Department of Urology, Toowoomba Hospital, Toowoomba, Queensland, Australia.
Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
ANZ J Surg. 2024 Feb;94(1-2):30-36. doi: 10.1111/ans.18843. Epub 2024 Jan 9.
Globally, robotic surgery (RS) has witnessed remarkable growth, yet Australia and New Zealand (ANZ) lack dedicated RS training programs, creating a workforce gap. This narrative review synthesises international research to explore trends and challenges in robotic education.
We conducted a comprehensive literature review, searching PubMed, Google Scholar, and MEDLINE using keywords like 'robotic surgery', 'surgical education', 'robotic surgery training', and 'robotic surgery curriculum'. We selected studies contributing to understanding current curricula, training tools, and issues in robotic education, utilising the international experience and how it might apply to the ANZ context.
RS in ANZ has grown significantly over two decades, but formal curricula for trainees are absent. North America and Europe employ diverse training tools and curricula. Barriers include cost, access, time constraints, equipment complexity, changing training environments, and competition from emerging robotic surgical systems. Balancing the curriculum's demands with trainees' existing requirements is essential.
Developing a tailored RS curriculum within ANZ's surgical training is crucial for RS to become the primary surgical approach in the future. By working towards a national curriculum we can prepare skilled trainees in robotics to meet the rising demand. The most significant barrier is the lack of robotics in public hospital where trainees are based. This curriculum should encompass online teaching modules, bedside assistance, surgical simulation, dual console mentoring, and primary operator experience.
全球范围内，机器人手术（RS）取得了显著的发展，但澳大利亚和新西兰（ANZ）缺乏专门的 RS 培训计划，导致劳动力缺口较大。本叙事性综述综合了国际研究，旨在探讨机器人教育的趋势和挑战。
我们进行了全面的文献回顾，使用“机器人手术”、“手术教育”、“机器人手术培训”和“机器人手术课程”等关键词在 PubMed、Google Scholar 和 MEDLINE 上进行搜索。我们选择了有助于了解当前课程、培训工具以及机器人教育中存在的问题的研究，利用国际经验及其在 ANZ 背景下的应用。
在过去的二十年中，RS 在 ANZ 得到了显著发展，但缺乏针对学员的正式课程。北美和欧洲采用了多样化的培训工具和课程。存在的障碍包括成本、准入、时间限制、设备复杂性、不断变化的培训环境以及新兴机器人手术系统的竞争。平衡课程需求和学员现有需求至关重要。
在 ANZ 的外科培训中制定适合的 RS 课程对于 RS 在未来成为主要手术方法至关重要。通过努力制定国家课程，我们可以培养有技能的机器人学员，以满足不断增长的需求。最大的障碍是基于学员的公立医院缺乏机器人。该课程应包括在线教学模块、床边协助、手术模拟、双控制台指导和主要操作人员的经验。
