1336 DEVELOPMENT AND VALIDATION OF INANIMATE TASKS FOR ROBOTIC SURGICAL SKILLS ASSESSMENT AND TRAINING

Abstract

You have accessJournal of UrologyTechnology & Instruments: Surgical Education & Skills Assessment1 Apr 20101336 DEVELOPMENT AND VALIDATION OF INANIMATE TASKS FOR ROBOTIC SURGICAL SKILLS ASSESSMENT AND TRAINING Alvin Goh, Rohan Joseph, Marcia O'Malley, Brian Miles, and Brian Dunkin Alvin GohAlvin Goh More articles by this author , Rohan JosephRohan Joseph More articles by this author , Marcia O'MalleyMarcia O'Malley More articles by this author , Brian MilesBrian Miles More articles by this author , and Brian DunkinBrian Dunkin More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.942AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES There is a need for standardized, validated tasks to assess technical proficiency and optimize training on the robotic platform. Standard laparoscopic task training lacks the ability to discriminate skill level in the robotic setting. METHODS We used expert robotic surgeons to deconstruct the robot-assisted prostatectomy to identify technical skills essential to robotic surgical performance. A series of structured inanimate tasks were designed to progressively emphasize key cognitive and motor abilities, including elements singular to the robotic platform like clutch and camera control. Thirteen subjects, including 2 experts (involved in >30 robotic cases) and 11 novice surgeons, completed 4 training tasks. Overall performance and learning curves were measured using a scoring system developed to evaluate accuracy and efficiency. Face validity was assessed by a 9-point questionnaire. RESULTS Mean expert and novice performance scores (Figure 1) were significantly different for each inanimate training task (p <0.01). Experts consistently scored better than novices overall and following each successive trial (p<0.01). While improvement in performance was observed in the novice group with repetition, expert level was not reached (p<0.01). Expert performance remained stable over time. Subjects agreed the tasks were appropriately challenging and incorporated technical skills needed in robotic surgery. CONCLUSIONS We establish face and construct validity for a series of structured inanimate training tasks. Performance of inanimate tasks can be a marker for robotic technical skills. Our model may be useful in robot-assisted surgical training and evaluation. Houston, TX© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byGoh A, Aghazadeh M, Mercado M, Hung A, Pan M, Desai M, Gill I and Dunkin B (2015) Multi-Institutional Validation of Fundamental Inanimate Robotic Skills TasksJournal of Urology, VOL. 194, NO. 6, (1751-1756), Online publication date: 1-Dec-2015. Volume 183Issue 4SApril 2010Page: e516 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alvin Goh More articles by this author Rohan Joseph More articles by this author Marcia O'Malley More articles by this author Brian Miles More articles by this author Brian Dunkin More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...