Integrating non-technical skills with technique is essential for mastery in robotic-assisted surgery

Abstract

Dear Editor We read with interest the recent publication from Spinelli and La Raja exploring simulation and virtual reality in robotically assisted surgery (RAS) training1. Adoption of RAS is likely to continue as technologies advance, more platforms become available and further patient benefits are established. Developing RAS training programmes is a priority to standardise learning and assessment. Spinelli and La Raja focus on technical aspects of simulation and immersive-based training. In doing so, an opportunity was missed to address the non-technical skills that are predictive of surgical outcomes2. In RAS, the surgeon spends the majority of time away from the operating table, necessitating excellent communication skills to coordinate with the surgical team. High performing teams overcome similar challenges by emphasising closed-loop communication3. Other non-technical skills, including situation awareness and leadership, are fundamentally altered by the Human Factors and design of RAS, necessitating specific strategies for safe performance4.