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A Consensus Document on Robotic Surgery; Prepared by the SAGES-MIRA Robotic Surgery Consensus Group
The SAGES-MIRA Robotic Surgery Consensus Group
Robotic surgical devices have developed beyond the investigational stage and are now routinely used in minimally invasive general surgery, pediatric surgery, gynecology, urology, cardiothoracic surgery and otorhinolaryngology. Robotic devices continue to evolve and – as they become less expensive and more widely disseminated – will likely become more frequently utilized in surgical procedures.
The leadership of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the Minimally Invasive Robotic Association (MIRA) felt that guidelines for the usage of robots in surgery were lacking, and that the surgical community would benefit from a consensus statement on robotic surgery including guidelines for training and credentialing.
To accomplish this task, SAGES and MIRA assembled an international multidisciplinary consensus group to draft a consensus statement. The SAGES-MIRA Robotics Consensus Conference was convened at Mount Sinai Medical Center in New York City on June 2-3, 2006.
The task force addressed four distinct questions it felt were central to the use of robots in surgery:
Training and credentialing: How should training for robotic surgery be accomplished? What is the appropriate process for credentialing robotic surgery?
Clinical applications of robots in surgery: What are the appropriate clinical applications for robotic surgery; has efficacy been demonstrated for these applications?
Risks of Surgery and Cost-Benefit Analysis: What are the physical risks of robotic surgery to the patient? What financial costs are involved in robotic surgery and are these costs justified?
Research: What are the important unanswered questions in robotic surgery? What direction should future research take?
After meeting and presenting data regarding these issues in a didactic forum, the Robotic Task Force faculty was divided into 4 working groups to address these issues separately. The faculty then reconvened to review the working groups’ conclusions and arrive at a generalized consensus.
The results of these proceedings are presented in the .PDF File below
Posted: September 7, 2010 By: Francesco Bianco, MD From: CRSA
Despite the fast growth of robotic surgery and its clinical application, as well as the acceptance of this technology as a tool of the modern operative room, the training and education aspect in this field is still at an early stage.
Training new surgeons is expensive, regardless of whether the machine is in a dedicated laboratory setting or if it is shared in a clinical setting. Few models are available for the dry lab and the cost of the instruments is still high. Furthermore it is very complex to assess the skills of the trainee in an objective way.
While there has always been a lot of emphasis on the mechanical characteristics and performance of the robotic system, an important element of this revolution is sometimes missed: the concept of virtuality.
This is one of the most revolutionary features fundamental to robotic surgery and it holds significant relevance for the way in which new surgeons can be trained at the daVinci console.
The surgeon is no longer in direct contact with the patient and the interface is operated by a computer.
The enormous potential of virtuality in robotic surgery training is obvious: a computer can recreate a surgical scenario and replicate the surgical output on a virtual model.
RoSS is a Robotic Surgical Simulator
Both easy tasks can be reproduced for novice users and complex procedures can be reproduced for skilled users. Additionally, this can facilitate the objective assessment of skills and can dramatically reduce costs.
Two companies have developed dedicated software and hardware for robotic surgery training:
About RoSS developed by Simulated Surgical Systems
RoSS™ is a portable, stand-alone Robotic Surgery Simulator that teaches novice surgeons the motor and cognitive skills required for operating the da Vinci® surgical robot.
The RoSS™ uses virtual reality to introduce the user to the fundamentals of robot-assisted surgery. It boasts a multi-level curriculum, designed with various levels of difficulty, that takes the user through and teaches the required skills for effectively advancing robotic surgery abilities.
RoSS™ is the only robotic surgery simulator featuring full-length surgical procedures in 3D, otherwise known as HoST.
RoSS™ is portable, so novice surgeons are able to practice and train without using valuable OR space and time.
About the dv Trainer™ developed by MIMIC Simulation
dV-Trainer™ is a “stand-alone” simulator built on a compact, portable, and cost-effective hardware platform. According to numerous independent validation studies, it closely reproduces the look and feel of the da Vinci®system. Placed outside the OR, dV-Trainer™ provides access to training 24/7.
dV-Trainer™ utilizes the latest version of Mimic’s MScore™ for objective performance evaluation. It incorporates data collected from over 100 experienced surgeons with over 75 robotic cases to establish proficiency based scoring baselines – an industry first and dV-Trainer™ exclusive.
dV-Trainer™ comes with best-in-class administration tools for educators to create, import and export customized training protocols. dV-Trainer curricula can be uploaded and shared on Mimic’s MShare, an new online portal for collaboration, providing access to validated simulation curricula from top institutions.
dV-Trainer™ is exclusively built on Mimic’s new simulation platform, MSim™ 2.0. Based on the latest rendering technology, it produces the most realistic and life-like simulation in the industry, and positions the dV-Trainer solution for soon-to-come advanced procedure specific content.
Both the MIMIC and the RoSS Robotic Surgical Simulators are able to reproduce the robotic instrument kinematics in a realistic tridimensional environment and feature a hardware console that is similar in feel and function to the daVinci®.....read more
Mimic Seatle WA, dv Trainer
The use of these simulators facilitates familiarization with the console and the way it operates, including the basic troubleshooting. Additionally, it allows users to develop general skills in regards to camera and instrument operation, as well as compensation for the loss of tactile feedback.
Overall, significant advantages of these machines include the opportunity to develop skills in an “off-line” risk-free environment and the ability to objectively asses these acquired skills through a performance metrics system. In addition, this method of training is more cost effective in comparison to a skills lab.
Indeed, a few evaluation studies have been published on the use of these simulators with encouraging results.
