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A census of robotic urological practice and training: a survey of the robotic section of the European Association of Urology.
File | Description | Size | Format | |
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The current status of robotic urological surgery and training final.docx | Accepted version | 709.25 kB | Microsoft Word | View/Open |
Title: | A census of robotic urological practice and training: a survey of the robotic section of the European Association of Urology. |
Authors: | Hughes-Hallett, A Mayer, E Pratt, P Mottrie, A Darzi, A Vale, J |
Item Type: | Journal Article |
Abstract: | To determine the current state of robotic urological practice, to establish how robotic training has been delivered and to ascertain whether this training was felt to be adequate. A questionnaire was emailed to members of the European Association of Urology robotic urology section mailing list. Outcomes were subdivided into three groups: demographics, exposure and barriers to training, and delivery of training. A comparative analysis of trainees and independently practising robotic surgeons was performed. 239 surgeons completed the survey, of these 117 (48.9 %) were practising robotic surgeons with the remainder either trainees or surgeons who had had received training in robotic surgery. The majority of robotic surgeons performed robotic-assisted laparoscopic prostatectomy (90.6 %) and were undertaking >50 robotic cases per annum (55.6 %). Overall, only 66.3 % of respondents felt their robotic training needs had been met. Trainee satisfaction was significantly lower than that of independently practising surgeons (51.6 versus 71.6 %, p = 0.01). When a subgroup analysis of trainees was performed examining the relationship between regular simulator access and satisfaction, simulator access was a positive predictor of satisfaction, with 87.5 % of those with regular access versus 36.8 % of those without access being satisfied (p < 0.01). This study reveals that a significant number of urologists do not feel that their robotic training needs have been met. Increased access to simulation, as part of a structured curriculum, appears to improve satisfaction with training and, simultaneously, allows for a proportion of a surgeon's learning curve to be removed from the operating room. |
Issue Date: | 1-Dec-2014 |
Date of Acceptance: | 24-Jul-2014 |
URI: | http://hdl.handle.net/10044/1/60724 |
DOI: | https://dx.doi.org/10.1007/s11701-014-0478-8 |
ISSN: | 1863-2483 |
Publisher: | Springer Verlag |
Start Page: | 349 |
End Page: | 355 |
Journal / Book Title: | Journal of Robotic Surgery |
Volume: | 8 |
Issue: | 4 |
Copyright Statement: | © 2014 Springer-Verlag London. The final publication is available at https://dx.doi.org/10.1007/s11701-014-0478-8 |
Sponsor/Funder: | St Mary s Hospital Urological Research and Educational Trust |
Funder's Grant Number: | N/A |
Keywords: | Cystectomy Partial nephrectomy Prostatectomy Robot assisted Robotic surgery Training da Vinci 1103 Clinical Sciences 0801 Artificial Intelligence And Image Processing Surgery |
Publication Status: | Published |
Conference Place: | England |
Online Publication Date: | 2014-08-14 |
Appears in Collections: | Department of Surgery and Cancer Institute of Global Health Innovation |