Robotic surgical education: A collaborative approach to training postgraduate urologists and endourology fellows

Hossein Mirheydar, Marklyn Jones, Kenneth S. Koeneman, Robert M. Sweet

Research output: Contribution to journalArticlepeer-review

37 Scopus citations


Objective: Currently, robotic training for inexperienced practicing surgeons is primarily done vis-à-vis industry and/or society-sponsored day or weekend courses, with limited proctorship opportunities. The objective of this study was to assess the impact of an extended-proctorship program at up to 32 months of follow-up. Methods: An extended-proctorship program for roboticassisted laparoscopic radical prostatectomy was established at our institution. The curriculum consisted of 3 phases: (1) completing an Intuitive Surgical 2-day robotic training course with company representatives; (2) serving as assistant to a trained proctor on 5 to 6 cases; and (3 performing proctored cases up to 1 year until confidence was achieved. Participants were surveyed and asked to evaluate on a 5-point Likert scale their operative experience in robotics and satisfaction regarding their training Results: Nine of 9 participants are currently performing robotic-assisted laparoscopic radical prostatectomy (RALP independently. Graduates of our program have performed 477 RALP cases. The mean number of cases performed within phase 3 was 20.1 (range, 5 to 40) prior to independent practice. The program received a rating of 4.2/5 for effectiveness in teaching robotic surgery skills. Conclusion: Our robotic program, with extended proctoring has led to an outstanding take-rate for disseminating robotic skills in a metropolitan community.

Original languageEnglish (US)
Pages (from-to)287-292
Number of pages6
JournalJournal of the Society of Laparoendoscopic Surgeons
Issue number3
StatePublished - Oct 29 2009


  • Extended-proctoring education
  • Prostatectomy
  • Robotics


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