In May, Mimic joined top urologists from around the world in attending the AUA Annual Meeting in Boston. Among the rich content and papers presented, here are 3 especially interesting robotic surgery training and simulation takeaways from papers presented at AUA 2017:
1. Trainees take between 15% and 120% longer than expert surgeons when carrying out procedural steps (Paper#MP51-04; Muammer Altok, Mary Achim, Surena Matin, Curtis Pettaway, John Davis, Houston, TX).
2. Novices position their arms in a less ergonomic fashion than expert surgeons (Paper#PD46-06; Kenta Takayasu, Kenji Yoshida, Tadashi Mastuda, Osaka, Japan).
3. Viewing a patient-specific simulated 3D model of a kidney tumor helped novices in identifying tumor locations (Paper#PD46-12; Rai et.al.).
1. A Decade of Robot-Assisted Radical Prostatectomy Training: Time-Based Metrics from Fellows and Residents (Paper# MP51-04, Muammer Altok, Mary Achim, Surena Matin, Curtis Pettaway, John Davis, Houston, TX)
A common way to train fellows is to allow them to carry out steps of the procedure and as they build up confidence, they eventually migrate to the complete procedure. This paper looked at the difference in time at various stages of the procedure between experts and novice surgeons and graded them by quartile. Overall fellows and residents were involved in 1,622 cases. The increase in time to complete the segments varied from 15% (E-PLND) to 120% (dorsal vein complex) depending on the part of the case being carried out as can be seen in the table below:
A Grade 4 to 5 success rate was achieved in 95% of the cases. Modern training in robot-assisted surgery is evolving towards curriculum-based training that includes didactics, dry-lab exercises, wet-lab operations, surgical assistance, and ultimately console performance under careful supervision. After a decade of training 4 clinical fellows and up to 12 residents per year, this study transformed their step-wise time metrics into a simple table to use to benchmark performance. A non-validated qualitative feedback was also recorded. Read the full study here.
2. Analysis of the Posture Pattern During Robotic Simulator Task Using Optical Motion Capture System (Kenta Takayasu, Kenji Yoshida, Tadashi Mastuda, Osaka, Japan)
This study was essentially looking to see if the relative position and movement of the shoulders, elbows, and wrists was different between novice and expert surgeons carrying out two Mimic simulation exercises. The table below shows there was in fact a significant variation:
We have often seen that there is a difference in economy of motion between expert surgeons but this is another way of looking at the same phenomena. In addition, there are differences between novices and experts in the positional relationship between the elbow and wrist and joint angle of the upper limb, indicating that experts may have less posture stress. Read the full study here.
3. Virtual Simulation Improves a Novice’s Ability to Localize Renal Tumors in 3D Physical Models – a Multi-institutional Prospective Randomized Controlled Study (Paper#PD46-12, Rai et al.)
This is an interesting paper that evaluates if bringing patient-specific 3D models into a simulated environment helps in identifying tumor location. One hundred medical students were put through the protocol below where they were exposed to a CT scan, half then looked at a 3D model on a dV-Trainer and half went to look straight at a physical model.
Those who had also looked at the 3D virtual representation on the dV-Trainer more accurately visualized the tumor location on the physical model. Read the full study here.
Focused on assisting hospitals to better maximize their investment in robotic surgery, Mimic has over 15 years of experience providing tools and support for robotic surgery training and program support. Contact us today to learn more.
Here are some tips that may help you take your robotics program to the next level:
• Encourage your robotics committee to establish minimum credentialing thresholds of simulation performance.
• Create accounts for all trainees (i.e., no training under “guest”). This ensures performance can be tracked.
• Implement Mimic curriculum to test for innate ability of residents and fellows. Predict who is most likely to excel in your robotics program.
• Ensure training data is regularly uploaded to the cloud with Mimic’s MScore Portal so it can be easily reviewed by your robotics committee. Allow Mimic to customize a dashboard of the data/analytics.
• Use Mimic data analytics to compare your institution’s performance to other hospitals in your IDN or the rest of the world in terms of quality, efficiency, safety, and risk.
