1. Development of a standardised training curriculum for robotic surgery: a consensus statement from an international multidisciplinary group of experts
- Author
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Hendrik Van Poppel, Ronny Abaza, Michael Stoeckle, Joan Palou, Christophe Vaessen, Jacques Hubert, Xavier Cathelineau, Rajesh Ahlawat, Vipul R. Patel, Joachim W. Thüroff, Timothy O. Wilson, Ben Challacombe, Maurice Stephan Michel, Thomas E. Ahlering, Ben Van Cleynenbreugel, Rafael Sanchez-Salas, Christian Wagner, Reenam S. Khan, Alessandro Volpe, Jean Etienne Terrier, Alexandre Mottrie, Henk G. van der Poel, Pierre Thierry Piechaud, Prokar Dasgupta, Catherine Lovegrove, Kamran Ahmed, Francesco Montorsi, Jorn H Witt, Declan G. Murphy, Stefan Siemer, P. Coloby, Eric Barret, Pascal Rischmann, Peter Wiklund, Göran Ahlgren, Walter Artibani, Muhammad Shamim Khan, Jens-Uwe Stolzenburg, Manfred P. Wirth, Ahmed, Kamran, Khan, Reenam, Mottrie, Alexandre, Lovegrove, Catherine, Abaza, Ronny, Ahlawat, Rajesh, Ahlering, Thoma, Ahlgren, Goran, Artibani, Walter, Barret, Eric, Cathelineau, Xavier, Challacombe, Ben, Coloby, Patrick, Khan Muhammad, S., Hubert, Jacque, Michel Maurice, Stephan, Montorsi, Francesco, Murphy, Declan, Palou, Joan, Patel, Vipul, Piechaud Pierre, Thierry, Van Poppel, Hendrik, Rischmann, Pascal, Sanchez Salas, Rafael, Siemer, Stefan, Stoeckle, Michael, Stolzenburg Jens, Uwe, Terrier Jean, Etienne, Thueroff Joachim, W., Vaessen, Christophe, Van der Poel Henk, G., Van Cleynenbreugel, Ben, Volpe, Alessandro, Wagner, Christian, Wiklund, Peter, Wilson, Timothy, Wirth, Manfred, Witt, Joern, Dasgupta, Prokar, UL, IADI, Centre for Transplantation, King's College London (MRC), Guy's Hospital [London], OLVG Hospital, Ohio State University [Columbus] (OSU), Medanta [The Medicity], University of California [Irvine] (UC Irvine), University of California (UC), Skane University Hospital [Lund], Azienda ospedaliera universitaria integrata di Verona [Italy], Service d'urologie [Institut Mutualiste Montsouris], Institut Mutualiste de Montsouris (IMM), Service d'urologie [CH René Dubos Pontoise], Centre Hospitalier René Dubos [Pontoise], Imagerie Adaptative Diagnostique et Interventionnelle (IADI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Service d'Urologie [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), University Hospital Mannheim, Department of urology, Università Vita-Salute San Raffaele, Peter MacCallum Cancer Centre, Peter MacCallum Cancer Center, The Royal Melbourne Hospital, servicio de urologia, Fundación Puigvert, Florida Hospital Celebration Health, Clinique Saint Augustin, University Hospitals Leuven [Leuven], Département d'Urologie-Andrologie et Transplantation Rénale [CHU Toulouse], Pôle Urologie - Néphrologie - Dialyse - Transplantations - Brûlés - Chirurgie plastique - Explorations fonctionnelles et physiologiques [CHU Toulouse], Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)-Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Universitätsklinikum des Saarlandes, Department of Urology [Leipzig], Universität Leipzig [Leipzig], Service d'urologie et de transplantation rénale [Suresnes], Hôpital Foch [Suresnes], Universitätsklinikum Ulm - University Hospital of Ulm, CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Netherlands Cancer Institute (NKI), Antoni van Leeuwenhoek Hospital, University of Eastern Piedmont, St. Antonius-Hospital Gronau, Department of Oncology-Pathology [Karolinska Institutet], Karolinska Institutet [Stockholm], City of Hope Medical Center, Universitätsklinikum Carl Gustav Carus, University of California [Irvine] (UCI), University of California, Service de Chirurgie Urologique [CHU Purpan - Toulouse], CHU Toulouse [Toulouse]-Hôpital Purpan [Toulouse], CHU Toulouse [Toulouse], and Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)
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medicine.medical_specialty ,Consensus ,Urology ,030232 urology & nephrology ,curriculum ,Certification ,Session (web analytics) ,03 medical and health sciences ,Patient safety ,0302 clinical medicine ,medicine ,Curriculum development ,Humans ,Robotic surgery ,Curriculum ,robotics ,validation ,Medical education ,education ,training ,[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology ,business.industry ,Robotics ,Focus group ,Surgery ,learning-needs ,Content analysis ,030220 oncology & carcinogenesis ,Urologic Surgical Procedures ,business ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - 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 kappa 0.89) and they included: need for a training curriculum (inter-rater agreement kappa 0.85); identification of learning needs (kappa 0.83); development of the curriculum contents (kappa 0.81); an overview of available curricula (kappa 0.79); settings for robotic surgery training ((kappa 0.89); assessment and training of trainers (kappa 0.92); requirements for certification and patient safety (kappa 0.83); and need for a universally standardised curriculum (kappa 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.
- Published
- 2015