Table 2.

Credentialing pathway for Advanced Hepato-Pancreato-Biliary Surgery (adapted from 26)

• Step 1: Basic Preparation

○ Didactic lectures, Online education

○ Hands-on robotic training: docking, instrument exchanges

○ Emergency Preparedness drills

• Step 2: Advanced Preparation

○ Robotic simulator training

○ Procedure-specific video review

• Step 3: Basic Robotic Hepato-Pancreato-Biliary Surgery

○ Intraoperative mentoring by a credentialed robot hepato-pancreato-biliary surgeon

○ 10 case minimum: cholecystectomy, wedge resection of the liver, partial gastrectomy

• Step 4: Advanced Robotic Hepato-Pancreato-Biliary Surgery

○ Intraoperative mentoring by credentialed robot hepato-pancreato-biliary surgeon

○ Two-surgeon team until training is completed