Utilising an Accelerated Delphi Process to Develop Guidance and Protocols for Telepresence Applications in Remote Robotic Surgery Training

European Urology Open Science

Andrew Hung¹  Jeffrey Levy²  Ahmed Ghazi²  Danail Stoyanov³  Michele Diana⁴  Yanick Beaulieu⁵  Nadine Haram⁶  John D. Kelly⁷  Jacques Marescaux⁸  Justin W. Collins⁹  Hani J. Marcus⁹  Yulun Wang^1,10  Dimitrios Stefanidis^1,11  Prokar Dasgupta^1,11  Ashwin Sridhar^1,12  Mark Slack^1,13  Richard Feins^1,14  Anders Ericsson^1,15  Vipul Patel^1,16  Mehran Anvari^1,17  Mark Coleman^1,18  Richard M. Satava^1,19  Martin Martino^2,20  Tom Cecil^2,20 

[1] Corresponding author. University College London, London, UK. Tel.: [phone].;Department of Uro-Oncology, University College London Hospital, London, UK;Wellcome/ESPRC Centre for Interventional and Surgical Sciences (WEISS), University College London, London, UK;Department of Plastic Surgery, Royal Free London NHS Foundation Trust, London, UK;Department of Psychology, Florida State University, Tallahassee, FL, USA;Department of Surgery, St. Joseph’s Healthcare, McMaster University, Hamilton, Ontario, Canada;Division of C Surgery, University of North Carolina, Chapel Hill, NC, USA;Division of Cardiology and Critical Care, Sacré-Coeur Hospital, University of Montreal, Montreal, Quebec, Canada;Division of Surgery and Interventional Science, Research Department of Targeted Intervention, University College London, London, UK;Hampshire Hospitals NHS Foundation Trust, Hampshire, UK;IRCAD, Research Institute Against Digestive Cancer, Strasbourg, France;InTouch Health, Santa Barbara, CA, USA;Indiana University School of Medicine, Indianapolis, IN, USA;Institute for Surgical Excellence, Philadelphia, PA, USA;Keck School of Medicine of USC, Los Angeles, CA, USA;MRC Centre for Transplantation, Kings College London, London, UK;Plymouth Hospitals NHS Trust, Plymouth, UK;University of Rochester Medical Center, Rochester, NY, USA;University of Southern Florida, Tampa, FL, USA;Wellcome/ESPRC Centre for Interventional and Surgical Sciences (WEISS), University College London, London, UK;

关键词: Telepresence;    Telementoring;    Telesurgery;    Training protocol;    Communication;    Robotic-assisted surgery;   

DOI  :  

来源: DOAJ

【 摘 要 】

Context: The role of robot-assisted surgery continues to expand at a time when trainers and proctors have travel restrictions during the coronavirus disease 2019 (COVID-19) pandemic. Objective: To provide guidance on setting up and running an optimised telementoring service that can be integrated into current validated curricula. We define a standardised approach to training candidates in skill acquisition via telepresence technologies. We aim to describe an approach based on the current evidence and available technologies, and define the key elements within optimised telepresence services, by seeking consensus from an expert committee comprising key opinion leaders in training. Evidence acquisition: This project was carried out in phases: a systematic review of the current literature, a teleconference meeting, and then an initial survey were conducted based on the current evidence and expert opinion, and sent to the committee. Twenty-four experts in training, including clinicians, academics, and industry, contributed to the Delphi process. An accelerated Delphi process underwent three rounds and was completed within 72 h. Additions to the second- and third-round surveys were formulated based on the answers and comments from the previous rounds. Consensus opinion was defined as ≥80% agreement. Evidence synthesis: There was 100% consensus regarding an urgent need for international agreement on guidance for optimised telepresence. Consensus was reached in multiple areas, including (1) infrastructure and functionality; (2) definitions and terminology; (3) protocols for training, communication, and safety issues; and (4) accountability including ethical and legal issues. The resulting formulated guidance showed good internal consistency among experts, with a Cronbach alpha of 0.90. Conclusions: Using the Delphi methodology, we achieved international consensus among experts for development and content validation of optimised telepresence services for robotic surgery training. This guidance lays the foundation for launching telepresence services in robotic surgery. This guidance will require further validation. Patient summary: Owing to travel restrictions during the coronavirus disease 2019 (COVID-19) pandemic, development of remote training and support via telemedicine is becoming increasingly important. We report a key opinion leader consensus view on a standardised approach to telepresence.

【 授权许可】

Unknown