Current training landscape for novice robotic surgeons: an international investigative survey by the Junior-ERUS/Young academic urologists (YAU) robotics in urology working group
Por:
Wuernschimmel, C, Wenzel, M, Moschovas, MC, Dell'Oglio, P, Paciotti, M, Bravi, CA, De Groote, R, Di Maida, F, Piramide, F, Turri, F, Andras, I, Sorce, G, Liakos, N, Breda, A, Larcher, A
Publicada:
1 ago 2025
Resumen:
IntroductionWhile robotic surgical training is crucial for preparing skilled surgeons, the landscape of available training programs is not well-defined. Many institutions offer structured curricula, yet transparency about training modalities, caseloads, and eligibility criteria for novice surgeons is limited. To address this gap, a structured survey was designed to assess robotic education offerings globally.Patients and methodsA web-based survey was distributed to different robotic societies, institutions and dedicated robotic surgery experts, based on the Junior European Association of Urology Robotic Section (J-ERUS) network and the Young Academic Urologists (YAU) Robotic Section between February and September 2024. Furthermore, a peer-esteem snowballing approach allowed the survey to expand its reach through expert referrals. The survey captured information on training modalities, infrastructure, caseload, and case mix. Respondents were required to provide contact details for further follow-up, while their identities and institutions remained confidential.ResultsThe survey achieved a 16.5% response rate, with 80 respondents from 49 institutions confirming robotic training opportunities. Training platforms included Da Vinci multi-port systems (71%), HUGO-RAS (15%), and Versius (8%). Training methods featured simulators (89%), dual-console training (65%), dry-labs (39%), and wet-labs (16%). Variability in training structures was observed, with 32% of institutions offering dedicated fellowships and 68% combining training with clinical duties. Institutions varied in case volumes (100-500 cases per year), and 41% indicated performing over 500 robotic procedures annually. Respondents predominantly answered that robotic surgery novices may access about 20% of these cases.ConclusionThis study highlights the heterogeneity of robotic surgical education and the need for standardized, globally accessible training frameworks. Establishing an international consortium to map training programs and content could enhance transparency and support novice surgeons in selecting institutions that align with their career goals. It is critical to integrate emerging robotic platforms and evolving methodologies into curricula to ensure comprehensive and effective training.
Filiaciones:
Wuernschimmel, C:
Luzerner Kantonsspital, Dept Urol, Luzern, Switzerland
Univ Lucerne, Fac Hlth Sci & Med, Luzern, Switzerland
Wenzel, M:
Goethe Univ Frankfurt, Univ Hosp Frankfurt, Dept Urol, Frankfurt, Germany
Moschovas, MC:
AdventHealth, Global Robot Inst, Celebration, FL USA
Dell'Oglio, P:
ASST Niguarda Hosp, Dept Urol, Milan, Italy
Paciotti, M:
IRCCS Humanitas Res Hosp, Dept Urol, Milan, Italy
Bravi, CA:
Northampton Gen Hosp, Dept Urol, Northampton, England
Royal Marsden NHS Fdn Trust, Dept Urol, London, England
De Groote, R:
Onze Lieve Vrouw Hosp, Dept Urol, Aalst, Belgium
ORSI Acad, Melle, Belgium
Di Maida, F:
Univ Florence, Careggi Hosp, Dept Expt & Clin Med, Unit Oncol Minimally Invas Urol & Androl, Florence, Italy
Piramide, F:
Univ Turin, San Luigi Gonzaga Hosp, Dept Oncol, Div Urol, Turin, Italy
Turri, F:
Univ Milan, Dept Urol, ASST St Paolo & Carlo i, Milan, Italy
Andras, I:
Iuliu Hatieganu Univ Med & Pharm, Dept Urol, Cluj Napoca, Romania
Sorce, G:
IRCCS San Raffaele Sci Inst, Urol Res Inst URI, Dept Urol, Div Expt Oncol, Milan, Italy
Liakos, N:
Univ Freiburg, Fac Med, Dept Urol, Med Ctr, Freiburg, Germany
Breda, A:
Autonomous Univ Barcelona, Dept Urol, Fundacio Puigvert, Barcelona, Spain
Larcher, A:
IRCCS San Raffaele Sci Inst, Urol Res Inst URI, Dept Urol, Div Expt Oncol, Milan, Italy
Green Submitted, hybrid
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