Proving the Effectiveness of the Fundamentals of Robotic Surgery (FRS) Skills Curriculum: A Single-blinded, Multispecialty, Multi-institutional Randomized Control Trial
dc.contributor.author | Satava, Richard M. | |
dc.contributor.author | Stefanidis, Dimitrios | |
dc.contributor.author | Levy, Jeffrey S. | |
dc.contributor.author | Smith, Roger | |
dc.contributor.author | Martin, John R. | |
dc.contributor.author | Monfared, Sara | |
dc.contributor.author | Timsina, Lava R. | |
dc.contributor.author | Wardkes Darzi, Ara | |
dc.contributor.author | Moglia, Andrea | |
dc.contributor.author | Brand, Timothy C. | |
dc.contributor.author | Dorin, Ryan P. | |
dc.contributor.author | Dumon, Kristoffel R. | |
dc.contributor.author | Francone, Todd D. | |
dc.contributor.author | Georgiou, Evangelos | |
dc.contributor.author | Goh, Alvin C. | |
dc.contributor.author | Marcet, Jorge E. | |
dc.contributor.author | Martino, Martin A. | |
dc.contributor.author | Sudan, Ranjan | |
dc.contributor.author | Vale, Justin | |
dc.contributor.author | Gallagher, Anthony G. | |
dc.contributor.department | Surgery, School of Medicine | en_US |
dc.date.accessioned | 2020-10-30T22:10:46Z | |
dc.date.available | 2020-10-30T22:10:46Z | |
dc.date.issued | 2020-08 | |
dc.description.abstract | Objective: To demonstrate the noninferiority of the fundamentals of robotic surgery (FRS) skills curriculum over current training paradigms and identify an ideal training platform. Summary Background Data: There is currently no validated, uniformly accepted curriculum for training in robotic surgery skills. Methods: 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. Results: 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). Conclusions: 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. | en_US |
dc.eprint.version | Author's manuscript | en_US |
dc.identifier.citation | Satava, R. M., Stefanidis, D., Levy, J. S., Smith, R., Martin, J. R., Monfared, S., Timsina, L. R., Darzi, A. W., Moglia, A., Brand, T. C., Dorin, R. P., Dumon, K. R., Francone, T. D., Georgiou, E., Goh, A. C., Marcet, J. E., Martino, M. A., Sudan, R., Vale, J., & Gallagher, A. G. (2020). Proving the Effectiveness of the Fundamentals of Robotic Surgery (FRS) Skills Curriculum: A Single-blinded, Multispecialty, Multi-institutional Randomized Control Trial. Annals of Surgery, 272(2), 384–392. https://doi.org/10.1097/SLA.0000000000003220 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/24239 | |
dc.language.iso | en | en_US |
dc.publisher | Lippincott | en_US |
dc.relation.isversionof | 10.1097/SLA.0000000000003220 | en_US |
dc.relation.journal | Annals of Surgery | en_US |
dc.rights | Publisher Policy | en_US |
dc.source | Author | en_US |
dc.subject | fundamentals of robotic surgery | en_US |
dc.subject | curriculum | en_US |
dc.subject | robotic surgery skills | en_US |
dc.title | Proving the Effectiveness of the Fundamentals of Robotic Surgery (FRS) Skills Curriculum: A Single-blinded, Multispecialty, Multi-institutional Randomized Control Trial | en_US |
dc.type | Article | en_US |