The rapid advancement of robotic technology has revolutionized the field of thoracic surgery. At the same time, the technological leap has highlighted a pressing need to bridge the educational gap in the training of thoracic surgery trainees. To address this issue, the Society of Thoracic Surgeons has developed an expert consensus document outlining a framework for a standardized national robotic curriculum.
A recent paper published in The Annals of Thoracic Surgery, authored by the Task Force on Robotic Thoracic Surgery and the Workforce on E-learning and Educational Innovation, has provided expert consensus statements for thoracic surgery training programs. This paper was created following an extensive literature review and expert consensus achieved through a modified Delphi process. It outlines expectations for programs, essential training components, as well as assessment and feedback methods.
Program Expectations
- Standardization: The consensus document advocates for standardized robotic thoracic curricula across all Accreditation Council for Graduate Medical Education-accredited programs.
- Dual Console Training: Trainees should have ample opportunity to practice on dual consoles during most cases to actively participate in the surgical process.
- Bedside Assistance: The presence of a trained bedside assistant during teaching cases is strongly recommended.
Components of Training
- Theoretical & Practical: The curriculum must integrate theoretical and practical learning.
- Pre-Console Training: Online modules on robotic components and hands-on training are mandatory before console surgery.
- VR Simulation: Proficiency in digital/virtual reality simulation modules is a prerequisite for console surgery.
- Wet Lab Training: Mandatory participation in at least one wet lab per year.
- Emergency Conversion: Mandatory to perform with the trainees or OR team at least once a year.
Assessment and Feedback
- Skill Assessment: Utilize objective tools like Global Evaluative Assessment of Robotic Skills to assess technical competency.
- EPA Development: Develop Entrusted Professional Activity for pulmonary resection.
- Performance Review: Regular video review and analysis of robotic performances provide valuable feedback.
By implementing the recommendations outlined in this expert consensus document, thoracic surgery training programs can ensure that trainees are well-prepared to perform complex robotic procedures and contribute to the advancement of thoracic surgery.
"Robotic surgery is rapidly evolving, and it's crucial that our training programs keep pace,” said Samuel Kim, MD, Northwestern Medicine, who chaired the task force that produced the document. "To ensure a skilled workforce capable of meeting the demands of modern thoracic surgery, we must prioritize a standardized curriculum that enhances resident education and bridges any existing educational disparities across training programs. By fostering a comprehensive learning environment that emphasizes both refined technical skills and sound clinical judgment, we can effectively train the next generation of surgical leaders."