Work

859 RoboticFoundations: A Quality Improvement Programme Developing Robotic Surgical Skills in Foundation Doctors

Year: 2024

Type: article

Abstract: Aim Although many surgical specialties have adopted robotic surgical techniques as standard, basic surgical skills training amongst early-career doctors neglects this paradigm shift. Our tertiary centre has pioneered a longitudinal quality improvement programme focused on integrating Foundation Doctors into robotic surgical teams, such that they are exposed to these skills early rather than during their registrar years. This approach is particularly relevant in preparing Foundation Doctors for a future that is increasingly reliant on robotic surgery, thus addressing immediate and long-term demands in surgical education, as well as leading the extended surgical workforce in this domain. Method The programme commenced with an Intuitive platform-based course, which introduced newcomers to being a robotic-bedside assistant. Foundation Doctors progressed from supervised sessions to independent simple tasks, under the guidance of both registrars and consultants. This programme is currently in its data collection phase, focusing on both quantitative and qualitative aspects, such as skill progression, number of procedures performed, and feedback from participants of all stages. Results We identified three primary benefits: Foundation Doctors gain hands-on, future-oriented experience, and feel more empowered; senior registrars accrue more console time; and consultants engage in meaningful mentorship — shaping future surgeons of every stage. Preliminary results indicate increased procedural involvement and more motivated trainees. Conclusions This novel and structured educational programme offers a beginner-friendly approach to training in robotic surgery, addressing key gaps in the current NHS climate. This model offers a viable and scalable solution for other institutions to further surgical training, aligning with the evolving demands of a robotic future.

Source: British journal of surgery

DOI: 10.1093/bjs/znae163.599