Robotic Surgical Skills: Acquisition, Maintenance, and Degradation
Autor: | Thomas S. Lendvay, Michael S. Guy, Karen M. Gil, Eric L. Jenison |
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Jazyk: | angličtina |
Rok vydání: | 2012 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors education behavioral disciplines and activities Robotic surgical skills Degradation Task Performance and Analysis medicine Surgical skills Scientific Papers Training Humans business.industry Suture Techniques Robotics Obstetrics Dry lab surgical procedures operative Gynecology General Surgery Physical therapy Surgery Female Clinical Competence Clinical competence business Learning Curve |
Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
ISSN: | 1938-3797 1086-8089 |
Popis: | In newly trained surgeons, this study found that robotic surgical skills degraded significantly within 4 weeks of inactivity. Animate training may provide different skills than those acquired in dry lab. Background and Objectives: The degradation in robotic skills that occurs during periods of robotic surgical inactivity in newly trained surgeons was measured. The role of animate training in robotic skill was also assessed. Methods: Robotically naïve resident and attending surgeons underwent training with the da Vinci® robot on needle passage (DN), rocking ring transfer peg board (RPB), and running suture pod tasks (SP). Errors were established to convert actual time to adjusted time. Participants were deemed “proficient” once their adjusted times were within 80% of those set by experienced surgeons through repeated trials. Participants did not use the robot except for repeating the tasks once at 4, 8, and 12 weeks (tests). Participants then underwent animate training and completed a final test within 7 days. Results: Twenty-five attending and 29 resident surgeons enrolled; 3 withdrew. There were significant increases in time to complete each of the tasks, and in errors, by 4 weeks (Adjusted times: DN: 122.9 ± 2.2 to 204.2 ± 11.7, t=6.9, P |
Databáze: | OpenAIRE |
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