As of now the simulation capabilities of this software is restricted to some simple tasks and very limited surgical procedures. The wet labs are still necessary to learn the patient side skills and to develop confidence with robot use in a clinical setting, but the use of the simulator can definitely speed up this clinical transition......continue reading
From scalpel to console: A suggested model for surgical skill acquisition. By: Christine S. Landry, MD; Elizabeth G. Grubbs, MD; Jeffrey E. Lee, MD, FACS; and Nancy D. Perrier, MD, FACS
CRSA Committed to Advancing Surgeon Training in Robotic Surgery
By Business wire
October 1, 2013
In an effort to further integrate robotic technology into the current surgical armamentarium for surgeons and maintain best patient outcomes, the Clinical Robotic Surgery Association (CRSA) announced today its plans to provide real and clinical insight into the safety and efficacy of robotic surgery during its 5th Worldwide Congress. Over the past decade more than 1.5 million robotic surgeries have been performed worldwide, and the technology has dramatically improved the utilization of minimally invasive surgery across several fields including urology, gynecology, thoracic, cardiac, colon, pancreas and transplant surgery.
“As robotic surgery continues to evolve, it is important that we also encourage continuous quality improvement in clinical programs,” said Dr. Laurent Bresler, president of CRSA. “And part of our mission is to work with clinicians and their societies to enhance training and education of surgeons on the application of robotic technologies in a broad set of surgical procedures.”
“Robotic technology has a proven and promising role in surgery,” said Dr. Pier Giulianotti, Chief of the University of Illinois Medical Center's Division of General, Minimally Invasive and Robotic Surgery, and past president of CRSA. “Well trained robotic surgeons continue to achieve excellent clinical outcomes with this innovative platform, and it is important that we keep advancing – ourselves and the technology.
”During the meeting, the association plans to create surgeon training and credentialing guidelines for robotic surgery to help surgeons go through a clinically-justified training protocol and complete their learning curve in a standardized regimen. Additionally, CRSA intends to create an online CRSA Robotic Surgery Patient Portal that will enable patients to connect with proficient surgeons in the field to ask questions about robotic surgery......read more
• Exclusive FREE access to 800 Videos and Presentation on Robotic Surgery
• Discounts on Worldwide Educational Conferences
• Free accesss to Clincal Virtual University -Broadcasting Robotic Surgery Training Courses from around the World
• Network with Leaders in the field of Robotic Surgery
• Free Member Video Publishing
• Share your scientific knowledge (video, poster and oral abstracts) at the CRSA Annual Congress
Becoming a member
is as simple as going to the Association website at www.clinicalrobotics.com, and clicking on the "CRSA apply for membership online" button and fill out the registration form.
Members of CRSA have full access to the association video portal, where you will be able to watch more than 800 videos of robotic surgical procedures and presentations given at international congresses, in addition you will have the opportunity to register to the congress and save $100
For your convenience view or download the flyer with all the information about the Society.
U.S Based Robotic Surgery Training Centers
The International College of Robotic Surgery (ICRS)
The International College of Robotic Surgery (ICRS), a subsidiary of Saint Joseph’s Hospital of Atlanta, is a center for training and innovation offering advanced robotic surgery training for surgeons and their team members. Our goal is to share our knowledge and team experience along with innovative methods in robotic surgery to impact the future of medicine. Through our extensive programming, ICRS can facilitate benefits for new and existing robotic programs in a variety of ways.
Total Team Training Solutions
ICRS enhances robotic surgery training via a "Total Team Training Approach." Each member of our robotic team will partner with the corresponding member of your team to ensure that specific needs are addressed. ICRS sets the standard in training robotic surgeons and their respective surgical teams, calling forth a paradigm shift from contemporary medical training practices.
Comprehensive Training Services
ICRS offers a complete set of services to guide you through the clinical pathway. Depending on where your team is in its ability to offer robotic procedures, we can customize your training package. The ICRS comprehensive training package and auxiliary services offers a step by step guide on your way to certification for robotic cardiac surgery. For more information Click here
Click on Image to reach a representative or receive additional information
Why train at ECHI?
East Carolina University Robotic Research and Training Facility
East Carolina University has been a name at the forefront of minimally invasive cardiac surgery for the better part of the past decade. Dr. W. Randolph Chitwood performed the first mitral valve repair surgery in the United States in 2000 using this technology.
Joined by Dr. L. Wiley Nifong, they led the federal Food and Drug Administration’s successful clinical trials on the use of surgical robots on cardiac patients. Since then, more than 700 surgeons have come to Greenville to study the minimally invasive surgical techniques pioneered by ECU surgeons.
Here are some of the Training Programs offered at The East Carolina Heart Institute:
Advanced Mitral Valve Courses: Under the direction of Dr. Wiley Nifong, this two-day course is designed to include live case observations with Dr. Chitwood and hands-on cadaveric training for primary surgeons as well as their complete operative team. We can also tailor the course to meet individual needs.
Advanced Cryomaze Courses: The focus of this course is on treatment of Atrial Fibrillation using minimally invasive robotic techniques. This experience includes live case observation, hands-on lab training, and discussion with electrophysiologists.
Susan Bewith is the Director of ECHI’s Robotic Training Program and under the direction of Dr. Chitwood and Dr. Wiley Nifong, the center has become the world’s largest, cardiac robotic training center - having certified over 300 global surgical teams. Read more about Dr. Chitwood and his team
Surgical Education and Activities Lab
Duke Surgical Education and Activities Lab (SEAL)
The Surgical Education and Activities Lab (SEAL) is a state-of-the-art surgical simulation center designed to provide advanced and innovative training for physicians, residents, fellows, physician assistants, nurses, medical students, health care providers, and industry professionals in a risk-free environment. Simulation training provides learners the opportunity to develop skills and practice minimally invasive procedures without the pressures of the operating room to advance medical education and improve patient safety.
SEAL gives students and other trainees access to a comprehensive learning environment that meets individual needs and allows trainees to focus on the disciplines that they choose.
