摘要
Introduction. Robotically assisted surgery has become very popular for numerous surgical disciplines, yet training practices remain variable with little to no validation. The purpose of this study was to develop a comprehensive, proficiency-based robotic training program. %26lt;br%26gt;Methods. A skill deconstruction list was generated by observation of robotic operations and interviews with experts. Available resources were used, and other components were developed as needed to develop a comprehensive, proficiency-based curriculum to teach all deconstructed skills. Preliminary construct and content validity and curriculum feasibility were evaluated. %26lt;br%26gt;Results. The skill deconstruction, list contained 23 items. Curricular components included an online tutorial, a half-day interactive session., and 9 inanimate exercises with objective metrics. Novice (546 +/- 26) and expert (923 +/- 60) inanimate composite scores were different (P %26lt; .001), supporting construct validity, and substantial pre-test to post-test improvement was noted after successful training completion. All 23 deconstructed skills were rated as highly relevant (4.9 +/- 0.5; 5-point scale), and no skills were absent from the curriculum, supporting content validity. %26lt;br%26gt;Conclusion. These data suggest that this proficiency-based training curriculum comprehensively addresses the skills necessary to perform robotic operations with early construct and content validity and feasibility demonstrated. Further validation is encouraged. (Surgery 2012;152:477-88.)
- 出版日期2012-9