Harris, Matthew; Bannon, Aidan; Collins, Justin W; (2025) Correction: Procedural robotic surgery training: a UK pan-specialty trainee Delphi consensus study. Journal of Robotic Surgery , 19 , Article 545. 10.1007/s11701-025-02726-2.

Preview

PDF Correction Procedural robotic surgery training a UK pan-specialty trainee Delphi consensus study.pdf - Accepted Version Download (565kB) | Preview

Abstract

In the original version of this article, in the author group “On behalf of the Association of Surgeons in Training” was missing. The correct author group are as follows Matthew Harris, Aidan Bannon, Justin W. Collins, On behalf of the Association of Surgeons in Training In Table 3 of this article, entries were incorrectly given as Table 3 Statements reaching consensus (Table presented.) Item Statement Agree (%) Disagree (%) Round achieved Need for robotic curriculum 1. Robotic Surgery will be a key element of the future of surgery 85.9 14.1 1 2. Robotic Surgery will be relevant to my preferred specialty 93.4 6.6 2 3. There should be credentialling in Robotic Surgery 91.8 8.2 1 4. Robotic training should be standardised (where possible) to enable comparison 96.5 3.5 1 5.1 Reproducibility 94.8 5.2 2 5.3 Equity of training access 81.2 8.8 1 5.7 Quality of training 81.5 8.5 3 5.8 Promotes objective assessment with benchmarks 80.2 19.8 2 6. Recorded objective performance metrics in assessments will help to standardise robotic training 91.8 8.2 1 7.1 Device training 97.6 3.4 1 7.2 Basic skills training 95.3 4.7 1 7.3 Procedural training 97.6 2.4 1 7.4 Non-technical skills training 80.2 19.8 3 8.1 Device training 80.5 19.5 2 8.2 Basic skills training 88.2 11.8 1 8.3 Procedural training 89.4 10.6 1 9. Should basic skills training be equivocal across platforms (in terms of skills attainment as measured with the common benchmark) 90.6 9.4 1 10 Should procedural skills training be equivocal across platforms (in terms of skills attainment as measured with common benchmark) 90.6 8.4 1 11.2 Surgical Royal Colleges 89.6 10.4 2 11.3 Joint Committee for Surgical Training (JCST) 90.6 9.4 1 12 Robotic training should be integrated in to the JCST curriculum 89.4 10.6 1 At what point should robotic training be integrated into the JCST curriculum? 13.2 At the start of higher surgical training 87 13 2 14 Robotic training should be flexible in its start-point to run in parallel with surgical training, subject to accessibility to technology required 89.4 10.6 1 Structure of robotic credentialling 25 Do you agree that objective assessments are more reliable and reproducible than subjective assessments 89.4 10.6 1 26.2 Competency based (e.g. evidence of skills acquired) 85.9 14.1 1 26.3 Proficiency based (e.g. mastery of skills acquired) 85.2 14.8 3 27 The training towards completing the credentialling process should be proficiency based (complete each part of training benchmark) before progressing to the next stage of training 84.7 15.3 1 28 Credentialling should involve benchmarking 91.8 8.2 1 29 Do you agree that the benchmark for proficiency should be the median performance of a group of experts performing the same task? 83.1 16.8 2 30.1 Avoidance of errors 87.7 12.3 3 30.7 Awareness of set up and phases of the procedure 82.4 17.6 1 31.1 Completion of modules within a key index procedure 83.5 16.5 1 31.2 Task based completion 84.7 15.3 1 32 Credentialling should include a minimum number of cases observed 87.7 12.3 3 33.2 5-10 cases 87 13 2 34 Credentialling should include a minimum number of cases assisted 85.7 14.3 2 35.2 5-10 cases 84.4 15.6 2 36 Credentialling should include a minimum number of performed cases 87.1 12.9 1 38 Should each specialty have a key index procedure in their credentialling process? 92.9 7.1 1 39 Credentialling should involve the use of video based assessment 87 13 2 40 Video based assessment should be used as part of a final sign off 91.4 8.6 3 41 There should be multiple videos submitted for assessment 88.9 11.1 3 43.3 3 85.2 14.8 3 44 Video based assessment should be using key index procedures 93.5 6.5 2 45 There should be agreed, standardised video performance assessment metrics 90.9 9.1 2 46 Video based assessment should be benchmarked 92.9 7.1 2 47 Do you agree robotic training benefits from standardisation with defined performance metrics and benchmarks? 