1. Outcomes from the Delphi process of the Thoracic Robotic Curriculum Development Committee
- Author
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Alper Toker, Franca Melfi, Jean Marc Baste, Joel Dunning, Jan Hendrik Egberts, Gianluca Casali, Ghada M. M. Shahin, Marco Taurchini, Giuseppe Cardillo, Jens C. Rueckert, Ralph A. Schmid, Alessandro Pardolesi, Nicola Santelmo, Sasha Stamenkovic, Justin W. Collins, Giulia Veronesi, Patrick Dorn, Stefan Limmer, Elisa Meacci, Veronesi, G, Dorn, P, Dunning, J, Cardillo, G, Schmid, Ra, Collins, J, Baste, Jm, Limmer, S, Shahin, Gmm, Egberts, Jh, Pardolesi, A, Meacci, E, Stamenkovic, S, Casali, G, Rueckert, Jc, Taurchini, M, Santelmo, N, Melfi, F, and Toker, A.
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Consensus ,education ,Delphi method ,610 Medicine & health ,Certification ,030204 cardiovascular system & hematology ,Education ,03 medical and health sciences ,0302 clinical medicine ,Robotic Surgical Procedures ,Medical ,Settore MED/21 - CHIRURGIA TORACICA ,Curriculum development ,Training ,Medicine ,Humans ,Medical physics ,Graduate ,Curriculum ,Surgeons ,Robotic ,Thoracic surgery ,Surgery ,Cardiology and Cardiovascular Medicine ,business.industry ,technology, industry, and agriculture ,Thoracic Surgery ,General Medicine ,Thoracic Surgical Procedures ,Dry lab ,surgical procedures, operative ,Cardiothoracic surgery ,Learning curve ,Education, Medical, Graduate ,030220 oncology & carcinogenesis ,Video Library ,Clinical Competence ,business ,Learning Curve - 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.
- Published
- 2017
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