated training curricula is one the current priorities in robot-assisted urological surgery. Objective To establish feasibility, acceptability, face validity, educational impact a curriculum for radical prostatectomy (RARP), to assess improvements performance ability perform RARP after completion curriculum. Design, setting, participants A 12-wk was developed based on an expert panel discussion used train ten fellows from major European teaching institutions. included: (1) e-learning, (2) 1 wk simulation-based (virtual reality synthetic, animal, cadaveric platforms), (3) supervised modular RARP. Outcome measurements statistical analysis were assessed using quantitative surveys. Improvement technical skills over period evaluated inbuilt assessment metrics da Vinci surgical simulator (dVSS). final performed by their Global Evaluative Assessment Robotic Skills (GEARS) score generic procedure-specific scoring criteria. Results limitations median baseline experience as console surgeon 4 mo (interquartile range [IQR] 0–6.5 mo). All completed involved 18 RARPs (IQR 14–36) during training. overall dVSS tasks significantly increased ( p 10 (scale 4–16) all procedural steps dedicated tool. In comparison this tool, experts outperformed (mean 13.6 vs 11). Conclusions urologic acceptable, valid, effective Patient summary This study shows that program including mentored operating room allows surgeons with limited robotic increase prostatectomy.