Establishing a training program for residents in robotic surgery. 2009

Jeremiah J Moles, and Patricia E Connelly, and Evan E Sarti, and Soly Baredes
Division of Otolaryngology-Head and Neck Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 90 Bergen Street, Newark, Newark, NJ 07103, U.S.A.

OBJECTIVE 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. METHODS 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.

UI MeSH Term Description Entries
D007396 Internship and Residency Programs of EDUCATION, MEDICAL, GRADUATE training to meet the requirements established by accrediting authorities. House Staff,Internship, Dental,Residency, Dental,Residency, Medical,Dental Internship,Dental Internships,Dental Residencies,Dental Residency,Internship,Internship, Medical,Internships, Dental,Medical Residencies,Medical Residency,Residencies, Dental,Residencies, Medical,Residency,Residency and Internship,Internships, Medical,Medical Internship,Medical Internships,Residencies,Staff, House
D010036 Otolaryngology A surgical specialty concerned with the study and treatment of disorders of the ear, nose, and throat. Otology,Otorhinolaryngology,Laryngology
D003479 Curriculum A course of study offered by an educational institution. Curricula,Short-Term Courses,Course, Short-Term,Courses, Short-Term,Short Term Courses,Short-Term Course
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012371 Robotics The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses. Companion Robots,Humanoid Robots,Remote Operations (Robotics),Social Robots,Socially Assistive Robots,Telerobotics,Soft Robotics,Assistive Robot, Socially,Companion Robot,Humanoid Robot,Operation, Remote (Robotics),Operations, Remote (Robotics),Remote Operation (Robotics),Robot, Companion,Robot, Humanoid,Robot, Social,Robot, Socially Assistive,Robotic, Soft,Social Robot,Socially Assistive Robot,Soft Robotic
D013647 Task Performance and Analysis The detailed examination of observable activity or behavior associated with the execution or completion of a required function or unit of work. Critical Incident Technique,Critical Incident Technic,Task Performance,Task Performance, Analysis,Critical Incident Technics,Critical Incident Techniques,Incident Technic, Critical,Incident Technics, Critical,Incident Technique, Critical,Incident Techniques, Critical,Performance, Analysis Task,Performance, Task,Performances, Analysis Task,Performances, Task,Task Performances,Task Performances, Analysis,Technic, Critical Incident,Technics, Critical Incident,Technique, Critical Incident,Techniques, Critical Incident

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