SEAL is accredited as a Level I Comprehensive Education Institute (CEI) by the American College of Surgeons. This is the highest-level accreditation, and it is only awarded to those institutions that meet strict criteria and offer state-of-the-art surgical education.
The primary tasks of SEAL are training, patient safety, and acquisition of new surgical techniques. Courses and training offered at SEAL encourage the development and certification of procedural competence.
With approximately 2,000 square feet of state-of-the-art technology, SEAL offers round-the-clock access to the most technologically advanced virtual-reality trainers and simulators.
Ohio State University Da Vinci Robotic Surgery Training Center
Among the goals of The Ohio State University’s multispecialty robotics program is training the next generation of surgeons. We are one of only 21 active training centers for the da Vinci® Surgical System in the United States.
Ohio State offers several options for introduction to robotic surgery for surgeons and operating room and nursing staff, as well as administrators of hospitals and medical systems. With years of experience hosting visitors from around the country and around the world, Ohio State’s surgeons and staff provide our guests with a detailed look at the experience necessary to build a successful robotics practice and program, including surgical case observation.
Robotics programs are offered to an array of professionals, including urologists, gynecologists, gynecologic oncologists as well as operating room nurses and and anesthesia staff, robotics program managers and hospital or medical system administrators.
Robotic Surgeon Training
Surgeon programs are offered for training with use of the da Vinci® robot alone or with specialty-specific mentoring with one of our surgeons in procedures within the visiting surgeon’s field. Observation of live procedures without robot training is also available.
Fees for da Vinci® procedure observation: $500/day
Please contact ISI sales representative directly for registration and fees for:
• da Vinci® Surgical System Training (one day of System Skill Training) • Surgeon-led Training (two days, includes one full day of System Skill Training, surgeon-led didactic sessions and da Vinci® procedure observation)
Allied Health Professional Robotic Team Training
As the first training program in the world developed specifically for operating room staff, nurses and anesthesia staff, the team training program at OSU offers a one- or two-day experience that includes didactic sessions, viewing of live surgical cases along with real-time instruction. Beginner and advanced classes are available.
Please contact Lisa Yeater at (614)-293-9072 for details.
Fees for a team of up to four or five: $1,200 - $2,000
Robotic Development: Any hospital interested in developing their own robotic surgery program can also visit the Ohio State University to speak to the key people who are involved in running the robotics program
Spartanburg Regional Institute for Robotic Surgery
Experience, Expertise, Technique and Technology.
The Institute for Robotic Surgery at Spartanburg Regional has them all. Our surgeons are among the South's most experienced in robotic surgery, with a combined total of more than 1,000 surgeries.
Our program is one of the most comprehensive you'll find anywhere. In fact, Spartanburg Regional is a training site for surgeons from around the country...read more
Florida Hospital Celebration Health serves as a living laboratory for healthcare change and is an international show site for telesurgery and teleconferencing
Nicholson Center for Surgical Advancement At Florida Hospital Celebration Health
As the first of its kind in Central Florida, the Nicholson Center for Surgical Advancement is a premier center for hands-on surgical instruction. The prime objective is to develop and disseminate cutting edge surgical knowledge and techniques to the global surgical community through state-of-the-art teleconferencing technology. Participants perform minimally invasive surgical procedures at one of nine state-of-the-art endoscopically equipped stations.
Florida Hospital Celebration Health serves as a living laboratory for healthcare change and is an international show site for telesurgery and teleconferencing. At the center of the Nicholson Center for Surgical Advancement is the matchless teleconferencing technology that links four environments:
• The Surgical Learning Laboratory • Education Center • Operating Room • Global Connectivity with any outside venue
The setting of the Nicholson Center for Surgical Advancement is one in which participants gain hands-on knowledge and understanding of specific techniques as well as how to properly use new equipment and technology.
Participants or surgical educational courses will walk away mastering a newly learned minimally invasive surgical skill that will benefit them in their own medical practices. This dynamic setting allows for experimentation in which surgical industry innovators can bring equipment and educators to chart the course for future products and techniques.
In this forum, surgeons, educators and industry partners will significantly expend their knowledge and medical practice base in multiple surgical disciplines through educational workshops, conferences and symposiums.
Mimic Medical Education and Development (MimicMED)
Home to Mimic Medical Education and Development (MimicMED), the Florida Hospital Nicholson Center is a revolutionary global training and education institute located at Florida Hospital, Celebration, Florida. The new 54,000 square-foot facility houses state-of-the-art equipment, and brings together physicians, clinical industry leaders, medical societies, and researchers to advance technology and procedures utilized in minimally invasive laparoscopic, robotic, and simulation procedures.
As part of our strategic alliance partnership with Florida Hospital, we will jointly develop simulation-based curricula that will accelerate the adoption of the latest robotic technologies, techniques, and surgical skill expertise. The training center houses eight of Mimic’s advanced dV-Trainers utilized for our half- and full day simulation courses, and Mimic’s innovative dry-labs help learners transition from simulated environments to actual hands-on practice on the robot.
Florida Hospital Nicholson Center is the First in the U.S. to Offer Training on the 3D Systems RobotiX Mentor™ Simulator
Robotic center uses RobotiX Mentor, VR training simulator, to implement its virtual Fundamentals of Robotic Surgery (FRS) Curriculum
Press-Release: Celebration, Florida. February 29, 2016
The Florida Hospital Nicholson Center, a leading training center for robotic and minimally invasive surgery, announces today it is the first U.S. location to offer training and education on the innovative 3D Systems robotic simulator, the RobotiX Mentor. The RobotiX MentorTM cross-specialty robotic surgery training platform is the only simulator to provide simulation-based training for complete surgical procedures, including Prostatectomy, Hysterectomy and Lobectomy. This simulator is a stand-alone unit that is always accessible for training and provides a realistic representation of the hand movements used during robotic surgery.
