title: Structured training and competence assessment in colorectal robotic surgery. Results of a consensus experts round table.
abstract: BACKGROUND
  A structured training is a key element for the learning of techniques with a high level of complexity, such as robotic colorectal surgery.
  
  
  METHODS
  This study reports the results of an expert consensus round table held during the 6th Clinical Robotic Surgery Association (CRSA) congress, focusing on recommendations in robotic colorectal surgery.
  
  
  RESULTS
  Three sequential steps are proposed for training: a basic module, to learn basic robotic skills and general competencies; an advanced module, to acquire skills to safely perform a colorectal resection, and tutored clinical practice providing procedures of increasing complexity. Each specific skill of the basic module and performance of each surgical step of a colorectal procedure was evaluated and rated from 1 to 3.
  
  
  CONCLUSIONS
  Defining requirements to begin robotic colorectal activity, delineation of structured training programs and objectification of the acquired competences are key elements for a safe and efficient learning of robotic colorectal surgery. Copyright © 2016 John Wiley & Sons, Ltd.
authors.affiliation: European Institute of Oncology, Milan, Italy.
authors.forename: Wanda
authors.initials: W
authors.lastname: Petz
authors.affiliation: University of Novara, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Spinoglio
authors.affiliation: Kyungpook National University Medical Centre, Daegu, South Korea.
authors.forename: Gyu Seog
authors.initials: GS
authors.lastname: Choi
authors.affiliation: Spire Portsmouth Hospital, Havant, UK.
authors.forename: Amjad
authors.initials: A
authors.lastname: Parvaiz
authors.affiliation: Centre for Robotic Surgery, St. Joseph Hospital, Tampa, FL, USA.
authors.forename: Cesar
authors.initials: C
authors.lastname: Santiago
authors.affiliation: Advocate Lutheran General Hospital, Chicago, IL, USA.
authors.forename: Slawomir
authors.initials: S
authors.lastname: Marecik
authors.affiliation: University of Illinois, Chicago, IL, USA.
authors.forename: Pier Cristoforo
authors.initials: PC
authors.lastname: Giulianotti
authors.affiliation: International School of Robotic Surgery, Grosseto, Italy.
authors.forename: Paolo Pietro
authors.initials: PP
authors.lastname: Bianchi
mesh_terms: D000776:Anesthesiology; D002983:Clinical Competence; D003106:Colon / Q000601:surgery*; D003107:Colorectal Surgery / Q000193:education* / Q000295:instrumentation / Q000379:methods*; D003226:Congresses as Topic; D005104:Expert Testimony; D006801:Humans; D012007:Rectum / Q000601:surgery*; D065287:Robotic Surgical Procedures / Q000193:education*; D066231:Surgeons
keywords: colorectal surgery; recommendations; robotic surgery