Short-term impact of a robot-assisted laparoscopic prostatectomy ‘mini-residency’ experience on postgraduate urologists' practice patterns

McDougall, Elspeth M.; Corica, Federico A.; Chou, David S.; Abdelshehid, Corollos; Uribe, C.; Stoliar, Gabriella; Sala, L; Khonsari, Sepi S.; Eichel, Louis; Boker, John R.; Ahlering, Thomas E.; Clayman, Ralph V.

doi:10.1002/rcs.71

Cited by 53 publications

(43 citation statements)

References 10 publications

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“…Cadaveric setting is used for robot-assisted surgery, laparoscopic, urologic surgery and minimally invasive stone surgery as well. [8,12,13] Vlaovic et al [13] showed that a week long intensive laparoscopic and robotic urologic surgery training improves test scores significantly. McDougall et al [12] reported that a five days of robotic training course which includes cadaveric training encourages the experienced laparoscopic urologists to incorporate robotic surgery into their practice.…”

Section: Fresh Frozen Cadaveric Model In Laparoscopic Training In Surmentioning

confidence: 99%

“…[8,12,13] Vlaovic et al [13] showed that a week long intensive laparoscopic and robotic urologic surgery training improves test scores significantly. McDougall et al [12] reported that a five days of robotic training course which includes cadaveric training encourages the experienced laparoscopic urologists to incorporate robotic surgery into their practice. The efficiency of cadaver-based training has been demonstrated in obstetrics and gynecology as well.…”

Section: Fresh Frozen Cadaveric Model In Laparoscopic Training In Surmentioning

confidence: 99%

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The novel laparoscopic training 3D model in urology with surgical anatomic remarks: Fresh-frozen cadaveric tissue

Hurі¹,

Ezer²,

Chan³

2016

Turkish Journal of Urology

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Laparoscopic surgery is routinely used to treat many urological conditions and it is the gold standard treatment option for many surgeries such as radical nephrectomy. Due to the difficulty of learning, laparoscopic training should start outside the operating room. Although it is a very different model of laparoscopic training; the aim of this review is to show the value of human cadaveric model for laparoscopic training and present our experience in this area. Fresh frozen cadaveric model in laparoscopic training, dry lab, cadaveric model, animal models and computer based simulators are the most commonly used models for laparoscopic training. Cadaveric models mimic the live setting better than animal models. Also, it is the best way in demonstrating important anatomic landmarks like prostate, bladder, and pelvic lymph nodes templates. However, cadaveric training is expensive, and should be used by multiple disciplines for higher efficiency. The laparosopic cadaveric training starts with didactic lectures with introduction of pelvic surgical anatomy. It is followed by hands-on dissection. A typical pelvic dissection part can be completed in 6 hours. Surgical robot and some laparoscopy platforms are equipped with 3-D vision. In recent years, we have use the stereoscopic laparoscopy system for training purposes to show exact anatomic landmarks. Cadavers are removed from their containers 3 to 5 days prior to training session to allow enough time for thawing. Intracorporeal suturing is an important part of laparoscopic training. We believe that suturing must be practiced in the dry lab, which is significantly cheaper than cadaveric models. Cadaveric training model should focus on the anatomic dissection instead. In conclusion, fresh-frozen cadaveric sample is one of the best 3D simulation models for laparoscopic training purposes. Major aim of cadaveric training is not only mimicking the surgical technique but also teaching true anatomy. Lack of availability and higher financial cost are the two setbacks for the use of cadavers. Surgeon should learn basic laparoscopic skills with box trainers prior to cadaveric skill training.

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Section: Fresh Frozen Cadaveric Model In Laparoscopic Training In Surmentioning

confidence: 99%

Section: Fresh Frozen Cadaveric Model In Laparoscopic Training In Surmentioning

confidence: 99%

The novel laparoscopic training 3D model in urology with surgical anatomic remarks: Fresh-frozen cadaveric tissue

Hurі¹,

Ezer²,

Chan³

2016

Turkish Journal of Urology

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“…Similarly, a questionnaire was sent to the initial 21 participants in the robot-assisted laparoscopic prostatectomy M-R 1 to 14 months (mean, 7.2) later. 6 The response rate to this questionnaire was also 100%. Most (80%) of the participants had prior laparoscopic training in their urology residency, and 25% were performing robotassisted laparoscopic prostatectomy before their M-R. After their M-R, 95% of the participants were performing robot-assisted laparoscopic prostatectomy.…”

Section: Discussionmentioning

confidence: 91%

“…8 The overall 85% success or "take" rate of the University of California, Irvine M-R program compares favorably to the 83% take rate of this time-intensive laparoscopic proctoring training program. 5,6 Of course, further long-term follow-up of both courses is necessary to determine the durability of these learned skills.…”

Section: Discussionmentioning

confidence: 99%

1024: Immediate Impact of an Intensive One-Week Laparoscopy Training Program on Laparoscopic Skills Among Postgraduate Urologists

Carica¹,

Vlaovic²,

Chou³

et al. 2006

Journal of Urology

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Introduction: Laparoscopic techniques are difficult to master, especially for surgeons who did not receive such training during residency. To help urologists master challenging laparoscopic skills, a unique 5-day mini-residency (M-R) program was established at the University of California, Irvine. The first 101 participants in this program were evaluated on their laparoscopic skills acquisition at the end of the 5-day experience.

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“…At the University of California Irvine, the shortand long-term benefits of procedure-specific 5-day robotic surgery training courses have been reported. 14,15 More recently, educators at the University of Texas Southwestern have published feasibility, validity, and reliability data on a competency-based inanimate training program for robotic surgery, which also addresses the need for structured training programs. 16 Surgical training literature has clearly demonstrated the superior educational outcomes associated with curricula that adhere to the principles of spaced-learning and competency-based training.…”

Section: Discussionmentioning

confidence: 99%

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

Foell

Finelli

Yasufuku

et al. 2013

CUAJ

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

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Short-term impact of a robot-assisted laparoscopic prostatectomy ‘mini-residency’ experience on postgraduate urologists' practice patterns

Cited by 53 publications

References 10 publications

The novel laparoscopic training 3D model in urology with surgical anatomic remarks: Fresh-frozen cadaveric tissue

The novel laparoscopic training 3D model in urology with surgical anatomic remarks: Fresh-frozen cadaveric tissue

1024: Immediate Impact of an Intensive One-Week Laparoscopy Training Program on Laparoscopic Skills Among Postgraduate Urologists

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

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