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Establishing a training program for residents in robotic surgery
Author(s) -
Moles Jeremiah J.,
Connelly Patricia E.,
Sarti Evan E.,
Baredes Soly
Publication year - 2009
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20508
Subject(s) - medicine , robotic surgery , medical physics , robot , task (project management) , medical education , otorhinolaryngology , surgery , simulation , artificial intelligence , computer science , engineering , systems engineering
Abstract Objectives/Hypothesis: To develop a program for teaching robotic skills to residents. To assess the development of proficiency in basic robotic surgical skills in a resident cohort. Study Design: Prospective educational project using a commercially available surgical robot. Residents use a surgical robot to complete a designated set of tasks intended to simulate surgical maneuvers. Performance is analyzed for errors and total time of procedure. Methods: Otolaryngology residents are introduced to robotic surgery with a tutorial on the usage of the da Vinci Surgical System (Intuitive Surgical, Inc., Sunnyvale, CA). Participants perform defined exercises accomplishing the following tasks: circular pin transfer, simultaneous bimanual carrying, precision bead drop, needle passing, and suture tying. Performance of these tasks can be quantitatively assessed. Results: An educational program for teaching residents basic robotic skills can easily be introduced into a residency program. Resident progress in acquiring robotic surgical skills can be measured. The analysis of variance for composite score revealed statistically significant effects for task (F 4,24 = 8.11, P < .01) and trial (F 2,12 = 5.71, P < .01). Conclusions: Robotic surgery will likely become an integral part of otolaryngologic surgical practice. Training programs in robotic surgery need to be formally established in residency programs. We present a preliminary program for introducing robotic surgical skills in residency training. Laryngoscope, 2009