FUNDAMENTALS OF ROBOTIC SURGERY (FRS):
The module is based on the FRS skills curriculum developed by multiple surgical societies and organizations who agreed upon the critical skills, tasks, and errors that needed to be included in a comprehensive basic curriculum.
All the tasks will be completed as part of this curriculum and can be performed either on simulators or physical models with the real robot. The module replicates a physical dome, with the advantages of a virtual reality representation: Standardized cases, enjoyable independent training, reduced set-up overhead and cost of materials, objective performance reports. Exercises include: Tower transfer; Knot tying; Railroad track; 4th arm cutting; Puzzle piece dissection and Vessel energy dissection. The psychomotor skills curriculum is designed to train and assess the proficiency of surgeons interested in performing robotic surgery. The curriculum will ensure that only the surgeons who are skilled and well trained in the basic skills of robotic surgery can perform such complex procedures, making the patient the ultimate benefactor.
- Show effective navigation of the camera and use the camera clutch.
- Maneuver the instruments such that the potential of wristed instrumentation is utilized maximally for precise instrument tip positioning.
- Demonstrate the skills necessary to successfully place a suture.
- Demonstrate the skills necessary to successfully tie a square knot.
- Precisely control the needle and suture using the robot.
- Safely and effectively switch back and forth between the second and the fourth arm of the robot.
- Safely and precisely perform fine dissection without damaging the surrounding or the underlying structures.
- Identify and choose the correct energy pedal.
- Apply energy to precisely and safely seal and divide vessels.
- General Surgery
- Colon and Rectal Surgery
- Thoracic and cardiothoracic Surgery
- Gastrointestinal and Endoscopic Surgery
- Orthopedic Surgery
- Nurse practitioners and residents in Surgical Specialties
- To practice and demonstrate proficiency in: basic eye-hand coordination, bimanual manipulation and depth perception.
- To show effective navigation of the camera and use the camera clutch.
- To maneuver the instruments so that the potential of wristed instrumentation is utilized maximally for precise instrument tip positioning.
- To demonstrate awareness of applied instrument force.
- In case of team training – to allow the laparoscopic assistant practice in the basic laparoscopic skills relevant for working together with the robotic surgeon: transfers and handoffs, object manipulation, depth perception, removal of objects from the operative field and retraction.
- In case of team training – to promote communication between the robotic surgeon and the surgical assistant.
- General surgery
- Colon and Rectal surgery
- Thoracic and Cardiothoracic surgery
- Gastrointestinal and Endoscopic surgery
- Orthopedic surgery
- Nurse practitioners and residents in surgical specialties