Robotic Surgery Curriculum for CMH Surgical Residents

Ventura County Medical Center

Robotic Surgery Training Pathway

STEP ONE: Training Session (given by Intuitive Surgical Representative)

• Basic Components of the Robotic System
  • Console (Camera and Instrument control)
  • Docking/Undocking
  • Insert/Exchange of Instruments
  • Equipment Tray
• Create Logins for the Console and Online site
• Robotic rep will give lecture on the risks and benefits of robotic surgery

STEP TWO: Online Training

• Complete online training modules
  • daVinci Xi System Overview
  • Docking
  • Advanced Surgeon Console Controls
  • Safety Features
• Assessment (Save/Print certificate)
• View video of Cholecystectomy and Hernia Repair

STEP THREE: Simulator Modules

• Complete the Simulator Modules with > 85% score
  • Endowrist Manipulation - Pegboard 1+2; Matchboard 1+2; Ring&Rail1
  • Camera Control - Camera Targeting 1
  • Energy & Dissection - Energy Switching 1 and Energy Dissection 1
  • Needle Driving - Needle Targeting and Suture Sponge 1
  • Suturing - Complete all 5 modules (no score available)

STEP FOUR: At-Patient Training

• Bedside assistant in 10 robotic cases
  Docking, Instrument exchange
• Console surgeon experience with attending to 5 cases
  Perform some portion of the case with active guidance by attending

STEP FIVE: Robotic Surgery Case Log – Basic Cases

• Perform Cholecystectomy and/or Hernia Repair (5 cases minimum)

STEP SIX: Advanced Simulator Training

• Complete the Simulator Modules with > 85% score
  • Endowrist Manipulation – Matchboard 3; Ring & Rail 2
  • Camera Control - Camera Targeting 2
  • Energy & Dissection – Energy Switching 2; Energy Dissection 3
  • Needle Driving – Suture Sponge 2

STEP SEVEN: Robotic Surgery Case log – Advanced Cases

• Perform the majority of at least two Advanced Cases
  i.e. Segmental Colectomy, Rectopexy, Adrenalectomy, Proctectomy, Gastric
  bypass, sleeve gastrectomy, hiatal hernia repair

STEP EIGHT: Final Certification

• Basic and Advanced modules completed with >85% score
• Minimum 5 cases as console surgeon
• Minimum 5 cases docking robot
• Perform 5 cases as a console surgeon that are formally reviewed and determined competent by the Director of Robotics at VCMC.