Table 3.
Statement achieving consensus in the ‘Curriculum Components’ theme (n = 41)
| Item | Statement | Agree (%) | Disagree (%) | Achieved Consensus | Round achieved |
|---|---|---|---|---|---|
| Curriculum components | |||||
| Components of a core robotic surgery curriculum should include | |||||
| 18.1 | Virtual simulation training and e-learning | 90.7 | 9.3 | Yes | 1 |
| 18.2 | Baseline evaluation | 83.7 | 16.3 | Yes | 2 |
| 18.3 | Device training | 88.4 | 11.6 | Yes | 1 |
| 18.4 | Dry lab training | 86.0 | 14.0 | Yes | 1 |
| 18.8 | History of robotics | 18.6 | 81.4 | Yes | 1 |
| 18.9 | Live operating | 16.3 | 83.7 | Yes | 1 |
| 19 | Division of robotic surgery training into different progressive phases to include: e-learning, device training, basic skills and procedural training is an effective approach | 95.3 | 4.7 | Yes | 1 |
| 20 | A core robotic surgery curriculum should include: e-learning, device training and basic skills | 97.7 | 2.3 | Yes | 1 |
| 21 | Following successful completion of core robotic surgery training, a trainee should be able to proceed to procedural training in their preferred specialty | 95.3 | 4.7 | Yes | 1 |
| 22 | All training should include objective metrics to assess progression to a defined level | 97.7 | 2.3 | Yes | 1 |
| 23 | Core robotic surgery training should be linked to proficiency-based progression, with 'bench marking' of pass/fail levels? | 86.0 | 14.0 | Yes | 2 |
| 24 | Trainees benefit from validated objective scoring systems to provide consistent feedback | 93.0 | 7.0 | Yes | 1 |
| 25 | Benchmarking of an acceptable standard of performance for trainees should be defined within the curriculum | 88.4 | 11.6 | Yes | 1 |
| 26 | Trainees should pass core robotic training before commencing advanced procedural training | 95.3 | 4.7 | Yes | 1 |
| 27 | All training should include baseline evaluation for assessment of training needs | 93.0 | 7.0 | Yes | |
| 28 | Baseline evaluation could enable different entrance levels to the core training, that takes into account the individuals current exposure to robotic surgery training | 86.0 | 14.0 | Yes | 1 |
| 29 | For novice trainees, online e-learning and completion of a baseline evaluation should be a pre-requisite proceeding to 'practical' core robotic training in the form of device training and basic skills | 81.4 | 18.6 | Yes | 1 |
| Baseline evaluation should include | |||||
| 30.1 | VR Simulation modules | 83.7 | 16.3 | Yes | 1 |
| E-learning should include | |||||
| 31.1 | Description of hardware in various systems | 90.7 | 9.3 | Yes | 1 |
| 31.2 | Info on patient selection and preparation | 86.0 | 14.0 | Yes | 1 |
| 31.3 | Info on trouble shooting | 90.7 | 9.3 | Yes | 1 |
| 31.4 | How to dock | 93.0 | 7.0 | Yes | 1 |
| 31.8 | History and development of robotic surgery | 18.6 | 81.4 | Yes | 1 |
| Technical core robotic skills training should include | |||||
| 32.1 | Two-handed movements | 97.7 | 2.3 | Yes | 1 |
| 32.2 | Camera direction | 97.7 | 2.3 | Yes | 1 |
| 32.3 | Basic movements | 95.3 | 4.7 | Yes | 1 |
| 32.4 | Tissue dissection | 81.4 | 18.6 | Yes | 1 |
| 32.5 | Knot tying | 83.7 | 16.3 | Yes | 1 |
| 33 | Formal device training should be mandatory in a core robotic surgery curriculum | 90.7 | 9.3 | Yes | 1 |
| 34 | Training on each type of robotic surgery device is required before operating on a patient | 93.0 | 7.0 | Yes | 1 |
| 35 | Non-technical skills training should be a component of a core robotic surgery curriculum | 88.4 | 11.6 | Yes | 1 |
| Non-technical skills should include | |||||
| 36.1 | Situation awareness training | 90.7 | 9.3 | Yes | 1 |
| 36.2 | Operative team training | 86.0 | 14.0 | Yes | 2 |
| 36.3 | Communication | 88.4 | 11.6 | Yes | 2 |
| 36.4 | Emergency scenarios | 83.7 | 16.3 | Yes | 1 |
| 37 | Operative team training should be a component of a core robotic surgery curriculum | 90.7 | 9.3 | Yes | 1 |
| Operative team training should include | |||||
| 38.1 | Docking | 92.9 | 7.1 | Yes | 1 |
| 38.2 | Emergency scenarios | 90.5 | 9.5 | Yes | 1 |
| 38.3 | Bedside assistance | 85.7 | 14.3 | Yes | 1 |
| 39 | Non-technical skills training and team training should be evaluated with a scoring system? | 83.7 | 16.3 | Yes | 3 |
| 40 | Non-technical skills and team training can be sufficiently assessed with NOTSS | 88.4 | 11.6 | Yes | 1 |
Numbers in bold represent > 80% consensus