Development and evaluation of a societal core robotic surgery accreditation curriculum for the UK.
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Authors
Boal, Matthew W E
Afzal, Asma
Gorard, Jack
Shah, Aishwarya
Tesfai, Freweini
Ghamrawi, Walaa
Tutton, Matthew
Ahmad, Jawad
Selvasekar, Chelliah
Khan, Jim
Issue Date
2024-08-06
Type
Journal Article
Language
en
Keywords
Curriculum , Development , Evaluation , Proficiency-based progression , Robotics , Surgery , Training
Alternative Title
Abstract
Standardised proficiency-based progression is the cornerstone of safe robotic skills acquisition, however, is currently lacking within surgical training curricula. Expert consensuses have defined a modular pathway to accredit surgeons. This study aimed to address the lack of a formal, pre-clinical core robotic skills, proficiency-based accreditation curriculum in the UK. Novice robotic participants underwent a four-day pre-clinical core robotic skills curriculum incorporating multimodal assessment. Modifiable-Global Evaluative Assessment of Robotic Skills (M-GEARS), VR-automated performance metrics (APMs) and Objective Clinical Human Reliability Analysis (OCHRA) error methodology assessed performance at the beginning and end of training. Messick's validity concept and a curriculum evaluation model were utilised. Feedback was collated. Proficiency-based progression, benchmarking, tool validity and reliability was assessed through comparative and correlational statistical methods. Forty-seven participants were recruited. Objective assessment of VR and dry models across M-GEARS, APMs and OCHRA demonstrated significant improvements in technical skill (p < 0.001). Concurrent validity between assessment tools demonstrated strong correlation in dry and VR tasks (r = 0.64-0.92, p < 0.001). OCHRA Inter-rater reliability was excellent (r = 0.93, p < 0.001 and 81% matched error events). A benchmark was established with M-GEARS and for the curriculum at 80%. Thirty (63.82%) participants passed. Feedback was 5/5 stars on average, with 100% recommendation. Curriculum evaluation fulfilled all five domains of Messick's validity. Core robotic surgical skills training can be objectively evaluated and benchmarked to provide accreditation in basic robotic skills. A strategy is necessary to enrol standardised curricula into national surgical training at an early stage to ensure patient safety.
Description
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Citation
Boal, M.; Afzal, A.; Gorard, J.; Shah, A.; Tesfai, F.; Ghamrawi, W.; Tutton, M.; Ahmad, J.; Selvasekar, C.; Khan, J. and Francis, N. (2024) 'Development and evaluation of a societal core robotic surgery accreditation curriculum for the UK', Journal of Robotic Surgery, 18(1) p.305. Available at: https://doi.org/10.1007/s11701-024-02062-x
Publisher
Springer Nature
License
© 2024. Crown.
Journal
Journal of robotic surgery
Volume
18
Issue
1
PubMed ID
ISSN
1863-2491