Robotic surgery basic skills training: Evaluation of a pilot multidisciplinary simulation-based curriculum.

作者: Kirsten Foell , Antonio Finelli , Kazuhiro Yasufuku , Marcus Q Bernardini , Thomas K Waddell

DOI: 10.5489/CUAJ.222

关键词:

摘要: Purpose: Simulation-based training improves clinical skills, while minimizing the impact of educational process on patient care. We present results a pilot multidisciplinary, simulation-based robotic surgery basic skills curriculum (BSTC) for novices. Methods: A 4-week, simulation-based, BSTC was offered to Departments Surgery and Obstetrics & Gynecology (ObGyn) at University Toronto. The course consisted various instructional strategies: didactic lecture, self-directed online modules, introductory hands-on with da Vinci robot (dVR) (Intuitive Surgical Inc., Sunnyvale, CA), dedicated Skills Simulator CA) (dVSS). third trainees participated in competency-based dVSS training, all others engaged traditional time-based training. Pre- post-course skill testing conducted dVR using 2 standardized tasks: ring transfer (RT) needle passing (NP). Retention assessed 5 months post-BSTC. Results: total 37 participants completed mean task completion time number errors improved significantly both RT (180.6 vs. 107.4 sec, p < 0.01 3.5 1.3 0.01, respectively) NP (197.1 154.1 4.5 1.8 = 0.04, tasks. No significant difference performance seen between specialties. Competency-based associated better performance. demonstrated excellent face validity. Conclusions: implementation revealed among novice trainees, regardless specialty or level acquisition skills.

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