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Título

PILOT VALIDATION STUDY OF A COMPETENCY-BASED TRAINING PROGRAM IN FUNDAMENTALS OF ROBOTIC SURGERY

Resumo

Introduction: There is an urgent need to develop robotic surgery training programs. However, training programs published in the literature do not satisfy most of the prerequisites for a validated learning process.
Objective: To develop a pilot validation study of a structured competency-based training program in fundamentals of robot-assisted surgery (RAS).
Methods: This training program followed 5 steps. Predominantly the first 3 steps were a knowledge-based training and the step 4 was a skills-based simulation training and team-based training. These steps allowed the development of basic competences in RAS and were inserted in a 3-day course. The 5th step was a supervised modular training robotic urological surgery program, with increasing levels of complexity in a real learning environment of urological surgeries. A pilot validation study was carried out to determine the validity of this training program in context of fundamentals of RAS. Validity evidence for this training process were assessed in accordance with Messick’s framework of validity which considers five sources of evidence: content, responses, internal structure, relationship to other variables and consequences. A total of 15 participants were enrolled in this training program and divided into two groups: trainee group (attending urologists with no robotic cases performed) and expert group (attending urologists with at least 50 robotic cases performed) whose performances would serve as a benchmark for trainees. The participants' performances were recorded and compared for evidence of validity. At the end of course all participants received individual feedback and filled out a post-training questionnaire based on the Kirkpatrick’s Model.
Results: In total, 7 experts and 8 trainees completed the 3-day course, which reached the sources of evidence recommended in the Messick’s framework. The differences observed between the groups’ performances in theoretical and simulation training were considerably supported by statistical significance tests (p<0,005). The modular training in the step 5 was completed by one trainee who reached certification of urological robotic surgery after 1-year supervised program and allowed evidence of validity of consequences. The results of post-training questionnaire indicate an excellent educational impact.
Conclusions: This preliminary study established evidence of validity for a structured competency-based training program in fundamentals of robotic surgery.

Palavras Chave ( separado por ; )

Robotic surgery; Validation study; Simulation training; Education; Clinical competence.

Área

Transplante Renal / Miscelânea