Zwakman M Marije, Trippenzee M Miranda, Lange J F M Johan, Pierie J P E N Jean-Pierre, Consten E C J Esther
Department of Surgery, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Department of Health Psychology, Health Sciences, University of Groningen and University Medical Center, Groningen, The Netherlands.
J Robot Surg. 2025 Jul 15;19(1):392. doi: 10.1007/s11701-025-02527-7.
Robotic-assisted surgery (RAS) is increasingly used in clinical practice, but training opportunities for residents vary widely. This multicenter, mixed-methods study assessed Dutch residents' exposure to RAS, identified their training needs, and explored their perspectives on the future of RAS through a survey (n = 148) and groups interviews (n = 20). Informed consent was obtained. While 69.6% of the residents had RAS experience, only 14.2% had operated as console surgeon. Despite robots being available in 75.7% of hospitals, hands-on training remained limited. Most residents (77.7%) expressed interest in a national RAS curriculum. Qualitative data revealed four major themes: needs and experiences, training requirements, the role of the OR team and industry, and assessment and feedback, with residents advocating for early exposure and holistic feedback. There is a clear need for a formalized RAS training program. Future research should focus on structured curricula, tailored to resident needs, including possible barriers and facilitators.
机器人辅助手术（RAS）在临床实践中的应用越来越广泛，但住院医师的培训机会差异很大。这项多中心、混合方法研究通过一项调查（n = 148）和小组访谈（n = 20）评估了荷兰住院医师接触RAS的情况，确定了他们的培训需求，并探讨了他们对RAS未来的看法。已获得知情同意。虽然69.6%的住院医师有RAS经验，但只有14.2%担任过主刀医生。尽管75.7%的医院配备了机器人，但实践培训仍然有限。大多数住院医师（77.7%）表示对全国性的RAS课程感兴趣。定性数据揭示了四个主要主题：需求与经验、培训要求、手术室团队和行业的作用以及评估与反馈，住院医师主张早期接触和全面反馈。显然需要一个正式的RAS培训项目。未来的研究应侧重于根据住院医师需求制定的结构化课程，包括可能的障碍和促进因素。
