The second part of the Comprehensive Assessment determines the current level of expertise surgeons and clinicians possess in minimally invasive and robotic procedures. This assessment also evaluates the level and effectiveness of the basic and advanced training. To develop autonomy, MIS creates a customized clinical plan that results in the team gaining and sustaining comfort, confidence and competence (C3) with each other’s skills and with the technology. MIS has developed a High Density Training Model that has been proven to reduce the time to autonomy by at least 30%. Our purpose regarding robotic training is to take the surgical team to clinical autonomy by using accepted best practices and in depth procedure analysis.
There are several key factors to the training/proctoring pathway: target procedures the surgeon would perform robotically, delineate current technique, implement best practices, optimizing operating time, analyzing complication rates, determining size of the practice, analyzing previous training, evaluating patient-side assistant’s thoracoscopic skill etc. These factors and others are considered when designing a surgeon’s training pathway.