The Robotix Mentor is one of the first simulators to implement the Fundamental of Robotic Surgery (FRS) psychomotor skills curriculum developed by the Nicholson Center. The comprehensive FRS program covers essential cognitive, psychomotor and team communication skills necessary for robotic surgery. The program includes an online curriculum and a physical psychomotor skills practice and assessment device, called the FRS Dome, that aspiring surgeons can use with the da Vinci robot. The Dome models human tissue using synthetic flesh-colored skin and yellow fat layers, including embedded vessels. This FRS model is also digitized within the RobotiX Mentor system.
"As part of our mission to advance precision medicine, 3D Systems collaborates with societies, industry partners and training centers to create the future of robotic training. We are pleased that our successful collaboration with the FRS experts group and the Nicholson Center, a pioneer in robotic surgery training, has led to the development of the virtual reality FRS training module," said Kevin McAlea, Executive Vice President & Chief Operating Officer, Healthcare, 3D Systems.
“From surgical simulation to Virtual Surgical Planning® (VSP) to 3D printed models, instruments and implants for patient-specific care, we are committed to working with the medical community to manufacture precision healthcare solutions that span from the training and planning phases to the operating room."
The Nicholson Center’s FRS curriculum will soon be a standard for surgeons and residents in training to be permitted to practice robotic surgery in the U.S. This model is also implemented with other simulators, such as the Mimic dV-Trainer. Currently, the Nicholson Center is the only surgical training center in the world to have all four commercial simulator products for the da Vinci surgical robot. The new module enhances the RobotiX Mentor virtual reality simulator to further support the needs of robotic surgery programs by incorporating training and assessment tools for skills and full procedures. Virtual representation of the FRS provides the advantages of standardized cases, enjoyable independent training, reduced set-up overhead and cost of materials and objective performance reports.
“Our Center continues to push the boundaries of education and research in robotic surgery, and being the first to incorporate the 3D Systems Robotic Simulator further solidifies our leadership in this growing field of medicine,” said Roger Smith, PhD, Chief Technology Officer at the Nicholson Center. “The goal is for the FRS program to become the standard robotic training program worldwide, improving surgeon communication, proficiency and patient safety."
To learn more about RobotiX Mentor, visit the product page, and to learn more about the application of the FRS curriculum, visit The Nicholson Center’s website
New York, NY
Simulation, Training and Robotic Surgery at St. Luke's Roosevelt Hospital Center
The Robotic Surgery Program was created in January 2001 under the direction of Joseph J. DeRose, Jr., M.D. The robotic surgery program has as its guiding compass a mission to develop, study, and implement new minimally invasive clinical procedures. The three fundamental components of the robotic surgery program are 1) Clinical Excellence, 2) Basic Science and Outcomes Research and 3) Surgical Training and Education.
The clinical robotic surgery program at St. Luke's-Roosevelt Hospital Center has one of the largest and broadest experiences in both cardiac and non-cardiac thoracic surgery. Robotic surgeons at St. Luke's-Roosevelt Hospital, were the first to perform several cardiothoracic procedures including esophageal resection, thymectomy and robotic biventricular pacing. Other robotic operations performed by the robotic surgery program include mitral valve repair, coronary artery bypass grafting, atrial septal defect closure, pulmonary resection, Nissan fundoplication and Heller myotomy. Clinical robotic surgery is now also being performed at St. Luke's in general surgery and urology. For more information Click here
Oklahoma City, Oklahoma
The University of Oklahoma College of Medicine
has opened the region's first da Vinci® Si™ robotics surgical training center. Located in the Clinical Skills Education & Testing Center (CSETC), the da Vinci® Si™ and the da Vinci® S™ surgical systems are physician-controlled robotic systems that have several unique features designed to increase clinical benefits and efficiency in the operating room. Robotics takes surgery beyond the limits of the human hand to potentially extend minimally invasive surgery to even more patients - even those with complex conditions that previously could not be treated with a minimally invasive approach.
The CSETC is a new 25,000 square foot state-of-the-art facility, located just 12 miles from the Oklahoma City airport and five minutes from downtown. OU and the CSETC offer an unparalleled educational experience, where surgeons from across the nation can come to receive hands-on surgical training.
The University of Illinois Chicago robotic surgery training center
The University of Illinois Chicago robotic surgery training center is open and running.
This program is for any individual who has completed 5 years in a general surgery residency ( United States, Canada, or abroad). Applicants must have superior skills in laparoscopic and open surgical techniques as well as documentation of excellent teaching skills. In addition, applicants must be proficient in written and spoken English. All fellows are selected through the matching program in Minimally Invasive Surgery. There will be two fellows at a time.
For further information and to shedule a training please call 312.355.2494 For more information, Please Click here
The Center for Advanced Trainig & Simulation
has set a goal to become one of the top-ranked teaching programs in the country. We have instituted an aggressive training program for our residents that includes a state-of-the-art teaching laboratory. The laboratory features skills training stations that reproduce actual operating room conditions, access to a catalogued video library of actual procedures, and constantly updated computer training materials.
One of our projects is an immersive 3D minimally invasive surgery training environment that includes feedback and real-time performance evaluation. Interactive video technology and wireless handheld computer technology is also used to beam endoscopic surgeries performed at UK to sites all over the world for training and international conference purposes. The Center benefits all levels of students from medical and nursing students to practicing surgeons, not only in Kentucky but also worldwide.
Cedar Rapids, Iowa
St. Lukes Hospital in Cedar Rapids, Iowa
is one of only 15 robotic surgery teaching hospitals across the country. To better accommodate this training St. Lukes Hospital has acquired a special dual robotic surgery console. This console is a replacement of St. Lukes original robotic system, purchased in 2005. This upgrade offers modified instruments that allow for greater range with larger and heavier patients and an enhanced viewing area for the surgeon, which is 20 percent larger and offers a high definition, 3D picture and side-by-side comparison screens. The most significant feature of the newest robotic system is the dual-console capability, which allows another doctor to see and access the same screens and controls as the primary surgeon.
