Proficiency-based training and credentialing can improve patient outcomes and decrease cost to a hospital system

While proficiency-based robotic training has been shown to enhance skill acquisition, no studies have shown that training leads to improved outcomes or quality measures. Board-certified general surgeons participated in an optional proficiency-based robotic training curriculum and outcomes from robot...

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Bibliographic Details
Published in:The American journal of surgery 2019-04, Vol.217 (4), p.591-596
Main Authors: Tam, Vernissia, Borrebach, Jeffrey, Dunn, Stefanie Altieri, Bellon, Johanna, Zeh, Herbert J., Hogg, Melissa E.
Format: Article
Language:English
Subjects:
Abdomen
Abdominal surgery
Clinical Competence
Clinical outcomes
Cost control
Cost Savings
Credentialing
Curricula
Curriculum
Emergency medical care
Female
Hernia
Hernias
Herniorrhaphy - education
Hospital costs
Humans
Maintenance
Male
Measurement methods
Medical personnel
Middle Aged
Models, Educational
Motor skill learning
Operative Time
Proficiency
Quality Improvement
Retrospective Studies
Robotic inguinal hernia
Robotic surgery
Robotic Surgical Procedures - education
Robotics
Simulation
Simulation Training
Surgeons
Training
Virtual reality
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Summary:While proficiency-based robotic training has been shown to enhance skill acquisition, no studies have shown that training leads to improved outcomes or quality measures. Board-certified general surgeons participated in an optional proficiency-based robotic training curriculum and outcomes from robotic hernia cases were analyzed. Multivariable analysis was performed for operative times to adjust for patient and surgical variables. Six out of 16 (38%) surgeons completed training and 210 robotic hernia cases were analyzed. Longer operative times were associated with bilateral repairs (observed-to-expected operative time ratio [OTR] = 1.41, p 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2018.07.053