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A census of robotic urological practice and training: a survey of the robotic section of the European Association of Urology.

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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