Last fall, St. Lukes was named a Robotic Epicenter, which means the hospital is one of only 15 top performing centers in the country for Robotic Surgery. This designation means surgeons from around the country travel to St. Lukes to learn robotic surgery from Jerry Rozeboom, MD, OB/GYN Associates, PC
Because of St. Lukes Robotic EpiCenter designation this new dual-console is crucial for the training of visiting physicians. To date, Dr. Rozeboom has performed nearly 300 gynecologic robotic procedures. Additionally he has trained seven visiting doctors from around the Midwest. On February 1, six surgeons from Chicago, Joliet, IL, Pella and Ames will travel to St. Lukes for robotic surgery training with Dr. Rozeboom.
For more information about St. Luke’s Robotic Epicenter training program, please call 319-369-7224.
Robotic Surgery, Research, and Training Center at Childrens Hospital Boston
The Robotic Research and Training Center at Children's Hospital Boston
offers various robotic training opportunities for physicians, fellows, and residents. Their training program began in 2003, and since then the center has exposed surgeons from around the world on the robotic's usage. One of it's programs is;
Robotic-Assisted Laparoscopic Surgery
This robotic course is for surgeons who are interested in learning techniques for performing robotic-assisted laparoscopic reconstructive and extirpative procedures. The techniques demonstrated are applicable to various surgical fields such as pediatric urology, adult urology, gynecology and general surgery. The training is based on didactics, videos, surgery observation and hands-on animal laboratory sessions.
This training program is designed for one or two surgeons and one or two nurses/ physician assistants. Basic laparoscopic skills are highly recommended.
Roswell Park is a Center of Excellence for robotic surgery.
It is the first institution in the United States to be accredited as a Training Institute in Robot-Assisted Surgery by the Société Internationale d’Urologie (SIU). Surgical teams from around the globe come here to develop their skills under the guidance of RPCI’s robotic surgery experts. By enhancing surgical capability, RPCI provides patients with better clinical outcomes so they can return to active, productive lives more quickly.
Roswell has also developed several training tools to help surgeons learn better and faster:
First-ever video-based textbook on robot-assisted surgery
Training software called “Hands-On Surgical Training™”(HOST)
The revolutionary Robotic Surgery Simulator (RoSS)
World’s first virtual training and research program
To date, teams from Saudi Arabia, Egypt, Switzerland, Germany as well as those from University of Michigan, University of Miami, Duke University, University of Pittsburgh, among others, have participated in Roswell Park robotic training and mentoring programs. For more information on how to become involved with robotic surgery training please contact Dr. Khurshid Guru at Khurshid.firstname.lastname@example.org
training in TORS is at the University of Pennsylvania.
The University of Pennsylvania TransOral Robotic Surgery (TORS) Training Program
In addition to our research program, one of the primary missions of the TransOral Robotic Surgery Program at the University of the University of Pennsylvania has been in the arena of training. Prior to FDA approval of TORS Drs. Weinstein and O’Malley focused training efforts on both American Surgeons and international surgeons who were both qualified from the standpoint of Head and Surgery background and has access to the da Vinci Surgical System in their hospitals.
Also, prior to FDA approval training of American surgeons was limited to a handful of qualified physicians who were then encouraged to begin their own clinical research programs and surgeons from 14 different countries were trained in the TORS technique.
Since FDA approval of TORS in December, 2009 the training program has been transformed to offer state of the art TORS training by combining case observation with hands on animal and cadaver training in the fully equipped Glenolden Robotic Training Facility. At present the only place to obtain complete training in TORS is at the University of Pennsylvania. For more information Click here
The University of Arizona College of Medicine
The University of Arizona College of Medicine
is home to the state’s first medical school and the Section of Urology is the oldest urology program in Arizona. The Urology training program has been educating medical students and residents for more than 30 years. The legacy of Dr. George Dracht, the founding Chief of Urology for the University, is alive and well. The Section of Urology continues a commitment to excellence in patient care, ground-breaking research, and exceptional resident education. The objectives of our residency program are to provide excellent comprehensive clinical training in all aspects of urology and to create an atmosphere for discovery and service.
Each of our faculty has expertise in the diagnosis and management of common and complex urologic disease. We offer comprehensive and multi-disciplinary surgical and medical care for all types of urologic disorders, including: urologic cancers (oncology), stone disease, incontinence, reconstruction of the urinary tract, impotence, prostate diseases, abnormal bladder function, infections of the urinary system, pediatric urology, and complicated deformities of the urinary system.
Our faculty has advanced training and proficiency in modern surgical technologies including robotic, laparoscopic, and endoscopic procedures. The involvement of our faculty in laboratory, translational, and clinical investigation means that we can offer our residents broad exposure to basic and clinical research.
We currently offer a five-year training program in which we provide our residents with a superlative training opportunity. One categorical position is available for the first year of training and two positions every other year for the 3rd year training in urology. For more information Click here
The Brady Urological Institute of the Johns Hopkins Medical Institutions
Johns Hopkins Medical Institutions
Background: The Brady Urological Institute of the Johns Hopkins Medical Institutions offers a highly specialized and comprehensive fellowship training program in Endourology and Minimally Invasive Urological Surgery. This program is unique in that individuals are exposed to all aspects of minimally invasive urology including:
is situated in the new Medical Education and Telemedicine (MET) Building. The building, constructed at a cost of $65 million, has 45,000 square feet, including:
A research suite where physicians and scientists work together across disciplines and collaborate to deliver new discoveries.
Surgical suites where students gain hands-on experience with the latest surgical, robotic, laparoscopic and microscopic techniques.
A simulation center with an operating room, an intensive care unit, an emergency room and a medical/surgical hospital room.