• Increase access to training by providing simulators outside of the operating room with Mimic’s dV-Trainer (a surgeon console emulator) or FlexVR (a portable simulator that trainees can take home).
• Promote team training between the surgeon and the first assist with Mimic’s Xperience Team Trainer. Trainees should prove competence as a first assist before they begin training at the surgeon’s console.
• Introduce trainees to procedures with surgeon-lead simulation, Maestro AR (prostatectomy with Drs. Patel & van der Poel, partial nephrectomy with Dr. Gill, hysterectomy with Dr. Advincula, and inguinal hernia with Dr. Low).
• Earn CMEs when attending advanced hands-on robotics training programs with MimicMED and MimicMED partners, such as with Florida Hospital Nicholson Center (home of MimicMED), UPMC Center for Advanced Robotics Training (CART), and the STAN Institute at Nancy Hospital (France).
Top urologists from around the world are expected to attend the 112th AUA Annual Meeting in Boston, May 13 – 15, 2017. The anticipated event features more educational offerings and innovative programming than ever before, and is the perfect place for Mimic Technologies to further showcase the world’s first portable robotic surgery simulator.
The new, portable system includes the same top training programs you’ll find on the full size dV-Trainer®, such as Maestro AR™ with Prostatectomy Xi, Prostatectomy Si, and Partial Nephrectomy – yet the new FlexVR™ surgery simulator is more portable, storable, and flexible. It’s smaller, light weight size makes it easy to transport and ideal for training centers and robotic surgeons looking for a more personal training experience.
FlexVR™ is light in weight but not in power. In addition to the top training programs, it utilizes Mimic’s MScore™ administrative software allowing for personalized curriculum development and user proficiency tracking. MScore Portal™ allows all user data to be stored, backed up, and accessed in the cloud so that your program data is always at your fingertips.
Personal, Portable, Storable, Flexible, be among the first to see what’s inside FlexVR™, schedule a demo now at this year’s AUA in Boston:
Attendees at this year’s Annual EAU Congress are invited to demo the newest surgery simulator created by Mimic Technologies.
The new, portable system includes the same top training programs you’ll find on the full size dV-Trainer, such as Maestro AR with Prostatectomy Si and Prostatectomy Xi – yet the new FlexVR™ surgery simulator is more portable, storable, and flexible. It’s smaller, light weight size makes it easy to transport and ideal for training centers and robotic surgeons looking for a more personal training experience.
The annual EAU meeting is recognized for its live surgeries, state-of-the-art lectures, hands-on training, symposiums, and educational courses with the world’s top urologist, and is the perfect place to unveil a groundbreaking new surgery simulator.
Personal, Portable, Storable, Flexible, be among the first to see what’s inside FlexVR™ at this year’s EAU Congress.
Schedule a demo at EAU:
Phone: + 49 40 31795916
SAGES Attendees Invited for a First Look at a Revolutionary New Portable Training System for Robotic Surgery
In a world where robotic surgery is becoming more prevalent, Mimic is introducing the first simulator designed with mobility, flexibly, and storability in mind.
Ideal for training centers and robotic surgeons looking for a more personal training experience, the new FlexVR™ will be on display at this year’s SAGES, March 22-24, in Houston, Texas.
The annual meeting, designed to encourage communication and collaboration among the world’s top surgeons, is the perfect place to unveil a groundbreaking new technology that makes it easier for any robotic surgeon, from novice to experienced, to train in the privacy of their own home or office.
Supporting the same top training programs found on the full size dV-Trainer, the FlexVR™ is light in weight but not in power. In addition to the MSim psychomotor skills software and Maestro AR procedure-specific skills software, FlexVR™ also utilizes Mimic’s MScore administrative software allowing for personalized curriculum development and user proficiency tracking. MScore Portal allows all user data to be stored, backed up, and accessed in the cloud so that your program data is always at your fingertips.
Portable, Storable, Personal, Flexible, be among the first to see what’s inside FlexVR™ at this year’s SAGES. Schedule a demo now: