Opportunity for Surgeons to Improve their Robotic Surgery Skills at the Upcoming World Symposium on Endometriosis
The 2nd World Symposium on Endometriosis: Endometriosis, Cancer, and Fertility is happening March 27-29, 2014, in Atlanta, Georgia. This year’s theme: “Fertility Sparing Technology from Molecules to Robotics,” focuses on the latest research and treatment strategies in the fields of endometriosis and oncofertility.
The event promises three days of innovative, cutting-edge presentations, live surgeries, and open discussions as world leaders in endometriosis, oncology, fertility, and minimally invasive surgery come together. Attendees will also have the opportunity to learn and improve their robotic surgical skills, using custom one-on-one training on the dV-Trainer, Mimic’s robotic surgery simulator for the da Vinci© robot.
“This meeting has three primary focused areas,” explains Symposium Chair, Ceana Nezhat, MD. “First, the advancement of surgical skills for endometriosis patients; second, the advancement of surgery for cancer patients, specifically oncofertility; and third, to discuss the safest and best minimally invasive approaches for both, endometriosis and cancer.”
Dr. Nezhat believes the new one-on-one proctoring provided by MimicMED, during this year’s Symposium, will “offer attendees an introduction to robotic technology, allowing surgeons the opportunity to choose if this is the best approach for their patients.”
Ceana Nezhat, MD is a recognized world leader in the field of minimally invasive surgery, specializing in minimally invasive surgical treatment of severe and multi-organ endometriosis, infertility, and urologic and pelvic reconstruction. He has been instrumental in modifying established laparotomy procedures to laparoscopy with improved outcomes.
“Traditionally, surgeons attended training classes, advancing to porcine labs, then to the OR,” he stated. “However, with today’s advances in robotic surgery, simulation training affords surgeons the ability to advance more quickly and skillfully into the operating room.”
Spaces are available for attendees who would like to perfect their robotic surgical skills through custom one-on-one proctoring using the dV-Trainer at WSE. CME credit available.
Sign up at http://www.MimicMED.com/WSE
Study To Be Published March 1, 2014.
Surgeons who follow a rigorous training protocol on a simulator have been found to have a significant advantage in performance on the da Vinci robot compared with those who do not use a simulator, says a new study at The Icahn School of Medicine at Mount Sinai and Morristown Medical Center in New Jersey.
Board certified laparoscopic surgeons who had no experience with robotic surgery were able to meet and even exceed the rigorous requirements of the study set by a team of experienced robotic surgeons, each averaging over 75 robotic cases each year, according to researchers. Study participants required between eight and forty hours of simulation training to achieve the required benchmarks.
“Proficiency is something every novice robotic surgeon is looking for,” says study leader Dr. Patrick Culligan, M.D., FACOG, FACS, and professor of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai School of Medicine. “Our study has found that surgeons can become ready much more quickly by using the simulator, potentially saving time, blood loss, and costs for each hospital robotic program.” The simulator’s software was developed by Mimic Technologies for the da Vinci robot and is sold by both Mimic and Intuitive Surgical.
The study involved 14 OB-GYNs and two sets of comparative benchmarks. The study’s “expert surgeons” each performed supracervical hysterectomies, as did a group of “control surgeons.” The control group had full robotic hospital privileges but was not averaging more than two cases per month and had not trained on the simulator. Operating time, estimated blood loss, and a blinded-skill assessment of videos were compared using t-tests for all cases across the three surgical groups.
Those surgeons, who were engaged in their first-ever robotic surgery, who used the simulator, had a much better outcome than the control group, the investigators found. Compared to the control group, the surgeons trained with simulation completed their cases approximately 33% faster, had less blood loss, and scored better during the blind video review. Not only did the simulation trained surgeons achieve the benchmarks set by the experts, they did so quickly. Each surgeon was required to reach expert status on the simulator before they could move to performing a human hysterectomy.
“This landmark study has been used to establish a new training protocol, which is available through MShare, Mimic’s curriculum sharing portal,” says Jeff Berkley, founder and CEO of Mimic Technologies. “Anyone in the country who utilizes Mimic’s da Vinci simulator can use this new protocol to train surgeons to expert status quickly.”
Study surgeons, certified OB-GYN’s who had little to no experience with robotics, were given complete access to the robotic simulator and then completed the Intuitive Surgical introductory training course. They then performed their first ever robotic surgery – a supracervical hysterectomy. With senior robotic surgeons ready to step in if necessary, they used the dual-console da Vinci system to oversee the surgery.
“We are planning to incorporate this curriculum into our credentialing program for robotic surgeons,” said Dr. Paul Tulikangas, fellowship program director, Female Pelvic Medicine and Reconstructive Surgery at Hartford Hospital and associate professor, University of Connecticut School of Medicine. “This is a cost effective way to improve patient safety.”
“We found that the laparoscopic surgeons were just as proficient as the expert group and actually more proficient than the control group of fully credentialed robotic surgeons,” said Culligan. “In a relatively short amount of time the laparoscopic surgeons performed at expert levels. It was an exciting discovery.”
