Sir William Halsted established what is now the basis of modern American surgical training, namely, patient volume and repetition. Due to changes in surgical training, surgeons are now forced to rapidly learn and adapt to new techniques in order to deliver safe care with adequate outcomes.
Introduction of video-based surgical approaches allowed the development of telesurgery, which is defined when an experienced surgeon performs an operation remotely. Significant improvements in communication, laparoscopy, and robotics have allowed expert surgeons or less experienced surgeons to proctor in real-time trainees in remote or underserved areas, or patients who cannot travel for medical care, allowing patients undergoing an operation through a minimally invasive approach benefiting patients with a faster recovery and cost reductions.
In telesurgery, the proctor and mentored surgeon should define in writing his/her roles to the patient. There are still ongoing debates about the proctor’s responsibility when substandard care and patient care responsibilities are delivered, and if an emergency occurs, legal immunity has been proposed for proctors.
Despite multiple challenges, advances in technology and telecommunication, telemedicine, and telementoring are an integral part of the development and evaluation of surgical motor skills.
Teleproctoring Telesurgery Telementoring Surgery training Video recording
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Peters JH, Fried GM, Swanstrom LL, Soper NJ, Sillin LF, Schirmer B, Hoffman K, Committee SF. Development and validation of a comprehensive program of education and assessment of the basic fundamentals of laparoscopic surgery. Surgery. 2004;135(1):21–7. https://doi.org/10.1016/S0039.CrossRefPubMedGoogle Scholar
Jones RD, Brown AG, Roulson CJ, Smith ID, Chan SC. The upgraded Finapres 2300e. A clinical evaluation of a continuous noninvasive blood pressure monitor. Anaesthesia. 1992;47(8):701–5.CrossRefGoogle Scholar
Anvari M, McKinley C, Stein H. Establishment of the world’s first telerobotic remote surgical service: for provision of advanced laparoscopic surgery in a rural community. Ann Surg. 2005;241(3):460–4.CrossRefGoogle Scholar
Marescaux J, Leroy J, Rubino F, Smith M, Vix M, Simone M, Mutter D. Transcontinental robot-assisted remote telesurgery: feasibility and potential applications. Ann Surg. 2002;235(4):487–92.CrossRefGoogle Scholar