Effect of Preoperative Simulator Warmup on Intraoperative Robotic Surgical Skills
| Status: | Completed |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/30/2019 |
| Start Date: | December 2012 |
| End Date: | June 2014 |
Effect of Preoperative Warmup on a Simulator by Trainee Surgeons on Intraoperative Robotic Surgical Skill and Postoperative Patient Outcomes
Surgical residents and fellows acquire operative knowledge and skills by assisting attending
surgeons in the operating room. Previous research has shown that practising technical skills
prior to operating on patients can improve how skillfully laparoscopic surgery can be
performed. Although an increasingly large number of patients are undergoing robotic
hysterectomy and other robotic surgical procedures, little is known on how to ensure patient
safety and treatment effectiveness when trainee surgeons participate in the operating room.
Our study aims to determine the impact of immediate preoperative warm-up on a robotic surgery
simulator by gynecologic surgical trainees on their intraoperative performance and on patient
outcomes. The investigators are randomly assigning gynecologic surgical trainees at a major
academic medical center to either warm-up immediately before surgery on a robotic surgery
simulator or to not warm-up. The attending surgeon supervising the trainee in the operating
room is unaware of whether the trainee was assigned to warm-up or no warm-up. The
investigators will compare standard robotic surgical skills assessments of the trainees by
the supervising attending surgeons and patient outcomes in the two groups.
surgeons in the operating room. Previous research has shown that practising technical skills
prior to operating on patients can improve how skillfully laparoscopic surgery can be
performed. Although an increasingly large number of patients are undergoing robotic
hysterectomy and other robotic surgical procedures, little is known on how to ensure patient
safety and treatment effectiveness when trainee surgeons participate in the operating room.
Our study aims to determine the impact of immediate preoperative warm-up on a robotic surgery
simulator by gynecologic surgical trainees on their intraoperative performance and on patient
outcomes. The investigators are randomly assigning gynecologic surgical trainees at a major
academic medical center to either warm-up immediately before surgery on a robotic surgery
simulator or to not warm-up. The attending surgeon supervising the trainee in the operating
room is unaware of whether the trainee was assigned to warm-up or no warm-up. The
investigators will compare standard robotic surgical skills assessments of the trainees by
the supervising attending surgeons and patient outcomes in the two groups.
Inclusion Criteria:
- Enrollment in the graduate (residency and fellowships) gynecology training program at
the study institution;
- Participation as assistant surgeon in a robotic hysterectomy for benign indications
for early stage uterine or cervical cancer.
Exclusion Criteria:
- Participation as assistant surgeon in a non-robotic hysterectomy or robotic
hysterectomy for gynecologic cancer that has spread beyond the uterus based on
preoperative imaging and biopsy.
We found this trial at
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Johns Hopkins Bayview Medical Center There is no better story in American medicine in the...
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