Robotic Curriculum for Young Surgeons

Study Overview
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Brief Summary
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Robotic training program for unexperienced novice surgeons

Detailed Description
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The curricular structure of RoCS bases on five modules: multimodular didactics, standardization, training structure, interdisciplinary workplace and evaluation. The aim is to ensure a basic competence of robotic surgcial skills for unexperienced novice surgeons (residents).

Official Title
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Robotic Curriculum for Young Surgeons

Conditions
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Robotic Surgery

Intervention / Treatment
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* Procedure: surgical training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: robotic procedures Exclusion Criteria: no consent of patients or surgeons
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| robotic procedures<br>surgical residents and experts; differentiation due to organ systems | Procedure: surgical training<br>* surgical residency focussed on visceral robotic procedures<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| perioperative morbidity | complications classified by Clavien-Dindo | 5 years | 
| patient mortality rate | during in-hospital stay, 30 and 90 days postoperatively | 5 years | 
| intraoperative workload | The questionnaire NASA Task Load Index consists of 6 quesions addressing the individual overall workload. The question of level of procedure's difficulty is used to analyse the overall workload additionally referring to Lowndes BR, Forsyth KL, Blocker RC, Dean PG, Truty MJ, Heller SF, Blackmon S, Hallbeck MS, Nelson H. NASA-TLX Assessment of Surgeon Workload Variation Across Specialties. Ann Surg. 2020 Apr;271(4):686-692. doi: 10.1097/SLA.0000000000003058. PMID: 30247331. | 5 years | 
| basic robotic competence | Evaluation of the intraoperative performance of residents and specialists by the robotic expert using O-SCORE referring to doi:10.1097/ACM.0b013e3182677805. PMID: 22914526 | 5 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| patient characteristics | age, sex, BMI, preexisting illnesses and diseases | 5 years | 
| patient laboratory parameters | pre- and postoperatively: concentration of hemoglobin and tsh, crp value, estimated glomerular filtration rate, concentration of albumin, prothrombin time | 5 years | 
| surgical expertise | analysis of experience for open, laparoscopic and robotic procedures by counting numbers of procedures and surgical practice in years | 5 years | 
| practical resident training | percentage of intraoperative procedural steps performed by the assisting surgeon | 5 years | 
| robotic bedside assistance | analysis of duration of port placement and docking in minutes | 5 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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robotic surgery, NASA Task Load Index, training, curriculum