A Telemedicine Training and Consultation Center where doctors and students collaborate and provide care to communities in remote areas
A tiered 350-seat auditorium, the largest on the medical school campus, equipped with advanced technology.
The Medical Education Building
is a multipurpose, multitasking facility that serves as the focal point for medical education at UC San Diego School of Medicine. Architecturally and technologically, it is configured for the utmost versatility to ensure that it meets the needs of students, faculty, physicians, and the community for decades to come.
All classrooms are structured to accommodate distance learning, allowing the medical school to share curriculum with other University of California campuses, particularly in connection with the PRIME program.
The Medical Education Building offers medical students the opportunity to learn in an environment planned from the ground up to ensure close coordination of clinical, research and educational endeavors. The class of medical students that began in September 2011 was the first to learn in this new, exciting environment.
Intuitive Surgical developed the da Vinci Surgery Training Pathway to help teams meet demand, while achieving clinical proficiency in the safest, most efficient manner possible. The Pathway is the result of years of experience training and collaborating with skilled da Vinci surgeons. It is designed for teams made up of both surgeons and OR staff. This team-oriented approach was developed because experience demonstrated that:
Training should involve the entire team
The competence of the entire surgical team is critical to safely and effectively managing and operating the da Vinci Surgical System
According to our customers, the surgeon and OR team’s full commitment to following the Training Pathway can help shorten the learning curve and facilitate safe and effective procedure adoption.
The Training Pathway focuses on two core objectives:
Develop da Vinci System-related knowledge and skill
Learn and apply da Vinci-specific techniques and clinical applications through peer-to-peer education
Intuitive Surgical believes its primary responsibility is to manage and meet the first objective – system knowledge and skill. Although we facilitate the second objective, surgeon-to-surgeon instruction and mentorship are conducted by qualified, independent medical professionals.
It should be noted that this training pathway is not a replacement for hospital policy regarding surgical credentialing. As a result, in order to ensure their da Vinci Surgery adoption is as rapid and efficient as possible, we recommend that teams use the Pathway to complement credentialing requirements.
The da Vinci Surgery Training Pathway is divided into four distinct phases, with reinforcing activities and supporting tools for both surgeons and OR staff available every step of the way.
The da Vinci Surgery Training Pathway is divided into four distinct phases
Following a residency that includes robotic training, the da Vinci Surgery Training Pathway can offer a template useful to even experienced individuals who are looking to develop a da Vinci OR team or to optimize team proficiency.
For further details on the da Vinci Surgery Training Pathway, please contact your local da Vinci sales representative:
Toll-free in the US: 877-408-3872. Outside the US: +41 21 821 20 00 in Europe or +1 408 523 2100 in the rest of the world.
Miami Anatomical Research Center
The M.A.R.C. Center Stands Out as an Excellent Fit for Today’s Changing Medical Technology Training and Education Environment
M.A.R.C. Center's inspiring, world-class training facility is located in the cultural and economic urban hub of Miami, Florida. Dubbed "The Gateway to the Americas" because of its cultural and linguistic connections to North, Central and South America, Miami also shares ties with the Caribbean, making it a key "world city" and relevant locations for operations.
Funded by local investors who have worked in the medical training industry, the MARC opened in 2008 inside a 22,000-square-foot converted flower warehouse. With 38 surgical training stations, four simulated operating rooms and a 125-seat auditorium, it’s billed as the largest center for surgical training in North America.
The center takes advantage of its location near Miami International Airport to attract international visitors, mostly doctors from Latin America and Europe.
Location: M.A.R.C. Center 8850 NW 20th Street | Miami, Florida 33172; Directions
Robotic Training Epicenter for Gynecologic Surgery
Robotic Training Epicenter for Gynecologic Surgery
Continuing its commitment to be at the forefront of advanced medical technology, Saddleback Memorial has been chosen as the first and only Robotic Training Epicenter for gynecologic surgery in Orange County.
As one of only 23 Epicenters in the nation this designation establishes Saddleback Memorial as a frontrunner in robotic surgery and expertise.
Surgeons Training Surgeons
As an official Epicenter training site, Saddleback Memorial hosts gynecologic surgeons from across the nation as they study specialized surgical techniques by observing robotic surgeries in action in our da Vinci operating suite.
Saddleback Memorial and the Epicenter team – lead by highly regarded gynecologist and surgeon Dr. Marc Winter, M.D. – were chosen as an Epicenter because of their demonstrated dedication, experience, excellence in patient outcomes, and passion for teaching.
Important Medical Breakthrough for Women
Robotic surgery is one of the most important breakthroughs in women’s surgeries in the past decade. Many women with endometriosis, fibroids and uterine or vaginal prolapse or other complex gynecology issues may benefit from Robotic Assisted Gynecologic Surgery.
CSTAR (Canadian Surgical Technologies & Advanced Robotics) opened in 2000 and is a world-leading centre for researching, developing, testing and delivery of simulation training of minimally invasive surgical technologies and techniques. There are three complementary sides to our purpose: Surgical Technology, Simulation/Education and Research. Our facilities support all stages of medical device knowledge translation by enabling meaningful collaboration of researchers and clinicians.
CSTAR is one of four Canadian Accredited Educational Institutions of the American College of Surgeons and we collaborate with, and provide the facilities and staff for the Schulich School of Medicine & Dentistry at Western University, to develop and deliver team-based simulation programming. Our research function is dependent on a strong partnership with Lawson Health Research Institute, Robarts Research Institute and Western University.
CSTAR is the only Canadian training centre for the da Vinci ® Surgical System, to certify surgeons in the skills and knowledge they need to perform minimally invasive surgery. Through LHSC, CSTAR doctors have produced a number of world and Canadian firsts in computer assisted, minimally invasive surgery and have been national leaders in the introduction of robotic surgery into the Canadian healthcare system.
is ready to confer "Fellowship in Robotic Surgery (FRS), Hands On robotic surgery training" on the real da Vinci® high definition four arm most advanced surgical robot of the world. As technology catches up with our imaginations, robotic instruments (instead of robots) and 3D monitoring will end up routine and continue to improve patient care by giving surgeons most abundant in precise, least traumatic methods for treating surgical disease.
