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Journal article
Proving the Effectiveness of the Fundamentals of Robotic Surgery (FRS) Skills Curriculum: A Single-blinded, Multispecialty, Multi-institutional Randomized Control Trial
Annals of surgery, v 272(2), pp 384-392
Aug 2020
PMID: 32675553
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To demonstrate the noninferiority of the fundamentals of robotic surgery (FRS) skills curriculum over current training paradigms and identify an ideal training platform.
There is currently no validated, uniformly accepted curriculum for training in robotic surgery skills.
Single-blinded parallel-group randomized trial at 12 international American College of Surgeons (ACS) Accredited Education Institutes (AEI). Thirty-three robotic surgery experts and 123 inexperienced surgical trainees were enrolled between April 2015 and November 2016. Benchmarks (proficiency levels) on the 7 FRS Dome tasks were established based on expert performance. Participants were then randomly assigned to 4 training groups: Dome (n = 29), dV-Trainer (n = 30), and DVSS (n = 32) that trained to benchmarks and control (n = 32) that trained using locally available robotic skills curricula. The primary outcome was participant performance after training based on task errors and duration on 5 basic robotic tasks (knot tying, continuous suturing, cutting, dissection, and vessel coagulation) using an avian tissue model (transfer-test). Secondary outcomes included cognitive test scores, GEARS ratings, and robot familiarity checklist scores.
All groups demonstrated significant performance improvement after skills training (P < 0.01). Participating residents and fellows performed tasks faster (DOME and DVSS groups) and with fewer errors than controls (DOME group; P < 0.01). Inter-rater reliability was high for the checklist scores (0.82-0.97) but moderate for GEARS ratings (0.40-0.67).
We provide evidence of effectiveness for the FRS curriculum by demonstrating better performance of those trained following FRS compared with controls on a transfer test. We therefore argue for its implementation across training programs before surgeons apply these skills clinically.
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Details
- Title
- Proving the Effectiveness of the Fundamentals of Robotic Surgery (FRS) Skills Curriculum: A Single-blinded, Multispecialty, Multi-institutional Randomized Control Trial
- Creators
- Richard M Satava - Department of Surgery, University of Washington Medical Center, Seattle, WADimitrios Stefanidis - Indiana University – Purdue University IndianapolisJeffrey S Levy - Department of Ob/Gyn, Drexel University College of Medicine, Institute of Surgical Excellence, Philadelphia, PARoger Smith - Florida Hospital Nicholson Center, University of Central Florida College of Medicine, Celebration, FLJohn R Martin - Indiana University School of MedicineSara Monfared - Department of Surgery, Indiana University School of Medicine, Indianapolis, INLava R Timsina - Department of Surgery, Indiana University School of Medicine, Indianapolis, INAra Wardkes Darzi - Department of Surgery, St. Mary's Hospital, Imperial College, London, UKAndrea Moglia - EndoCAS Simulation Center, University of Pisa, Pisa, ItalyTimothy C Brand - Andersen Simulation Center, Madigan Army Medical Center, Tacoma, WARyan P Dorin - Center for Education, Simulation and Innovation, Hartford Hospital, Hartford, CTKristoffel R Dumon - Penn Medicine Clinical Simulation Center, Philadelphia, PATodd D Francone - Newton Wellesley HospitalEvangelos Georgiou - National and Kapodistrian University of Athens, Athens, GreeceAlvin C Goh - Houston Methodist Hospital, Methodist Institute for Technology, Innovation, and Education, Houston, TXJorge E Marcet - USF Health Center for Advanced Medical Learning and Simulation, Tampa, FLMartin A Martino - Lehigh Valley Health Network, Allentown, PARanjan Sudan - Department of Surgery, Surgical Education and Activities Lab, Duke University Medical Center, Durham, NCJustin Vale - EndoCAS Simulation Center, University of Pisa, Pisa, ItalyAnthony G Gallagher - Faculty of Life and Health Sciences, Ulster University, Magee Campus, Londonderry, United Kingdom
- Publication Details
- Annals of surgery, v 272(2), pp 384-392
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Obstetrics and Gynecology
- Web of Science ID
- WOS:000562697800073
- Scopus ID
- 2-s2.0-85088155054
- Other Identifier
- 991021860674504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Surgery