Imperial College London

Professor the Lord Darzi of Denham PC KBE FRS FMedSci HonFREng

Faculty of MedicineDepartment of Surgery & Cancer

Co-Director of the IGHI, Professor of Surgery
 
 
 
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Contact

 

+44 (0)20 3312 1310a.darzi

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Satava:2019:10.1097/SLA.0000000000003220,
author = {Satava, RM and Stefanidis, D and Levy, JS and Smith, R and Martin, JR and Monfared, S and Timsina, LR and Darzi, AW and Moglia, A and Brand, TC and Dorin, RP and Dumon, KR and Francone, TD and Georgiou, E and Goh, AC and Marcet, JE and Martino, MA and Sudan, R and Vale, J and Gallagher, AG},
doi = {10.1097/SLA.0000000000003220},
journal = {Annals of Surgery},
pages = {384--392},
title = {Proving the effectiveness of the fundamentals of robotic surgery (FRS) skills curriculum: a single-blinded, multispecialty, multi-institutional randomized control trial},
url = {http://dx.doi.org/10.1097/SLA.0000000000003220},
volume = {272},
year = {2019}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - MINI: Question: Is the Fundamentals of Robotic Surgery (FRS) proficiency-based progression curriculum effective for teaching basic robotic surgery skills? FINDINGS: In an international multi-institutional, multispecialty, blinded, randomized control trial, implementation of the FRS skills curriculum using various simulation platforms led to improved performance of surgical trainees on a transfer test compared with controls.Meaning: The FRS is an effective simulation-based course for training to proficiency on basic robotic surgery skills before surgeons apply those skills clinically. OBJECTIVE: To demonstrate the noninferiority of the fundamentals of robotic surgery (FRS) skills curriculum over current training paradigms and identify an ideal training platform. SUMMARY BACKGROUND DATA: There is currently no validated, uniformly accepted curriculum for training in robotic surgery skills. METHODS: Single-blinded parallel-group randomized trial at 12 international American College of Surgeons (ACS) Accredited Education Institutes (AEI). Thirty-three robotic surgery experts and 123 inexperienced surgical trainees were enrolled between April 2015 and November 2016. Benchmarks (proficiency levels) on the 7 FRS Dome tasks were established based on expert performance. Participants were then randomly assigned to 4 training groups: Dome (n = 29), dV-Trainer (n = 30), and DVSS (n = 32) that trained to benchmarks and control (n = 32) that trained using locally available robotic skills curricula. The primary outcome was participant performance after training based on task errors and duration on 5 basic robotic tasks (knot tying, continuous suturing, cutting, dissection, and vessel coagulation) using an avian tissue model (transfer-test). Secondary outcomes included cognitive test scores, GEARS ratings, and robot familiarity checklist scores. RESULTS: All groups demonstrated significant performance improvement after skills training (P < 0.01). Participating residents and fello
AU - Satava,RM
AU - Stefanidis,D
AU - Levy,JS
AU - Smith,R
AU - Martin,JR
AU - Monfared,S
AU - Timsina,LR
AU - Darzi,AW
AU - Moglia,A
AU - Brand,TC
AU - Dorin,RP
AU - Dumon,KR
AU - Francone,TD
AU - Georgiou,E
AU - Goh,AC
AU - Marcet,JE
AU - Martino,MA
AU - Sudan,R
AU - Vale,J
AU - Gallagher,AG
DO - 10.1097/SLA.0000000000003220
EP - 392
PY - 2019///
SN - 0003-4932
SP - 384
TI - Proving the effectiveness of the fundamentals of robotic surgery (FRS) skills curriculum: a single-blinded, multispecialty, multi-institutional randomized control trial
T2 - Annals of Surgery
UR - http://dx.doi.org/10.1097/SLA.0000000000003220
UR - https://www.ncbi.nlm.nih.gov/pubmed/30720503
UR - http://hdl.handle.net/10044/1/69534
VL - 272
ER -