Three days intensive true "Hands On" Robotic Surgery Training courses for General Surgeons, Gynecologists, Urologists, Cardiac Surgeons and Pediatric Surgeons are on the 26th, 27th and 28th of each month.
INTRODUCING: Fellowship and Diploma Training in Minimal Access Surgery
World Laparoscopy Hospital announces their Diploma in Minimal Access Surgery (D. MAS) and Fellowship in Minimal Access Surgery (F. MAS) training programs with the additional benefits of endoscopy and robotic surgery training. The four-week long integrated training program will cover all practical and live operative aspects of laparoscopic surgeries and endoscopy, including the da Vinci Robotic surgery system.
The Fellowship and Diploma in Minimal Access Surgery program could be a great post graduate training opportunity for surgeons to learn live operative procedures in one of the most advanced laparoscopic wet labs under the guidance of expert consultants. Dr. R. K. Mishra, Master of Minimal Access Surgery, who is the chief faculty of the Hospital, they maintains, “During the training program highest standard, and they provide trainees with the live exposure to the operation theatre, allowing them to develop their own academic, clinical and practical capabilities. We reveal the most current methods and the latest minimal access technologies to them, so that they can accomplish surgeries with a greater degree of proficiency.”
The Laparoscopic and Da Vinci robotic surgery training program is designed for surgical and gynecological consultants, residents, fellows and practicing physicians to learn and practice laparoscopic skills to have the opportunity to definitely measure and document those skills. These fellowships and Diploma is exam based course where after training the institute take university exam and measures cognitive knowledge, case/problem management skills and manual dexterity. The F.MAS and D.MAS program content has been endorsed by the WALS and is a joint educational offering of WALS and WLH is also CME accredited.......read more
The STAN Robotic Surgery Training Institute
of Nancy, France, is located in the centre of Europe. At the heart of northern Europe.
Nancy is close to Germany, Luxembourg and Belgium. It is 90 minutes from the centre of Paris by high-speed train. All roads lead to Nancy !…
Not only is Nancy world-famous for its Art Nouveau heritage, Nancy’s cultural and architectural heritage are exceptional. Stanislas Square is a UNESCO “world heritage” site, and Lonely Planet calls it the fourth most beautiful square in the world.
"Our approach to training"
Pilots are subject to strict international regulations that require them to obtain and maintain technical skills before they can fly aircraft. In contrast, surgeons can perform surgery using high-tech tools without any legal obligation to undertake specific technical training. Only professionalism guarantees the level of safety for the use of these tools. The need for specific, dedicated training is increasingly apparent today.
It seems to us that it is vital and imperative that quality training in robotic surgery (with the IUD training course especially) be provided to surgeons and operating room nurses.
If surgical professionals are armed with knowledge and skills developed during dedicated courses, their patients will benefit from the best of a partnership between man and machine.
Dry & Wet Lab workshops carried out with the da Vinci robot give the opportunity to consolidate skills developed on both the dV-Trainer and the XTT.
Please visit the STAN Institute to find out more about their Individual and Team Training Courses.
European Institute of TeleSurgery
IRCAD/EITS, European Institute of TeleSurgery
IRCAD / EITS was created in Strasbourg 16 years ago. The creation of the Institute resulted from the combined synergy of the University of Strasbourg, private companies, and local authorities. On an international scale, more than 3500 surgeons come to Strasbourg every year to make the most of our unique training courses. The exceptional involvement and self-commitment of more than 800 international experts is key to the institute's success. For more information Click here
The ECOLE EUROPEENNE DE CHIRURGIE is equipped to provide top level theoretical and practical training.
Ecole Europeenne de Chirurgie
Robotic Radical Prostatectomy Advanced Program at Ecole Europeenne de Chirurgie
The faculty of the Department of Urology from the Institut Mutualiste Montsouris (IMM) is a pioneer in laparoscopy and robotic surgery since 1998.
The da Vinci® Si Dual Console and the simulator as well as the da Vinci® S HD are available at the Ecole Europeenne de Chirurgie.
"Very early, in 2002, the Ecole Europeenne de Chirurgie has organized trainings on the da Vinci® and became in 2009 one of the International training centers for Intuitive Surgical."
Robotic Surgery Training at the University Hospital Geneva
Since the fall of 2008 we are proud to be an official Intuitive Robotic Training Center System Standard.
We have built up a state-of-the-art training center in collaboration with Prof. Fasel, Division of Anatomy. In that facility we are able to provide intense robotic training on human cadavers.
Generally, we perform weekly training sessions with the robot to educate all our doctors in this new technology.
The robot is set up in a pelvi-trainer (plastic box for training) and different task are performed.
In the process, the surgeons get used to manipulating the system and learn tricks and potential pitfalls.
After completion of successful basic training, surgeons are educated in human cadavers. Only upon successful completion of all training units, the surgeons perform operations on patients.
Furthermore, we hold courses in robotic surgery to enable doctors from other hospitals to learn about this edge-cutting technology.
The first international course in robotic surgery in Geneva was held on February 2nd 2007 and until now, we have arrived at our 5th International Course for Digestive Surgery not including basic system courses. Click here for upcoming courses.
IRCAD/ Asian Institute of Telesurgery (AITS)
Asian Institute of TeleSurgery
was created in 2008 by careful planning and thoughtful cooperation between Show Chwan Health Care System and EITS to establish AITS, the most well-funded training center in the world. The grand opening of AITS surely starts a new age of Asian Tele-healthcare.
