Expert consensus on a train-the-trainer curriculum for robotic colorectal surgery

M. Gómez Ruiz; S. Alfieri; T. Becker; M. Bergmann; U. Boggi; J. Collins; N. Figueiredo; I. Gögenur; K. Matzel; D. Miskovic; A. Parvaiz; J. Pratschke; J. Rivera Castellano; T. Qureshi; L. B. Svendsen; P. Tekkis; C. Vaz

doi:10.1111/codi.14637

Expert consensus on a train-the-trainer curriculum for robotic colorectal surgery

M. Gómez Ruiz^*
, S. Alfieri
, T. Becker
, M. Bergmann
, U. Boggi
, J. Collins
, N. Figueiredo
, I. Gögenur
, K. Matzel
, D. Miskovic
, A. Parvaiz
, J. Pratschke
, J. Rivera Castellano
, T. Qureshi
, L. B. Svendsen
, P. Tekkis
, C. Vaz

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › Research › peer-review

Abstract

Aim: Robotic techniques are being increasingly used in colorectal surgery. There is, however, a lack of training opportunities and structured training programmes. Robotic surgery has specific problems and challenges for trainers and trainees. Ergonomics, specific skills and user–machine interfaces are different from those in traditional laparoscopic surgery. The aim of this study was to establish expert consensus on the requirements for a robotic train-the-trainer curriculum amongst robotic surgeons and trainers. Method: This is a modified Delphi-type study involving 14 experts in robotic surgery teaching. A reiterating 19-item questionnaire was sent out to the same group and agreement levels analysed. A consensus of 0.8 or higher was considered to be high-level agreement. Results: Response rates were 93–100% and most items reached high levels of agreement within three rounds. Specific requirements for a robotic faculty development curriculum included maximizing dual-console teaching, theatre team training, nontechnical skills training, patient safety, user–machine interface training and telementoring. Conclusion: A clear need for the development of a train-the-trainer curriculum has been identified. Further research is needed to assess feasibility, effectiveness and clinical impact of a robotic train-the-trainer curriculum.

Original language	English
Journal	Colorectal Disease
Volume	21
Issue number	8
Pages (from-to)	903-908
ISSN	1462-8910
DOIs	https://doi.org/10.1111/codi.14637
Publication status	Published - 2019

Funding

*Unidad de Cirugía Colorrectal, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Marqués de Valdecilla - IDIVAL, Santander, Spain, †IDIVAL, Instituto de Investigación Sanitaria, Santander, Spain, ‡Gemelli Robotic Mentoring Center, Catholic University of Sacred Hearth - IRCS Gemelli Foundation, Rome, Italy, §General, Visceral, Thoracic, Transplant and Pediatric Surgery, University Medical Center Schleswig-Holstein, Kiel, Germany, ¶Department of Visceral Surgery, Surgical Research Laboratories, Vienna, Austria, **Department of Surgery, Medical University of Vienna, Vienna, Austria, ††Translational Research and New Technologies in Medicine, University of Pisa, Pisa, Italy, ‡‡Department of Urology, Karolinska Institutet, Solna, Sweden, §§Surgery Unit, Funda©cão Champalimaud, Lisbon, Portugal, ¶¶Department of Surgery, Center for Surgical Science, Zealand University Hospital, Roskilde, Denmark, ***Institute for Clinical Medicine, Copenhagen University, Copenhagen, Denmark, †††Leiter Sektion Koloproktologie, Chirurgische Universit€atsklinik Erlangen, Erlangen, Germany, ‡‡‡St Mark’s Hospital, Harrow, Middlesex, UK, §§§Poole Hospital NHS Trust, Poole, UK, ¶¶¶School of Health Sciences and Social Work, University of Portsmouth, Portsmouth, UK, ****Funda©cão Champalimaud, Lisbon, Portugal, ††††Surgery, Charité – Universit€atsmedizin Berlin Chirurgische Klinik, Berlin, Germany, ‡‡‡‡Poole Hospital, Poole, UK, §§§§Rigshospitalet, Copenhagen, Denmark, ¶¶¶¶Gastrointestinal Surgery, The Royal Marsden, Fulham Road, London, UK, and *****Colorectal Cancer Unit, Robotic Surgery Unit, Hospital CUF Infante Santo, Lisbon, Portugal The principal investigators declare no financial and other competing interests for the publication of this manuscript. MG and CV are proctors for Intuitive Surgical and for EARCS. AP is a proctor for EARCS which is funded by Intuitive Surgical.

