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Structured and validated training programmes for robotic surgery in the field of urology

Funder: European CommissionProject code: 2015-1-NL01-KA203-008989
Funded under: ERASMUS+ | Cooperation for innovation and the exchange of good practices | Strategic Partnerships for higher education Funder Contribution: 406,641 EUR

Structured and validated training programmes for robotic surgery in the field of urology

Description

The aim of this project was mainly to develop, test and validate the European Association of Urology training program for robotic surgery. Target of the program were trainees who finalizes their residency program and qualified surgeons who are currently working in the field of urology. This is necessary because the quality assessment for robotic surgery training in Europe is not set uniform, which means that requirements for surgeons to execute robotic surgery differ across various countries in Europe or are not defined at all. This is problematic because, as stated by the European Commission, all citizens of Europe need to reap the benefits from safe, effective and innovative medical devices. The quality of the skills of a surgeon on the use of robotic surgery should not vary across countries in Europe.To address the training needs of surgeons and trainees best, three training programs were developed, tested and validated. These training programs are different in entry level, length of duration, expert level and intensity to fully meet the specific needs of surgeons and trainees.1. Basic Robotic Skills Course: basic course which contains an online theoretical course and training on a simulator.2. Advanced Robotic Skills Course: intermediate level, 5-day training course. A theoretical training combined with a simulator training in a dry lab and wet lab.3. EAU Robotic Curriculum: expert level, 6 month training programme. This programme is a modular robotic training in a host centre.The training programmes involve preclinical and clinical components to facilitate the proper adoption and application of robotic surgery. The training program was accredited by the European Accreditation Council for Continuing Medical Education (EACCME) which involves an expert determined, standardized educational process, including a minimum criterion of proficiency.In addition, a large scale pilot study of the three training program is also executed. Of this pilot study, a research paper will be published. A presentation was held to present the project results in June 2018 at the National Societies Meeting in Noordwijk. In total, 145 people were directly targeted by the project. This was based on approximately 70 participants of the pilot study, and a total of 75 attendees of the presentation of the project results. On a national level, this project will increase the level of skills required by surgeons on robotic surgery to ensure good and properly executed robotic surgery procedures by allowing surgeons to learn transnationally. On a European level, this project will lead to a clearly defined training standard for robotic surgery in the field of urology that stimulates transnational learning. The project will increase the quality of education and training of robot surgery in the field of urology, all over Europe. The project was carried out by the forerunners of robotic surgery in the field of urology. The European Association of Urology (NL), ORSI (BE), the University of Saarland (DE) and the Ospedale San Raffaele SRL (IT) (which replaced Humanitas Mirasole SPA during the project because Dr. Guido Guisti's promotion) combined their state of the art knowledge and expertise, to develop these training programs. The partners have a solid track-record on (1) the latest developments in urology and robotic surgery, (2) experience with the use of robotic surgery and (3) extensive experience with modern training technology. Although the Urologic community is the forerunner for surgical robotics innovation, the use of robotic surgery is applied in other fields of medicine as well. For this reason, the results of this project will also be disseminated to other fields of medicine, such as cardiology and neurosurgery. Within the structured training programs, the criteria of the surgeon’s competence before starting with robotic surgery will be sufficiently met to ensure surgical outcomes and patient safety are not compromised during the learning process all across Europe.

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