Show Chwan Health Care System has adopted robotic assisted technologies for five years. During this period of time, robotic assisted technologies has been applied to countless surgeries of heart, gall, spleen, stomach, and kidney and so on. Minimal invasive surgery is also known as laparoscope surgery or celioscope surgery. Laparoscope is greatly used during minimal invasive surgery; however, robotic assisted technologies could help minimize trauma and shorten admission duration. The technique also decreases complication happening and curtails social and health insurance spending. Moreover, the technique is not restricted to distance. The existence of the technique is truly a blessing to patients.
More than 3,000 surgeons fly into IRCAD/EITS every year to undergo training, some of them even need to wait for another six months to be able to participate in the courses. Based on that, Show Chwan Health Care System President Huang and IRCAD/EITS successfully established IRCAD/ Asian Institute of Telesurgery (AITS) in Taiwan by showing the world Show Chwans' outstanding professionalism and renowned enthusiasm. The three-story AITS building with approximate 4950 square meters costs nearly two hundred million NT dollars, equip with a lab of twenty operation tables and a five-star animal testing lab. AITS is the first greatly founded training center in Asia.
Click on Image for Training, Events and Courses
Welcome to the Chitra Sethia Centre for Robotics and Minimal Access Surgery, the World’s leading virtual training centre in its field.
Robotic and laparoscopic surgery offer cutting edge technologies to patient care. Accurate surgical techniques translate into improved outcomes for patients.Here at the Chitra Sethia Centre for Robotics and Minimal Access Surgery we are committed to:
Pioneering specialist training for healthcare professionals
Developing state of the art surgical technologies
Ultimately ensuring patients receive the best treatment experience, the best care and the best outcome
At the Chitra Sethia Centre we are unique. Not only do we have a diverse and highly qualified Faculty of trainers, but we also have robotic surgical systems permanently installed allowing regular and flexible training opportunities for colleagues in the UK and from overseas.......uchmas.org
The Chitra Sethia Centre for Robotics and Minimal Access Surgery is based within the UCH Education Centre
Prince of Wales Hospital, Shatin, Hong Kong
The Chinese University of Hong Kong (CUHK),
The Chinese University of Hong Kong Jockey Club Minimally Invasive Surgical Skills Centre
Since 2006, over 230 robotic assisted surgical operations have been performed by various surgical disciplines of The Chinese University of Hong Kong (CUHK), and CUHK is firmly committed to making the MISSC a leading world MIS training hub.
The course covers the important clinical aspects of robotics as used in a wide variety of specialties. Surgeon faculty and Intuitive Surgical® certified product trainers demonstrate OT configuration, system preparation, patient positioning, and port placement as well as pre-, intra- and post-operative techniques using the robotic surgical system.
By the end of the training programme, participants should be able to:
List the basic features and potential benefits of the robotic surgical system
Understand the application of various instruments
Demonstrate the techniques of laparoscopic suturing and knot tying using robotics
Articulate patient selection, patient positioning, surgical techniques, indications and contraindications in performing robot assisted procedures
is a cooperative venture between Weill Cornell Medical College, the Imperial College London, the Qatar Science and Technology Park and Hamad Medical Corporation.
The new centre has appointed Lord Ara Darzi of the Imperial College London, UK Business Ambassador and a former government health minister, as the chairman of the QRSC International Surgery Panel. He is also one of the first surgeons to use the high-tech robotic system.
QRSC focuses on three areas: training, technology development and demonstration of surgical technologies. The QRSC will provide training in robotic surgery to different groups of health professional such as surgeons, nurses, operation theatre staff, scientists and hospital management.
This will include clinical and scientific training alongside economic and practical aspects of installation of robotic surgery system in their respective hospitals. As for technology development, there would be partnership with local universities and hospitals, besides international partners, QRSC Manager Jan Nuyens said.
The Centre also aims to develop new simulator technologies or new robotic platforms as well as innovative training and skill assessment tools. Thirdly, the Qatar Robotic Surgery Centre will act as an intermediary between clinical practitioners in the region and equipment providers to demonstrate innovative surgical technologies.
Novel equipment will be demonstrated on an event basis or as part of the regular training programmes of the Centre. The brand new facility of QRSC is currently equipped with two robots and three simulators. There are three large training theatres, all equipped with 3-D projectors. One theatre will be used for tele-mentoring purposes where the trainer can teach from an operating room abroad or even demonstrate live a real surgery. The technology development part will be launched in July
At present, there are two trainers in QSRC. One of them is a doctor and the other is an engineer and technical expert. Six surgeons of HMC were trained in collaboration with QRSC last year and these local experts will also be available for training. In addition, QRSC collaborates with international experts who will keep coming to Qatar to give training. This mix of different trainers is one of the unique features of QRSC as compared with the few training centres that exist internationally...continue reading
INTERNATIONAL SCHOOL OF ROBOTIC SURGERY. FOR MORE INFORMATION PLEASE CLICK ON IMAGE.
Pamela Youde Nethersole Eastern Hospital, Hong Kong
MASTC at PYNEH
Minimal Access Surgery Training Centre (MASTC) at PYNEH
As a recognized training centre for medical students, doctors, nurses, midwives and allied health staff, the Minimal Access Surgery Training Centre at PYNEH offers a wide range of training activities and education including lectures, consultancy services, hospital visit practicum & attachment and in-company training. The courses cover basic theory, hands-on simulation, and live demonstration of the most commonly applied operations.
The centre can play a co-ordinating role between different clinical specialities, namely Surgery, Obstetrics & Gynaecology, Orthopaedics & Traumatology, Interventional Radiology and Therapeutic Endoscopy, on various combined training programmes and research. An education programme for practising surgeons' continuing medical education is important for this rapidly developing surgical speciality.
For Upcoming Training Courses and Workshops Click here
To apply for Minimal Access Clinical Fellowship Programs Click here
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