Residency Training Program Paradigms for Teaching Robotic Surgical Skills to Urology Residents
- 234 Downloads
The advent of laparoscopic and robotic techniques for management of urologic malignancies marked the beginning of an ever-expanding array of minimally invasive options available to cancer patients. With the popularity of these treatment modalities, there is a growing need for trained surgical oncologists who not only have a deep understanding of the disease process and adept surgical skills, but also show technical mastery in operating the equipment used to perform these techniques. Establishing a robotic prostatectomy program is a tremendous undertaking for any institution, as it involves a huge cost, especially in the purchasing and maintenance of the robot. Residency programs often face many challenges when trying to establish a balance between costs associated with robotic surgery and training of the urology residents, while maintaining an acceptable operative time. Herein we describe residency training program paradigms for teaching robotic surgical skills to urology residents. Our proposed paradigm outlines the approach to compensate for the cost involved in robotic training establishment without compromising the quality of education provided. With the potential advantages for both patients and surgeons, we contemplate that robotic-assisted surgery may become an integral component of residency training programs in the future.
KeywordsRobotic Prostatectomy Training Education
No potential conflicts of interest relevant to this article were reported.
Papers of particular interest, published recently, have been highlighted as: • Of importance
- 7.Bolenz C, Gupta A, Hotze T, et al.: Cost comparison of robotic, laparoscopic and open radical prostatectomy. Eur Urol 2009 Nov 11 (Epub ahead of print).Google Scholar
- 21.• Link BA, Nelson R, Josephson DY, et al.: Training of urologic oncology fellows does not adversely impact outcomes of robot-assisted laparoscopic prostatectomy. J Endourol 2009, 23:301–305. This paper precisely addresses the impact of robotic training on outcomes. These issues are of concern for both the patients and residency programs. CrossRefPubMedGoogle Scholar
- 25.Mimic: dV-Trainer skills training for robotic surgery. Available at http://www.mimic.ws/products/MIMIC-dV-Trainer-Brochure.pdf. Accessed January 2010.
- 26.• Sweet RM, McDougall EM: Simulation and computer-animated devices: the new minimally invasive skills training paradigm. Urol Clin North Am 2008, 35:519–531. We strongly believe that there is a need for a dry lab that can mimic console experience. Such a training paradigm will have a direct impact on learning curve, operating time, and outcomes. CrossRefPubMedGoogle Scholar
- 30.Meti: SurgicalSIM RSS. Available at http://www.meti.com/products_ss_rss.htm. Accessed January 2010.
- 31.Intuitive Surgical, Inc.: da Vinci Si HD Surgical System. Available at http://www.intuitivesurgical.com/products/davinci_surgicalsystem/da-vinci-si-surgical-system.aspx. Accessed January 2010.