Proving the Effectiveness of the Fundamentals of Robotic Surgery (FRS) Skills Curriculum: A Single-blinded, Multispecialty, Multi-institutional Randomized Control Trial

摘要: MINI: Question: Is the Fundamentals of Robotic Surgery (FRS) proficiency-based progression curriculum effective for teaching basic robotic surgery skills? Findings In an international multi-institutional, multispecialty, blinded, randomized control trial, implementation FRS skills using various simulation platforms led to improved performance surgical trainees on a transfer test compared with controls.Meaning: The is simulation-based course training proficiency before surgeons apply those clinically. Objective To demonstrate noninferiority fundamentals over current paradigms and identify ideal platform. Summary background data There currently no validated, uniformly accepted in skills. Methods Single-blinded parallel-group trial at 12 American College Surgeons (ACS) Accredited Education Institutes (AEI). Thirty-three experts 123 inexperienced were enrolled between April 2015 November 2016. Benchmarks (proficiency levels) 7 Dome tasks established based expert performance. Participants then randomly assigned 4 groups: (n = 29), dV-Trainer 30), DVSS 32) that trained benchmarks locally available curricula. primary outcome was participant after task errors duration 5 (knot tying, continuous suturing, cutting, dissection, vessel coagulation) avian tissue model (transfer-test). Secondary outcomes included cognitive scores, GEARS ratings, robot familiarity checklist scores. Results All groups demonstrated significant improvement (P Conclusions We provide evidence effectiveness by demonstrating better following controls test. therefore argue its across programs these