Skip to main content
Top
Published in: Surgical Endoscopy 1/2017

Open Access 01-01-2017

Current training on the basics of robotic surgery in the Netherlands: Time for a multidisciplinary approach?

Authors: Willem Brinkman, Isabel de Angst, Henk Schreuder, Barbara Schout, Werner Draaisma, Lisanne Verweij, Ad Hendrikx, Henk van der Poel

Published in: Surgical Endoscopy | Issue 1/2017

Login to get access

Abstract

Introduction

The following research questions were answered: (1) What are the training pathways followed by the current robot professionals? (2) Are there any differences between the surgical specialties in robot training and robot use? (3) What is their opinion about multidisciplinary basic skills training?

Methods

An online questionnaire was sent to 91 robot professionals in The Netherlands. The questionnaire contained 21 multiple-choice questions focusing on demographics, received robot training, and their opinion on basic skills training in robotic surgery.

Results

The response rate was 62 % (n = 56): 13 general surgeons, 16 gynecologists, and 27 urologists. The urologists performed significantly more robotic procedures than surgeons and gynecologists. The kind of training of all professionals varied from a training program by Intuitive Surgical, master-apprenticeship with or without duo console, fellowship, and self-designed training programs. The training did neither differ significantly among the different specialties nor the year of starting robotic surgery. Majority of respondents favor an obliged training program including an examination for the basics of robot skills training.

Conclusion

Training of the current robot professionals is mostly dependent on local circumstances and the manufacturer of the robot system. Training is independent of the year of start with robotic surgery and speciality. To guarantee the quality of future training of residents and fellows in robot-assisted surgery, clear training goals should be formulated and implemented. Since this study shows that current training of different specialities does not differ, training in robotic surgery could be started by a multidisciplinary basic skills training and assessment.
Appendix
Available only for authorised users
Literature
7.
go back to reference Brinkman WM, Schout BMA, Rietbergen JB, de Vries AH, van der Poel HG, Koldewijn EL, Witjes JA, van Merriënboer JJG (2014) Training robotic surgery in urology: experience and opinions of robot urologists. Int J Med Robot. doi:10.1002/rcs.1631 PubMed Brinkman WM, Schout BMA, Rietbergen JB, de Vries AH, van der Poel HG, Koldewijn EL, Witjes JA, van Merriënboer JJG (2014) Training robotic surgery in urology: experience and opinions of robot urologists. Int J Med Robot. doi:10.​1002/​rcs.​1631 PubMed
8.
go back to reference Wiener S, Haddock P, Shichman S, Dorin R (2015) Construction of a urologic robotic surgery training curriculum: how many simulator sessions are required for residents to achieve proficiency? J Endourol. doi:10.1089/end.2015.0392 PubMed Wiener S, Haddock P, Shichman S, Dorin R (2015) Construction of a urologic robotic surgery training curriculum: how many simulator sessions are required for residents to achieve proficiency? J Endourol. doi:10.​1089/​end.​2015.​0392 PubMed
9.
go back to reference Brinkman WM, Buzink SN, Alevizos L, De Hingh IHJT, Jakimowicz JJ (2012) Criterion-based laparoscopic training reduces total training time. Surg Endosc Other Interv Tech 26:1095–1101. doi:10.1007/s00464-011-2005-6 CrossRef Brinkman WM, Buzink SN, Alevizos L, De Hingh IHJT, Jakimowicz JJ (2012) Criterion-based laparoscopic training reduces total training time. Surg Endosc Other Interv Tech 26:1095–1101. doi:10.​1007/​s00464-011-2005-6 CrossRef
10.
go back to reference Gauger PG, Hauge LS, Andreatta PB, Hamstra SJ, Hillard ML, Arble EP, Kasten SJ, Mullan PB, Cederna PS, Minter RM (2010) Laparoscopic simulation training with proficiency targets improves practice and performance of novice surgeons. Am J Surg 199:72–80. doi:10.1016/j.amjsurg.2009.07.034 CrossRefPubMed Gauger PG, Hauge LS, Andreatta PB, Hamstra SJ, Hillard ML, Arble EP, Kasten SJ, Mullan PB, Cederna PS, Minter RM (2010) Laparoscopic simulation training with proficiency targets improves practice and performance of novice surgeons. Am J Surg 199:72–80. doi:10.​1016/​j.​amjsurg.​2009.​07.​034 CrossRefPubMed
11.
go back to reference Ahlberg G, Enochsson L, Gallagher AG, Hedman L, Hogman C, McClusky DA, Ramel S, Smith CD, Arvidsson D (2007) Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg 193:797–804. doi:10.1016/j.amjsurg.2006.06.050 CrossRefPubMed Ahlberg G, Enochsson L, Gallagher AG, Hedman L, Hogman C, McClusky DA, Ramel S, Smith CD, Arvidsson D (2007) Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg 193:797–804. doi:10.​1016/​j.​amjsurg.​2006.​06.​050 CrossRefPubMed
15.
go back to reference Smith R, Patel V, Satava R (2014) Fundamentals of robotic surgery: a course of basic robotic surgery skills based upon a 14-society consensus template of outcomes measures and curriculum development. Int J Med Robot 10:379–384. doi:10.1002/rcs.1559 CrossRefPubMed Smith R, Patel V, Satava R (2014) Fundamentals of robotic surgery: a course of basic robotic surgery skills based upon a 14-society consensus template of outcomes measures and curriculum development. Int J Med Robot 10:379–384. doi:10.​1002/​rcs.​1559 CrossRefPubMed
Metadata
Title
Current training on the basics of robotic surgery in the Netherlands: Time for a multidisciplinary approach?
Authors
Willem Brinkman
Isabel de Angst
Henk Schreuder
Barbara Schout
Werner Draaisma
Lisanne Verweij
Ad Hendrikx
Henk van der Poel
Publication date
01-01-2017
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 1/2017
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-016-4970-2

Other articles of this Issue 1/2017

Surgical Endoscopy 1/2017 Go to the issue