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abstract
June 2, 2016
there is still no standardized curriculum
Highlights
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- Proficiency with robotic hysterectomy and lymphadenectomy occurs after the first 20–30 cases.
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- Mastery does not occur until much later.
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- The learning curve for robotic surgery is comparable between fellows and attending physicians.
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- Most robotic educational curriculums incorporate a didactic and a graduated hands-on experience.
Background and objective
Over
the past 10 years, robotic surgery has revolutionized the advancement
of MIS in gynecologic oncology. As the use of robotic surgery has
increased, so has the interest in the surgical training of gynecologic
oncology fellows. The purpose of this review is to summarize the state
of robotic surgical education in Gynecologic Oncology.
Methods
Several
electronic databases were searched to identify studies that discussed
robotic surgical education in gynecologic oncology. Particular attention
was given to articles that discussed educational curriculum. The
various curriculums were compared and summarized.
Results
The
first reports of robotic surgery curriculums in gynecologic oncology
emerged in 2008.
Prior to that the early adapters had to rely on less
structured curriculums that essentially used live animal models and
cadaveric dissections on the robot to simulate live surgery. More recent
surgical curriculums are more structured and include the same basic
components: didactics and a graduated hands-on experience. There is also
an accredited robotic educational curriculum, the Fundamentals of
Robotic Surgery (FRS), which combine an on-line curriculum with dry lab
and operating room components that can be scored using a validated
assessment tool.Conclusions
Robotic
surgical education has come a long way in the decade that the robotic
platform has been available in the U.S. Although there is still no
standardized curriculum, most fellowship training programs in
gynecologic oncology have fairly consistent training. Simulation
training is another tool that can help a surgeon achieve proficiency
quicker.
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