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- Title
Outcomes from the Delphi process of the Thoracic Robotic Curriculum Development Committee.
- Authors
Veronesi, Giulia; Pardolesi, Alessandro; Meacci, Elisa; Stamenkovic, Sasha; Casali, Gianluca; Rueckert, Jens C.; Taurchini, Mauro; Santelmo, Nicola; Melfi, Franca; Toker, Alper; Dorn, Patrick; Schmid, Ralph A.; Dunning, Joel; Cardillo, Giuseppe; Collins, Justin; Baste, Jean-Marc; Limmer, Stefan; Shahin, Ghada M. M.; Egberts, Jan-Hendrik
- Abstract
OBJECTIVES: As the adoption of robotic procedures becomes more widespread, additional risk related to the learning curve can be expected. This article reports the results of a Delphi process to define procedures to optimize robotic training of thoracic surgeons and to promote safe performance of established robotic interventions as, for example, lung cancer and thymoma surgery. METHODS: In June 2016, a working panel was spontaneously created by members of the European Society of Thoracic Surgeons (ESTS) and European Association for Cardio-Thoracic Surgery (EACTS) with a specialist interest in robotic thoracic surgery and/or surgical training. An e-consensus-finding exercise using the Delphi methodology was applied requiring 80% agreement to reach consensus on each question. Repeated iterations of anonymous voting continued over 3 rounds. RESULTS: Agreement was reached on many points: a standardized robotic training curriculum for robotic thoracic surgery should be divided into clearly defined sections as a staged learning pathway; the basic robotic curriculum should include a baseline evaluation, an e-learning module, a simulation-based training (including virtual reality simulation, Dry lab and Wet lab) and a robotic theatre (bedside) observation. Advanced robotic training should include e-learning on index procedures (right upper lobe) with video demonstration, access to video library of robotic procedures, simulation training, modular console training to index procedure, transition to full-procedure training with a proctor and final evaluation of the submitted video to certified independent examiners. CONCLUSIONS: Agreement was reached on a large number of questions to optimize and standardize training and education of thoracic surgeons in robotic activity. The production of the content of the learning material is ongoing.
- Subjects
DELPHI method; THORACIC surgeons; MEDICAL robotics; LUNG cancer; THYMOMA; LOBECTOMY (Lung surgery); LAPAROSCOPIC surgery
- Publication
European Journal of Cardio-Thoracic Surgery, 2018, Vol 53, Issue 6, p1173
- ISSN
1010-7940
- Publication type
Article
- DOI
10.1093/ejcts/ezx466