Expert consensus on a train-the-trainer curriculum for robotic colorectal surgery

Colorectal Dis. 2019 Aug;21(8):903-908. doi: 10.1111/codi.14637. Epub 2019 May 18.

Abstract

Aim: Robotic techniques are being increasingly used in colorectal surgery. There is, however, a lack of training opportunities and structured training programmes. Robotic surgery has specific problems and challenges for trainers and trainees. Ergonomics, specific skills and user-machine interfaces are different from those in traditional laparoscopic surgery. The aim of this study was to establish expert consensus on the requirements for a robotic train-the-trainer curriculum amongst robotic surgeons and trainers.

Method: This is a modified Delphi-type study involving 14 experts in robotic surgery teaching. A reiterating 19-item questionnaire was sent out to the same group and agreement levels analysed. A consensus of 0.8 or higher was considered to be high-level agreement.

Results: Response rates were 93-100% and most items reached high levels of agreement within three rounds. Specific requirements for a robotic faculty development curriculum included maximizing dual-console teaching, theatre team training, nontechnical skills training, patient safety, user-machine interface training and telementoring.

Conclusion: A clear need for the development of a train-the-trainer curriculum has been identified. Further research is needed to assess feasibility, effectiveness and clinical impact of a robotic train-the-trainer curriculum.

Keywords: Delphi; Robotic surgery; trainer; training.

MeSH terms

  • Adult
  • Colorectal Surgery / education*
  • Consensus
  • Curriculum / standards*
  • Delphi Technique
  • Female
  • Humans
  • Male
  • Middle Aged
  • Robotic Surgical Procedures / education*
  • Teacher Training / standards*