Background <p>The rapid adoption of robotic surgical systems globally has created a critical gap in training, assessment and certification for visceral and gastrointestinal (GI) surgical trainees. This study, led by the European Association for Endoscopic Surgery (EAES), aimed to achieve an international consensus on a structured, platform-agnostic robotic training curriculum for GI surgical trainees.</p> Methods <p>A 106-item Delphi questionnaire was developed with an international committee of surgical experts, trainees, methodologists and patient representatives. It was disseminated to a multidisciplinary panel of 83 GI robotic surgeons, trainees, human factors experts, robotic theatre team members and industry providers. Two Delphi survey rounds were conducted, with a priori consensus standard set at 70% or higher for agreement. A consensus meeting was subsequently held to discuss and finalise the items needed for a robotic training curriculum for GI surgical trainees.</p> Results <p>Seventy-one (86%) participants from 15 countries completed round 1. A total of 82 items (77%) reached consensus and 32 new items were generated from free-text comments. Seventy of these participants (99%) completed the 56-item round 2 questionnaire, with 36 items (64%) reaching consensus and 5 new items generated. All 143 statements were discussed in the meeting and consensus was reached in the following areas: (i) key knowledge requirements of the bedside assistant and a console surgeon; (ii) training components; (iii) performance assessment and (iv) certification and supervision.</p> Conclusion <p>International surgical experts, trainees and other key stakeholders reached consensus on the critical components of a platform-agnostic robotic training curriculum for GI surgical trainees. This will help shape the future of robotic surgical education and certification, promote standardised training practices and ultimately benefit patient safety and outcomes.</p> Graphical abstract <p></p>

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Development of a robotic training curriculum for visceral and gastrointestinal surgical trainees: an international Delphi study

  • Michael G. Fadel,
  • Josephine Walshaw,
  • Marina Yiasemidou,
  • Matthew Boal,
  • Francesca Pecchini,
  • Muhammed Elhadi,
  • Lisa H. Massey,
  • Francesco M. Carrano,
  • Matyas Fehervari,
  • Caoimhe M. Walsh,
  • Piers R. Boshier,
  • Jennifer Eckhoff,
  • Peter Buckle,
  • Nicola de Angelis,
  • Paolo Bianchi,
  • Alexander Bloemendaal,
  • Diego Cuccurullo,
  • Sofia Esposito,
  • Gianmaria Casoni Patticini,
  • Micaela Piccoli,
  • Mauro Podda,
  • Elisa Reitano,
  • María Rita Rodríguez Luna,
  • Ernesto Tartaglia,
  • Victor Tomulescu,
  • Martin Wagner,
  • Altaf Awan,
  • Mark van Berge Henegouwen,
  • Imran Bhatti,
  • David Chan,
  • Sonia Fernández-Ananin,
  • Giovanni Maria Garbarino,
  • Peter Grimminger,
  • Benedetto Ielpo,
  • Magnus Nilsson,
  • Bijendra Patel,
  • Alice Tsai,
  • Christoph Tschuor,
  • Gemma Vellalta,
  • Ramon Villalonga,
  • Manish Chand,
  • Audrius Dulskas,
  • Antonio D’Urso,
  • Nicola Eardley,
  • Eloy Espin-Basany,
  • Giampaolo Formisano,
  • Nikolaos Gouvas,
  • Rosa Maria Jiménez-Rodríguez,
  • Michail Klimovskij,
  • Gianluca Pellino,
  • Thalia Petropoulou,
  • Wanda Petz,
  • Kapil Sahnan,
  • Theodosopoulos Theodosis,
  • Ademola Adeyeye,
  • Asma Afzal,
  • Daniel Campioni-Norman,
  • Bibek Das,
  • Michael Devine,
  • Lachlan Dick,
  • Dolores Krauss,
  • Gita Lingam,
  • Pietro Mascagni,
  • Tamsin Morrison,
  • Munir Tarazi,
  • Alexandra Aye Ivanuta,
  • Peter A. Brennan,
  • Michael Eichlseder,
  • Samantha Evans,
  • Neli Harvey,
  • Ronalyn Hosena,
  • Hannah Kettley-Linsell,
  • Stella Mavroveli,
  • Freideriki Sifaki,
  • Tayana Soukup,
  • Madeleine Wells,
  • Lakshmi Balasubramanian,
  • Niall Fahy,
  • Harald Ginterstorfer,
  • Elizabeth Jones,
  • Sara Lazzaretti,
  • David Marante,
  • Gregory De Martino,
  • Anders Melander,
  • Shelley Petersen,
  • James Scott,
  • Mark Slack,
  • Katherine Winger,
  • Julie Hepburn,
  • Pete Wheatstone,
  • Suzanne S. Gisbertz,
  • Nicole Bouvy,
  • Alberto Arezzo,
  • Silvana Perretta,
  • Felix Nickel,
  • Jim Khan,
  • George B. Hanna,
  • Barbara Seeliger,
  • Stavros A. Antoniou,
  • Hans F. Fuchs,
  • Nader K. Francis,
  • Christos Kontovounisios

摘要

Background

The rapid adoption of robotic surgical systems globally has created a critical gap in training, assessment and certification for visceral and gastrointestinal (GI) surgical trainees. This study, led by the European Association for Endoscopic Surgery (EAES), aimed to achieve an international consensus on a structured, platform-agnostic robotic training curriculum for GI surgical trainees.

Methods

A 106-item Delphi questionnaire was developed with an international committee of surgical experts, trainees, methodologists and patient representatives. It was disseminated to a multidisciplinary panel of 83 GI robotic surgeons, trainees, human factors experts, robotic theatre team members and industry providers. Two Delphi survey rounds were conducted, with a priori consensus standard set at 70% or higher for agreement. A consensus meeting was subsequently held to discuss and finalise the items needed for a robotic training curriculum for GI surgical trainees.

Results

Seventy-one (86%) participants from 15 countries completed round 1. A total of 82 items (77%) reached consensus and 32 new items were generated from free-text comments. Seventy of these participants (99%) completed the 56-item round 2 questionnaire, with 36 items (64%) reaching consensus and 5 new items generated. All 143 statements were discussed in the meeting and consensus was reached in the following areas: (i) key knowledge requirements of the bedside assistant and a console surgeon; (ii) training components; (iii) performance assessment and (iv) certification and supervision.

Conclusion

International surgical experts, trainees and other key stakeholders reached consensus on the critical components of a platform-agnostic robotic training curriculum for GI surgical trainees. This will help shape the future of robotic surgical education and certification, promote standardised training practices and ultimately benefit patient safety and outcomes.

Graphical abstract