Development of a standardised training curriculum for robotic surgery: a consensus statement from an international multidisciplinary group of experts

Kamran Ahmed 1 Reenam Khan 1 Alexandre Mottrie 2 Catherine Lovegrove 1 Ronny Abaza 3 Rajesh Ahlawat 4 Thomas Ahlering 5 Goran Ahlgren 6 Walter Artibani 7 Eric Barret 8 Xavier Cathelineau 8 Ben Challacombe 1 Patrick Coloby 9 M Khan 1 Jacques Hubert 10, 11 Maurice Stephan Michel 12 Francesco Montorsi 13 Peter Murphy 14, 15 Joan Palou 16 Vipul Patel 17 Pierre-Thierry Piechaud 18 Hendrik van Poppel 19 Pascal Rischmann 20 Rafael Sanchez-Salas 8 Stefan Siemer 21 Michael Stoeckle 21 Jens-Uwe Stolzenburg 22 Jean-Etienne Terrier 23 Joachim Thüroff 24 Christophe Vaessen 25 Henk van der Poel 26 Ben van Cleynenbreugel 19 Alessandro Volpe 2, 27 Christian Wagner 28 Peter Wiklund 29 Timothy Wilson 30 Manfred Wirth 31 Jörn Witt 29 Prokar Dasgupta 1
Abstract : OBJECTIVES: To explore the views of experts about the development and validation of a robotic surgery training curriculum, and how this should be implemented. MATERIALS AND METHODS: An international expert panel was invited to a structured session for discussion. The study was of a mixed design, including qualitative and quantitative components based on focus group interviews during the European Association of Urology (EAU) Robotic Urology Section (ERUS) (2012), EAU (2013) and ERUS (2013) meetings. After introduction to the aims, principles and current status of the curriculum development, group responses were elicited. After content analysis of recorded interviews generated themes were discussed at the second meeting, where consensus was achieved on each theme. This discussion also underwent content analysis, and was used to draft a curriculum proposal. At the third meeting, a quantitative questionnaire about this curriculum was disseminated to attendees to assess the level of agreement with the key points. RESULTS: In all, 150 min (19 pages) of the focus group discussion was transcribed (21 316 words). Themes were agreed by two raters (median agreement κ 0.89) and they included: need for a training curriculum (inter-rater agreement κ 0.85); identification of learning needs (κ 0.83); development of the curriculum contents (κ 0.81); an overview of available curricula (κ 0.79); settings for robotic surgery training ((κ 0.89); assessment and training of trainers (κ 0.92); requirements for certification and patient safety (κ 0.83); and need for a universally standardised curriculum (κ 0.78). A training curriculum was proposed based on the above discussions. CONCLUSION: This group proposes a multi-step curriculum for robotic training. Studies are in process to validate the effectiveness of the curriculum and to assess transfer of skills to the operating room.
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https://hal.univ-lorraine.fr/hal-01730261
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Submitted on : Tuesday, March 13, 2018 - 10:38:50 AM
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Kamran Ahmed, Reenam Khan, Alexandre Mottrie, Catherine Lovegrove, Ronny Abaza, et al.. Development of a standardised training curriculum for robotic surgery: a consensus statement from an international multidisciplinary group of experts. BJU International, Wiley, 2015, 116 (1), pp.93 - 101. ⟨10.1111/bju.12974⟩. ⟨hal-01730261⟩

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