97.5 2.5 3 48 Do you agree that for training related to a key index procedure there needs to be agreement between the expert/trainer and trainee on what the performance metrics are? 91.4 8.6 3 Assessment in robotic credentialling 50 Trainee operative metrics should be recorded 89.4% 10.6 1 51 It is important to differentiate between consequential and non-consequential error (*the same technical error with or without consequence, e.g. small bowel diathermy injury with out without enteric leak)? 92.6% 7.4 3 52 Should we assess errors in credentialling assessment? 83.5 16.5 1 53.2 Event error (e.g. losing needle) 100 0 3 53.4 Consequential error 88.2 11.8 1 54 Robotic credentialling should include reassessment and revalidations 80.5 19.5 2 Revalidation should occur every: 55.2 5 years 87.7 12.3 3 56 Credentialling should involve an audit of cases performed 81.2 18.8 1 57 Robotic surgery should involve audit of all cases performed via a centralised registry 82.4 17.6 1 Assessment of errors and metrics 58 A trainee should be able to begin the credentialling process at any time (subject to access and availability of technology) 85.9 14.1 1 59 A trainee should be able to begin the procedural aspects once the core aspects are completed (subject to access and availability) 97.6 2.4 1 60.4 Junior higher specialty training (ST3-5) 83.1 16.9 2 60.5 Senior higher specialty training (ST6-8) 84 16 3 61 Robotic credentialling should be considered at ARCP 90.1 9.9 2 62 Credentialling should be independent of completion of clinical training (CCT)? 94.1 5.9 1 But should have been Table 3 Statements reaching consensus (Table presented.) Need for robotic curriculum Item Statement Agree (%) Disagree (%) Round achieved 1. Robotic Surgery will be a key element of the future of surgery 85.9 14.1 1 2. Robotic Surgery will be relevant to my preferred specialty 93.4 6.6 2 3. There should be credentialling in Robotic Surgery 91.8 8.2 1 4. Robotic training should be standardised (where possible) to enable comparison 96.5 3.5 1 5.1 Reproducibility 94.8 5.2 2 5.3 Equity of training access 81.2 8.8 1 5.7 Quality of training 81.5 8.5 3 5.8 Promotes objective assessment with benchmarks 80.2 19.8 2 6. Recorded objective performance metrics in assessments will help to standardise robotic training 91.8 8.2 1 7.1 Device training 97.6 3.4 1 7.2 Basic skills training 95.3 4.7 1 7.3 Procedural training 97.6 2.4 1 7.4 Non-technical skills training 80.2 19.8 3 8.1 Device training 80.5 19.5 2 8.2 Basic skills training 88.2 11.8 1 8.3 Procedural training 89.4 10.6 1 9. Should basic skills training be equivocal across platforms (in terms of skills attainment as measured with the common benchmark) 90.6 9.4 1 10 Should procedural skills training be equivocal across platforms (in terms of skills attainment as measured with common benchmark) 90.6 8.4 1 11.2 Surgical Royal Colleges 89.6 10.4 2 11.3 Joint Committee for Surgical Training (JCST) 90.6 9.4 1 12 Robotic training should be integrated in to the JCST curriculum 89.4 10.6 1 At what point should robotic training be integrated into the JCST curriculum? 13.2 At the start of higher surgical training 87 13 2 14 Robotic training should be flexible in its start-point to run in parallel with surgical training, subject to accessibility to technology required 89.4 10.6 1 Structure of robotic credentialing Item Statement Agree (%) Disagree (%) Round achieved 15 Credentialing is acceptable for UK trainees 92.9 7.1 1 16 Credentialing would promote standardisation of training 92.9 7.1 1 17.1 Device training 91.8 8.2 1 17.2 Basic skills training 90.6 9.4 1 17.3 Simulation training 85.9 14.1 1 17.4 Supervised procedural training 84.7 15.3 1 18.2 Videos of optimised technique 86.4 13.6 3 18.4 Simulation training 88.2 11.8 1 18.6 Modular approach to training 80 20 1 18.7 Mentorship/preceptorship 83.5 16.5 1 19.1 Dry lab technical skills training 87.1 12.9 1 19.2 Wet lab technical skills training 81.2 18.8 3 20.2 Wet lab technical skills training 81.2 18.8 1 20.4 Cadaveric training 81.5 18.5 3 20.5 High-fidelity non cadaveric model training 82.7 17.3 3 20.6 Emergency open