机器人手术培训设计通用核心组件国际标准的 IMRA/SRS Delphi 共识
IMRA/SRS Delphi consensus on international standards for common core components of robotic surgical training design.
机构信息
International Medical Robotics Academy (IMRA), Melbourne, VIC, Australia.
Department of Surgery, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
出版信息
J Robot Surg. 2024 Sep 19;18(1):342. doi: 10.1007/s11701-024-02057-8.
Robotic surgery has expanded internationally at pace. There are multiple local robotic training pathways but there is inconsistency in standardisation of core common components for curricula internationally. A framework is required to define key objectives that can be implemented across robotic training ecosystems. This Delphi consensus aimed to provide recommendations for core considerations in robotic training design across diverse training environments internationally. A literature search was performed and an international steering committee (AG, KL, JW, HM, TC) proposed key components for contemporary robotic training design and a modified Delphi approach was used to gather stakeholder opinion. The outcomes were then discussed at a face-to-face international expert consensus at the IMRA educational session at the Society of Robotic Surgery (SRS) meeting and final voting was conducted on outstanding items. Stakeholders included robotic surgeons, proctors, trainees and robotic surgical training providers. There was consensus achieved in 139 statements organised into 15 themes. There was 100% agreement that standardised themes in robotic curricula may improve patient safety. Key take-home messages include-training curricula should be multiplatform, non-technical skills are an important component of a robotic curriculum as well as console and bedside skills, clinically relevant performance metrics should be used for assessment where available, the reliance on cadaveric and live animal models should be reduced as high-fidelity synthetic models emerge, and stepwise component training is useful for advanced procedural training. These consensus recommendations are intended to guide design of fit for purpose contemporary robotic surgical curricula. Integration of these components into robotic training pathways internationally is recommended.
机器人手术在国际上迅速发展。虽然有多种本地机器人培训途径,但在国际范围内,课程的核心共同组成部分的标准化并不一致。需要有一个框架来定义可以在机器人培训生态系统中实施的关键目标。这项德尔菲共识旨在为国际上不同培训环境中的机器人培训设计提供核心考虑因素的建议。进行了文献检索,国际指导委员会(AG、KL、JW、HM、TC)提出了当代机器人培训设计的关键组成部分,并采用修改后的德尔菲方法来收集利益相关者的意见。然后在机器人外科学会(SRS)会议的 IMRA 教育会议上的面对面国际专家共识会议上讨论结果,并对悬而未决的项目进行最终投票。利益相关者包括机器人外科医生、指导医生、学员和机器人外科手术培训提供者。在 15 个主题中,有 139 个陈述达成了共识。有 100%的人同意,机器人课程中的标准化主题可能会提高患者安全性。主要内容包括:培训课程应该是多平台的,非技术技能是机器人课程的重要组成部分,控制台和床边技能也是如此,应在可用时使用与临床相关的绩效指标进行评估,应减少对尸体和活体动物模型的依赖,因为高保真合成模型的出现,以及逐步的组件培训对于高级程序培训很有用。这些共识建议旨在指导适合目的的当代机器人外科手术课程的设计。建议在国际上将这些组件纳入机器人培训途径。