Operative performance outcomes of a simulator-based robotic surgical skills curriculum
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and Other Interventional Techniques
Operative performance outcomes of a simulator‑based robotic surgical skills curriculum William Gerull1 · Ahmed Zihni1 · Michael Awad1 Received: 16 July 2019 / Accepted: 28 October 2019 © Springer Science+Business Media, LLC, part of Springer Nature 2019
Abstract Background Robotic technology has become increasingly prevalent throughout modern surgical practice as surgical training programs are determining how to best include this robotic training in their curricula. In this study, we sought to measure changes in performance and workload metrics in the live operative setting following completion of a novel simulator-based robotic skills curriculum. Methods 31 surgical residents naïve to robotic platforms were recruited. They first participated in a live robotic case and had a baseline assessment using RO-SCORE, a robotic modification of the O-SCORE tool, and self-assessed their workload using the NASA Task Load Index (NTLX). Subjects then completed the curriculum, created by an expert panel, on a da Vinci Skills Simulator to pre-set proficiency goals. Subjects were encouraged to train on their own time and could complete the curriculum in one or more sittings, in a 1-month time period. Subjects were then assessed after another live case. Data were analyzed using paired Student’s t test. Results Completion of the curriculum was associated with significant RO-SCORE improvements in operative performance across all domains including Camera Control (pre-curriculum mean: 1.9; post-curriculum mean: 4.8; p
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