Mp19-11 virtual classroom proficiency based progression for robotic surgery training (vrobot): a prospective, cross-over, effectiveness study

You have accessJournal of UrologyCME1 May 2022MP19-11 VIRTUAL CLASSROOM PROFICIENCY BASED PROGRESSION FOR ROBOTIC SURGERY TRAINING (VROBOT): A PROSPECTIVE, CROSS-OVER, EFFECTIVENESS STUDY Alexander Ng, Arjun Nathan, Sonam Patel, Maria Georgi, Monty Fricker, Kien Hang, William Mullins, Aqua Asif, Alexander Light, Nader Francis, John Kelly, Justin Collins, and Ashwin Sridhar Alexander NgAlexander Ng More articles by this author , Arjun NathanArjun Nathan More articles by this author , Sonam PatelSonam Patel More articles by this author , Maria GeorgiMaria Georgi More articles by this author , Monty FrickerMonty Fricker More articles by this author , Kien HangKien Hang More articles by this author , William MullinsWilliam Mullins More articles by this author , Aqua AsifAqua Asif More articles by this author , Alexander LightAlexander Light More articles by this author , Nader FrancisNader Francis More articles by this author , John KellyJohn Kelly More articles by this author , Justin CollinsJustin Collins More articles by this author , and Ashwin SridharAshwin Sridhar More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002552.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic surgery is an established yet evolving surgical technique that requires specialist training. To date, training has lacked evidence-based standardisation. To address this, the Fundamentals of Robotic Surgery (FRS) curriculum has been established, to incorporate proficiency-based modules to certify the skills of novice robotic surgeons. However, the curriculum is self-directed and non-interactive. We aim to determine the effectiveness of interactive, supplemental virtual classroom training (VCT) in concordance with the FRS for robotic skills training. METHODS: 11 robotic surgical novices trainees were randomly allocated to two training groups. Both cohorts completed a one-week robotic skills induction. In week two, Group A undertook training under the FRS curriculum and VCT; Group B only received access to the FRS curriculum. In week three, the groups received the alternate intervention.The primary outcome was objective performance score, quantified using the R-OSAT scoring system. This was collected post-intervention at time point 1 (end of week two) and time point 2 (end of week three). RESULTS: 11 participants completed the training curriculum, all were included in analyses. Both cohorts demonstrated significantly improved proficiency upon completion of the training programme. Participants attained higher mean proficiency scores with both the PBP-based FRS curriculum and VCT programme, compared to the FRS curriculum alone. At timepoint 1, Group A achieved a statistically significant greater mean proficiency score compared to Group B (44.80 vs 35.33 points, p=0.006). At timepoint 2, there was no significant difference in mean proficiency score in Group A from timepoint 1. In contrast, Group B showed significant improvement in mean proficiency by 9.67 points from timepoint 1 (95% CI 5.18-14.15, p=0.003) once they had received VCT. CONCLUSIONS: VCT is an effective training adjunct to the FRS curriculum for the learning of basic robotic skills. With the steep learning curve in robotic surgery training, VCT offers interactive learning and can increase training effectiveness and accessibility. Source of Funding: N/A © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e311 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alexander Ng More articles by this author Arjun Nathan More articles by this author Sonam Patel More articles by this author Maria Georgi More articles by this author Monty Fricker More articles by this author Kien Hang More articles by this author William Mullins More articles by this author Aqua Asif More articles by this author Alexander Light More articles by this author Nader Francis More articles by this author John Kelly More articles by this author Justin Collins More articles by this author Ashwin Sridhar More articles by this author Expand All Advertisement PDF DownloadLoading ...