Following the success of ERUS Pilot study I (pdf), a second study was organized with the purpose of validating and expanding the prior findings.
The objective of the study is to validate the ability of a structured fellowship to allow a surgeon to perform a robot-assisted prostatectomy independently and effectively. The fellowship includes theoretical sessions, skills training (dry and wet laboratories), real-case observation in a training center,
bedside assistance, and mentored training at the console. Participants at the recognised host-centres (listed below) go through the developed curriculum in a staged manner (modular training), guided by a local Mentor. The Pilot study lasted 6 months, from January to June 2014.
The flow chart of the study is reported below. The theoretical training includes the eBRUS and da Vinci surgical community online theoretical training. Practical experience is gained with virtual Skill SimulatorTM, dry & wet labs, including an intensive week of lab training at a selected training centre. A dual console enables mentors to teach the fellows during live procedure trainings. Throughout the curriculum the procedure is taught in a step-by-step manner (modular training). An assessment of the technical skills on simulator and dry lab is performed on days 1, 28, 35 and 180.
The mentors perform a final evaluation of the technical skills (GEARS). Non-technical skills were assessed by Non-Technical Skills for Surgeons (NOTSS) System and the Revised Non-technical skills (NOTECHS) scale. Specific training on non-technical skills was delivered during the sessions. At the end of the fellowship, the fellows had to perform a case of radical prostatectomy independently. The full procedure is recorded and assessed by two blinded independent international experts. After effective completion of this curriculum, surgeons will be certified ERUS Robotic Fellows.
A. Mottri G. Novara H. van der Poel A. Volpe
Contact your institution today and find out if they are organizing a fellowship!