Keywords

Delphi
Robotic surgery
trainer
training

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Gómez Ruiz, M., Alfieri, S., Becker, T., Bergmann, M., Boggi, U., Collins, J., Figueiredo, N., Gögenur, I., Matzel, K., Miskovic, D., Parvaiz, A., Pratschke, J., Rivera Castellano, J., Qureshi, T., Svendsen, L. B., Tekkis, P., & Vaz, C. (2019). Expert consensus on a train-the-trainer curriculum for robotic colorectal surgery. Colorectal Disease, 21(8), 903-908. https://doi.org/10.1111/codi.14637

Gómez Ruiz, M, Alfieri, S, Becker, T, Bergmann, M, Boggi, U, Collins, J, Figueiredo, N, Gögenur, I, Matzel, K, Miskovic, D, Parvaiz, A, Pratschke, J, Rivera Castellano, J, Qureshi, T, Svendsen, LB, Tekkis, P & Vaz, C 2019, 'Expert consensus on a train-the-trainer curriculum for robotic colorectal surgery', Colorectal Disease, vol. 21, no. 8, pp. 903-908. https://doi.org/10.1111/codi.14637

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abstract = "Aim: Robotic techniques are being increasingly used in colorectal surgery. There is, however, a lack of training opportunities and structured training programmes. Robotic surgery has specific problems and challenges for trainers and trainees. Ergonomics, specific skills and user{\textendash}machine interfaces are different from those in traditional laparoscopic surgery. The aim of this study was to establish expert consensus on the requirements for a robotic train-the-trainer curriculum amongst robotic surgeons and trainers. Method: This is a modified Delphi-type study involving 14 experts in robotic surgery teaching. A reiterating 19-item questionnaire was sent out to the same group and agreement levels analysed. A consensus of 0.8 or higher was considered to be high-level agreement. Results: Response rates were 93{\textendash}100\% and most items reached high levels of agreement within three rounds. Specific requirements for a robotic faculty development curriculum included maximizing dual-console teaching, theatre team training, nontechnical skills training, patient safety, user{\textendash}machine interface training and telementoring. Conclusion: A clear need for the development of a train-the-trainer curriculum has been identified. Further research is needed to assess feasibility, effectiveness and clinical impact of a robotic train-the-trainer curriculum.",

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AU - Gómez Ruiz, M.

AU - Alfieri, S.

AU - Becker, T.

AU - Bergmann, M.

AU - Boggi, U.

AU - Collins, J.

AU - Figueiredo, N.

AU - Gögenur, I.

AU - Matzel, K.

AU - Miskovic, D.

AU - Parvaiz, A.

AU - Pratschke, J.

AU - Rivera Castellano, J.

AU - Qureshi, T.

AU - Svendsen, L. B.

AU - Tekkis, P.

AU - Vaz, C.

PY - 2019

Y1 - 2019

N2 - Aim: Robotic techniques are being increasingly used in colorectal surgery. There is, however, a lack of training opportunities and structured training programmes. Robotic surgery has specific problems and challenges for trainers and trainees. Ergonomics, specific skills and user–machine interfaces are different from those in traditional laparoscopic surgery. The aim of this study was to establish expert consensus on the requirements for a robotic train-the-trainer curriculum amongst robotic surgeons and trainers. Method: This is a modified Delphi-type study involving 14 experts in robotic surgery teaching. A reiterating 19-item questionnaire was sent out to the same group and agreement levels analysed. A consensus of 0.8 or higher was considered to be high-level agreement. Results: Response rates were 93–100% and most items reached high levels of agreement within three rounds. Specific requirements for a robotic faculty development curriculum included maximizing dual-console teaching, theatre team training, nontechnical skills training, patient safety, user–machine interface training and telementoring. Conclusion: A clear need for the development of a train-the-trainer curriculum has been identified. Further research is needed to assess feasibility, effectiveness and clinical impact of a robotic train-the-trainer curriculum.

AB - Aim: Robotic techniques are being increasingly used in colorectal surgery. There is, however, a lack of training opportunities and structured training programmes. Robotic surgery has specific problems and challenges for trainers and trainees. Ergonomics, specific skills and user–machine interfaces are different from those in traditional laparoscopic surgery. The aim of this study was to establish expert consensus on the requirements for a robotic train-the-trainer curriculum amongst robotic surgeons and trainers. Method: This is a modified Delphi-type study involving 14 experts in robotic surgery teaching. A reiterating 19-item questionnaire was sent out to the same group and agreement levels analysed. A consensus of 0.8 or higher was considered to be high-level agreement. Results: Response rates were 93–100% and most items reached high levels of agreement within three rounds. Specific requirements for a robotic faculty development curriculum included maximizing dual-console teaching, theatre team training, nontechnical skills training, patient safety, user–machine interface training and telementoring. Conclusion: A clear need for the development of a train-the-trainer curriculum has been identified. Further research is needed to assess feasibility, effectiveness and clinical impact of a robotic train-the-trainer curriculum.

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