A systematic review of robotic colorectal surgery programs worldwide and a comprehensive description of local robotic training programme
Notice bibliographique
Résumé
BACKGROUND: Robotic-assisted colorectal surgery (RACS) is gaining widespread adoption, with a growing number of procedures performed globally. These have been performed mostly by consultants, many of whom have gained sufficient proficiency to begin to educate their trainees. RACS offers a range of benefits to the surgeon and patient, yet safe and effective utilisation hinges on well-structured training programs for colorectal trainees within their general surgery residency. This systematic review aimed to evaluate the structure currently employed worldwide in RACS training programs for colorectal surgery trainees. In addition it delineates the conceptualization and implementation of a locally developed RACS program tailored to senior colorectal trainees and fellows at our Trust. METHODS: A comprehensive search of Ovid Medline and Embase databases (January 2010- March 2024) following PRISMA guidelines identified six studies reporting on RACS training curricula. Critical analysis of programme structure and curricula tools utilised was performed. Articles involving training of consultants were excluded. The quality and bias score of each study were assessed using the Newcastle Ottawa Score for observational studies. RESULTS: Six out of 77 studies were selected as suitable for analysis describing RACS training using Da Vinci platform. All apart from one programme described a phased or parallel robotic curriculum with four studies incorporating theoretical knowledge and laboratory or cadaveric training. Six programmes incorporated simulation, bedside assisting and console training. The use of validated objective or subjective metrics at each phase varied. Formal feedback is provided in only two of the programmes. Reflecting on above results we present our Trust training program which run over the last two years. Our program ensures clear learning goals for trainees and trainers, maintains patient safety, and is easily replicated across other UK RACS units. CONCLUSION: The establishment of a standardised curriculum for colorectal surgery training worldwide, including in the UK, is vital. Currently, there is a scarcity of validated, objective assessment methods, which must be adequately standardised to create consistent progression criteria and competency-based metrics. Standardising these methods will enable reliable and robust assessment of trainee progression and competence to create a generation of robotically competent colorectal surgeons within their standard training program timeframe. PROSPERO DATABASE REGISTRATION: No.-CRD42024530340.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,010 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,005 | 0,001 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».