Structured learning for robotic surgery utilizing a proficiency score: a pilot study

Abstract

Structured learning can be implemented in an academic robotic program with high levels of trainee and evaluator participation, encouraging both quantitative and verbal feedback. A proficiency assessment tool developed for step-specific proficiency has construct and concurrent validity.

Experts vs super‐experts: differences in automated performance metrics and clinical outcomes for robot‐assisted radical prostatectomy

“…The performing surgeon for each of the 10 surgical RARP steps, based on our institution's standardized structured learning curriculum , was catalogued prospectively. We collected synchronized video and APMs during RARP cases on the da Vinci Surgical System using the ‘dVLogger’ (Intuitive Surgical), a custom recording tool lent for the purposes of research.…”

Implementing assessments of robot‐assisted technical skill in urological education: a systematic review and synthesis of the validity evidence

“…The Global Evaluative Assessment of Robotic Skills (GEARS) tool, developed by Goh et al. , has been applied to urological assessments on multiple occasions , and has the strongest validity argument supporting its use in the assessment of robotic skill. Its generic framework has allowed it to become a widely accepted method of assessment across multiple procedures and even across specialties .…”

“…Table 1 summarises the validity evidence supporting the seven non-time-based technical skill assessment tools used in urological RAS. The Global Evaluative Assessment of Robotic Skills (GEARS) tool, developed by Goh et al [4], has been applied to urological assessments on multiple occasions [4,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29], and has the strongest validity argument supporting its use in the assessment of robotic skill. Its generic framework has allowed it to become a widely accepted method of assessment across multiple procedures and even across specialties [4,15,19].…”

“…The vast majority of literature using the GEARS score has found it to be a reliable assessment method [4,11,16,24,25,27,28]. However, a study of robotic renal hilar dissection using oriented expert raters showing poor internal consistency [17], and Hung et al [21] found that while trainee self-assessments and faculty evaluations correlated weakly, inter-faculty reliability was better when assessing residents [intraclass correlation (ICC) = 0.77] and fellows (ICC = 0.45). As shown in Table 1, it is the only technical skill assessment tool that has supporting consequences evidence, having been used to both predict clinical outcomes in a retrospective case-control study, and impact residency match-rankings when applied to a cohort of medical students.…”

Proctorship and mentoring: Its backbone and application in robotic surgery

“…In turn, this translates into a safer and effective way of surgical education. With the aim of further standardization, very recently Hung et al [20] reported improvements in training from a structured learning program in robotic surgery using proficiency scores. This has boosted the confidence of trainees' robotic skills.…”