title: Construction of a Urologic Robotic Surgery Training Curriculum: How Many Simulator Sessions Are Required for Residents to Achieve Proficiency?
abstract: OBJECTIVE
  To define the time needed by urology residents to attain proficiency in computer-aided robotic surgery to aid in the refinement of a robotic surgery simulation curriculum.
  
  
  METHODS
  We undertook a retrospective review of robotic skills training data acquired during January 2012 to December 2014 from junior (postgraduate year [PGY] 2-3) and senior (PGY4-5) urology residents using the da Vinci Skills Simulator. We determined the number of training sessions attended and the level of proficiency achieved by junior and senior residents in attempting 11 basic or 6 advanced tasks, respectively.
  
  
  RESULTS
  Junior residents successfully completed 9.9 ± 1.8 tasks, with 62.5% completing all 11 basic tasks. The maximal cumulative success rate of junior residents completing basic tasks was 89.8%, which was achieved within 7.0 ± 1.5 hours of training. Of senior residents, 75% successfully completed all six advanced tasks. Senior residents attended 6.3 ± 3.5 hours of training during which 5.1 ± 1.6 tasks were completed. The maximal cumulative success rate of senior residents completing advanced tasks was 85.4%.
  
  
  CONCLUSIONS
  When designing and implementing an effective robotic surgical training curriculum, an allocation of 10 hours of training may be optimal to allow junior and senior residents to achieve an acceptable level of surgical proficiency in basic and advanced robotic surgical skills, respectively. These data help guide the design and scheduling of a residents training curriculum within the time constraints of a resident's workload.
authors.affiliation: 1 Department of Urology, University of Connecticut Health Center , Farmington, Connecticut.
authors.forename: Scott
authors.initials: S
authors.lastname: Wiener
authors.affiliation: 2 Urology Division, Hartford Healthcare Medical Group, Hartford Hospital , Hartford, Connecticut.
authors.forename: Peter
authors.initials: P
authors.lastname: Haddock
authors.affiliation: 3 Department of Urology and Center for Education, Simulation, and Innovation (CESI), Hartford Hospital, Hartford, Connecticut.
authors.forename: Steven
authors.initials: S
authors.lastname: Shichman
authors.affiliation: 3 Department of Urology and Center for Education, Simulation, and Innovation (CESI), Hartford Hospital, Hartford, Connecticut.
authors.forename: Ryan
authors.initials: R
authors.lastname: Dorin
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D059032:Learning Curve; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000193:education* / Q000592:standards; D000066908:Simulation Training / Q000379:methods*; D014572:Urology / Q000193:education*