Table 1. The training program (RATS) in Isala Heart Centre from 2010 to today (da Vinci Si system).

What was done?	Who°Øs in charge/who°Øs involved?	Timeline
Business case	Depts. of Cardiothoracic Surgery and Urology	2010–2011
Case observation (Prof. Dr. F Melfi, Pisa, Italy)	CSR, surgeon, anaesthetist, scrub nurse	Sep. 2011
Cadaver training	CSR, surgeons, scrub nurses	Sep. 2011
Dry runs	CSR, teams	Sept.–Oct. 2011
Development of emergency protocol	Team	Oct. 2011
Lobectomy case 1–5, proctored by Prof. Dr. F Melfi	Team (one console surgeon, one bedside surgeon, two scrub nurses, one anaesthetist and one anaesthesia technician)	Nov. 2011 to Feb. 2012
°∞Advanced°± course (Prof. Dr. R Cerfolio, UAB, Birmingham, USA)	Team (two surgeons, two scrub nurses and one nurse of the Pulmonology Department)	Jan. 2012
Lobectomy for T1 peripheral tumors, progressing to T3 central tumors	Team (as described above, console surgeon unproctored)	Feb. 2012 to today
Purchase of simulator	Depts. of Cardiothoracic Surgery and Urology	2012
Teaching other staff members	Lead author of this manuscript	2014 to today
Proctoring for surgeon led courses and surgery on site	Lead author of this manuscript	2015 to today

RATS, robot-assisted thoracic surgery; CSR, clinical sales representative.