Evaluating robotic surgical courses: structured training matters
| Autor: | Joshua G. Cohen, Emma C. Rossi, Kenneth H. Kim, Teresa K.L. Boitano, Haller J. Smith |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Troubleshooting Gynecologic oncology Hysterectomy Subspecialty Surgical Education Likert scale Education 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Robotic Surgical Procedures Minimally Invasive Surgical Procedures Medicine Humans Robotic surgery Medical physics Radical Hysterectomy Curriculum Surgical Training Response rate (survey) 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology General Medicine Robotics Gynecologic Oncology Editorial Oncology 030220 oncology & carcinogenesis Female Original Article Clinical Competence business |
| Zdroj: | Journal of Gynecologic Oncology |
| ISSN: | 2005-0399 2005-0380 |
| Popis: | Objective To evaluate the utility of a society-based robotic surgery training program for fellows in gynecologic oncology. Methods All participants underwent a 2-day robotic surgery training course between 2015-2017. The course included interactive didactic sessions with video, dry labs, and robotic cadaver labs. The labs encompassed a wide range of subject matter including troubleshooting, instrument variation, radical hysterectomies, and lymph node dissections. Participants completed a pre- and post-course survey using a 5-point Likert scale ranging from "not confident" to "extremely confident" on various measures. Statistical analysis was performed using SPSS Statistics v. 24. Results The response rate was high with 86% of the 70 participants completing the survey. Sixteen (26.7%) of these individuals were attending physicians and 44 (73.3%) were fellows. In general, there was a significant increase in confidence in more complex procedures and concepts such as radical hysterectomy (p=0.01), lymph node dissection (p=0.01), troubleshooting (p=0.001), and managing complications (p=0.004). Faculty comfort and practice patterns were cited as the primary reason (58.9%) for limitations during robotic procedures followed secondarily by surgical resources (34.0%). Conclusion In both gynecologic oncology fellows and attendings, this educational theory-based curriculum significantly improved confidence in the majority of procedures and concepts taught, emphasizing the value of hands-on skill labs. |
| Databáze: | OpenAIRE |
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