1564 CONSTRUCT VALIDATION OF THE FUNDAMENTAL SKILLS OF ROBOTIC SURGERY (FSRS) CURRICULUM

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You have accessJournal of UrologyTechnology & Instruments: Surgical Education & Skills Assessment (II)1 Apr 20131564 CONSTRUCT VALIDATION OF THE FUNDAMENTAL SKILLS OF ROBOTIC SURGERY (FSRS) CURRICULUM Syed Raza, Ashirwad Chowriappa, Andrew Stegemann, Kamran Ahmed, Yi Shi, Gregory Wilding, Jihad H. Kaouk, James Peabody, Mani Menon, Thenkurussi Kesavadas, and Khurshid Guru Syed RazaSyed Raza East Amherst, NY More articles by this author , Ashirwad ChowriappaAshirwad Chowriappa East Amherst, NY More articles by this author , Andrew StegemannAndrew Stegemann East Amherst, NY More articles by this author , Kamran AhmedKamran Ahmed London, United Kingdom More articles by this author , Yi ShiYi Shi Buffalo, NY More articles by this author , Gregory WildingGregory Wilding East Amherst, NY More articles by this author , Jihad H. KaoukJihad H. Kaouk Cleveland, OH More articles by this author , James PeabodyJames Peabody Detroit, MI More articles by this author , Mani MenonMani Menon Detroit, MI More articles by this author , Thenkurussi KesavadasThenkurussi Kesavadas Buffalo, NY More articles by this author , and Khurshid GuruKhurshid Guru East Amherst, NY More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.3094AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Recent advances in robot-assisted surgery have led to an ever-increasing need for training future robotic surgeons. Valid Surgical Simulation platforms have emerged as a useful adjunct to training. We report construct validation of a structured curriculum for robot-assisted surgery- Fundamental Skills of Robotic Surgery (FSRS). METHODS Fundamental Skills of Robotic Surgery (FSRS) curriculum is a sequential, modular criterion - based structured curriculum for acquiring basic skills of robot-assisted surgery. A convenience cohort of 61 surgeons participated in this prospective study. Participants were classified as novice (0 robotic cases) and experts (>150 robotic cases). All participants were required to complete four tasks of FSRS curriculum (ball placement, coordinated tool control, fourth arm control, needle handling and exchange). Using the statistical algorithm for metric evaluation, the performances of each group were compared to evaluate construct validation in terms of human ? machine interface, operative interaction and safety. RESULTS Novice group (n=49) consisted of 24 surgical residents with less than 5 years and 25 surgeons with more than 5 years of postgraduate experience. The novice group had no previous robotic console experience (P=0.0001). The expert group (n=12) consisted of 12 surgeons with >150 prior robotic cases experience. An overall significant difference was observed in favour of expert group in all four FSRS tasks sets. Time to complete all four tasks was significantly shorter (P<0.001) in the expert group. Expert group displayed a better safety in the operative field with significantly lesser tool collision (P=0.002) and reduced tissue damage (P<0.001). While performing steps of FSRS, use of camera (P<0.001) and clutch (P<0.001) by expert group's was significantly higher. CONCLUSIONS Fundamental Skills of Robotic Surgery (FSRS) curriculum is able to differentiate levels of expertise in Robot-assisted surgery. Further multi-national studies are underway in evaluating its effectiveness in acquiring the basic tenets of robotic surgical skills. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e642 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Syed Raza East Amherst, NY More articles by this author Ashirwad Chowriappa East Amherst, NY More articles by this author Andrew Stegemann East Amherst, NY More articles by this author Kamran Ahmed London, Unite