Desenvolvimento de processo de treinamento em cirurgia robótica baseado em competências

Abstract

Surgical education methods, such as simulation, are being investigated around the world in order to develop training curricula for robotic assisted surgery (RAS). However, there is a lack of criteria well-structured training program for board certification in RAS. In addition, the RAS training programs published in the literature did not satisfy most of the prerequisites for a validated learning process. In this study, a training process in robotic surgery was developed with emphasis on competencies acquisition. For this purpose, (1) COBRASIL, a progressive training curriculum in RAS, based on competencies, was developed after a systematic literature review; (2) a pilot study was developed to validate a training program in robotic urological surgery based on COBRASIL; (3) progressive training in RAS was validated in the Mimic dV-Trainer virtual simulator; (4) an ex vivo simulation model for RAS training was developed and validated and (5) the SCORE assessment instrument, an objective and structured tool, checklist type, for evaluating surgical suture skills in RAS, was developed and validated. Several experiments in this study were performed in simulated and real environments to demonstrate the robust and scalable nature of this relevant training process in robotic surgery. This training process aimed to ensure quality care so that surgeons could continue to practice their profession adequately and safely even with technology advancement. It is notepoint that the learning strategies and organizational structure used in this study open new fields of research that lead to a deepening in the knowledge of the competencies involved in the training of robotic surgeons.