Educational strategies used in the teaching of transanal minimally invasive surgery (TAMIS): a scoping review
摘要
Transanal minimally invasive surgery (TAMIS) has been adopted for the treatment of appropriately selected transanally resectable rectal lesions. Laparoscopic and robotic TAMIS have been increasing in adoption worldwide. However, there is no clear published curriculum on the optimum method to train surgeons in adopting this technology. This scoping review was undertaken as part of curriculum development using Kern’s method in TAMIS. The scoping review aimed to explore the learning needs in TAMIS and establish what educational strategies are currently being utilised in the current environment for TAMIS.
MethodsThe review was conducted according to the Preferred Reporting Items for Systematic Review (PRISMA) guidelines with a systematic search of EMBASE, Pubmed and Medline databases using keywords and MeSH terms: TAMIS OR Transanal minimally invasive surgery AND education OR learning OR teaching. Articles published between 2000 and 2024 were included. Kern’s method for curriculum development was used for consideration of how this review could inform planned curriculum development in TAMIS.
ResultsThe search yielded 489 articles. Of those, 264 articles were included for screening after removal of duplicates. Six key papers relating to TAMIS were identified. Three studies were simulation based (two synthetic and one cadaveric), and three were retrospective clinical studies. A need for educational resources in this space was identified as there was very limited published data on training methodology in robotic TAMIS.
ConclusionThis scoping review found there is a very limited number of publications in the literature regarding training approaches for TAMIS. This shows there is a need for further work in this field to improve training in TAMIS surgery and provides the basis for our ongoing curriculum development in TAMIS.