With the latest MSim™ software update to the dV-Trainer robotic surgery simulator, Mimic Technologies is providing customers and research partners with a preview of forthcoming augmented video simulation technology.
The new procedure-specific simulation training module for partial nephrectomy was developed in collaboration with Inderbir S. Gill, MD (Chairman and Professor of the Catherine and Joseph Aresty Department of Urology, Founding Executive Director of the USC Institute of Urology and Associate Dean for Clinical Innovation, Keck School of Medicine of USC) and Andrew J. Hung, MD (Clinical Fellow, Advanced Robotics and Laparoscopy, Keck School of Medicine of USC).
This new training technique will enable users to advance clinical decision-making skills as they use virtual robotic instruments to interact with anatomical regions within augmented 3D surgical video footage of a case performed by Dr. Gill. Trainees will learn to identify anatomy, anticipate tissue retractions, predict regions for dissection and refine surgical skills such as suturing. The interactive module includes audio narration from Dr. Gill to bring the user through the steps of the procedure.
“Many thought leaders in the robotic surgery community have suggested that procedure-specific simulation training would be an incredibly useful new approach to promote skill development, especially for less experienced surgeons,” said Jeff Berkley, CEO, Mimic Technologies Inc. “Through our collaboration with Drs. Gill and Hung, we could not be more delighted to now show our existing partners and customers how far we’ve come in making it a reality.”
The full partial nephrectomy procedure module is exclusively available from Mimic on the dV-Trainer, and available for purchase for May 2014 delivery.
For more information:
dV-Trainer® software update launches full suite of simulation exercises for the Robotic Training Network (RTN)
As with other dV-Trainer exercises, the new RTN exercises allow users to objectively measure their performance with MScore. Standard on the dV-Trainer, MScore is the only true proficiency-based scoring system for robotic surgery simulation skills development. MScore assessment is built on data collected from more than 100 experienced surgeons who all have completed 75 or more robotic cases. Similar to the Fundamentals of Laparoscopic Surgery (FLS) standard, MScore is based on expert mean and standard deviation data to facilitate credentialing and privileging.
The vision of the Robotic Training Network (RTN) is to standardize the robotic surgical curriculum and education for residents/fellows-in-training (OBGYN and SURGERY) through the development of a collaborative network. This network is led by a multidisciplinary team of surgeons who are also Fellows in the American College of Surgeons (FACS) and the American Congress of Obstetricians and Gynecology (FACOG) representing nine founding members from leading academic institutions in the United States. For more information: http://www.robotictraining.org
New component for the dV-Trainer® facilitates better teamwork between the console-side surgeon and first assistant
Mimic Technologies Inc. debuts the new Xperience Team Trainer robotic surgery simulator at the 14th annual International Meeting on Simulation in Healthcare (IMSH), January 25-29, 2014, San Francisco.
The Xperience Team Trainer is the first system exclusively designed to help the robotic surgeon’s first assistant gain experience and refine skills in a simulation environment. The new simulator functions as a complementary hardware unit for the dV-Trainer® simulator, featuring two movable laparoscopic tool ports for use by the first assistant. This enables the first assistant and console surgeon to safely train together outside of the OR.
Within the robotic surgical environment, cooperation between the console-side surgeon and first assistant is critical for efficient, effective performance. A high level of teamwork requires precise verbal communication and the ability to anticipate and react to one another’s movements during common procedural tasks.
“As the saying goes, ‘Separation is in the preparation,’” said Jeff Berkley, CEO and founder, Mimic Technologies Inc. “The first assistant’s role in influencing procedures is crucial, and perhaps underappreciated. Giving the console-side surgeon and the first assistant the chance to train together should be a tremendous asset for institutions looking to maximize patient safety and overall efficiency in robotics.”
Many of the most effective basic skills exercises on the dV-Trainer have been modified to accommodate the first assistant. These exercises build teamwork and synchronization for common maneuvers such as needle passing, tissue retraction and clip application.
“The Xperience Team Trainer should benefit institutions looking to maximize preparedness of their robotic surgery teams,” said Dr. John Lenihan, Medical Director of Robotics & Minimally Invasive Surgery, MultiCare Health Systems (Tacoma WA), Assistant Professor of OB-GYN, University of Washington School of Medicine (Seattle WA). “The new team exercises are an innovative method to help the first assistant refine their working relationship with the console-side surgeon.”
The Xperience Team Trainer leverages Mimic’s unique MScore™ evaluation system, which factors in comprehensive metrics and experienced surgeon data. MScore allows options for scoring the surgeon’s and first assistant’s performance on exercises separately, as well as for combined proficiency.
For more information about the Xperience Team Trainer go to:
Mimic Technologies Inc., founded in 2001 and based in Seattle, WA, is a pioneer and leader in robotic surgery simulation and training. The dV-Trainer was the first simulator to recreate the look and feel of the da Vinci® Surgery System from Intuitive Surgical.