conversion course 86.4 13.6 3 21 Should credentialing assessment be standardised for device training irrespective of specialty? (*if assessment is mandatory) 87 13 2 22 Should credentialing assessment be standardised for basic skills training irrespective of specialty? (*if assessment is mandatory) 80 20 1 23 Credentialing related to procedural training should be specialty specific 90.6 9.4 1 24 The final sign off should be using a specialty-specific procedure (key index procedure) 91.8 8.2 1 Assessment in robotic training Item Statement Agree (%) Disagree (%) Round achieved 25 Objective assessments are more reliable and reproducible than subjective assessments 89.4 10.6 1 26.2 Competency based (e.g. evidence of skills acquired) 85.9 14.1 1 26.3 Proficiency based (e.g. mastery of skills acquired) 85.2 14.8 3 27 The training towards completing the credentialling process should be proficiency based (complete each part of training benchmark) before progressing to the next stage of training 84.7 15.3 1 28 Credentialling should involve benchmarking 91.8 8.2 1 29 Do you agree that the benchmark for proficiency should be the median performance of a group of experts performing the same task? 83.1 16.8 2 30.1 Avoidance of errors 87.7 12.3 3 30.7 Awareness of set up and phases of the procedure 82.4 17.6 1 31.1 Completion of modules within a key index procedure 83.5 16.5 1 31.2 Task based completion 84.7 15.3 1 32 Credentialling should include a minimum number of cases observed 87.7 12.3 3 33.2 5-10 cases 87 13 2 34 Credentialling should include a minimum number of cases assisted 85.7 14.3 2 35.2 5-10 cases 84.4 15.6 2 36 Credentialling should include a minimum number of performed cases 87.1 12.9 1 38 Should each specialty have a key index procedure in their credentialling process? 92.9 7.1 1 39 Credentialling should involve the use of video based assessment 87 13 2 40 Video based assessment should be used as part of a final sign off 91.4 8.6 3 41 There should be multiple videos submitted for assessment 88.9 11.1 3 43.3 3 85.2 14.8 3 44 Video based assessment should be using key index procedures 93.5 6.5 2 45 There should be agreed, standardised video performance assessment metrics 90.9 9.1 2 46 Video based assessment should be benchmarked 92.9 7.1 2 47 Do you agree robotic training benefits from standardisation with defined performance metrics and benchmarks? 97.5 2.5 3 48 Do you agree that for training related to a key index procedure there needs to be agreement between the expert/trainer and trainee on what the performance metrics are? 91.4 8.6 3 Errors and metrics Item Statement Agree (%) Disagree (%) Round achieved 50 Trainee operative metrics should be recorded 89.4% 10.6 1 51 It is important to differentiate between consequential and non-consequential error (*the same technical error with or without consequence, e.g. small bowel diathermy injury with out without enteric leak)? 92.6% 7.4 3 52 Should we assess errors in credentialling assessment? 83.5 16.5 1 53.2 Event error (e.g. losing needle) 100 0 3 53.4 Consequential error 88.2 11.8 1 54 Robotic credentialling should include reassessment and revalidations 80.5 19.5 2 Revalidation should occur every: 55.2 5 years 87.7 12.3 3 56 Credentialling should involve an audit of cases performed 81.2 18.8 1 57 Robotic surgery should involve audit of all cases performed via a centralised registry 82.4 17.6 1 Access to credentialing Item Statement Agree (%) Disagree (%) Round achieved 58 A trainee should be able to begin the credentialling process at any time (subject to access and availability of technology) 85.9 14.1 1 59 A trainee should be able to begin the procedural aspects once the core aspects are completed (subject to access and availability) 97.6 2.4 1 60.4 Junior higher specialty training (ST3-5) 83.1 16.9 2 60.5 Senior higher specialty training (ST6-8) 84 16 3 61 Robotic credentialling should be considered at ARCP 90.1 9.9 2 62 Credentialling should be independent of completion of clinical training (CCT)? 94.1 5.9 1

Download activity - last month

Export as CSVXMLJSON

Download activity - last 12 months

Export as XMLJSONCSV

Downloads by country - last 12 months

Export as CSVXMLJSON

Archive Staff Only

View Item