Protocolized Training of Advanced Practice Providers for Robotic Surgery Improves the Quality of Intraoperative Assistance

Autor: David A. Santos, Liangliang Zhang, Angela R. Limmer, Heather M. Gibson, Caleb Minetree, Stacia H. Gollihar, Jenilette V. Cristo, Celia R. Ledet, Hop S. Tran Cao
Rok vydání: 2022
Předmět:
Zdroj: JSLS : Journal of the Society of Laparoendoscopic Surgeons. 26(3)
ISSN: 1938-3797
Popis: The expansion of robotic surgery requires identifying factors of competent robotic bedside assisting. Surgical trainees desire more robotic console time, and we hypothesized that protocolized robotic surgery bedside training could equip Advanced Practice Providers (APPs) to meet this growing need. No standardized precedent exists for training APPs.We designed a pilot study consisting of didactic and clinical skills. APPs completed didactic tests followed by proctored clinical skills checklists intraoperatively. Operating surgeons scored trainees with 10-point Likert scale (5 not confident,5 = confident). APPs scoring5 advanced to a solo practicum. Competence was defined as: didactic test score75Of 10 APP trainees, 5 passed on initial attempt. After individualized development plans, 4 passed retesting. Differences in trainee factors were not statistically significant, but the probability of passing the practicum was50% if more than four checklists were needed.Clinical experience, not didactic knowledge, determines the probability of intraoperative competence. Increasing clinical proctoring did not result in higher probability of competence. Early identification of APPs needing individualized improvement increases the proportion of competent APPs.
Databáze: OpenAIRE